Dr. Dime Sapundjiev

Piezosurgery - Expanding the Frontiers in Oral Surgery

Oral surgical procedures in modern days are not imaginable without the use of piezosurgery. Stress that is experienced by the patients during using conventional hand pieces due to generating vibration can be eliminated by the peaceful and vibration free piezoelectric device.

In our every day practice we are often challenged to work near important anatomical structures that makes our quest very demanding. Avoiding damage of important blood vessels near our operating field is curtail for performing safe surgery and lowering post operative bleeding and other postoperative complications.

Performing separation of tooth roots near inferior alveolar nerve by the use of piezoelectric device lowers postoperative sensitivity disturbances and other nerve damage that can reflect with unnecessary medico legal consequences.

Performing exact retrograde preparation after tooth root resection during periapical surgery for adequate retrograde filling is impossible without the use of piezoelectric device.

Preparing the bony window during lateral window sinus elevation technique in the sites with thick bony walls by using piezoelectric device lowers the chance for sinus membrane perforation.

Its precis ion cutting ability makes it unique device for elevating bone blocks during autogeneos bone harvesting procedures for bone augmentation in implantology.

Using the implosion effect of the water bubbles at the end of the hand pice due to its vibration beside antibacterial effect clears the operative field from debris and provides local haemostasis.

All these advantages of the piezoelectric device makes the piezosurgery very predictable, reliable and must use tool in every oral surgery setting.

Oral surgeon graduated from the Faculty of stomatology Sofia, Bulgaria. In 2003 completed his residency in oral syrgery. After 10 years of work as an asistant in the department of maxillifacial and oral surgery in the Medical Universitu of Ljubljana and University Medical Centre in Ljublj ana he started privat practice in the Private Dental Clinic Vergina in Ljubljana, Slovenia.

Main fields of interests are atraumatic exodontia, menagement of complications after tooth extraction, tooth extraction in compromised patients, dental implantology immediate placement and loading of dental implants, bone and soft tissue augmentation, digital planing,
dental radiology, medication induced osteonecrosis of the jaw, odontogenic infection, tooth and facial traumatology, laser surgery, temporomandibular disorders, oral cancer, etc.

Active member in the Slovenian society for maxillofacial and oral surgery, Bulgarian society for maxillofacial and oral surgery Croatian society od dental implantology and European association for osseointegration.