Basics of Piezoelectric Surgery and Use in Oral and Maxillofacial Surgery

Yıl 2007, Cilt: 1 Sayı: 4, 26 - 36, 01.06.2007

M. Kağan Değerliyurt

Öz

Piezoelectric surgery is a new innovating surgicaltechnique used to perform safe and effectiveosteotomies using piezoelectric ultrasonic vibrations for implantology, oral surgery and maxillofacial surgery to complement traditional surgicalprocedures, and in some cases, replace traditional procedures. Because of its micrometric andselective cut, the piezoelectric device producessafe and precise osteotomies without anyosteonecrotic damage. This device works only onmineralized tissues, sparing soft tissues and theirblood supply. Specific surgical indications documented for using the Piezoelectric surgery deviceinclude dental extraction, ridge expansion,osteogenic distraction, ridge expansion,endodontic surgery, bone harvesting includingchips and blocks, maxillary sinus lift, third molarextraction, alveolar nevre decompression, cystremoval and orthognathic surgery. The results ofpiezosurgery in dentistry and medicine showpromising possibilities that are confirmed bymany clinical studies. Currently, long-term resultsfollowing piezosurgery which would allow for acritical evaluation of this new surgical method,are still lacking

Anahtar Kelimeler

Piezosurgery, Maxillofacial Surgery, Osteotomy, Oral Surgery

Piezoelektrik Cerrahinin Temelleri: Oral ve Maksillofasiyal Cerrahide Kullanımı

Öz

Piezocerrahi; oral cerrahi, implantoloji ve maksillofasiyal cerrahi için geleneksel yöntemleritamamlamak ve bazı vakalarda geleneksel yöntemlerin yerine almak için tasarlanmıfl piezoelektrik ultrasonik titreflimler kullanarak güvenli veetkili osteotomiler yapılmasını sağlayan nispetenyeni bir tekniktir. Mikrometrik ve seçici kesimyapabilmesinden dolayı, piezoelektrik cihazı,osteonekrotik hasarlar vermeden güvenli ve hassas bir osteotomi sağlar. Cihaz, yumuflak dokuve kan desteğini koruyarak, sadece mineralizedokular üzerinde çalıflır. Piezoelektrik cerrahicihazının kullanımı için spesifik cerrahi endikasyonları difl çekimi, distraksiyon osteogenezi, kretgeniflletmesi, endodontik cerrahi, kemik greftielde edilmesi, maksiller sinüs tabanının cerrahiolarak yükseltilmesi, alveoler sinir dekompresyonu, kist operasyonları ve ortognatik cerrahiolarak sıralanabilir. Difl hekimliği ve tıpta piezocerrahi kullanımının sonuçları umut vaad ediciolasılıkları göstermektedir. Bu sonuçlar birçokçalıflma tarafından doğrulanmıfltır. Hala, piezocerrahi sonrası uzun dönem sonuçlarındeğerlendirilmesine izin veren çalıflmalaraihtiyaç duyulmaktadır

Anahtar Kelimeler

Piezocerrahi, Maksillofasiyal Cerrahi, Osteotomi, Oral Cerrah

Kaynakça

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