Piezosurgery and its Clinical Applications in Periodontics
Use of ultrasonics vibrations for cutting bone was used two decades ago. Piezosurgery is a novel surgical approach, gaining popularity in periodontology, oral implantology, and oral surgery. Piezosurgery is a sophisticated ultrasonic device introduced by Dr. Tomaso Vercellotti. It is minimally invasive osteotomy device to achieve unparallel precision, patient comfort, intra-operative sensitivity, intra-operative visibility, blood free surgical site and reduced damage to the surrounding soft tissues, osteocytes and important structures like nerves, muscles and mucosa. Due to the minimal damage to the osteocytes, survival of bone after harvesting is excellent compared to conventional cutting of bone. Periodontal disease often leads to attachment loss and osseous defects. Angular bone defects can be regenerated using bone grafts. Autologous bone grafts holds lot of importance in regenerating periodontal defects. Piezosurgery is very useful in harvesting autogenous bone for regenerating periodontal defects. In modern dentistry osseous support is important for successful implant placement. Piezoelectric device is widely used in various procedures. Many studies have, reported this device as safe and easy for harvesting intraoral autogenous bone graft compared to manual and rotary instruments. Piezosurgery device have the following advantages, improved quality of cutting, maneuverability, ease of use, and safety. Patients are seeing amazing results with faster healing time, less swelling and less post operative pain. This article summarizes the various clinical applications of piezosurgery in the field of periodontics and implant dentistry.