This document compares the efficacy of piezosurgery versus traditional rotary instruments in sinus elevations, focusing on Schneider membrane perforation rates, post-operative outcomes, and surgical efficiency.
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[...] In conclusion, piezosurgery represents a valuable tool in lateral sinus elevations, especially in cases at risk of perforation. Its adoption by practitioners requires adapted training and a certain patience, but it opens the way to more precise, less invasive, and better-tolerated surgery. The future of this technique relies on better standardization of protocols, expansion of long-term comparative studies, and a more systematic evaluation of its impact on medium- and long-term implant success rates. Bibliography 1. Jordi Mukaddam Lambrecht JT, Kühl S. [...]
[...] Piezoelectric devices allow for more precise osteotomy, with better surgical visibility and less soft tissue trauma. In the postoperative period, several studies report a decrease in pain and faster improvement in oral opening, although results on edema remain heterogeneous. The main drawback reported is a longer surgical time with piezosurgery. Conclusion : Piezosurgery represents a secure alternative to rotary techniques for sinus elevations, reducing the risk of sinus membrane perforation. Despite a longer surgical time, the benefits in terms of surgical safety and postoperative comfort justify its adoption, particularly in high-risk anatomical cases. [...]
[...] Schneiderian membrane perforation rate during sinus elevation using piezosurgery: clinical results of 100 consecutive cases. Int J Periodontics Restorative Dent. oct 2007;27(5):413-9. 7. Toscano NJ, Holtzclaw Rosen PS. The effect of piezoelectric use on open sinus lift perforation: a retrospective evaluation of 56 consecutively treated cases from private practices. J Periodontol. Janv 2010;81(1):167-71. [...]
[...] This analysis is based on 7 main articles: 1. Wallace et al. (2007): Prospective clinical study on 100 cases, evaluating the rate of Schneiderian membrane perforation with piezosurgery 2. Delilbasi & Gurler (2013) : Comparative study between piezosurgery and rotational techniques in direct sinus elevation 3. Jordi et al. (2018) : Meta-analysis involving 69 studies comparing the perforation rate between rotational techniques and piezosurgery 4. Shahakbari et al. (2020) : Randomized clinical trial comparing postoperative pain and edema of the two techniques: piezosurgery and surgical bur 5. Martins et al. [...]
[...] The success of the bone graft and the osseointegration of implants is correlated with the quality of the membrane elevation. A non-perforated membrane guarantees a hermetic healing chamber, promoting the stabilization of the filling material and bone neoformation. In this sense, piezosurgery, by drastically reducing perforations, creates a more favorable environment for bone regeneration and potentially improves the long-term success rate of implants. The impact on post-operative outcomes also presents an advantage of piezosurgery. Less early pain, less trismus, and faster recovery of oral functions with better oral opening are reported in studies. [...]
