The Role of Piezoelectric Instrumentation in Rhinoplasty Surgery.

Isotropic polycrystalline ferroelectric ceramics have to be electrically poled to develop a net macroscopic polarization and hence piezoelectricity. It is well accepted that a sufficient poling can only be realized under an electric field that is much higher than the coercive field. In this study, we observed in (Bi1/2Na1/2)TiO3-BaTiO3 ceramics that large piezoelectricity can develop at poling fields far below the measured coercive field. Using in situ transmission electron microscopy, such an unusual behavior, is interpreted with the polarization alignment of polar nanodomains in the non-ergodic relaxor phase.

https://lib.dr.iastate.edu/cgi/viewcontent.cgi?article=1012&context=mse_pubs

Electrical poling below coercive field for large piezoelectricity

The treatment of severely atrophied posterior mandibles with standard-diameter root-form implants may present a challenge. Bone reconstructive surgery represents the treatment of choice; however, it may not be accepted by some patients for economic reasons or due to higher morbidity. Computer-aided design/computer-aided manufacturing (CAD/CAM) technologies have recently opened new frontiers in biomedical applications. Selective laser sintering (SLS) is a CAD/CAM technique that allows the fabrication of complex three-dimensional (3D) structures created by computer-generated image-based design techniques. The aim of this study is to present a protocol for the manufacture and clinical use of custom-made SLS titanium blade implants as a non-conventional therapeutic treatment for the prosthetic rehabilitation of extremely atrophied posterior mandibles. Computed tomography datasets of five patients were transferred to a specific reconstruction software, where a 3D projection of the atrophied mandible was obtained, and custom-made endosseous blade implants were designed. The custom-made implants were fabricated with SLS technique, placed in the extremely atrophied posterior (<4 mm width) mandible, and immediately restored with fixed partial restorations. After 2 years of loading, all implants were in function, showing a good esthetic integration. Blade implants can be fabricated on an individual basis as a custom-designed device. This non-conventional approach may represent an option for restoring the atrophied posterior mandible of elderly patients.

/pdf/custom-made-selective-laser-sintering-sls-blade-implants-as-3mvnj66j8y.pdf

Custom-made, selective laser sintering (SLS) blade implants as a non-conventional solution for the prosthetic rehabilitation of extremely atrophied posterior mandible

H. Borunská

Papers

Piezosurgery in oral and maxillofacial surgery