Piezo Surgery Course Small Animal Medicine

The crucial difference lies in the Selectivity of the cut. While conventional drills or saws make no distinction between hard and soft tissue, piezo technology utilizes ultrasonic micro-oscillations. This means that mineralized structures such as bones or teeth are precisely cut, while sensitive soft tissues, blood vessels, and nerves remain virtually unharmed upon contact. For you as a surgeon, this translates to a significantly reduced risk of iatrogenic damage. Furthermore, the surgical field is almost completely bloodless, as the ultrasonic effect cavitates the irrigation fluid, dramatically improving visibility during the procedure.

Especially in patients with chronic gingivostomatitis (FCGS/CGFS) or teeth with resorption lesions, conventional extraction is often tedious and traumatic. In the Piezo Surgery course, you will learn techniques that allow for complete dental rehabilitation in cats in significantly less time – often in just over an hour. Because the technique allows for selective treatment of the alveolar bone, roots can be removed more efficiently without unnecessarily weakening the jawbone. This not only reduces surgery time but also considerably lowers the risk of jaw fractures in fragile patients.

The course is structured so that both experienced veterinary dentists new to ultrasonic surgery and experienced oral surgeons will benefit. Intensive support in a small group of no more than 10 participants allows for individual attention to each participant's skill level. We begin with the "Light Touch – Effective Cut" technique to familiarize participants with the device. Since piezo surgery provides a completely different haptic feedback than a traditional drill, hands-on training in the wet lab is the most important part of the course, ensuring the necessary confidence for everyday clinical practice.

A key focus of the second day of the course is on oncological oral surgery. Here, the piezo technique offers enormous advantages in maintaining safe distances within the bone due to its precision. In the wet lab, we practice complex procedures such as marginal mandibulectomy, rostral mandibular osteotomy, and rostral maxillectomy. Because the technique does not cause heat necrosis at the incision edges, postoperative bone healing is significantly faster than with thermally stressed procedures, which is crucial for the quality of life of cancer patients.

Acquiring a piezo device and undergoing the corresponding training is an investment in specializing your practice. This technology allows you to shorten your patients' anesthesia times and increase the success rate of difficult extractions (e.g., in cases of ankylosis or fractured roots). The lower complication rate and faster healing lead to greater patient satisfaction. Furthermore, piezo surgery enables you to safely perform procedures such as oncological jaw resections in-house, instead of having to refer them to external centers. It also provides Esacrom-Systems the manufacturer will in future Discount of 20% on all devices (%) of the Esacrom product range for all participants of the course.