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Uso da piezocirurgia em medicina dentária: revisão narrativa
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A piezocirurgia é uma técnica de corte multifuncional, explanada pelo Professor Vercelloti,
em 1988, com o objetivo de superar os limites das técnicas cirúrgicas convencionais. A sua
utilização continua crescente e cada vez mais generalizada.
Esta técnica é baseada em impulsos ultra-sónicos, permitindo uma osteotomia seletiva,
rigorosa e muito menos traumática do que as técnicas com brocas rotativas. O corte realizado
na piezocirurgia é seletivo, permite realizar um corte próximo das estruturas anatómicas
nobres como nervos, vasos sanguíneos e mucosas reduzindo o risco de danificá-las.
As suas aplicações no campo da cirurgia oral são numerosas, e irá ser abordado o motivo
desta técnica ter também bastante importância multidisciplinar e a tendência que poderá estar
a ser criada para a levar a ser a substituição dos instrumentos de corte rotativo, normalmente
utilizados.
Neste estudo, vamos elencar as utilidades desta técnica no espectro da Medicina Dentária,
descrever o mecanismo de acção, comparar o seu interesse em relação aos instrumentos de
corte ósseo actuais e, claro, os seus limites.
Piezosurgery is a multifunctional cutting technique, democratized by Professor Vercelloti in 1988 with the aim of overcoming the limits of conventional surgical techniques. Its use continues to grow in popularity. Based on ultrasonic impulses, this device allows for selective, rigorous and much less traumatic osteotomy than rotating drills. Its selective cut allows an operation close to sensitive anatomical structures, such as nerves, blood vessels and mucous membranes, while reducing the risk of damaging them. Its applications in the field of dental surgery are many, we will try to explain why this technique is so essential in the multidisciplinary aspect of the profession and can be in the process of replacing our rotary cutting instruments. In this study, we will list the usefulness of this technique in the spectrum of dentistry, describe the mechanism of action, compare its interest in relation to current bone cutting instruments and, of course, its limits.
Piezosurgery is a multifunctional cutting technique, democratized by Professor Vercelloti in 1988 with the aim of overcoming the limits of conventional surgical techniques. Its use continues to grow in popularity. Based on ultrasonic impulses, this device allows for selective, rigorous and much less traumatic osteotomy than rotating drills. Its selective cut allows an operation close to sensitive anatomical structures, such as nerves, blood vessels and mucous membranes, while reducing the risk of damaging them. Its applications in the field of dental surgery are many, we will try to explain why this technique is so essential in the multidisciplinary aspect of the profession and can be in the process of replacing our rotary cutting instruments. In this study, we will list the usefulness of this technique in the spectrum of dentistry, describe the mechanism of action, compare its interest in relation to current bone cutting instruments and, of course, its limits.
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Palavras-chave
Piezocirugia Cirurgia ultrassónica Piezotome Piezocision Osteotomia seletiva Piezo surgery Ultrasonic surgery Piezotome Piezocision Selective osteotomy