Less unnecessary trauma
Precise work helps remove only the necessary amount of bone and preserve surrounding structures.
Service
Piezosurgery in veterinary dentistry
Piezosurgery is a modern way to work with bone using controlled ultrasonic micro-oscillations. It enables more precise complex dental procedures, helps protect adjacent soft tissue and minimises unnecessary tissue trauma.
In my practice I use the professional ACTEON Piezotome CUBE ultrasonic system — modern equipment for precise and controlled bone surgery.
In clinic
ACTEON Piezotome CUBE — precision under control
For piezosurgical procedures I use ACTEON Piezotome CUBE. Unlike a rotary instrument, its tip does not rotate; it uses controlled ultrasonic micro-oscillations.
This allows delicate work with bone, thinner and more precise cuts, and helps reduce the risk of accidental trauma to adjacent soft tissues.
The unit adapts power to the load, while a continuous irrigating solution cools the tip and surgical area.
How a piezotome works
A specialised tip creates high-frequency ultrasonic micro-oscillations. They allow gradual, controlled work with mineralised bone without uncontrolled instrument rotation.
At the same time, irrigating solution cools the tip and tissue, flushes away small bone particles and keeps the surgical field cleaner and easier to see.
Ultrasound and fluid also produce a cavitation effect that helps clear small particles from the working area, but this is not sterilisation of the wound.
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Controlled ultrasonic micro-oscillations
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Precise work with bone tissue
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Continuous cooling and cleaning of the surgical area
What this means for your pet
Clinical benefits depend on anatomy, case complexity and the extent of surgery.
Controlled micro-oscillations
Ultrasonic micro-oscillations replace bur rotation and give the clinician better tactile control.
Soft-tissue protection
Selective bone work helps minimise accidental injury to gums, vessels, nerves and adjacent structures.
Cooling during work
Continuous irrigation cools the tip and surgical area and flushes away small particles.
More comfortable recovery
Reduced tissue trauma may mean less early post-operative swelling and discomfort.
Conditions for healing
Tissue preservation, cooling and careful closure help create favourable conditions for healing.
Recovery after piezosurgery
More precise work and less unnecessary trauma can make the early post-operative period more comfortable, with potentially less swelling and discomfort.
Recovery also depends on case complexity, the number of teeth removed, tissue condition, concurrent disease, pain control and following post-operative guidance.
Piezotome versus a rotary instrument
Both instruments have a role in veterinary dentistry; the choice depends on the clinical task.
Rotary instrument
- The tip rotates
- Effective for many dental tasks
- Requires particular care near soft tissues
- May remain the optimal choice in some clinical situations
ACTEON Piezotome CUBE
- Controlled ultrasonic micro-oscillations
- Selective work with bone tissue
- A thin, controlled cut
- Continuous cooling and irrigation
- Controlled work near important structures
These methods do not exclude one another. I choose one technique or combine them according to the individual clinical case.
When I use piezosurgery
Piezosurgery is not required for every extraction. The method is chosen after examination and dental radiography based on tooth anatomy and procedure complexity.
- ✓Complex extraction of multi-rooted teeth
- ✓Fragile or curved roots
- ✓Retained and unerupted teeth
- ✓Work near a thin bone plate
- ✓Cases where surrounding bone should be preserved
- ✓Controlled access to a root
- ✓Other bone procedures where clinically indicated
Who this procedure is for
- ✓Complex extractions
- ✓Fragile or curved roots
- ✓Retained and unerupted teeth
- ✓Work near a thin bone plate
- ✓Cases where surrounding bone should be preserved
- ✓Creating controlled access to a root
Symptoms that may indicate this procedure
How diagnosis works
- ✓Clinical examination of the oral cavity
- ✓Dental radiography of roots and bone tissue
- ✓Planning based on tooth anatomy and procedure complexity
How the procedure works
- ✓Controlled ultrasonic micro-oscillations
- ✓Precise work with the necessary amount of bone tissue
- ✓Continuous irrigation, cooling and cleaning of the working area
- ✓Control of the surgical field and suturing where indicated
Technology and equipment
ACTEON Piezotome CUBEDental X-ray
Possible results
- ✓More precise and controlled bone work
- ✓Minimising unnecessary trauma to adjacent structures
- ✓Potentially less post-operative swelling and discomfort
What the owner receives after the procedure
- ✓Individual pain-control and feeding plan
- ✓Following oral-care instructions
- ✓A follow-up check where indicated
What affects the fee
Cost depends on the complexity of the surgery and any related procedures.
Frequently asked questions
No. The method is chosen on clinical grounds after diagnostics.
No. It may not be needed for a simple extraction. Piezosurgery is most useful for complex bone work, near important anatomical structures or where surrounding tissues should be preserved as much as possible.
A piezotome helps reduce tissue trauma but does not replace anaesthesia or pain relief. Dental surgery is performed under inhalational anaesthesia with local dental blocks.
More precise, less traumatic work may result in less post-operative swelling and discomfort. The response still depends on procedure complexity and the patient’s condition.
Tissue preservation, controlled work and continuous cooling help create favourable conditions for healing. Recovery time depends on the extent of surgery and the patient’s condition.
No. Radiographs are needed to assess roots and bone and confirm complete tooth removal. A piezotome is a surgical instrument, not a diagnostic method.
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