Oral surgery sonic tools | Sonosurgery
Here you can find all the infos about these intruments and their technique for oral surgery.
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Sonosurgery project originates, as a Piezosurgery alternative, from the need of increasing horizontal space for atrophic crests in order to place a new implant, when performing split crest osteotomies, post extraction implant placement, bone augmentation throught sinus lift in oral surgery
Air vibrating handpieces (SONICflex Kavo type) quite different from the piezoelectric tools (like piezosurgery) develop a very complex orbital oscillation, three-dimensionally oriented, which allows the making of sharp edges with lots of angles.
Traditional bone cut techniques are performed either by rotary tools (cutters and discs) or manual tools (chisels and osteotome). However they often prove to be very dangerous, as they are difficult to be controlled, especially in hardly approachable areas of the mouth. Vibrating tools have a great advantage over rotating ones.
Infact they have a great ablation skill on mineralized tissue and a poor skill to cut soft tissues, that way protecting them from damage. This fact has obviously led to a considerable increase in safety by the surgeon. The strict control of cutting tools, in oral surgery is achieved because they do not develop torque forces, unlikely oscillating rotary appliances, which may accidentally and dangerously cause the shifting of sharp tips.
The oscillating handpieces generate linear or curved repeated regular movements

Subsonic | Sonic | Ultrasonic
Oscillations speed
From 0 Hz to 20 Hz Sub-sonic frequency
From 20 Hz to 20.000 Hz Sonic frequency
From 20.000 Hz Ultra-sonic frequency
Piezoelectric movement
Native handpiece movement of "ultrasonic" (piezoelectric) follow a linear direction not friction influenceable.

Piezoelectric 24-29000 Hz
Ultrasonic systems
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Quartz disks contractions excited by electricity
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Movement along the axis of the handpiece
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Movimento alternativo va e vieni con azione in punta
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Speed is not affected by pressure on the handpiece
Movimento Sonosurgery
I manipoli “sonici” (air scaler), si muovono con una direzione
indefinita, che viene invece orientata dall’attrito.

Sonosurgery 6000 Hz
Sonic Systems (Air activated)
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Turn a rotary motion into reciprocating motion
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Three direction Movements: long. - Transv. - Vert.
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Ablative action and/or cutting edge on each side
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Pression on the handle> 2-N * slows the movement
Surgical Accessibility
The image below shows access in the presence of large dimensions theet, the accessibility afforded by the system
Sonosurgery allowing better surgical practice unlike the piezoelectric systems (type Piezosurgery).

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