Comparative evaluation of morphological and chemical characteristics of bone after performing osteotomy with a piezoelectric device, hard tissue laser, and low-speed handpiece

Krishnaswamy, Vignesh and Jayachandran, Dorairaj and Gunasekaran, Srilekha and SayeeGanesh, N. and Priya, Kesavan and Ramalingam, Kurinchichelvan (2025) Comparative evaluation of morphological and chemical characteristics of bone after performing osteotomy with a piezoelectric device, hard tissue laser, and low-speed handpiece. European Journal of Clinical and Experimental Medicine, 23 (1). 70 - 75. ISSN 25442406; 25441361

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Abstract

Introduction and aim. Osteotomy procedures play a crucial role in achieving the desired osseous contour and elimination of the pocket. Traditional instruments such as chisels, files, and rotating burs have limitations including heat generation and tissue damage. Novel instruments like piezoelectric and hard tissue lasers offer potential advantages in terms of precision and reduced tissue trauma. The aim of this study was to compare the chemical and morphological characteristics of bone surfaces after osteotomy procedures performed with three different instruments: piezoelectric, hard tissue laser, and low-speed handpiece. Material and methods. Fifteen fresh cadaver bone specimens were randomly assigned to three groups: group A (piezoelectric), group B (hard tissue laser) and group C (low-speed handpiece). Osteotomy procedures were performed according to standardized protocols. The specimens were determined under an energy-dispersive X-ray spectroscopy. Results. Analysis of morphological and chemical characteristics revealed significant differences in bone surface characteristics between groups. Groups A and B exhibited the smoothest surface with minimal tissue damage and microfractures. Group C showed the roughest surface with prominent microfractures and tissue damage. Conclusion. Hard tissue laser and piezosurgery have shown better results due to greater precision as they preserved the bone morphology, with less microfracture and chemical demineralization after osteotomy preparation compared with low-speed handpiece. © 2025 Elsevier B.V., All rights reserved.

Item Type: Article
Additional Information: Cited by: 0; All Open Access; Gold Open Access
Uncontrolled Keywords: accuracy; animal tissue; Article; bone density; bone tissue; cadaver; chemical analysis; controlled study; cortical thickness (bone); energy dispersive X ray spectroscopy; evaluation study; microfracture (procedure); morphological trait; nonhuman; osteotomy; piezosurgery; pig; postoperative period; protocol; surface property; tissue injury; trabecular bone; velocity
Subjects: Dentistry > Oral Surgery
Divisions: Allied Health Sciences > School of Allied Health Sciences, Salem > Public Health
Depositing User: Unnamed user with email techsupport@mosys.org
Date Deposited: 25 Nov 2025 11:16
Last Modified: 25 Nov 2025 11:16
URI: https://vmuir.mosys.org/id/eprint/561

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