Flap elevation
#11 was impacted in the palate and housed by bone completely. A sulcus incision was made from #9 to 12 mesial and a vertical incision was made at the mesiolingual line angle of #9. After flap elevation, a bony prominence was noticed on the apical area of #9 and 10.
.
.
.
.
.
OSC piezo tip
An OSC piezo tip for Silfradent piezoelectric machine was utilized for osteotomy.
.
.
.
.
.
.
.
Osteotomy
The window was created by the piezo tip with the minimal concern on the soft tissue damage.
.
.
.
.
.
.
.
Extracted canine
Odontomy was done with a highspeed bur. Piezo machine is not recommendable for the odontomy because of less cutting efficiency on a tooth compared to the highspeed bur.
.
.
.
.
.
.
Extraction socket
After extraction. The window was extended a bit for the removal of a root part.
.
.
.
.
.
.
.
Suture
After suture was completed.
I think the advantages of the piezoelectric machine are reduced risk of soft tissue damage and good visibility. However it is easy to break the tip when torque is applied to it and the heat generated by the function can burn lip or cheek if a part of the tip is laid on it for a while during the surgery.
Generally I am happy with it. I strongly recommend the piezo. It will make your practice easier and better. Thanks a lot.
Loading ...
Nice work.
How did you decide from which side (buccal or palatal) to approach from?
Was there a bulge on the palatal side where you made the incisions? Or did you use a 3D CBCT imaging?
Can you tell us a little bit more about the piezo machine you used?
Actually palatal side bulged a bit compared to the contralateral side. It would’ve been better to have a CT scan. The piezo machine is Silfradent Surgybone from Italy. It will be available in US market in a couple of months. It seems to be better than Piezo Surgery in terms of power and heat control. Piezo Surgery sometimes stops temporarily due to the heat.
Any idea how much it will be?
I don’t know it yet. But I was told it would be under 10 grand. We got it for the trial.
Nicely done, Gene.