Clinical Application of PIEZOCLEAN in Denosumab-Related Jaw Necrosis 

Ultrasonic Surgical Protocol for MRONJ Management – PIEZOCLEAN Technique
This clinical video demonstrates the PIEZOCLEAN protocol – a minimally invasive ultrasonic surgical approach for the treatment of osteonecrosis of the jaw (MRONJ), particularly in patients under Denosumab therapy.
Using piezoelectric bone surgery, the procedure allows for:
  • Selective removal of necrotic bone
  • Preservation of surrounding healthy tissues
  • Effective decontamination through ultrasonic cavitation
  • Reduced postoperative complications and improved healing outcomes
This protocol is ideal for delicate anatomical areas and ensures maximum surgical precision with minimal trauma.

PIEZOCLEAN: Advanced Ultrasonic Decontamination in Dentistry

Sinus Lift

Split Crest by Dr. Mazzanti

Wisdom Tooth Extraction

Root of the Mandibular Nerve

Cut the mandibular ramus

Treatment Cyst with Piezo

Cyst Treatment with Piezo

P.E.C. Expansion Crest Movie

One site Sinus Compaction 


Malocclusion Class III Surgery By Dr. Andrade and Dr. Beatriz Mejia