ESSENTIALS IN PIEZOSURGERV . CliniAcdavla ntaigneD se ntistry TomasVoe rcellotti EssentiinaP lise zosurgery CliniAcdavla ntagienDs e ntistry TomasoV ercellotti .t.o.M argh eritGai,u ppAyn,n aa ndN icola. Thibso oki sd edicatteoad l Slu rgeons whod eawli thP iezoeleBcotnreSi ucr gery. \\\\\II\I\\I\I\l\1III\l1\III\\1\I\I\ \\ \\11\\ \ ------------ 3185728 INP IEZOSURGERY CliniAcdavla ntagienDs e ntistry TomasoV ercellotti &;.-.) .. MilaBne,r lCihni,c agLoo,n doTno,k yBoa,r celona, j lV J Beiing, IstanbMuols,c owN,e w DelhiP,a ris, � PraguSea,oP aulaon,d W arsaw Titolfet heo rigivnearls ion: Ina dditiao pnr,e vieowft hen ewt echniqoufie m plant PiezosurEgleermye.n Etsis enziali sitper eparatuisoinnu gl trasoiusnp dr esentAende .x clu­ Vantagcglii niincO id ontoiatria siviel lustraantdis ounm maroyf t hes urgipcraolt ociosl Publishien2d 0 09b yQ uintesseEndziaz ioni providaendd n ott heu nderlysicnige ntainfdic cl inical research. Ther eadeirsr eferrteotd h es oon-to-be-pubblooiks hed "TheP iezoeleBcotnreiS cu rgerAy N:e w Paradig(mw"r it­ tenb yT omasoV erc.elMlDo,tD tDiS ,a ndp ublishbeyd Quintessefnocrie n)s igohnte achs cienttiefcihcn,o logi­ cala ndc liniacsaple cotfp iezoelebcotnreis cu rgearnyd fodre taiolnts h es urgipcraolt ocoofel a cht echniqauned fohro wt ou set hes urgiicnaslt rumecnotrsr ectly. Thibso okE,s sentiinaP lesz osurg-eCrlyiniAcdavla ntages © 2009Q uintesseEndziaz ioni oft heU seo fU ltrasoBnoince C uttinTegc hnologiyn ViaC irMoe nott6i5,-2 001(7M ilano) Dentissthroyu,l ndo tb ec onsidesruefdf icfioercn otr rect www.quintessenzaedizioni.it cliniacpapll icaotfit ohnet echniqouuetsl ined. Neithetrh ea uthonro rt heo thepra rtiiensv olvuesde VercellToomtatsio, thitso m akea statemeonrti ssuae g uarantoene t he Essentiinap lise zosurcgleirnyi:c al adviandn etnatgiesst rcyo mpletenoefts hse c ontepnutb lishaenddt hedye cline ISBN-91738:1 85097100 allli abifloiartn yy d amage(si ncludwiintgh,o ulti mitati­ on,d ireicntd,i reccotn,s equenotrii anlc idendtaamla ges Alrli ghrtess ervTehdi.bs o oko ra nyp arotf i tc annobte orl osisn p rofiitnsc)u rraesad resuolftu sintgh ei nfor­ reproducceodn,s ervienad n ys torasgyes teomrd ivul­ matiocno ntainientd h eb ookE ssentiinaP lise zosurgery. gedu ndearn yf ormo ri na nym annere,l ectronicallTyh,e i nformatcioonnt ainheedr eiinsn ots ufficietnot mechanicatlhlryo,u gphh otocopoirei sna nyo thewra y, acquitrhee t heoretaincda/lo sru rgicsakli lnlesc essary withouptr iopre rmissfiroonm t hep ublisher. forc orreacntd e ffectuisveeo fM ectron-Piezosurgery® technology. Cliniccoanlt enPtr:o f.m aTsooV ercellotti Thei nformatcioonnt ainiendt hibso okc annoitn a ny IllustraAtninoaVn esr:c ellGortatpih,Di ecs igner, way be consideraesd a replacemefnotri ndividual PiezosurAgceardye mSye,s tLreiv an-tIetaly assessmebnytt h ed octoarn,du sintgh et echnoldoegsy­ Graphdiecs igAnn:n aV ercellGortatpih,Di ecs igner, cribwehde nt reating paitsui nednettrsh es olree sponsi­ PiezosurAgceardye mSye,s tLreiv an-tIetaly biliotfty h ed octor. ProductJiuolni:a Rniec htQeuri,n tessVeenrzl aGgms -bH, Any mentioonr r eferentcoe a particuplraord uct, Germany methodt,e chniqourme a teriraell atteotd h osper oducts, methodosrt echniqiuneE ss sentiinaP lise zosurdgoeersy PrintiendI taly notc onstitaudtvei coen t hem atteorr e ndorsemeonft ISBN9:7 8-1-85097-190-o thev aluecsh,a racteroirss ttiactse mepnutstf ortbhyt he respectmiavneu facturers. Alrli ghrtess ervIenpd a.r ticutlhaeir n,f ormatpiuobnl is­ hed in Essentiianl Psi ezosurgiesrp yr otectbeyd Copyright. Anyr eproductwihoent,h epra rtioartl o tawli,t houptr ior writtaeunt horizaftrioomtn h ea uthoirss tricptrloyh ibi­ tedT.h ei nformatcioonnt ainientd h em ateripaulb lished may be protectbeyd a dditioinnatle llecptruoaple rty righTthsi.is n formatmiuosntn otb eu sedf oarn yr eason withouptr iowrr ittceonn senftr omt heh oldeorft hose The contenptr ovideidn theb ook Essentiianl s intellepcrtoupaelr rtiyg hts. Piezosurg-eCrlyi nicAadlv antagoefs t heU seo f Anyn amesr eferrtiopn rgo ducatnsdm anufacturweirts­ UltrasoBnoince C uttiTnegc hnoloignyD entisitsrf yo r hint hipsu blicatmiaoyn b e registetrreadd emarks demonstratpiuornp osaensd i ntendaesda briepfr esen­regardloefws hse ther tihsee xrpel imceintt iotnh erein. tatioofnt heb asicco ncepotfsp iezoelebcotnresi ucr ge­Therefotrheep, r esenocfea namet haits n oti dentified ry.I ti sa lsion tendteodo utlitnheep rimacrlyi nibceanle ­ asp rivaptreo perdtoye sn oti ntentdop roviadney g ua­ fitosf usingM ectron-Piezosutregcehrnyo®l otgoy ranteweh atsoevbeytr h ea uthoorn t hef actth aitt i si n improvtee chniqiuneo sr thodonstuircg ery. thep ubldiocm ain. Theraer ei nfrequiennnto vatitohnasrt e sultI tp rovidtehse r eadearn opportuntiot y inp aradisghmi ftisn t hes urgiacramla men­visualai vzaer ieotfay p plicatainodns se rves tariufmo ri ntraosruarlg icparlo cedureass.a surgigcuaild teh acta nb ei mmediately Piezosurogffeerrdysi stiandcvta ntatgoet sh e implementfeodpr a tiecnatr eI.ti sp articular­ surgeoansi ta llowfsof ri nite ibnocnies iolnysv aluabfloepr r ocedutrheaset n hancleo ca­ withm inimailn vasiveannedsa s h emostatilci zeedd entuloruisd gefso rt hep urposoef fielodfv isitohna sti gnificraendtulcyte hs e placidnegn tailm planAt sd.i stivnacltu ies thrutsots oftt issuieens,e, r veansd b loovde s­recogniwzheedn p erformianng o steotomy selasd jacetnott h e treatamreenntEa q.u alltyo l itfth em axillsairnyu fsl oobre,c auistew ill signifiicsaa q nuti etleers,ts r aumateixcp erin­ote ndangetrh es chneidermieamnb rane, encef otrh ep atietnhta hta st hep otenttioa la si ts topwsh ene ncountersionfttg i ssiufe reducpeo stsurgsiwcealll ianngdd iscomforptr operalpyp liTehdi.s reisnua lnit nst act fold comparetdom anyt raditimoentahlo dass,i t orr eceptatcolr ee usteh eo steopromotive achievoepst imhaela ling. materiaTlhsi.nr idgceasn b ee xpandeadn d spreatdo s ufficient dimetnosa icocnesp t Thiesx actiantgl aosf s urgicaaplp licatiiomnpsl adnitm ensioonris n,t raoaruatlo genous presenetasc shu rgitceaclh niqiunae s tep-byb­locgkr aftcsa nb eh arvestteoad d dt ot he stempa nnerd,e monstratthiens gu rgearnyd thickness. cliniacdavla ntagoevse rt radititoencahln i­ quesI. llustradtiiaognrsa,m asn d photo­Piezosurogffeerryts h ec linictihaeon p portu­ graphpsr ovidteh ec utticnhga racterisntiittcyos p erfordmi fficuelxtt ractiaonndts o thasti mplitfhyec omplexoifti yn traosruarl­ presersvuer roundtihnigbn u ccapll ateisn gicaplr ocedures. thee sthetziocn eT.h esper oceduarreesu se­ fulw henr emovindga magerdo otwsi thout elevatoarnsd to sectioann kylosoerd impactteede tihna p recifsaes hion. Piezosuregnearbyl tehse p eriodonttoip setr ­Exciting raedcdeintti oinnsc lutdhee p repa­ formo steoplaossttye,c toamnyd r ooptl aningr atioonf c orticototmoi eensh ance tooth withoutth en oisoef c onventiohnaanld pie­movemenitn o rthodontaincdis m plansti te cesa ndm anuaclu rettwehsi,c ahr ea nnoyingp reparatAino unp.c omintge xtboeonkt itled top atienIttis s.v aluabfloerc rownl engthe"­TheP iezoelecBtorniecS urgerAy :N ew ningp roceduraess w ella s regeneratiPvaer adigwmi"l elx pandt heo pportunfiotry efforts. readetrosf urthtehre ikrn owledignet hese procedubreeyso ntdh iast las. MyronN evinDsD,S "EssentiinaP lise zosurgceornyt"a ian ssu m­ "EssentiinaP lise zosurgaelrsyio"n troduces, maryo fa llt hee lementnse ededt og ain fort hef irtsitm ei nt hew orltdh,e n ewt ech­ insigihnttt oh ec linibceanle foiftp si ezoelecnti­qufeo ru ltrasoinmipcl ansti tper eparation ricb ones urgeriynd entisitmrpyl,a ntoloagnyd o rthodonmtiiccr osurgery. ando raslu rgery. Thipsu blicatailospnor esentthsen ewb one Eachs urgictaelc hniqiusep resentienda classificoaft Tioomna so and Giuseppe technique-smpaencniefris,ch owintgh es ur­Vercellwohtitciih,s q uantitaatnidvq eu alita­ gical, intraoapnedcr laitniivaceda,vl a ntagetsi vfeo era cshu rgisciatlae n de nabltehseh ig­ ovetrr adititoencahln iques. hesdte greoefi ntraoperparteocriys ion. Illustratdiioangsr,a masn,d photographs showt hec utticnhga ractertihsatti cmsa ikte T hes urgicparlo tocoofle acht echniqiuse possibtlose i mplitfhyec omplexoifta yd van­presentiendp hotograpsheiqcu enciens ceds urgetrhyu,sr educisnugr girciaslk asn d "EssentiinaP lise zosurgery". accelerahteianlgi mnegc hanisTmhs.er esult ist oa chietvhee h ighelsetv eolft reatmenFto rm orei n-depstthu doyf t hec oncepotfs effectivewnietshts h el owesatm ounto fd is­piezoelebcotnreis cu rgearnyd f orl earning comfofrottr h ep atient. thes tep-by-psrtoetpo coofel a cht echnique, ther eadeirs r eferrteodt hes oon-to-be­ Thec liniacdavla ntaogfeus s inpgi ezosurgepruyb lishbeodo k" TheP iezoelecBtorniec overt raditiionnsatlr umeanrtesp resenteSdu rgerAy :N ew Paradi"g,mb y Tomaso fort ootehx tractriiodng,ee x pansisoinn,u s Vercellaontdtp iu blishbeyd Q uintessence. liftb,o neg raftinagn,dc liniccraolw lne ngthe"­EssentiinaP lise zosurgiesar ny e"x traocft ning. thibso ok. TomasVoe rcellMoDt,Dt DiS, Acknowledgements Iw ouldl ikteo t hanakl tlh ep eoplweh oc on­ tributteowd r ititnhgi bso ok. Iw ouladl sloi kteog ivaes pecitahla nktsot he followfionrgt heiirn valuacbolnet ribution: • AnnaV ercellfootrtt hie,g raphiacnsa,t omic ands urgicdaralw inagnsd p hotographs. • NicoleBtattat ilfaonrta h,e e diting. ·NicolCoe risofloar,w ritintgh es ection "TechnologPiecraslp ective". • SoniLao cateflolrti h,ea natomaincd s urgical drawinogfsC hapte1r1 .