One such advancement is the introduction of the Piezotome, a device that uses ultrasonic technology to facilitate bone cutting with exceptional precision. The Piezotome is now recognized as a transformative tool in Micro Endodontic Surgery, offering distinct advantages over conventional surgical methods. Its operation is based on piezoelectricity, in which an electric current generates mechanical oscillations, which are transferred to an insert specially designed to cut the bone in a controlled manner. This prevents excessive bone damage and reduces the risk of intraoperative complications such as bleeding. During bone cutting through an air-water cavitation effect, they maintain a blood-free field. The benefits of the Piezotome include reduced thermal damage to tissue, as it operates at lower temperatures, minimising the risk of complications associated with thermal necrosis. In addition, it facilitates access to complex root anatomies, making surgery less invasive - so tricky when it’s closed to non-odontoid anatomy like sinus or alveolar nerve - and more comfortable for patients, with less pain and swelling after the procedure. Clinical studies show that patients who have undergone Piezotome-assisted surgery experience less pain and faster healing, with improved bone preservation. In addition, the Piezotome improves visibility and control during surgery, enabling greater precision.
In conclusion, the Piezotome represents a major advance in apical endodontic surgery, offering a more precise and less invasive alternative to traditional methods, contributing to better clinical outcomes and increased patient satisfaction.
CV
Dental practice limited to Endodontics in Paris (France)
Graduated from the University Paris V – René Descartes (Paris, France).
At present: Teaching Associate at the University Paul Sabatier (Toulouse, France).
Past Assistant Professor at University Paris V.
Member of the editorial board of ENDO (Quintessence)
Past President of the French Society of Endodontics
