Piezoelectric surgery definition
History
Indications
Mechanism of action
Types
Advantages
Disadvantages
Uses of piezoelectric device
Implant surgery in dentistry
Piezosurgery in oral and maxillofacial surgeryArjun Shenoy
This document discusses piezoelectricity and its use in maxillofacial surgery procedures through a tool called piezosurgery. Piezoelectricity was discovered in 1880 and involves generating electric charges in response to mechanical stress in certain solid materials. Piezosurgery uses this principle with piezoelectric ceramic materials in surgical instruments to precisely cut bone. It allows for selective cutting of hard tissues while sparing soft tissues. Some advantages of piezosurgery include clean cuts with limited damage to bone cells and bloodless surgery. The document outlines several maxillofacial procedures where piezosurgery has been applied and its benefits compared to traditional techniques, such as reduced blood loss and nerve injury.
Basics about TMJ ( development fuction movement etc ) with classification of tmj disorders and stress on tmj examination.
Also covers muscles of masstication
1. A periodontal splint is an appliance used to stabilize mobile teeth and promote healing. It prevents mobility during chewing and allows non-mobile teeth to heal faster.
2. Splints are classified based on the period of use, material type, and location on teeth. Common splints include direct bonding resins, intracoronal wires, and bite guards.
3. Principles of splinting include including healthy teeth, splinting around the arch, and ensuring proper plaque control and occlusion. Splints distribute forces and are indicated to stabilize mobility and trauma, but can hamper hygiene and unevenly distribute forces if not fabricated properly.
This document discusses gingival pigmentation from a historical, physiological, and clinical perspective. It begins by covering the historical descriptions of pigmentation in various populations dating back to the early 1900s. It then describes the structure and function of melanocytes and melanin, as well as the genetic, hormonal, and environmental factors that regulate melanin synthesis. The document classifies different types of pigmentation and pigmented lesions that can occur in the oral mucosa. Finally, it reviews various surgical and non-surgical methods that can be used to depigmentate abnormal gingival pigmentation.
THIS PRESENTATION INCLUDES:
INTRODUCTION
MAIN BLOOD SUPPLY BRANCHES TO PERIODONTIUM
BLOOD SUPPLY TO MAXILLARY TEETH AND PERIODONTIUM
BLOOD SUPPLY TO MANDIBULAR TEETH AND PERIODONTIUM
VENOUS DRAINAGE OF MAXILLARY AND MANDIBULAR TEETH AND PERIODONTIUM
BLOOD SUPPLY TO EACH COMPONENT OF PERIODONTIUM
CLINICAL SIGNIFICANCE OF BLOOD SUPPLYING THE PERIODONTIUM
CLINICAL CORELATIONS WITH GINGIVITIS AND PERIODONTITIS
CONCLUSION
REFERENCES
Vestibuloplasty is a surgical procedure to deepen the oral vestibule by changing the attachments of the soft tissue. There are several types of vestibuloplasty procedures, including mucosal advancement, secondary epithelization, and grafting. Mucosal advancement involves undermining and advancing the oral mucosa, while secondary epithelization uses the oral mucosa to line one side and allows the other side to heal through epithelization. Grafting can use skin, mucosa, or dermis grafts to line the extended vestibule. The document discusses techniques for each type of vestibuloplasty procedure.
This document summarizes the trigeminal nerve, including its embryology, anatomy, branches, functions and clinical considerations. It begins with the embryology of the pharyngeal arches and how they relate to nerve development. It then describes the trigeminal ganglion, roots and nuclei. The three divisions of the trigeminal nerve and their branches are outlined. Clinical tests for examining the trigeminal nerve and classifying injuries are summarized. Common causes of trigeminal nerve injuries and their treatment approaches are briefly discussed.
This document provides an overview of maxilla anatomy and development. It discusses:
- The development of the maxilla from the first branchial arch during weeks 4-8 of gestation, including how the maxillary process, palatal shelves, and tongue form.
- Features of the adult maxilla, including its four surfaces and processes. It houses the maxillary sinus and articulates with several cranial bones.
- Age-related changes like a more vertical diameter in adults and absorption in older individuals.
- Considerations for periodontal and implant procedures related to anatomical structures like nerves, vessels and muscle attachments in the maxilla.
Piezosurgery in oral and maxillofacial surgeryArjun Shenoy
This document discusses piezoelectricity and its use in maxillofacial surgery procedures through a tool called piezosurgery. Piezoelectricity was discovered in 1880 and involves generating electric charges in response to mechanical stress in certain solid materials. Piezosurgery uses this principle with piezoelectric ceramic materials in surgical instruments to precisely cut bone. It allows for selective cutting of hard tissues while sparing soft tissues. Some advantages of piezosurgery include clean cuts with limited damage to bone cells and bloodless surgery. The document outlines several maxillofacial procedures where piezosurgery has been applied and its benefits compared to traditional techniques, such as reduced blood loss and nerve injury.
Basics about TMJ ( development fuction movement etc ) with classification of tmj disorders and stress on tmj examination.
Also covers muscles of masstication
1. A periodontal splint is an appliance used to stabilize mobile teeth and promote healing. It prevents mobility during chewing and allows non-mobile teeth to heal faster.
2. Splints are classified based on the period of use, material type, and location on teeth. Common splints include direct bonding resins, intracoronal wires, and bite guards.
3. Principles of splinting include including healthy teeth, splinting around the arch, and ensuring proper plaque control and occlusion. Splints distribute forces and are indicated to stabilize mobility and trauma, but can hamper hygiene and unevenly distribute forces if not fabricated properly.
This document discusses gingival pigmentation from a historical, physiological, and clinical perspective. It begins by covering the historical descriptions of pigmentation in various populations dating back to the early 1900s. It then describes the structure and function of melanocytes and melanin, as well as the genetic, hormonal, and environmental factors that regulate melanin synthesis. The document classifies different types of pigmentation and pigmented lesions that can occur in the oral mucosa. Finally, it reviews various surgical and non-surgical methods that can be used to depigmentate abnormal gingival pigmentation.
THIS PRESENTATION INCLUDES:
INTRODUCTION
MAIN BLOOD SUPPLY BRANCHES TO PERIODONTIUM
BLOOD SUPPLY TO MAXILLARY TEETH AND PERIODONTIUM
BLOOD SUPPLY TO MANDIBULAR TEETH AND PERIODONTIUM
VENOUS DRAINAGE OF MAXILLARY AND MANDIBULAR TEETH AND PERIODONTIUM
BLOOD SUPPLY TO EACH COMPONENT OF PERIODONTIUM
CLINICAL SIGNIFICANCE OF BLOOD SUPPLYING THE PERIODONTIUM
CLINICAL CORELATIONS WITH GINGIVITIS AND PERIODONTITIS
CONCLUSION
REFERENCES
Vestibuloplasty is a surgical procedure to deepen the oral vestibule by changing the attachments of the soft tissue. There are several types of vestibuloplasty procedures, including mucosal advancement, secondary epithelization, and grafting. Mucosal advancement involves undermining and advancing the oral mucosa, while secondary epithelization uses the oral mucosa to line one side and allows the other side to heal through epithelization. Grafting can use skin, mucosa, or dermis grafts to line the extended vestibule. The document discusses techniques for each type of vestibuloplasty procedure.
This document summarizes the trigeminal nerve, including its embryology, anatomy, branches, functions and clinical considerations. It begins with the embryology of the pharyngeal arches and how they relate to nerve development. It then describes the trigeminal ganglion, roots and nuclei. The three divisions of the trigeminal nerve and their branches are outlined. Clinical tests for examining the trigeminal nerve and classifying injuries are summarized. Common causes of trigeminal nerve injuries and their treatment approaches are briefly discussed.
This document provides an overview of maxilla anatomy and development. It discusses:
- The development of the maxilla from the first branchial arch during weeks 4-8 of gestation, including how the maxillary process, palatal shelves, and tongue form.
- Features of the adult maxilla, including its four surfaces and processes. It houses the maxillary sinus and articulates with several cranial bones.
- Age-related changes like a more vertical diameter in adults and absorption in older individuals.
- Considerations for periodontal and implant procedures related to anatomical structures like nerves, vessels and muscle attachments in the maxilla.
The document describes the submandibular and retromandibular surgical approaches. The submandibular approach involves making a 1.5-2 cm incision inferior to the mandible and dissecting through the layers of the skin, subcutaneous tissue, platysma muscle, and pterygomasseteric sling. The retromandibular approach uses a vertical incision 2 cm posterior to the mandibular ramus and dissects through the same layers to the pterygomasseteric sling. Both approaches give access below the mandible for surgical procedures.
Periodontitis is a chronic inflammatory disease of the tooth-supporting structures. The treatment of this condition is based on the removal of local factors and restoration of the bony architecture. Traditionally osseous surgery has been performed by either manual or motor-driven instruments. However, both these methods have their own advantages and disadvantages. Recently, a novel surgical approach using piezoelectric device has been introduced. It is a promising, meticulous and soft tissue sparing system based on low frequency ultrasonic microvibrations. The absence of macrovibration makes the instrument more manageable and allows greater intraoperative control with an increase in the cutting safety in the more difficult anatomical cutting zone. This presentation emphasizes the mechanism of action, instrumentation, advantages and limitations as well as its applications in periodontology and implantology.
This document provides an overview of maxillary sinus augmentation procedures. It begins with introducing the procedure and anatomy of the maxillary sinus. Reasons for decreased bone height in the posterior maxilla are discussed. The indications, contraindications, benefits, and techniques - including indirect and direct sinus lift - are described. Potential complications are also outlined. In summary, maxillary sinus augmentation allows for increased bone in the upper jaw to facilitate dental implant placement and improved oral rehabilitation.
Bone morphogenetic proteins in periodontal regenerationDr. Shashi Kiran
This document provides an overview of bone morphogenetic proteins (BMPs). It discusses the history and discovery of BMPs, their structure and classification. The key characteristics and mechanisms of action of BMPs are described, including their role in signaling pathways and spatial/temporal regulation. The document outlines the functions of BMPs in embryogenesis, tooth morphogenesis, and osseoinduction. It also discusses various delivery systems for BMPs, including local protein therapy using both organic matrices like collagen and inorganic matrices like hydroxyapatite.
This document discusses different types of bone grafts used in periodontics. It describes autografts, which are transplanted from one site to another within the same individual, as the gold standard due to their osteoinductive properties. Autografts can be obtained from both extraoral sites like the hip or iliac crest, as well as intraoral sites like the tuberosity, tori, or osseous coagulum collected from the surgical site. The document outlines the advantages and disadvantages of various graft materials and their properties like osteoinduction, osteoconduction, and osteogenesis that facilitate bone regeneration.
The document discusses various aspects of maxillary sinus lift procedures:
- The maxillary sinus presents challenges for implant placement due to poor bone density and height. Sinus lift procedures aim to increase bone height for implants.
- Factors like residual bone height/width, sinus pathology, anatomical variations, and buccal wall thickness influence sinus lift technique selection.
- A thorough preoperative exam is needed to assess sinus health and rule out infections or cysts, which may require treatment prior to sinus lift. Radiographs and CT scans help evaluate sinus anatomy and pathology.
Every periodontal surgical procedure has its own indications. With proper knowledge of the etiology of the disease, correct diagnosis and treatment planning, the clinician is able to draw predictable success with periodontal flap surgery.
Cementum is the mineralized tissue that covers the root surfaces of teeth. It has similarities to bone in terms of composition and properties but lacks Haversian canals and is less vascular. Cementum forms through cementogenesis, which involves the differentiation of cementoblasts from the dental follicle. Primary cementum forms during root development while secondary cementum forms after eruption. Cementum provides attachment for periodontal ligament fibers and supports the teeth.
This document discusses piezosurgery, which uses ultrasonic vibrations from piezoelectric inserts to cut bone. Piezosurgery offers several advantages over traditional rotary cutting instruments, including more precise cuts with less risk of soft tissue or nerve damage due to lower temperatures. It allows for selective cutting of mineralized tissue without affecting elastic structures. Piezosurgery is used in various oral and maxillofacial procedures like dental implant placement, sinus lifts, orthognathic surgery, and bone harvesting. It provides better visibility, less bleeding, and more precise cuts compared to conventional techniques.
The document discusses the muscles of mastication. It describes the temporalis, masseter, lateral pterygoid, medial pterygoid, digastric, geniohyoid, and mylohyoid muscles. It details the origin, insertion, nerve supply and action of each muscle. The document also discusses clinical evaluation and disorders of the masticatory muscles, including myofascial pain, myositis, and myospasm.
Principles of fixation and osteosynthesis in traumaDr Bhavik Miyani
1) The document discusses principles of osteosynthesis and various fixation techniques used in maxillofacial trauma surgery. It describes key developments in plate design including dynamic compression plates and eccentric dynamic compression plates.
2) Different types of plates are discussed including compression plates, reconstruction plates, and tension bands. The goal of compression plates is to achieve stability through compression across fractures, while reconstruction plates are used to bridge larger defects.
3) Techniques for plate fixation including screw sequencing, compression, and tension band application are outlined. Factors such as plate selection and positioning are considered based on fracture pattern and bone quality.
This document provides an overview of guided tissue regeneration (GTR). It begins with definitions of periodontal regeneration and GTR. It then discusses the history and development of GTR from the 1970s onwards. The core concept of GTR is explained, which is based on Melcher's hypothesis that only periodontal ligament cells can regenerate the periodontal attachment apparatus. Indications, contraindications, design criteria and objectives of GTR barriers are covered. The document classifies and compares advantages and disadvantages of absorbable versus non-absorbable membranes. Key factors affecting GTR outcomes are discussed. Surgical techniques and the healing of GTR-treated defects are described. The document concludes with additional considerations like complications and the
The document provides an overview of the anatomy and clinical importance of the trigeminal nerve (CN V). It discusses the motor and sensory components and divisions of the nerve. Key points include that CN V has three divisions - ophthalmic, maxillary, and mandibular. It summarizes branches of each division and their functions. The document also covers clinical examination techniques for CN V and related pathologies like trigeminal neuralgia.
The document discusses various chairside diagnostic aids that can be used in periodontal examination. It outlines the limitations of traditional diagnostic methods like clinical and radiographic evaluation. It then describes several advanced diagnostic aids like thermal probes, subtraction radiography. The rationale for developing chairside diagnostic kits is provided which allow immediate reports without specialized equipment. Examples of microbiological, genetic and biochemical chairside test kits are explained in detail, covering their methodology and biomarkers analyzed. Newer diagnostic tests still under development are also mentioned.
Vestibuloplasty is a surgical procedure to deepen the vestibule by uncovering existing bone and repositioning overlying soft tissues. There are several techniques for vestibuloplasty including submucosal vestibuloplasty, secondary epithelialization techniques, and grafting vestibuloplasty. Recent advances include the use of collagen matrix grafts like Geistlich Mucograft which integrate well and promote soft tissue regeneration as an alternative to harvesting autologous grafts.
Wound healing is a complex process involving regeneration and repair. It consists of three overlapping phases - inflammatory, proliferative, and remodeling. In the inflammatory phase, coagulation and platelet aggregation form a fibrin clot and recruit inflammatory cells. The proliferative phase involves re-epithelialization through keratinocyte migration and proliferation. Fibroblasts are activated and form granulation tissue through angiogenesis and collagen deposition. Myofibroblasts aid wound contraction in the final remodeling phase. Growth factors influence each phase of wound healing after periodontal and oral procedures.
The document discusses piezoelectric surgery, which uses ultrasonic microvibrations from piezoelectric inserts to cut bone precisely while sparing soft tissues. Key points:
1. Piezoelectric surgery was invented in 1988 and uses modulated ultrasonic frequencies (25-30 kHz) to cut mineralized tissue selectively.
2. It allows for precise cuts with less bleeding and better visibility due to cavitation. Post-operative pain and healing time are reduced compared to traditional techniques.
3. Indications include various dental and medical procedures like sinus lifts, grafting and extractions where selective bone cuts are needed to protect adjacent soft tissues.
Peizosurgery: A boon in modern periodonticsAnushri Gupta
Piezoelectricity is the electricity resulting from pressure. It is effective in precise bone cutting. It spares soft tissue and hence less blood loss is seen.
This document provides an overview of piezoelectric surgery and its applications in periodontics. It describes the equipment, mechanism of action involving ultrasonic cutting of bone through piezoelectric effects, and various applications including scaling and root planing, crown lengthening, bone grafting, ridge expansion, implant site preparation, and sinus lift procedures. Piezoelectric surgery allows for precise cutting of bone while minimizing damage to adjacent soft tissues.
The document describes the submandibular and retromandibular surgical approaches. The submandibular approach involves making a 1.5-2 cm incision inferior to the mandible and dissecting through the layers of the skin, subcutaneous tissue, platysma muscle, and pterygomasseteric sling. The retromandibular approach uses a vertical incision 2 cm posterior to the mandibular ramus and dissects through the same layers to the pterygomasseteric sling. Both approaches give access below the mandible for surgical procedures.
Periodontitis is a chronic inflammatory disease of the tooth-supporting structures. The treatment of this condition is based on the removal of local factors and restoration of the bony architecture. Traditionally osseous surgery has been performed by either manual or motor-driven instruments. However, both these methods have their own advantages and disadvantages. Recently, a novel surgical approach using piezoelectric device has been introduced. It is a promising, meticulous and soft tissue sparing system based on low frequency ultrasonic microvibrations. The absence of macrovibration makes the instrument more manageable and allows greater intraoperative control with an increase in the cutting safety in the more difficult anatomical cutting zone. This presentation emphasizes the mechanism of action, instrumentation, advantages and limitations as well as its applications in periodontology and implantology.
This document provides an overview of maxillary sinus augmentation procedures. It begins with introducing the procedure and anatomy of the maxillary sinus. Reasons for decreased bone height in the posterior maxilla are discussed. The indications, contraindications, benefits, and techniques - including indirect and direct sinus lift - are described. Potential complications are also outlined. In summary, maxillary sinus augmentation allows for increased bone in the upper jaw to facilitate dental implant placement and improved oral rehabilitation.
Bone morphogenetic proteins in periodontal regenerationDr. Shashi Kiran
This document provides an overview of bone morphogenetic proteins (BMPs). It discusses the history and discovery of BMPs, their structure and classification. The key characteristics and mechanisms of action of BMPs are described, including their role in signaling pathways and spatial/temporal regulation. The document outlines the functions of BMPs in embryogenesis, tooth morphogenesis, and osseoinduction. It also discusses various delivery systems for BMPs, including local protein therapy using both organic matrices like collagen and inorganic matrices like hydroxyapatite.
This document discusses different types of bone grafts used in periodontics. It describes autografts, which are transplanted from one site to another within the same individual, as the gold standard due to their osteoinductive properties. Autografts can be obtained from both extraoral sites like the hip or iliac crest, as well as intraoral sites like the tuberosity, tori, or osseous coagulum collected from the surgical site. The document outlines the advantages and disadvantages of various graft materials and their properties like osteoinduction, osteoconduction, and osteogenesis that facilitate bone regeneration.
The document discusses various aspects of maxillary sinus lift procedures:
- The maxillary sinus presents challenges for implant placement due to poor bone density and height. Sinus lift procedures aim to increase bone height for implants.
- Factors like residual bone height/width, sinus pathology, anatomical variations, and buccal wall thickness influence sinus lift technique selection.
- A thorough preoperative exam is needed to assess sinus health and rule out infections or cysts, which may require treatment prior to sinus lift. Radiographs and CT scans help evaluate sinus anatomy and pathology.
Every periodontal surgical procedure has its own indications. With proper knowledge of the etiology of the disease, correct diagnosis and treatment planning, the clinician is able to draw predictable success with periodontal flap surgery.
Cementum is the mineralized tissue that covers the root surfaces of teeth. It has similarities to bone in terms of composition and properties but lacks Haversian canals and is less vascular. Cementum forms through cementogenesis, which involves the differentiation of cementoblasts from the dental follicle. Primary cementum forms during root development while secondary cementum forms after eruption. Cementum provides attachment for periodontal ligament fibers and supports the teeth.
This document discusses piezosurgery, which uses ultrasonic vibrations from piezoelectric inserts to cut bone. Piezosurgery offers several advantages over traditional rotary cutting instruments, including more precise cuts with less risk of soft tissue or nerve damage due to lower temperatures. It allows for selective cutting of mineralized tissue without affecting elastic structures. Piezosurgery is used in various oral and maxillofacial procedures like dental implant placement, sinus lifts, orthognathic surgery, and bone harvesting. It provides better visibility, less bleeding, and more precise cuts compared to conventional techniques.
The document discusses the muscles of mastication. It describes the temporalis, masseter, lateral pterygoid, medial pterygoid, digastric, geniohyoid, and mylohyoid muscles. It details the origin, insertion, nerve supply and action of each muscle. The document also discusses clinical evaluation and disorders of the masticatory muscles, including myofascial pain, myositis, and myospasm.
Principles of fixation and osteosynthesis in traumaDr Bhavik Miyani
1) The document discusses principles of osteosynthesis and various fixation techniques used in maxillofacial trauma surgery. It describes key developments in plate design including dynamic compression plates and eccentric dynamic compression plates.
2) Different types of plates are discussed including compression plates, reconstruction plates, and tension bands. The goal of compression plates is to achieve stability through compression across fractures, while reconstruction plates are used to bridge larger defects.
3) Techniques for plate fixation including screw sequencing, compression, and tension band application are outlined. Factors such as plate selection and positioning are considered based on fracture pattern and bone quality.
This document provides an overview of guided tissue regeneration (GTR). It begins with definitions of periodontal regeneration and GTR. It then discusses the history and development of GTR from the 1970s onwards. The core concept of GTR is explained, which is based on Melcher's hypothesis that only periodontal ligament cells can regenerate the periodontal attachment apparatus. Indications, contraindications, design criteria and objectives of GTR barriers are covered. The document classifies and compares advantages and disadvantages of absorbable versus non-absorbable membranes. Key factors affecting GTR outcomes are discussed. Surgical techniques and the healing of GTR-treated defects are described. The document concludes with additional considerations like complications and the
The document provides an overview of the anatomy and clinical importance of the trigeminal nerve (CN V). It discusses the motor and sensory components and divisions of the nerve. Key points include that CN V has three divisions - ophthalmic, maxillary, and mandibular. It summarizes branches of each division and their functions. The document also covers clinical examination techniques for CN V and related pathologies like trigeminal neuralgia.
The document discusses various chairside diagnostic aids that can be used in periodontal examination. It outlines the limitations of traditional diagnostic methods like clinical and radiographic evaluation. It then describes several advanced diagnostic aids like thermal probes, subtraction radiography. The rationale for developing chairside diagnostic kits is provided which allow immediate reports without specialized equipment. Examples of microbiological, genetic and biochemical chairside test kits are explained in detail, covering their methodology and biomarkers analyzed. Newer diagnostic tests still under development are also mentioned.
Vestibuloplasty is a surgical procedure to deepen the vestibule by uncovering existing bone and repositioning overlying soft tissues. There are several techniques for vestibuloplasty including submucosal vestibuloplasty, secondary epithelialization techniques, and grafting vestibuloplasty. Recent advances include the use of collagen matrix grafts like Geistlich Mucograft which integrate well and promote soft tissue regeneration as an alternative to harvesting autologous grafts.
Wound healing is a complex process involving regeneration and repair. It consists of three overlapping phases - inflammatory, proliferative, and remodeling. In the inflammatory phase, coagulation and platelet aggregation form a fibrin clot and recruit inflammatory cells. The proliferative phase involves re-epithelialization through keratinocyte migration and proliferation. Fibroblasts are activated and form granulation tissue through angiogenesis and collagen deposition. Myofibroblasts aid wound contraction in the final remodeling phase. Growth factors influence each phase of wound healing after periodontal and oral procedures.
The document discusses piezoelectric surgery, which uses ultrasonic microvibrations from piezoelectric inserts to cut bone precisely while sparing soft tissues. Key points:
1. Piezoelectric surgery was invented in 1988 and uses modulated ultrasonic frequencies (25-30 kHz) to cut mineralized tissue selectively.
2. It allows for precise cuts with less bleeding and better visibility due to cavitation. Post-operative pain and healing time are reduced compared to traditional techniques.
3. Indications include various dental and medical procedures like sinus lifts, grafting and extractions where selective bone cuts are needed to protect adjacent soft tissues.
Peizosurgery: A boon in modern periodonticsAnushri Gupta
Piezoelectricity is the electricity resulting from pressure. It is effective in precise bone cutting. It spares soft tissue and hence less blood loss is seen.
This document provides an overview of piezoelectric surgery and its applications in periodontics. It describes the equipment, mechanism of action involving ultrasonic cutting of bone through piezoelectric effects, and various applications including scaling and root planing, crown lengthening, bone grafting, ridge expansion, implant site preparation, and sinus lift procedures. Piezoelectric surgery allows for precise cutting of bone while minimizing damage to adjacent soft tissues.
Piezosurgery is a surgical technique that uses ultrasonic vibrations to selectively cut bone with minimal damage to soft tissues. It was developed in the late 1980s and uses a piezoelectric effect where crystals produce electrical current under pressure. Key advantages are precise cuts with good visibility and less soft tissue trauma compared to rotating burs. Applications include dental extractions, bone grafting, sinus lifts and implantology. While it reduces complications, limitations are longer operating times and higher costs compared to traditional techniques.
This presentation has videos and more surgical aspects of recent advances in Implant dentistry.This is different from other presentations in this platform since it is stuffed with most recent articles and informations
Piezoelectric surgery in periodontics & oral implantologyDr. Bibina George
Piezoelectric surgery uses ultrasonic vibrations to perform precise cutting and reshaping of bone with minimal trauma to soft tissues. It has advantages over traditional drilling such as better post-operative healing and less intraoperative bleeding. Piezoelectric surgery is used in various periodontal and implant procedures like bone grafting, sinus lifts, extraction, and implant site preparation. Studies show piezoelectric surgery stimulates faster bone regeneration compared to conventional drilling.
This document provides an overview of laparoscopic instrumentation used in minimally invasive surgery. It discusses the key components needed, including optical devices like telescopes and cameras, equipment for insufflation, trocars and other instruments for accessing the surgical site. A variety of operative instruments are described, such as graspers, dissectors, scissors, and bowel/lung clamps. Energy sources like electrosurgery, ultrasonic devices, and staplers are also covered. The document concludes with a discussion of instruments for tissue approximation and hemostasis, including clip appliers and mechanical staplers, as well as some miscellaneous tools.
Magnets have been used in orthodontics since the 1970s to provide tooth movement. They provide advantages over conventional appliances like constant force levels without decay, less patient discomfort, and faster tooth movement. Various types of magnets can be used in clinical applications like impacted tooth relocation, diastema closure, extrusion or intrusion of teeth, and malocclusion correction. While magnets offer benefits, they also have disadvantages like corrosion, bulkiness, and thermal sensitivity that limit their routine use in practice.
Tecartherapy equipment dVinci catalogue www.whitemb.comFabio C
Electromedical equipment for the physiotherapy, beauty and veterinary fields specially for tecar therapy and diathermy
White Medical & Beauty have been working in the field of physiotherapy for over 15 years. We are a young and dynamic company that ensures the quality of the products and services it offers, uses technologies synergistically, invests in research and development and experiments in the field thanks to the technical know-how in possession
Journal Club on Clinical comparison of ultrasonic surgery and conventional su...Dr Bhavik Miyani
This document summarizes a study comparing ultrasonic surgery to conventional surgical techniques for removing jaw cysts. Eighty-two cysts were removed from 68 patients, with 34 patients undergoing ultrasonic surgery and 34 undergoing conventional surgery. Ultrasonic surgery took longer on average but provided better visibility of the surgical field. No major complications occurred with either technique, and there were no recurrences of cysts. The study found that while ultrasonic surgery increases operation time, it reduces risks of damaging vital structures like nerves when removing cysts in difficult areas requiring delicate manipulation.
A must read seminar on Dental Implants for Under-Graduates and Post-Graduates.
If you have any doubts regarding Dental Implants or any topic if you are unable to understand then do feel free to contact me on my Email address: Dr.anujparihar@gmail.com
Pilot Laser in Veterinary Dentistry - CAO GroupCAO Group, Inc.
The document discusses the advantages and applications of lasers in veterinary dentistry. Lasers can minimize hemorrhage, collateral damage, infection, and pain compared to steel blades. In dentistry, lasers are used for periodontal therapy by coagulating, welding, vaporizing, and carbonizing diseased tissue without damaging healthy tissue. Studies show laser treatment of the periodontal pocket reduces pocket depth and bacteria over several weeks of healing. Other applications include soft tissue procedures and crown lengthening. Lasers provide advantages like hemostasis, surgical versatility, reduced pain, and sterilization of the surgery site.
This document discusses recent advances in implantology. It summarizes improvements in diagnostic imaging technologies like CBCT that provide high-resolution 3D imaging of implant sites. It also discusses advances in implant design, including mini implants less than 3mm in diameter, narrow diameter implants, transitional implants, and one-piece implants that integrate the implant body and abutment. Studies show high survival rates of over 90% for these newer implant designs.
Microsurgical instruments are specialized tools designed for endodontic microsurgery. They include examination instruments like microexplorers, incision and elevation instruments like scalpels and periosteal elevators, tissue retraction instruments like KimTrac retractors, osteotomy instruments like surgical handpieces and bone cutting burs, curettage instruments, inspection instruments like micromirrors, ultrasonic units and tips for root-end preparation, microplugger instruments, and suturing instruments. Proper instrumentation is crucial for microsurgery as it requires working in a confined surgical site under magnification.
This document discusses operative surgery for dental implants. It outlines different surgical approaches for implant placement including immediate post-extraction, delayed immediate post-extraction, and late implantation. It also describes factors for successful osseointegration including a biocompatible material, precise implant adaptation, atraumatic surgery, and an immobile healing phase. The document further discusses anatomic considerations, surgical techniques, healing phases, and potential post-operative complications.
General principles of arthroscopy kle, belgaum, dr utkarsh dwivediUtkarsh Dwivedi
Arthroscopy involves using small cameras and surgical tools inserted into joints through small incisions to diagnose and treat joint problems. Key instruments used in arthroscopy include arthroscopes, probes, scissors, forceps, knives, and motorized shavers. Proper joint distension is important for clear visualization and maneuverability during the procedure. Anesthesia can involve local or regional nerve blocks, and a tourniquet may be used to improve visibility by reducing bleeding. Careful sterilization of instruments is crucial. Arthroscopy offers minimally invasive treatment of joint disorders with low morbidity.
1. Periodontal microsurgery utilizes magnification, improved illumination and specialized instruments to perform periodontal procedures with greater precision and less tissue trauma compared to conventional techniques.
2. The principles of microsurgery include improving fine motor skills, achieving exact wound apposition through passive closure, and use of microinstruments to minimize tissue damage during incision and suturing.
3. Periodontal microsurgery has applications in various periodontal plastic and regenerative procedures and can provide benefits like faster healing and less post-operative discomfort for patients.
Sonic and ultrasonic instruments in periodontology.pptxSanaMansuri18
Sonic and Ultrasonic Instruments in periodontology.
HISTORY
ADVANTAGES
DISADVANTAGES
TYPES OF POWER SCALERS
COMPARISON OF POWERED AND HAND INSTRUMENTS
TYPES OF INSERT TIPS
TIPS WEAR AND CARE
MAINTENANCE U/S
MECHANISM OF ACTION
INDICATION
CONTRAINDICATION
ASSOCIATED HAZARDS
CONCLUSION
How to Control Your Asthma Tips by gokuldas hospital.Gokuldas Hospital
Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
Summer is a time for fun in the sun, but the heat and humidity can also wreak havoc on your skin. From itchy rashes to unwanted pigmentation, several skin conditions become more prevalent during these warmer months.
Know the difference between Endodontics and Orthodontics.Gokuldas Hospital
Your smile is beautiful.
Let’s be honest. Maintaining that beautiful smile is not an easy task. It is more than brushing and flossing. Sometimes, you might encounter dental issues that need special dental care. These issues can range anywhere from misalignment of the jaw to pain in the root of teeth.
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
Histololgy of Female Reproductive System.pptxAyeshaZaid1
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2. PIEZOELECTRIC
SURGERY
The word piezoelectricity means electricity resulting from
pressure.
The instruments used for ultrasonic cutting of bone
create microvibration that are caused by the
piezoelectric effect first described by the French
physicists Jean and Marie Curie, in 1880.
• Dr. Tomaso Vercellotti (1988): • Invented the
Piezosurgery device using a modulated functional
working frequency of 25- 30 kHz.
3. First experiences with a new technique BMC Musculoskeletal
Disorders 2006, performed the first ultrasound osteotomy in hand
surgery.
The piezosurgery device uses low-frequency piezoelectric
ultrasonic vibrations precisely cutting the bone without cutting
the soft tissue
Piezosurgery’s patented, controlled three-dimensional
ultrasound vibrations open up a new age for Periodontology,
Implantology, Endodontics and Surgical orthodontics
4. FEATURES OF PIEZOELECTRIC SURGERY
1. Nerves, vessels, and soft tissue are not injured by the
microvibrations (60 to 200 mm/sec), which are optimally adjusted to
target only mineralized tissue.
2. Bone healing was good and at no point were there
any Neurovascular disturbances.
3. The Piezosurgery System creates an effective osteotomy with
minimal or no trauma to soft tissue, in contrast to conventional
surgical burs or saws.
5. 4. In addition, piezoelectric surgery produces less vibration
and noise because it uses microvibration.
5. Piezosurgery allowed precise, clean, and smooth cutting,
all with excellent visibility and provides a more favorable
osseous repair and remodeling than harvesting with carbide
or diamond burs.
6. The device allows for precise removal of bone, with
minimal risk of injury to underlying root surfaces.
7. Piezoelectric devices are an innovative ultrasonic technique
for safe and effective osteotomy or osteoplasty compared with
traditional hard and soft tissue methods that use rotating
instruments because of the absence of macrovibrations, ease
of use and control, and safer cutting, particularly in complex
anatomical areas.
6. COMPONENTS OF PIEZOELECTRIC DEVICE
1.The piezosurgery unit is composed of the main body,
activated with a pedal, a handle, and number of inserts with
different shapes depending on the surgical need.
2.Main Body The main body has a display, an electronic
touchpad, a peristaltic pump, one stand for the handle and
another to hold the bag containing irrigation fluid. The
interactive touchpad has four keys that enable to select the
feature mode, the specific program and the flow of the
flowing cooling liquid.
There are two primary operating modes:
a. Root Mode
b. Bone Mode
7. 1 .Root Mode = The vibrations generated by selecting root mode are
characterized by average ultrasonic power without frequency over
modulation Two different programs:
A. ENDO Program: a limited level of power provided by applying
reduced electrical tension to the transducer, which generates insert
oscillation by a few microns. These mechanical microvibrations are
optimal for washing out the apical part of the root canal in
endodontic surgery
B. PERIO Program: an intermediate level of power between the endo
program and the bone program. The ultrasonic wave is transmitted
through the transducer in continuous sinusoidal manner characterized
by a frequency equal to the resonance frequency of the insert used.
8. 2.BONE MODE :-
• The vibrations generated by selecting bone mode are
characterized as follows: extremely high ultrasonic power
compared to root mode. Its performance is monitored by several
sophisticated software and hardware controls.
• Frequency over modulation gives the ultrasonic mechanical
vibrations its unique nature for cutting different kinds of bone.
• The selection recommended is:-
- for cutting the cortical bone or high density spongy bone.
- for cutting low density spongy bone.
9. SHARP TIP INSERTS
INSERT TIPS
• The sharp edge of the insert tips enables gentle and
effective treatment of the bony structures.
• Sharp insert tips are used in osteotomy whenever a fine
and well- defined cut in the bone structure is required.
• There are also insert tips with sharp edges that are used
for osteoplasty techniques and/or harvesting bone chips.
Gold colour is used for all insert tips used to treat bone.
• The gold color of the insert tips is obtained by applying a coating of
titanium nitride to improve the surface hardness which means a longer
working life.
• Steel is used for all insert tips used to treat soft tissue or delicate
surfaces such as the roots of teeth.
14. ORAL SURGERY
• Dental extraction
• Third molar extraction
• Osteogenic distraction, RGE
• Cyst removal
• Endodontic surgery,
• Bone harvesting (chips and blocks)
ORTHODONTICS
Suegery Osteotomy and Corticotomy.
15. SMOOTH INSERT TIP
The smoothing insert tips have diamond surfaces enabling
precise andcontrolled work on the bone structures.
Smoothing insert tips are used in osteotomy when it is
necessary to prepare difficult and delicate structures.
1.For example, those preparing for a sinus window or
access to a nerve. In osteotomy, smoothing insert tips
are used to obtain the final bone shape
17. MECHANISM OF ACTION
1. MICROMETRIC CUTTING ACTION
2. SELECTIVE CUTTING ACTION
3. CAVITATION EFFECT
BIOLOGICAL EFFECTS ON BONE CUT BY A PIEZOELECTRIC DEVICE
1. The effects of mechanical instruments on the structure of bone and the viability of cells is
important in regenerative surgery.
2. Relatively high temperatures, applied even for a short time, are dangerous to cells and
cause necrosis of tissue.
18. ADVANTAGES
1. Selective cutting action: minimum soft tissue damage - ultrasonic frequency used does
not cut soft tissue
2. Maximum intra-operative visibility (cavitation effect)
3. Minimum surgical stress - Excellent tissue healing .
4. The cutting action is less invasive, producing less collateral tissue damage, which
results in faster healing.
5. Sterile water environment for better asepsis (free from contamination).
6. Can be used in both Local or general anesthesia
7. It can be used even for minor operations
8. Can be used , Exact , Clean , and Smooth due to its geometrices during surgery due to its
precise nature of the instruments .
9 Excellent wound heading post operativeiy with no nerve and soft
tissue injuries have been hardly reported .
19. Disadvantages/Limitations
• Low effciency/increased operating time: One of the major
drawbacks with ultrasonic/piezo surgery osteotomes is
the increased time required for the procedure.
• Expense: The cost of equipment is sometimes an addi-
tional burden to the provider. Each individual cutting tip
in a piezosurgery equipment setup is generally more
expensive than traditional cutting tools such as burs,
chis-
els, or saw blades
• Learning curve: Use of piezo requires a short learning
curve to attain maximum effcacy, which could be frustrat-
ing to the operator. The digital pressure applied by the sur-
geon while using conventional tools such as saws and
drills is quite different from piezoelectric surgery as it
mandates less pressure and failing to calculate the pressure
according to the speed of the insert prevents microvibra-
tions of the insert.