Dr Diyari Abdah explains how the Piezotome Cube from Acteon makes dental extractions predictable
Tooth extractions are not always easy and straightforward – in fact they can be quite unpredictable. Traumatic extractions can lead to bad experiences for both clinician and patient [1,2], , which may affect relationships between the two and have a negative impact on future care provision.
In addition, with the demand for immediate implants on the rise, improving the extraction pocket environment is key for surgical success. Minimising any trauma caused during the extraction procedure is therefore important for a number of reasons, not least of which are reduced patient discomfort and improved treatment outcomes.
The Piezotome Cube from Acteon provides an elegant solution. From a professional’s point of view, it offers a safer procedure [3,4,5], , , with improved soft tissue and bone preservation, precise cutting and optimal visibility with a blood-free surgical site. It is indicated for use in extractions of molars or premolars, teeth in difficult locations or merged roots, those with root fractures, and ankylosed or impacted teeth.
For patients, it makes extractions more comfortable, reduces pain and swelling after surgery, encourages better healing and enhances general post-operative outcomes.
The Piezotome has been shown to reduce post-operative pain and swelling by up to 50% compared to rotary instruments. No nerve lesions have been observed, compared to in 16% of cases with rotary instruments and up to 50% less analgesic is required when using the Piezotome during extractions [6,7]. ,
Ensuring ease of use during operation, the Piezotome Cube features an autoclavable handpiece holder as well as a lighter design than the previous Piezotome. The Cube is perfectly balanced for less fatigue. The weighted multifunctional footswitch and immediate power responsiveness afford simple and complete control for the clinician, ensuring superior osseous surgery.
“A simple but very powerful tool”
Having received the support of clinicians worldwide, the Piezotome Cube is already gaining momentum across the globe. UK-based dentist Dr Diyari Abdah shares his experience of using the innovative device.
“I have been using the Piezotome Cube for almost two years now, which I think is a simple but very powerful tool – the technology behind it is second-to-none. There is a huge demand for immediate implants, both from dentists and patients. The problem with traditional extractions was that there was great potential to damage the bone tremendously – there were nearly always some post-operative complications that we had to deal with.
“As a result, we may not have been able to place the implant, or we needed to do a lot of grafting. With the Piezotome, especially the Piezotome Cube, these problems are eliminated by extracting the tooth in a clean and precise way. When you use the Piezotome Cube, you have a greater chance of preserving the bone, which means you can provide immediate implant placement. Everybody wants things done today, rather than tomorrow. With the Piezotome Cube, patients are happier, there is less discomfort and every extraction is predictable.
“From a dentist’s perspective, if there is adequate bone and it is healthy, we shouldn’t wait until the bone shrinks and we lose dimension. When we use the Piezotome Cube to extract the tooth without damaging any bone, this provides the best chance for successful treatment outcomes.
“In my opinion, for successful immediate placement of implants we need:
1) No disease or pathological infection in the area – this is very important
2) Good bone preservation – immediate placement comes straight after extraction, so we need to know that we haven’t caused trauma or damaged the bone
3) Type of implant should be carefully selected – certain implants are designed to cater for immediate placement, which is also very important.
“Deciding on the equipment and the technology behind surgery, for me, is half of the treatment. When patients know about the technologies I use, like the Piezotome Cube, how I use them and why I use them, it puts them at ease – which in turn makes my job much easier.”
Summarising the key benefits of the Piezotome Cube, Dr Abdah concludes: “The Piezotome Cube has given me predictability, ease of use and total control over the surgical site. The most important advantages of using it are the reduction of post-operative pain and complications, with less patient discomfort and bleeding.”
As Dr Abdah makes clear, there are substantial advantages when planning implant treatment in using the predictability, precision and long-term success of treatment with the Piezotome Cube from Acteon – especially when immediate placement is indicated.
Author:
Dr Diyari Abdah is a dentist, international speaker, author, educator and business coach. He holds two dental degrees. In addition, in 2006 he was awarded a Master of Science Degree – M.Sc. – in the field of Implant Dentistry (UK). Dr Abdah is also a member of several international dental and scientific associations and a member of the American Academy of Anti-Ageing medicine. In 2013, he was awarded the prestigious America’s PremierExpert® status. He is a visiting academic at two universities and on the editorial board of several publications.
For more information about the Piezotome Cube, visit www.acteongroup.com/uk-en
References:
1] Cicciu M, et al. Experimental Study on Strength Evaluation Applied for Teeth Extraction: An In Vivo Study. Open Dent J. 2007;7:20-26
2] Al-Khateeb TH, Alnahar A. Pain experience after simple tooth extraction. J Oral Maillofac Surg. 2008; 66(5):911-7
3] Goyal M, Marya K, Jhamb A, Chawla S, Ranjan Sonoo, Veenita Singh P, Aggarwal A. Comparative evaluation of surgical outcome after removal of impacted mandibular third molars using a Piezotome or a conventional handpiece: a prospective study. British Journal of Oral and Maxillofacial Surgery. 2012; (50):556–561.
4] Troedhan A, Kurrek A, Wainwright M. Ultrasonic Piezotome surgery: it is a benefit for our patients and does it extend surgery time? A retrospective comparative study on the removal of 100 impacted mandibular 3rd molars. Open Journal of Stomatology. 2011; (1):179-184.
5] Kerawala CJ, Martin IC, Allan W, Williams ED. The effect of operator technique and bur design on temperature during osseous preparation for osteosynthesis self- 4 tapping screws. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999;(88):145–50.
6] Comparative evaluation of surgical outcome after removal of impacted mandibular third molars using a Piezotome or a conventional handpiece: a prospective study. Manoj Goyal, Karan Marya, Aakarsh Jhamb, Sonia Chawla, Priyanshu Ranjan Sonoo, Veenita Singh ∗, Anuj Aggarwal. British Journal of Oral and Maxillofacial Surgery 2012;(50):556–561
7] Ultrasonic Piezotome surgery: it is a benefit for our patients and does it extend surgery time? A retrospective comparative study on the removal of 100 impacted mandibular 3rd molars. Angelo Troedhan, Andreas Kurrek, Marcel Wainwright. Open Journal of Stomatology, 2011; (1):179-184
