Zahnfehlstellungen besonders schnell behandeln
"Die kieferorthopädische Behandlung stark ausgeprägter Malokklusionen ist innerhalb von sechs Monaten möglich" *
Da das Interesse an weniger zeitaufwendigen und minimal-invasiven kieferorthopädischen Behandlungen immer größer wird, entwickelte Satelec in Zusammenarbeit mit Dr. Serge Dibart von der Boston-Universität eine reproduzierbare, zuverlässige und minimal-invasive Technik mit der Bezeichnung Piezocision™. Durch Einsatz der neuen Piezochirurgie-Spitzen können Vollschichtlappen, doppelte bukkale und linguale Kortikotomien und die Verwendung von besonders starken Bohrern vermieden werden.
Die Spitzen eignen sich zur Behandlung von Klasse-I-Malokklusionen mit mäßigem bis starkem Engstand, zur Korrektur von Tiefbiss, für bestimmte Klasse-II-Malokklusionen, zur schnellen kieferorthopädischen Behandlung Erwachsener, zur schnellen Intrusion und Extrusion in vertikaler Richtung und vieles mehr.**
Besonders schnell: Der chirurgische Eingriff kann innerhalb von 15 Minuten für einen Bereich bzw. 60 Minuten für beide Zahnbögen (Stuhlzeit)*** abgeschlossen werden. Die Dauer der kieferorthopädischen Behandlung erfolgt 3-4 Mal schneller* als bei herkömmlichen Verfahren!
Minimal-invasiv: Bei der Piezocision™-Technik erfolgt ausschließlich eine vestibuläre Kortikotomie, keine Osteotomie! Es sind keine Lappen oder Nähte und durch die horizontalen Demineralisationen nur wenige Inzisionen erforderlich. Dekortikationen von nur 3 mm Tiefe
Kann verwendet werden mit
* Acceleration of orthodontic tooth movement following selective alveolar decortication: biological rationale and outcome of an innovative tissue engineering technique, JD Sebaoun, J. Surmenian, DJ. Ferguson, S. Dibart, International Orthodontics, 6, 235-249, 2008. >>>
Following selective alveolar decortication as defined by the surgical scarring of the alveolar cortex, severe malocclusions can be orthodontically treated in six months. When combined with bone grafting, this technique also significantly expands the scope of treatment in resolving extreme dental arch crowding or borderline skeletal problems with stable clinical outcomes. The biology of rapid tooth movement after selective alveolar decortication involves a transient decrease in bone density thus creating a local environment of less resistance. Animal studies verify demineralization-remineralization (osteopenia) as the rationale for rapid orthodontics, and it is surmised that the stability of orthodontic outcome is due to increased tissue turnover and increased cortical bone thickness due to the graft. With careful treatment planning and understanding of the biological rationale, the alveolar bone metabolism can be locally manipulated to achieve stable and rapid orthodontic results. This innovative tissue engineering technique offers the clinician a new tool in the treatment of today’s most demanding adult patients.
** Practical Osseous Surgery in Periodontics and Implant Dentistry, S.Dibart und J-P Dibart, Wiley-Blackwell, 2011 >>>
*** Piezocision™: A minimally Invasive, Periodontally Accelerated Orthodontic Tooth Movement Procedure, S. Dibart, JD. Sebaoun, J. Surmenian, Compendium, Band 30, Ausgabe 6, Juli-August 2009. >>>
An increasing number of adults have been seeking orthodontic treatment, and a short treatment time has been a recurring request. To meet their expectations, a number of surgical techniques have been developed to accelerate orthodontic tooth movement. However, these have been found to be quite invasive, leading to low acceptance in patients and the dental community. The authors are introducing a new, minimally invasive procedure, combining microincisions with selective tunneling that allows for hard- or soft-tissue grafting and piezoelectric incisions. This novel approach is leading to short orthodontic treatment time, minimal discomfort, and great patient acceptance, as well as enhanced, or stronger, periodontium. Because of the added grafting (bone and/or soft tissue), the periodontium is much thicker buccally.
Piezocision-assisted canine distalization, Ozlem Aylikci, Caglar Sakin, Journal of Orthodontic Research, Mai-August 2013, Band 1, Ausgabe 2 >>>
An increasing number of adult patients are seeking orthodontic treatment to improve their smile or their masticatory function. One of the biggest challenges an adult orthodontic patient faces is the time spent wearing brackets because time and esthetics have become increasingly important in this time. Over the years, several surgical techniques have been developed to address this issue and reduce overall treatment time. Although very effective, these techniques have proven to be quite invasive. A new, minimally invasive surgical procedure [piezocision] is presented in this case report that combines microincisions and localized piezoelectric surgery to achieve similar results rapidly and with minimal trauma.
Piezocision™-Assisted Invisalign treatment, E.I. Keser, S. Dibart, Compendium, Band 32, Ausgabe 2, 2011. >>>
Over the past decade the percentage of adult patients seeking orthodontic treatment has been steadily increasing.1 These adult orthodontic patients have expectations and concerns about their treatment that are different from the concerns children and adolescents may have. Sometimes the conventional mechanics that are used on children and adolescents such as head gears or metal brackets are not readily acceptable to adults. As a result, orthodontists have searched for an esthetic means of tooth correction that can especially address the needs of the older, self-conscious, or busy population.
Sequential piezocision: A novel approach to accelerated orthodontic treatment; Elif I. Keser und Serge Dibart, AJODO, Band 144, Ausgabe 6, 2013. >>>
Piezocision-assisted orthodontic treatment is an innovative, minimally invasive surgical technique designed to help achieve rapid orthodontic tooth movement. Microsurgical interproximal openings are made in the buccal gingivae to let the piezoelectric knife create the bone injury that will lead to transient demineralization and subsequent accelerated tooth movement. When this procedure was first described, cuts were made simultaneously at the maxilla and the mandible. In recent years, the technique has evolved to a more staged approach, with selected areas or segments of the arch demineralized at different times during orthodontic treatment to help achieve specific results. The purpose of this article was to report the use of sequential piezocision in the correction of a Class III malocclusion, in a total treatment time of 8 months.
Tissue response during piezocision-assisted tooth movement: a histological study in rats, S. Dibart, C. yee, J. Surmenian, J-D Sebaoun, S. Baloul, E. Goguet-Surmenian, A. Kantarci, The European Journal of Orthodontics, November 2013. >>>
Piezocision is a novel, minimally invasive technique combining micro-incisions and decortications made by a piezotome in order to enhance the rate of orthodontic tooth movement. The combined technique allows simultaneous hard and/or soft tissue grafting via selective tunnelling to correct gingival recessions or bone deficiencies. The present study was designed to evaluate the effects of Piezocision on bone with or without tooth movement on a rat model.
Rapid treatment of class II malocclusion with Piezocision™: Two case reports, S. Dibart, J. Surmenian, JD. Sebaoun, L. Montesani, The International Journal of Periodontics & Restorative Dentistry, Band 30, Ausgabe 5, Okt. 2010. >>>
An increasing number of adult patients are seeking orthodontic treatment to enhance their smile or their masticatory function. In this fast-paced and self-conscious society, time and esthetics have become increasingly important. One of the biggest challenges an adult orthodontic patient faces is the time spent wearing brackets. Over the years, several surgical techniques have been developed to address this issue and reduce overall treatment time. Although very effective, these techniques have proven to be quite invasive. A new, minimally invasive procedure (piezocision) is presented that combines microincisions and localized piezoelectric surgery to achieve similar results rapidly and with minimal trauma.