Ağız, diş ve çene cerrahisinde piezoelektrik cerrahi aletlerinin kullanımı

Yıl 2019, , 596 - 601, 01.12.2019

Özgün Yıldırım , Mustafa Öztürk

https://doi.org/10.21601/ortadogutipdergisi.536945

Öz

Piezoelektrik cerrahi, piezoelektrik ultrasonik titreşimler kullanarak güvenli ve etkili osteotomiler yapılmasını sağlayan nispeten yeni bir tekniktir, her geçen gün yeni özelliklere sahip cihazlar üretilip piyasaya sürülmektedir. Piezocerrahi aletleri, konvansiyonel döner cerrahi aletlerine göre üstün özelliklere sahiptir. Mikrometrik ve seçici kesim yapabilmesinden dolayı piezoelektrik cerrahi cihazı, kemik üzerinde nekrotik hasarlar vermeden güvenli ve hassas bir osteotomi sağlar. Geleneksel döner aletlere kıyasla en önemli özelliği, yumuşak doku ve kan desteğini koruyarak sadece mineralize dokular üzerinde çalışmasıdır. Operasyon alanında ve çevresindeki kemik harici sinir ve mukoza gibi yumuşak dokularla teması halinde bu dokulara zarar vermemektedir. Bu çalışmada tıbbın ortopedi ve beyin cerrahisi gibi birçok alanında olduğu gibi Ağız, Diş ve Çene Cerrahisi uygulamalarında da sıklıkla tercih edilen piezoelektrik cerrahi aletlerinin özellikleri, kullanım alanları, avantaj ve dezavantajları anlatılmıştır.

Anahtar Kelimeler

ağız diş ve çene cerrahisi, diş hekimliği, piezoelektrik cerrahi

Using of piezoelectric surgical instruments in oral and maxillofacial surgery

Öz

Piezoelectric surgery is a relatively new technique that provides safe and effective osteotomies using piezoelectric ultrasonic vibrations, and every day new devices with new features are produced and marketed. Piezosurgery instruments have superior properties compared to conventional rotary surgical instruments. Because of its micrometric and selective cutting, the piezoelectric surgery device provides a safe and sensitive osteotomy without causing necrotic damage to the bone. Compared to conventional rotary instruments, the most important feature is that it works only on mineralized tissues while maintaining soft tissue and blood support. It does not damage the tissues in contact with soft tissues such as the bone and mucous membranes in and around the operation area. In this study, properties, usage areas, advantages and disadvantages of piezoelectric surgical instruments which are frequently preferred in Oral, Dental and Maxillofacial Surgery applications as in many fields of orthopedics and brain surgery of medicine are explained.

Anahtar Kelimeler

dentistry, oral and maxillofacial surgery, piezoelectric surgery

Kaynakça

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