Magnetic Mallet

International Journal of Oral and Maxillofacial Surgery 2014;18:59-64

The aim of this prospective study was to compare the use of a hand mallet versus an electrical mallet in osteotome-assisted surgery for split-crest procedures.
Methods: Partially edentulous patients, with an alveolar ridge width inferior to the optimally desirable implant diameter, were selected for this study. Forty-six split-crest procedures were performed in 46 patients. They were randomly divided in two groups: in the control group, 23 patients, the split crest was performed with osteotomes using a handheld mallet, while in the test group, 23 patients, the split crest was prepared with osteotomes using an electrical mallet. Alveolar ridge width and incision dimensions were measured with a periodontal probe, before and after the split-crest procedure. One hundred eighty-one implants were immediately placed. Follow-up examinations were performed at baseline and 6, 12, and 24 months.
Results: The survival rate, at 2-year follow-up, was 98.31 %. Indeed, two implants placed in the maxilla failed to integrate at second-stage surgery. The initial width of the alveolar ridge varied from 2 to 3.5 mm; the average was 2.8± 0.7 mm. The final ridge width varied from 5 to 8 mm; the average was 7.2±1.7 mm. The split length varied from 7 to 28 mm; the average was 17.5±7.7 mm. No statistically significant differences (P>0.05) were found between test and control group in split length and alveolar width values before and after the split-crest procedure.
Conclusions: The use of a magnetic mallet provided some essential clinical advantages during crest splitting and immediate implant placement in comparison with a hand mallet.
 

IMPLANTOLOGY, Dental Press Thematic Magazine

Magnetic Mallet (MM) is a new technique all over the world, having been developed since 2012, in which shaping the bone is possible by replaceable osteotomes, chisels, implant bed shapers, bent pieces placed in the handpieces of bone-modelling equipment controlled electromagnetically.

Conclusions
Magnetic mallet in bone-shaping, implantology.
• MM is an instrument applied in a wide range of oral surgical and implantological interventions.
• In the case of risk patients and lesser bone mass, it is possible to prepare implant sockets
by splitting and expanding the bone with minimal bone loss.
• The application of MM, with implants of favourable properties on their surfaces (e.g. Straumann SLActiv), increases the chance of success, even in high-risk cases.
• It can be well combined with other surgical techniques.
• Its application allows bone preservation even at the removal of teeth and roots.
• Based on our one and a half years’ favourable experience, it can be recommended for every-day praxis, especially in implant socket preparation, removal of teeth and roots and bone-splitting. It is indispensible in the case of little bone mass and in high risk patients.

Lekholm & Zarb 1985 Patient selection and preparation. In tissue-integrated prosthesis: Osseointegration in clinical dentistry. Chicago: Quintessence Publ Co. 1985; 199-209

In this report, the clinical experiences on the pre-clinical and clinical use of the magnetic mallet for osteotomies and tooth extractions is described after having introduced this clinical procedures in 2016.

In conclusion, the introduction of the magnetic mallet device in our training and clinical setting has broadened the field of minimal invasive indications, increased the safety of the described techniques, reduced the patient´s discomfort so far without any substantial adverse effects.

International Education & Research Journal, 2016, 2:9-10

Implant dentistry has become a revolutionary branch nowadays. The use of magnetic mallet has provided us with some clinical advantages during the surgical procedure over the traditional method of osteotomy using hand mallet and chisel. The present clinical report stated the procedure of surgical placement of an implant in the mandible using an innovative device known as Electrical Magnetic Mallet with great precision.