medical technology
implan
t
p re p a ra site
tion
[email protected]
Le Clos, 43
1346 Les Bioux
SUISSE
tel +41 21 8454682
fax +41 21 8454714
mectron Suisse
Uniline Dental Service
[email protected]
3706 rue de Franche Comté
39220 Bois d’Amont
FRANCE
tel +33 3 84609853
fax +33 3 84609637
mectron France
Surgytech Sarl
mectron Russia
ANAS LTD
C° Hormigueras, 119
28031 Madrid
ESPAÑA
tel +34 91 3807490
fax +34 91 3036863
www.incotrading.net
[email protected]
mectron España
Incotrading S.A.
United States
Piezosurgery® Inc.
Waltherstr. 80
51069 Köln
DEUTSCHLAND
tel +49 221 492015 0
fax +49 221 492015 29
www.rocker-narjes.com
[email protected]
Deutschland
Rocker & Narjes GmbH
mectron Dental (India)
PVT LTD
ul. Wybickiego 1/49a
31-261 Kraków
POLAND
tel +48 12 632 19 27
fax +48 12 632 89 9
www.fmdental.pl
[email protected]
mectron Poland
FM Produkty Dla Stomatologii
”Devi Plaza”, #3, 9th ‚D‘ Cross
HBR Layout, Ring Road
Bangalore - 560043
Karnataka, INDIA
tel +91 80 41608671
fax +91 80 41608671
[email protected]
100 Matawan Road, Suite 400
Matawan, New Jersey 07747
USA
tel +1 732 335 3433
fax +1 732 335 3667
www.piezosurgery.us
[email protected]
The original
piezo bone surgery –
evidence based!
Zemlianoi Val 2/50 KV. 31
105 064 Moscow
RUSSIA
tel +7 495 6265455
fax +7 495 917 9931
www.anas.ru
[email protected]
The original
piezo bone surgery –
evidence based!
mectron s.p.a.
via Loreto, 15/A
16042 Carasco (Ge)
ITALIA
tel +39 0185 35361
fax +39 0185 351374
www.mectron.com
[email protected]
mectron s.p.a.
©
0092en-03/07
medical technology
the PIEZOSURGERY® technique
medical technology
®
PIEZOSURGERY has defined a
new definition in bone surgery
Thanks to the controlled three-dimensional ultrasound vibrations,
the original PIEZOSURGERY® technique opens up a new age
for osteotomy, osteoplasty and extraction in Implantology,
Periodontology, Endodontics and Surgical Orthodontics.
2
I It’s simple, stress-free and selective
I It increases the quality and success
for you and your patients
3
I Micrometric cuts
maximum surgical precision and
intra-operative sensitivity
I Selective cuts
minimal damage to soft tissue,
maximum safety for you and your patients
I Cavitation effect
maximum intra-operative visibility
and a blood-free surgical site
clinical examples
medical technology
®
The PIEZOSURGERY technique is indicated
for a variety of bone surgery applications
Sinus Lift Technique
Extractions
Ridge Expansion Technique
Included Tooth Extraction
4
ORAL SURGERY
IMPLANTOLOGY
Bone Block Harvesting
Implant Site Preparation
Bone Chips Harvesting
ORTHODONTICS
Endodontic Surgery
I Oral Surgery
- Extractions
- Bone Graft: Block
- Bone Graft: Chips
- Endodontic Surgery
I Orthodontic
Surgery
- Osteotomy and
Corticotomy
I Implantology
- Sinus Lift Technique
- Ridge Expansion
Technique
- Implant Site
Preparation
I Periodontal
Surgery
- Crown Lengthening
Technique
- Resective and
Regenerative Surgery
Orthodontic Surgery
5
PERIODONTAL SURGERY
Periodontal Surgery
Crown Lengthening
ultrasound technology
medical technology
THE SURGICAL TRAY
The surgical tray contains all the
components necessary for surgery
utilizing the Piezosurgery system.
6
THE ULTRASOUNDS
CONTROL
THE TORQUE WRENCH
THE LIQUID
THE PERISTALTIC PUMP
THE HANDPIECE
The ultrasounds of the Piezosurgery unit
have been developed specifically for
cutting bone tissue and doing minimal
damage to the soft tissue.
High-frequency oscillations between
24.000 and 29.500 Hz, modulated with
a low frequency between 10 and 60 Hz,
enable efficient and controlled use and
improve the healing of the tissue.
The Piezosurgery unit is controlled solely by means
of an interactive keyboard. Each command is shown on
an easy-to-read display.
The insert tips are tightened
to the handpiece with the
torque wrench. The wrench
applies a pre-defined force
to obtain optimum
energy transmission.
Liquid is drawn from a
bag or bottle which hangs
from the rod provided. All
parts of the unit through
which the liquid passes,
including the handpiece
cord and the handpiece
itself, are fully sterilisable.
The sterile tube is
simply inserted into
the pump which is
then closed. The
quantity of liquid
may be adjusted
using the continuous
+ and – buttons.
The handpiece is
connected permanently
to the handpiece cord
and is sterilised together
with it.
Each Piezosurgery
unit comes with two
handpieces.
There are two basic programs, BONE and ROOT.
In the BONE program, it is possible to adapt the power
to any of four levels depending upon bone quality.
In the ROOT program, the power can be set to either
PERIO or ENDO.
It has an automatic feedback system for constant control
of the power of the ultrasounds, which can be adjusted
in case of need. With this system, any interferences
present in the unit, in the handpiece or in the electronics
are recognised and highlighted on the display.
The CLEAN function is activated by pressing a button
and the footswitch together to start the cleaning cycle of
the unit’s main tubes.
The Piezosurgery unit –
high performance, safe use
7
insert tips
medical technology
The surgical insert tips – specifically
invented and clinically tested
THE INSERT KITS
mectron offers kits of insert tips suitable for Piezosurgery and provides
all the instruments required for the various indications. The „Basic Kit”
and the „Sinus Lift Kit” are part of the original package.
OT7
8
EX1
OP3
IM2A
IM3P
OT5
OT1
OT4
OP4
PS1
EL1
PP1
SHARP INSERT TIPS
SMOOTHING INSERT TIPS
BLUNT INSERT TIPS
The sharp edge of the insert tips enables gentle and
effective treatment of the bony structures.
The smoothing insert tips have diamond surfaces enabling precise and controlled work on the bone structures.
Sharp insert tips are used in osteotomy whenever a fine
and well-defined cut in the bone structure is required.
Smoothing insert tips are used in osteotomy when it
is necessary to prepare difficult and delicate structures.
For example, those preparing for a sinus window or
access to a nerve.
Blunt insert tips are used for preparing the soft tissue.
For example, for elevating the Schneider’s Membrane or
for lateralizing nerves.
There are also insert tips with sharp edges that are used
for implant site preparation, osteoplasty techniques
and/or harvesting bone chips.
THE BASIC KIT
THE SINUS LIFT KIT
The fields in which it is
used are:
I Osteotomy
I Osteoplasty
I Extraction
I Ridge Expansion
The fields in which it is
used are:
I Preparation of the bone window
I Separation of the sinus membrane
I Elevation of the sinus membrane
In periodontology, these tips are used for root planing.
In osteotomy, smoothing insert tips are used to obtain
the final bone shape.
INSERT TIPS COLOUR
Gold 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 For all insert tips used to treat soft tissue or delicate surfaces
such as the roots of teeth.
9
science
Electron Microscope
Image – Result
after the Piezosurgery Osteotomy
HISTOLOGY RESULTS
Comparative studies have demonstrated both the clinical and
the histological advantages of the PIEZOSURGERY® procedure.
Bone bur
10
Bone saw
8 years of successful
scientific research
and clinical studies
PIEZOSURGERY®
REFERENCES
Ultrasound in bone surgery
I
I
Mazorow HB. Bone repair after experimental produced defects. J Oral Surg 1960; 18: 107-115
McFall TA, Yamane GM, Burnett GW. Comparison of the cutting effect on bone of an ultrasonic cutting device and rotary burs. J Oral Surg, Anesth & Hosp D Serv 1961;
19: 200-209.
I Horton JE, Tarpley TM Jr,Wood LD. The Healing of Surgial Defects in Alveolar Bone Produced with Ultrasonic Instrumentation, Chisel and Rotary Bur. Oral Surg Oral Med Oral
Pathol 1975; 39:536-546
I Horton JE, Tarpley TM Jr, Jacoway JR. Clinical Applications of Ultrasonic Instrumentation in the Surgical Removal of Bone. Oral Surg Oral Med Oral Pathol 1981;51:236-242
I Aro H, Kallioniemi H, Aho AJ, Kellokumpu-Lehtinen P. Ultrasonic Device in Bone Cutting. A Histological and Scanning Electron Microscopical Study. Acta Orthop Scand 1981;
52:5-10
I Torella F, Pitarch J, Cabanes G, Anitua E. Ultrasonic Osteotomy for the Surgical Approach of the Maxillary Sinus: A technical note. Int J Oral Maxillofac Implants 1998; 13:697-700
Piezosurgery® in bone surgery
I Vercellotti T. Piezoelectric Surgery in Implantology: A Case Report – A New Piezoelectric Ridge Expansion Technique. Int J Periodontics Restorative Dent 2000; 20:359-365
I 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 Periodontics Restorative Dent 2001; 21:561-567
Vercellotti T, Russo C, Gianotti S. A New Piezoelectric Ridge Expansion Technique in the Lower Arch – A Case Report (online article).World Dent 2000;
1(2) http://www.worlddent.com/2001/05/articles/vercellotit.xml
I Vercellotti T, Crovace A, Palermo A, Molfetta A. The Piezoelectric Osteotomy in Orthopedics: Clinical and Histological Evaluations (Pilot Study in Animals). Mediterranean Journal
of Surg Med; 2001;9:89-95
I Politi M, Vercellotti T, Polini F, Costa F, Robiony M. Piezoelectric Surgery: A New Method to Cutting Bone. Preliminary Experience in Osteogenesis Distraction. Proceedings of II
International Meeting on distraction Osteogenesis of the facial skeleton. Distraction Osteogenesis VS Traditional surgery. pag.178-179 Bologna-Italy. September 26/28/2002.pa.
I Vercellotti T. La Chirurgia Orale Piezoelettrica. www.chirurgiaoraleonline.it (2002)
®
I Vercellotti T, Obermair G. Introduction to Piezosurgery . Dentale Implantologie & Parodontologie. 2003;7:270-274
I Crovace A, Vercellotti T, Valastro C, Molfetta L. L’osteotomia Piezoelettrica in Ortopedia Veterinaria. E’ stato presentato al Congresso Società Italiana Chirurgia Veterinaria.
Bologna (Italy) 19-21/6/2003. Atti del Congresso
I Vercellotti T. La Chirurgia Ossea Piezoelettrica. Il Dentista Moderno. 2003; 5:21-55
I Vercellotti T. Use of Ultrasounds in Bone Surgery. November 13-15, 2003 Tarragona (Spain). S.E.P.A. XXXVII Annual Meeting
I Vercellotti T. Piezoelectric Bone Surgery Techniques in Implantology: Ridge Expansion Sinus Lift, Bone Harvesting, Implant Site Preparation. March 18-20, 2004 San Francisco
(USA). The 19th Annual Meeting Academy of Osseointegration.
I Vercellotti T, Pollack A S. The New Bone Surgery Device: Sinus Grafting and Periodontal Surgery. Compend Contin Educ Dent. 2006 May;27(5):319-25.
I Robiony M, Polini F, Costa F, Vercellotti T, Politi M. Piezoelectric Bone Cutting in multipiece maxillary osteotomies. Technical Note. Journal of Oral and Maxillofacial Surgery. June
2004, Volume 62, Number 6
I Vercellotti T. Clinical Regeneration: The State of the Art. Piezoelectric Bone Surgery in Periodontology and Implantology. June 10-13, 2004 Boston (USA). The 8th International
Symposium on Periodontics & Restorative Dentistry.
I Boioli LT, Vercellotti T, Tecucianu JF. La chirurgie piézoélectrique: Une alternative aux techniques classiques de chirurgie osseuse. Inf Dent 2004; 86 (41): 2887-2893.
I Vercellotti T. Technological characteristics and clinical indications of piezoelectric bone surgery. Minerva Stomatologica. May 2004, Volume 53, Number 5
I
medical technology
Mission: teach, disclose the Piezosurgery procedure and improve the surgical technique in
many specialities by:
Basic course (a one day and half workshop/hands-on):
This will be an opportunity to obtain a fast learning curve and learn about each aspect of
piezoelectric bone surgery from the basic principals to the deep knowledge of each insert
and the variety of applications where Piezosurgery can be used. Also the practical workshop/
hands-on on animal skulls gives each participant practical experience.
The attendants will receive the „Authorized
Piezosurgery Certificate” at the and of the course.
Piezosurgery Academy
Palazzo Negrotto Cambiaso
Advanced course: Specialists in the field develop
Via Portobello, 12 – 16039 Sestri Levante (GE)
monographic courses for each speciality – Sinus
Ph.: +39 0185 42968
lift, Root Extraction, Ridge Expansion, Bone Graft,
Fax: +39 0185 401186
Orthodontic Surgery – though theory, surgical proe-mail: [email protected]
tocols and hands-on on animal skulls.
www.piezosurgery.com
THE INVENTION
„The PIEZOSURGERY® has
been developed in order to
overcome the limits of precision and intraoperatory
safety existing in traditional
bone cutting instruments.“
Tomaso Vercellotti, MD, DDS
11
TECHNICAL SPECIFICATIONS
I
I
Lambrecht J. Thomas. Intraorale Piezo-Chirurgie. Schweiz Monatsschr Zahnmed, Volume 114: 1/2004
Siervo S, Ruggli-Milic Sascha, Radici M, Siervo P, Jager Kurt. Piezoelektrische Chirurgie. Eine alternative Methode fur die schonende Chirurgie. Schweiz Monatsschr Zahnmed,
Volume 114: 4/2004
I Grenga V, Bovi M. Piezoelectric Surgery for Exposure of Palatally Impacted Canines. Journal of Clinical Orthodontics. August 2004 Volume XXXVIII Number 8, 446
I Cortese G. Struttura implantare a nido d’ape per riabilitare selle atrofiche edentule posteriori. Un approccio chirurgico piezoelettrico. Teamwork. anno VI, 4/2004, 304:309
I Vercellotti T, Vercellotti D. Piezosurgery: A New and Revolutionary Bone Cutting Technique. November, 18-8, 2004 Genoa. Festival della Scienza
I Vercellotti T. Chirurgia Piezoelettrica: Invenzione Italiana. September 30, 2004. Giornale dell’odontoiatra. September 30, 2004.
I T. Vercellotti, M.L. Nevins, D.M. Kim, M. Nevins, K. Wada, R.K. Schenk, J.P. Fiorellini. Osseous Response following Resective Therapy with a Piezosurgery®. Int J Periodontics
Restorative Dent. 2005; 25:543-549
I T. Vercellotti, A. Podestà. Orthodontic Microsurgery. Int J Periodontics Restorative Dent. Accepted for publication.
I M. Bovi. Mobilization of the Inferior Alveolar Nerve with simultaneous implant insertion: A New Technique. A Case Report. Int J Periodontics Restorative Dent 2005;25:375–383
I T. Vercellotti, Z. Majzoub, P. Trisi , M.L. Valente, E. Sabbini, G. Cordioli. Histologic Evaluation of Bone Response to Piezoelectric, Surgical Saw and Drill Osteotomies in the Rabbit
Calvaria. The International Journal of Oral & Maxillofacial Implants (submitted)
I Troiani C, Russo C, Ballarani G, Vercellotti T. Piezoelectric Surgery: a new reality to cut and manage bone. Maxillo Odontostomatologia – International Journal of Maxillo
Odontostomatology – S.I.M.O. – Vol. 4 N. 1 – Pag. 23-28
I Valencia E.M, Hernandez M.R, Solange Baeza V, Jaramillo J.K. Osteotomìas Piezoeléctricas en Cirugìa Ortognatica. Revista de la Facultad de Odontologia. 2004 Universidad de
Valparaiso. Vol. 3 N. 2 – Oct. 2004: 693-695.
I Vercellotti T. Caracterìsticas tecnològicas e indicaciones clinicas de la cirugìa òsea piezoeléctrica. Revista Mundo Dental. April 2005 – Pag. 26-28
I Schlee M. Ultraschallgestützte Chirurgie – Grundlagen und Möglichkeiten. Zeitschrift für Zahnärztliche Implantologie 2005. 21. Jahrgang, Heft 1 (2005) Seite 48-59
I Bucking W. Empirisch in der Praxis bewährt, die schonende Explantation. Quintessenz 56,4,335-341 (2005)
I Vercellotti T., Obermair G. Introduzione alla Chirurgia Piezoelettrica. Implantologia Dentale 2,2,78-82 (2005)
I Chiriac G, Herten M, Schwarz F, Rothamel D, Becker J. Autogenus bone chips: influence of a new piezoelectric device (Piezosurgery®) on chips morphology, cell viability and
differentiation. J Clin Periodontol 2005; 32:994-999
I Gruber R.M, Kramer F.-J, Merten H-A, Schliephake H. Ultrasonic surgery – an alternative way in orthognathic surgery of the mandible. Int.J.Oral Maxillofac.Surg. 2005; 34: 590-593
I Schaller BJ, Gruber R, Merten HA, Kruschat T, Schliephake H, Buchfelder M, Ludwig HC. Piezoelectric bone surgery: a revolutionary technique for minimally invasive surgery in
cranial base and spinal surgery? Technical note. Neurosurgery 2005 Oct. (4 Suppl). vol. 57
I Eggers G, Klein J, Blank J, Hassfeld S. Piezosurgery: an ultrasound device for cutting bone and its use and limitations in maxillofacial surgery. British Journal of Oral Maxillofacial
Surgery 2004 Oct; 42(5):451-3
I Boioli L.T., Etrillard P., Vercellotti T., Tecucianu J.-F.. Piézochirurgie et aménagement osseux préimplantaire. Greffes par apposition de blocs d’os autogène avec prélèvement
ramique. Implant 2005; Vol. 11 N. 4:261-274
I Vercellotti T. Piezoelectric Bone Surgery in Implantology. New York University College of Dentistry. December 10-11, 2004. 15th Annual Implant Symposium, New York (USA).
I Vercellotti T. Getting Implants for your patients: inform, refer and prepare. British Dental Conference and Exhibition 2005. Scottish Exhibition and Conference Centre. May 19-21
2005 Glasgow (England).
I Vercellotti T. La Chirurgie osseuse pièzoèlectrique en implantologie. SFBSI - Octobre 22, 2005, 4eme Congrès National, Paris (France)
I Vercellotti T. Bone Regeneration Techniques in Implantology. Horizontal and Vertical Bone Defect Regeneration. Using Piezosurgery. 31° annual meeting - USC Periodontal &
Implant Symposium. January 26-29, 2006. Marriott - Los Angeles Airport, LA (USA)
I Testori T., Weinstein R., Wallace S.. La Chirurgia del Seno Mascellare e le alternative terapeutiche. Edizioni Acme. Giugno 2005. Cap. 14, 245-255
Dimensions (LxWxH)
Weight
Working frequency
Output levels
340 x 210 x 150 mm
3.5 kg
24.000 – 29.500 Hz
adjustable to 6 output levels:
ROOT Mode
Delivery rate of the peristaltic pump
Power supply
Power supply voltage
Max. power absorbed
Warranty
ENDO output
PERIO output
BONE Mode
QUALITY1 output
QUALITY2 output
QUALITY3 output
SPECIAL output
with the „Root” outputs
with the „Bone” outputs
0–100 ml per min.
15–100 ml per min.
connection to the power supply is sufficient
230 Vac ± 10 % 50/60 Hz
115 Vac ± 10 % 50/60 Hz (optional)
100 Vac ± 10 % 50/60 Hz (optional)
70 W
unit 2 years, handpiece and handpiece cord 1 year