Product Evaluation

Imagine being able to provide confident reassurance to patients that their surgical extractions will be quicker and less traumatic while still ensuring a successful outcome. For Dr. Benjamin Richards, his dream of “making difficult extractions simple” has come true, thanks to ACTEON’s Piezotome Cube piezoelectrical ultrasonic device.

“I’m extremely happy that I implemented the Cube into my practice,” Dr. Richards shared. “I haven’t had a single issue extracting a tooth since purchasing it. It’s changed the way I practice to the point where I’m confident that every single tooth that walks through the door will not only come out but will come out cleanly.”

He also saves an impressive amount of time during procedures when using the Piezotome Cube. “Teeth fractured at the gum level suddenly take only 5 minutes to extract,” he shared. Additionally, he reported, “Ankylosed teeth essentially become unankylosed,” and “patients commented that they felt less overall pressure during the procedure vs prior extractions.”

Dr. Richards’ experience with the Piezotome Cube has been nothing short of transformative, paving the way for more predictable surgical treatments. “My return on investment on this device is massive when you calculate that I haven’t taken more than 15 minutes on an extraction since I purchased it.”

Cutting Power, Precision, and Efficiency

A powerful piezoelectrical ultrasonic device for implant and bone surgery procedures, the Piezotome Cube is equipped with several convenient features that improve efficiency. The power intuitively adapts to any encountered resistance, while an external irrigation line provides controlled flow to the tip’s end regardless of orientation.

Naming the “variable power that responds to your force on the handpiece” as his favorite feature, Dr. Steven Vorholt called it a “great surgical adjunct.” Noting that “other piezo units slow me down,” Dr. Matthew Fien said, “The Piezotome Cube saves time. It has changed my practice, and increased cutting efficiency is the key.”

Versatility with Multiple Tips and Kits

Equipped with an exclusive range of surgery tips and procedure kits—including bone surgery, crest splitting, sinus lift, extraction, and crown extension—the Piezotome Cube is designed for use in various intraoral surgeries such as osteotomy, osteoplasty, periodontics, and implantology.

For Dr. Kevin Nail, “It worked for all problems/procedures in a safe, atraumatic fashion—from extractions and sinus lifts to controlled ridge splitting and periosurgery to safely loosening hard-to-reach root tips in areas where drilling can be unsafe.” Dr. Fien called the device “invaluable for sinus augmentation and extraction of certain teeth with significantly difficult root anatomies and areas of ankylosis to the buccal plate.”

Minimally Invasive Surgery

The Piezotome Cube alternates between high and low frequencies for soft-tissue preservation, while linear piezo-electric vibrations and extremely thin tips with controlled amplitude ensure minimal bone loss with a fast, highly precise cut. By minimizing damage to surrounding bone, the device eliminates the need for forceps and excessive force, while increasing the likelihood of successful immediate implant placement. This shortens recovery time and enhances healing with significantly less postop swelling, bleeding, and pain, as well as fewer complications, according to ACTEON.

The ability to “quickly and conservatively remove broken teeth while preserving bone” is what has kept Dr. David Roemisch from giving up on difficult extractions he’d otherwise refer to an oral surgeon. “When I get stuck, I get out the Cube, and I’m able to finish getting the tooth out every time,” he said.

Dr. Vorholt, whose patients “love the less traumatic experience,” described the Piezotome Cube as “fantastic for opening the sinus window with minimal chance of perforation,” and Dr. Jeffrey Jepperson “won’t perform lateral window sinus lifts without it.” When redoing another dentist’s bilateral sinus lift, which had been aborted after membrane tearing, Dr. Azeem Sheikh “redid the case successfully thanks to the Piezotome Cube.”

Noting that the Piezotome Cube “offers a safe, effective alternative to traditional drilling for surgical tooth extraction,” Dr. Nail said, “Patient acceptance is much higher, with minimal postop pain and swelling vs surgery with a handpiece bur.”

Overall Satisfaction

“The Piezotome Cube has been a game changer. It gives me improved efficiency, reduces chair time, and is extremely reliable,” said Dr. Fien, who hasn’t had a single issue with the unit. “Atraumatic extraction leads to better patient outcomes and preservation of bone and soft tissue; that is a win-win!” Dr. Nail declared.