ABSTRACT
Dentistry has undergone significant advancement and has seen several changing concepts over a decade. One such novel innovation is piezosurgery. Piezoelectric bone surgery or otherwise known as piezosurgery is a novel technique invented by Professor Vercellotti in 1988 to overcome the limitations of traditional instrumentation in oral bone surgery by modifying and improving conventional ultrasound technology. It is a promising, meticulous, and soft tissue sparing system for bone cutting based on low frequency ultrasonic microvibrations. The absence of macrovibration makes the instrument more manageable and allows greater intraoperative control with a significant increase in cutting safety in the more difficult anatomical cutting zone. The present review compares piezosurgery with the traditional tools and emphasizes on its mechanism of action, instruments, biologic effects, advantages, and limitations, as well as its various applications in the field of dentistry.
ABSTRACT
Whenever the treatment revolves around structural balance and aesthetic harmony, the crux remains to be the periodontal health of the existing dentition. In such scenarios where restorations and aesthetics are of concern, biologic width (BW) is the initial and final frontier. Considering attrition of teeth, the resistance which is offered by them is definitely at a lower level as compared to teeth with adequate height. Clinical crowns of worn out teeth are seriously handicapped when it comes to bearing the occlusal loads, which can be brought back to normalcy by crown lengthening . Crown lengthening includes the surgical removal of soft and hard periodontal architecture to gain (vertical dimension) a supracrestal tooth length, thus allowing a longer clinical crown reestablishment of BW. This paper has described the full mouth rehabilitation of severe fluorozed and attrited teeth in a 35-year male with the use of an interdisciplinary approach (6 Handed Dentistry).