Piezo in Implant Surgery: A Literature Review

Authors

  • soumya sharma (Post Graduate) Subharti Dental College
  • Mayur Kaushik Professor and Head, Department of Periodontology, Subharti Dental College and Hospital, Meerut, Uttar Pradesh, India
  • Soundarya Singh 3Associate Professor, Department of Periodontology, Subharti Dental College and Hospital, Meerut, Uttar Pradesh, India
  • Mehvish Saleem 3Associate Professor, Department of Periodontology, Subharti Dental College and Hospital, Meerut, Uttar Pradesh, India

DOI:

https://doi.org/10.37591/rrjod.v14i2.3246

Abstract

Dental Implants are Titanium cylinders that are widely used by dentists as prosthesis to replace damaged or lost tooth. The process where the implant locks and attaches itself with the bone is termed as osseointegration. Factors like bone quality and quantity, primary stability of implant, surface characteristics of implant are some of the factors that determine osseointegration of the implant.
Acceleration of osseointegration may depend on the removal of negative tissue conditions or optimization of the biomaterial rather than on an actual increase in the rate of bone response. Stability of marginal bone loss is an important parameter used to evaluate peri implant success. Early crestal bone loss of about 1.5 mm is frequently observed during the first year after implant loading, followed by a yearly bone loss of about 0.2 mm in the
following years. Etiological factors associated with early bone loss are surgical factors, biological factors and implant related factors.
The introduction of piezoelectric bone surgery has led to a reduction in the trauma that accompanies twist drills when performing osteotomies. The cutting action of piezoelectric micro vibrations takes advantage of ultrasonic shock waves that strike the bone with low force and high frequency. Therefore, the bone fragments are both micronized and simultaneously removed by the cavitation effect of the saline solution, minimizing damage to the cortical and trabecular bone, while, at the same time, favouring enhanced cleansing, cooling, and disinfection of the site.

References

Horton JE, Tarpley TM Jr, Wood LD. The healing of surgical defects in

alveolar bone produced with ultrasonic instrumentation, chisel and rotary bur.

Oral Surg Oral Med Oral Pathol 1975;39:536-546.

Vercellotti T. Technological characteristics and clinical indications of

piezoelectric bone surgery. Minerva Stomatologica 2004;53:55.

Palti A, Hoch T. A concept for the treatment of various dental bone defects.

Implant Dent 2002;11:73-78.

Grenga V, Bovi M. Piezoelectric surgery for exposure of palatally impacted

canines. J Clin Orthod 2004;38:446.

S Soumya, K Mayur, A Sameer. Comparative evaluation of crestal bone loss

around dental implants in implant osteotomy sites prepared by piezoelectric

inserts versus conventional twist drills: Two case reports. Int J Appl Dent Sci

;9:19-22.

Vercellotti T, Pollack AS. Piezosurgery®: A new device for bone surgery: Part I -

Sinus Grafting and Periodontal Surgery. Compendium; issue May 2006.

Vercellotti T. Piezoelectric surgery in implantology. Int J Periodont Restor Dent

;20:358-365.

Aro H, Kallioniemi H, Aho AJ, Kellokumgo-Lehtinen P. Ultrasonic device in

bone cutting: A histological and scanning electron microscopical study. Acta

Orthop Scand 1981;52:5-10.

Vercellotti T, Crovace A, Palermo A Molfetta A. The piezoelectric osteotomy in

orthopedics: Clinical and histological evaluations (Pilot study in animals).

Mediterr J Surg Med 2001;9:89-96.

Published

2023-10-31

Issue

Section

Review Article