New! Piezosurgery – State of the Art in Implantology
Learn from the inventor of Piezosurgery, Dr. Vercellotti! Advantages of Piezosurgery, such as less healing time, and easier post-op, will be discussed. Plus, he will cover one of the most interesting applications: Implant Site Preparation at the time of tooth extraction.
>>Buy this Online Lecture Now!
>>Buy the DVD Now!
Learn from the inventor of Piezosurgery, Dr. Vercellotti! Advantages of Piezosurgery, such as less healing time, and easier post-op, will be discussed. Plus, he will cover one of the most interesting applications: Implant Site Preparation at the time of tooth extraction.>>Buy this Online Lecture Now!
>>Buy the DVD Now!
Dr. H., a periodontist asks:
I am interested in purchasing a Piezo type surgical unit for use in extracting teeth and creating lateral windows for maxillary sinus lifts. Although I have researched several models, I wanted to get some real life, first hand feed back from current users and your recommendations. Are there any systems that are clinically better than others? Do any of you have any comments on Salvins’s Piezotome or Brassler’s VarioSURG Piezo Ultrasonic Surgical System? Would you recommend any other system?
Some have more power than others but it may not be an issue depending on what you plan on using it for. I would test several before deciding. I’m pretty sure the VarioSurg is on the low end in regards to power but the price is also better than most, too.
I think one of the best piezosurgery system in the word is mectron from italy. it is the first piezo sys. and the have the finest and delicate insert tips with many different usage.
Piezosurgery by Mectron is the real one with all of the research and patents behind it. They recently came out with their Piezosurgery 3 that can even prepare implant osteotomies.
Buying anything else is like buying a fake Rolex.
I think that buying a Surgybone (Silfradent) is good choice in both price and quality. It has better price than Variosurg and power is strong and handpipece doesn’t get hot.
Antiquated Customer Service at Piezosurgery Inc.(USA)
While this pattented osseous surgical device does offer some advantages, the follow through and customer service offered by Piezosurgery Incorporated (U.S.) undermines the device. Try getting them to replace a P3 unit where the water flow does not work properly.
I would suggest interested parties to check out the following study. This always seems to be what Piezosurgery tries to fall back on when problems arise, instead of being professional and backing their device and products.
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-64402009000200013&lng=en&nrm=iso&tlng=en
Here is a partial of the study:
Traditional rotating instruments gave generally good results, however their action is always more traumatic than laser and Piezosurgery; moreover their action is strictly related to the surgeon’s capability, giving less predictable results over the treated surfaces. This is in accordance with the results of Sasaki (19), who showed that bur-treated bone also exhibited a groove of approximately 730 µm width and 290 µm depth. The surface of the groove was covered with a thin smear layer with a regular border and, under transmission electron microscopy, the bur-drilled surface showed cracking and roughness that was not observed under light microscopy.
B1, B2 and B3 groups (Piezosurgery). Piezosurgery incisions showed superficial incisions without thermal signs but with irregular margins. The absence of thermal damage is obvious since the own cutting properties of the device. However, in all the samples cut with the piezoelectric device the histological sharpness of the incision was not generally satisfactory (Fig. 3).
A1 and A2 groups (Er:YAG laser). Generally, Er:YAG laser gave excellent results for all parameters. Clear sharp edges, good depth of incision, low melting and carbonization were observed almost in all the analyzed samples. The extent of thermal damage was always no more than a few microns as it is visible in the reported sample of A1 group (Fig. 2). In A2 group, in which doubled parameters were applied, a very low thermal artifact was present and it is clearly visible the sharp cut edge and the poor thermal alterations of the intertrabecular connective tissue; even the osteocytes close to the incision are lacking alterations.
Both the statistical and histological analyses revealed that the Er:YAG laser is a very helpful device in bone oral surgery as largely shown in literature (7,8,10,11,19,20); in fact, its particular interaction with biological tissues containing water and hydroxyapatite allows extremely precise bone cuts. Moreover, the air/water cooling prevents the thermal increase minimizing the thermal damage in peripheral cut margins.
Surgybone from Silfradent is a very good & reliable unit
and the handpiece will not heat-up.
Mectron & Silfradent PiezoSurgery unit are an upgrade from the original first unit…. a divorce
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