Piezotome – The “Gold Standard” in Surgical Dentistry

Surgical procedures in dentistry often require the removal of hard tissues in the oral cavity (bone and tooth). The Piezotome, an “ultrasonic scalpel,” makes this process efficient, safe, and as painless as possible. This device comes with a set of attachments that enable precise bone cutting without damaging surrounding soft tissues.

The Piezotome is widely used for the following surgical interventions:

Extraction of Wisdom Teeth and Misaligned Teeth in the Bone. Precise cutting prevents tearing of soft tissues. The tooth is safely removed from the jaw, allowing faster and less painful healing. The operation itself takes only 10–15 minutes.
Implantology and Bone Grafting. During implant placement, procedures such as bone augmentation and splitting of the narrow alveolar ridge are performed. The Piezotome allows these to be done with great precision and care. Bone tissue loss is minimized during bone material harvesting. It is also used for gingivoplasty (correction of bone or gum defects).
Removal of Cysts and Granulomas. Excision of one or more tooth roots during these procedures is most effective with the Piezotome.
Preparation of Carious Cavities. The Piezotome enables the finest, most delicate incisions.

Advantages of Piezosurgery

Safety. The working frequency of the Piezotome tip vibration is 25-30 kHz. At this range, only hard tissues can be cut, while a frequency of 50 kHz is required for soft tissues. Therefore, if it touches soft tissues, the piezoelectric scalpel automatically stops. The scalpel’s movement requires minimal pressure, avoiding excessive force on the bone and reducing the risk of fractures and injuries.
Efficiency. While the Piezotome scalpel operates, a cooling saline solution flows in parallel streams along the tip. Blood is constantly washed away from the surgical area, providing the surgeon with an ideal view, and tissues are cooled even at the deepest level. The result is an atraumatic operation with precise bone incisions, taking minimal time.
Quick Healing. Due to minimal incisions and sutures, bone tissue heals in the shortest possible time with virtually no bleeding. Healing speed is also supported by the antibacterial and disinfecting effects of ultrasound.

Contraindications for Piezotome Use

Certain conditions prohibit ultrasonic treatment, including cancer, cardiovascular diseases, the presence of cardiac implants, diabetes, and CNS pathologies.

In general, thanks to advantages such as precision, gentle intervention, applicability in the most hard-to-reach areas, atraumatic and painless operation, the Piezotome has become the “gold standard” in implantology, surgical dentistry, and maxillofacial surgery.