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Piezo Surgery Technique
Dr. Dollalmo, asks us,
Has anybody had any experience with the
recently introduced piezosurgery surgical unit?
Can you please share with me the pros and cons of this new surgical technique? Is this truly a revolutionary technique for cutting bone?
July 24, 2006 in Piezosurgery, Surgical Placement of Dental Implants | Permalink
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Comments
pros:
as it cuts only hard tissues, so the danger of damage to nerves or arteries or sinus membrane is less.
cons:
it is pretty expensive.
I had attended a full day course on this at NYU recently which included hands on. I have not used it yet, but I have watched other faculty use it with ease, in maxi sinus window prep and ramus block harvest . The diamond bit breaks easily. If you get a chance attend a lecture from Dr. Wallace at NYU.
Posted by: satish joshi | Jul 24, 2006 7:00:25 PM
I have been using the instrument for about 6 weeks. It is the best I have ever used for all types of bone surgery. I am also using it for perio surgery. It so good I plan to purchase another for the other room. It is worth it.
Posted by: Don Callan | Jul 25, 2006 2:46:06 PM
it generates a sigifiacant amount of heat, watch for handle and shaft very hot... ,
another problems: slow cutting compared to high speed, slowwww... slightly disappointing.
Posted by: fouad | Jul 25, 2006 3:00:13 PM
Used a unit from Mectron (italy) and its really really good, its really easy to make a split ridge, a sinus lift or to take a block for a graft.this unit has programs that allow you to cut,carve or polish and the tips are really nice.The other day we removed a canine in palatal position it was the easiest i have ever done.
Totally recomended.
As a con it is really expensive and not really for implant placing.
Posted by: Alejandro Berg | Jul 25, 2006 3:59:38 PM
used Mectron piezosurgery for 2 years. Problems related with easily-broken burs, weak power, electric shock from the handpiece were solved or greatly improved...but you can see rust stain blended with sprayed saline whenever you use it a years after you bought it....
Posted by: | Jul 25, 2006 11:49:14 PM
i have used the Piezosurgery (the first model) for two years; very useful in any situation, but pretty expensive.
Probably i' ll buy a "clone" of the original instrument by other companies (e.g. BioSaf and Esacrome) that cost a 40% less.
Posted by: piezo1 | Jul 26, 2006 2:39:26 AM
in response to piezo1 comment.
Can u forward me a link or phone numbers to companies that produce the piezosurgery clone?
Posted by: fabrizio | Jul 26, 2006 4:39:23 AM
The Piezosurgery device is quite simple to use once you have taken the course offered. Problems encountered with the device are easily resolved and don't affect the performance at all. The cost is somewhat expensive, but when compared to what I currently use it is warranted because the speed of surgeries is improved where I can do more patients with less morbidity.
Posted by: | Jul 26, 2006 6:31:08 AM
Common theme seems to be that the unit is very expensive although, no one states ow much it cost. I have even been in contact with the company who did not want to discuss cost, stated they will have their sales staff contact me regarding fees. Can someone please give a general idea regarding the cost associated with this unit. I would imagine it to be similar to a cavitron unit.
Posted by: | Jul 26, 2006 7:15:52 AM
Regarding the comments shown about the Piezosurgery unit, there is certainly a learning curve, but it has been very short for most experienced dental surgeons. As with any precision machine, you must properly maintain the machine, the handpieces, and the inserts. The broken inserts have come from improperly tightening the inserts and weakening them. And those complaining of slower cutting times need to be properly inserviced by Piezosurgery personnel. In most cases it is more than time effficient to older techniques. Also beware of clonish knockoffs, because they are not FDA approved. I would recommend you contact the folks at Piezosurgery at www.piezosurgery.us for a proper inservice and demonstration.
Posted by: | Jul 26, 2006 7:25:10 AM
the cost goes from $13,000 to 16,000 depending on the set up.
Posted by: | Jul 26, 2006 1:20:09 PM
How about excess heat?
Posted by: Fred | Jul 28, 2006 8:14:39 AM
Piezo 1, I haven't been able to locate "BioSaf" or "Esacrome" anywhere on the internet. I am interested in a piezoelectric surgical knock-off if you or anyone else has information. thank you PCDDS
Posted by: | Aug 3, 2006 7:30:51 AM
Regarding the question about excess heat. When operating the Piezosurgery machine from Mectron, you must keep the insert moving. Whether you are in a tight spot or an open area, you must keep the insert moving to gain maximum cutting efficiency and to keep the insert and handpiece cool. Those that try to stop in one spot and apply too much hand pressure in one area will get heat build up, just like your old high speed contra and straight. You wouldn't keep them in the same spot without taking a short break. You must also keep an eye on your irrigation bag to make sure it still has water or saline in it. If you are cutting very dense bone, you can increase the Piezosurgery units irrigation flow very easily to further reduce any heat build up. I found that most people having "problems" have not been properly in-serviced or have picked up bad habits from watching others with bad habits. This machine and technology is awesome and will make a wonderful difference in the way you do surgery, but you must demand a proper in-service. You wouldn't use a new implant system without the rep there to help you through the details.
Posted by: | Aug 4, 2006 8:09:39 AM
I see a lot of requests for info on clones of the Piezosurgery unit. Please be forwarned that 99% of these units are not FDA approved and will not perform at the same level as the original unit does. You can always find what seems to be a cheap substitute for almost anything, especially on the internet. But, when you purchase this "deal" you will never get a representative to come out and properly instruct you on how to operate it and you will not get the years of science and technology that it took to develop the original unit, whether it's Piezosurgery or Mercedes. I doubt that you drive a Yugo, why would your patients want you to use a Yugo Piezo knockoff. They expect you to use something FDA approved and something that provides proven performance and scientific backing. Let the buyer beware and suffer the consequences of going cheap! Don't waste your money and risk your patient's health on these garage shop knock off's.
Posted by: | Aug 4, 2006 8:16:37 AM
Thank you for that great "advice"! I've always taken great pleasure in a good condescending lecture from someone who knows nothing about me. Boy, you must really think I'm stupid Dad. By the way it's a Porsche 911S 2006
Posted by: | Aug 4, 2006 10:43:51 AM
I've been using the "Mectron" piezo for more than 3 years now.It's one of the biggest inventions in bone surgery at the last decade.It does need a learning curve and I find lot's of applications both in Implant surgery,perio surgery,Tooth extractions,endo surgery,implant site development and more...
Posted by: Ziv Mazor | Sep 2, 2006 8:41:32 AM
I have used the Osada pieso unit with tips modified from regular tips. Osada has been selling a set of tips prior to Mectron started to offer its units in the US.
Regarding FDA approval, I have not seem it in Piezosurgery's sale's material or its website. I could not find information regarding FDA approval for the Osada unit either.
For those of us who does apical surgery, using piezo to cut bone is NOT new. It is not invented by Piezosurgery. In apical surgery, more is known for using piezo to prep the root end, but I, and I am sure some others, use the same piezo unit to gain access through bone.
Posted by: TW | Sep 3, 2006 6:23:01 PM
anyone know about SurgySonic from Italy as well. Its the same as Piezosurgery. both are for Bone Surgery...
Posted by: CK | Jan 8, 2007 10:59:55 PM
A friend of mine made a course in Brazil, clinical practice !
1 week training in Sao Paulo on advanced surgery, English spoken.This course was held by a Certified School CETAO (www.cetao.com.br).
I was surprised... Piezosurgery, Piezotome and Esacrom units working side by side.
There were about 30 Italian dentists in this group.
Posted by: AV | Sep 27, 2007 11:51:15 PM
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