Journal of Oral and Maxillofacial Surgery
Volume 66, Issue 4 , Pages 657-674 , April 2008

Critical Evaluation of Piezoelectric Osteotomy in Orthognathic Surgery: Operative Technique, Blood Loss, Time Requirement, Nerve and Vessel Integrity

  • Constantin A. Landes, MD, DMD, PhD

      Affiliations

    • Assistant Professor, Department of Oral, Maxillofacial and Plastic Facial Surgery, Frankfurt University Medical Center, Frankfurt, Germany.
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Landes: Klinik für Mund-, Kiefer- und Plastische Gesichtschirurgie, der Johann Wolfgang Goethe Universität Frankfurt, Theodor-Stern-Kai 7, 60596 Frankfurt am Main, Germany
    • ,
  • Stefan Stübinger, DMD

      Affiliations

    • Consultant, Department of Oral, Maxillofacial and Plastic Facial Surgery, Frankfurt University Medical Center, Frankfurt, Germany.
    • ,
  • Jörg Rieger, DMD, MD

      Affiliations

    • Resident, Department of Oral, Maxillofacial and Plastic Facial Surgery, Frankfurt University Medical Center, Frankfurt, Germany.
    • ,
  • Babett Williger, DMD, MD

      Affiliations

    • Resident, Department of Oral, Maxillofacial and Plastic Facial Surgery, Frankfurt University Medical Center, Frankfurt, Germany.
    • ,
  • Thi Khanh Linh Ha, DMD, MD

      Affiliations

    • Resident, Department of Oral, Maxillofacial and Plastic Facial Surgery, Frankfurt University Medical Center, Frankfurt, Germany.
    • ,
  • Robert Sader, MD, DMD, PhD

      Affiliations

    • Professor and Chairman, Department of Oral, Maxillofacial and Plastic Facial Surgery, Frankfurt University Medical Center, Frankfurt, Germany.

References 

  1. Sader R, Norer B, Horch HH. Ultrasound Diagnostics in the Head and Neck Region. Ed 1. Hamburg, Germany: Einhorn Presse; 2001;[in German]
  2. Walmsley AD, Laird WR, Lumley PJ. Ultrasound in dentistry (Part 2—Periodontology and endodontics). J Dent. 1992;20:11
  3. Flemmig TF, Petersilka GJ, Mehl A, et al. The effect of working parameters on root substance removal using a piezoelectric ultrasonic scaler in vitro. J Clin Periodontol. 1998;25:158
  4. Ward JR, Parashos P, Messer HH. Evaluation of an ultrasonic technique to remove fractured rotary nickel-titanium endodontic instruments from root canals: Clinical cases. J Endod. 2003;29:764
  5. Walmsley AD, Walsh F, Laird WR, et al. Effects of cavitational activity on the root surface of teeth during ultrasonic scaling. J Clin Periodontol. 1990;17:306
  6. Ishida S, Hata N, Azuma T, et al. Non-invasive osteotomy using focused ultrasound. In: In the Proceeding of the 16th International Congress and Exhibition, Computer Assisted Radiology and Surgery. Paris, France. 2002;p. 258–262
  7. Kvashnin SE, Bosova EV, Grigoriev AV. Investigation and development of ultrasonic vibrodrives for traumatology. Crit Rev Biomed Eng. 2001;29:520
  8. Vercellotti T, De Paoli S, Nevins M. The piezoelectric bony window osteotomy and sinus membrane elevation: Introduction of a new technique for simplification of the sinus augmentation procedure. Int J Periodont Restor Dent. 2001;21:561
  9. Stübinger S, Kuttenberger J, Filippi A, et al. Intraoral piezosurgery: Preliminary results of a new technique. J Oral Maxillofac Surg. 2005;63:1283
  10. Chiriac G, Herten M, Schwarz F, et al. Autogenous bone chips: Influence of a new piezoelectric device (Piezosurgery) on chip morphology, cell viability and differentiation. J Clin Periodontol. 2005;32:994
  11. Beziat JL, Nimeskern N, Geha HA, et al. The piezoelectric osteotomy. J Craniomaxillofac Surg. 2004;1(suppl):83
  12. Heiland M, Blessmann M, Pohlenz P, et al. Intraoral osteotomies using piezosurgery for distraction in an infant with Pierre-Robin sequence. Clin Oral Invest. 2007;11:303
  13. Geha H, Gleizal AM, Nimeskern NJ, et al. Sensitivity of the inferior lip and chin following mandibular bilateral sagittal split osteotomy using piezosurgery. Plast Reconstr Surg. 2006;118:1598
  14. Robiony M, Pollini F, Costa F, et al. Piezoelectric bone cutting in multipiece maxillary osteotomies: Technical note. J Oral Maxillofac Surg. 2004;62:759
  15. Robiony M, Polini F, Costa F, et al. Ultrasonic bone cutting for surgically assisted rapid maxillary expansion (SARME) under local anaesthesia. Int J Oral Maxillofac Surg. 2007;36:267
  16. Schlee M, Steigmann M, Bratu E, et al. Piezosurgery: Basics and possibilities. Implant Dent. 2006;15:334
  17. Eggers G, Klein J, Blank J, et al. Piezosurgery (An ultrasound device for cutting bone and its use and limitations in maxillofacial surgery). Br J Oral Maxillofac Surg. 2004;42:451
  18. Ylikontiola L, Kinnunen J, Laukkanen P, et al. Prediction of recovery from neurosensory deficit after bilateral sagittal split osteotomy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;90:275
  19. Ylikontiola L, Kinnunen J, Oikarinen K. Factors affecting neurosensory disturbance after mandibular bilateral sagittal split osteotomy. J Oral Maxillofac Surg. 2000;58:1234
  20. Kocher T, Plagmann HC. Heat propagation in dentin during instrumentation with different sonic scaler tips. Quintessence Int. 1996;27:259
  21. Drisko CL, Cochran DL, Blieden T, et al. Research, Science and Therapy Committee of the American Academy of Periodontology Position paper: Sonic and ultrasonic scalers in periodontics (Research, Science and Therapy Committee of the American Academy of Periodontology). J Periodontol. 2000;71:1792
  22. Trenter SC, Walmsley AD. Ultrasonic dental scaler: Associated hazards. J Clin Periodontol. 2003;30:95
  23. Sivolella S, Berengo M, Scarin M, et al. Autogenous particulate bone collected with a piezo-electric surgical device and bone trap: A microbiological and histomorphometric study. Arch Oral Biol. 2006;51:883
  24. Berengo M, Bacci C, Sartori M, et al. Histomorphometric evaluation of bone grafts harvested by different methods. Minerva Stomatol. 2006;55:189
  25. Vercellotti T, Nevins ML, Kim DM, et al. Osseous response following resective therapy with piezosurgery. Int J Periodont Restor Dent. 2005;25:543
  26. Kotrikova B, Wirtz R, Krempien R, et al. Piezosurgery–A new safe technique in cranial osteoplasty?. Int J Oral Maxillofac Surg. 2006;35:461
  27. Kramer FJ, Baethge C, Swennen G, et al. Intra- and perioperative complications of the LeFort I osteotomy: A prospective evaluation of 1000 patients. J Craniofac Surg. 2005;15:971
  28. Kahnberg KE, Vannas-Lofqvist L, Zellin G. Complications associated with segmentation of the maxilla: A retrospective radiographic follow up of 82 patients. Int J Oral Maxillofac Surg. 2005;34:840
  29. Sakashita H, Miyata M, Miyamoto H, et al. Peripheral facial palsy after sagittal split ramus osteotomy for setback of the mandible (A case report). Int J Oral Maxillofac Surg. 1996;25:182
  30. Teltzrow T, Kramer FJ, Schulze A, et al. Perioperative complications following sagittal split osteotomy of the mandible. J Craniomaxillofac Surg. 2005;33:307
  31. Augus M, Marchena J, Donady J, et al. Neurosensory deficit and functional impairment after sagittal ramus osteotomy: A long-term follow-up study. J Oral Maxillofac Surg. 1998;56:1231
  32. Cunningham LL, Tiner BD, Clark GM, et al. A comparison of questionnaire versus monofilament assessment of neurosensory deficit. J Oral Maxillofac Surg. 1996;54:454
  33. Lambrecht TJ. Intraorale piezo-chirurgie. Zahnäzt Mitteil. 2004;1:36
  34. Hoigne DJ, Stubinger S, Von Kaenel O, et al. Piezoelectric osteotomy in hand surgery: First experiences with a new technique. BMC Musculoskelet Disord. 2006;12:36
  35. Horton JE, Tarpley TM, 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
  36. Williams AR. Intravascular mural thrombi produced by acoustic microstreaming. Ultrasound Med Biol. 1977;3:191
  37. Walmsley AD, Laird WR, Williams AR. Intra-vascular thrombosis associated with dental ultrasound. J Oral Pathol. 1987;16:256
  38. Walmsley AD. Potential hazards of the dental ultrasonic descaler. Ultrasound Med Biol. 1988;14:15
  39. Vercellotti T, Crovace A, Palermo A, et al. The piezoelectric osteotomy in orthopaedic: Clinical and histological evaluations (pilot study in animals). Med J Surg Med. 2001;9:89

PII: S0278-2391(07)01472-3

doi: 10.1016/j.joms.2007.06.633

Journal of Oral and Maxillofacial Surgery
Volume 66, Issue 4 , Pages 657-674 , April 2008

Article Tools

* Image Usage & Resolution