Endodontist Blantus Endodontic Center Campinas, Sao Paulo, Brazil
Participants should be aware of the following financial/non-financial relationships:
Leandro A P Pereira, D.D.S., M.S., Ph.D: I do not have any relevant financial / non-financial relationships with any proprietary interests.
Since the introduction of new technical concepts such as the use of magnification-associated ultrasound and new calcium silicate-based hydraulic materials in apical surgery in the 1990s, the success rate of the now-called "Apical MICROsurgery" has increased significantly. Magnification contributed to microsurgical evolution mainly by allowing the visualization of details of anatomical structures not visible to the naked eye, as well as increasing the motor precision of the surgeon. Moreover the use of systems that allow the execution of a Full-Piezoelectric Endodontic Microsurgery (absence of drills) provides less operative trauma due to delicate and precise manipulation is the main factor that will provide less inflammation, less heating during bone cutting, a perfect hemostatic control, cutting selectivity and better and faster postoperative for the patient and for tissue healing. Following this philosophy, the use of systems that allow the execution of a Full-Piezoelectric Endodontic Microsurgery ( piezo flap retraction, piezo osteotomy, piezo apicectomie, retrograde preparation, insert of retro-filling material) should be strongly considered and its advantages will be addressed throughout this lecture.
Explain the difference between a piezosurgical unity and a conventional piezoelectric ultrasound.
Discuss the technical, clinical, physical, and biological advantages of piezosurgery compared with conventional drill technique, and watch piezosurgery videos of an endodontist who, for over 20 years, has performed all microsurgeries using only piezoelectric unity instead of drills.
List the steps in the piezosurgical system that can be used to provide better safety and surgical precision, alleviate postoperative discomfort and swelling, and speed healing.