Electrical mallet provides essential advantages in maxillary bone condensing. A prospective clinical study

Area of Science:

• Dental Implantology
• Oral Surgery
• Biomaterials Science

Background:

• Edentulous maxillary regions often require bone augmentation for dental implant placement.
• Osteotome-assisted sinus elevation is a common technique for achieving this.
• Comparing surgical tools is crucial for optimizing patient outcomes and procedural efficiency.

Purpose of the Study:

• To compare the efficacy and safety of a magnetic mallet versus a traditional hand mallet for osteotome-assisted bone condensation.
• To evaluate the impact of each mallet type on bone levels and implant survival rates.
• To identify any clinical advantages of the magnetic mallet in maxillary premolar and molar regions.

Main Methods:

• A prospective clinical study involving 36 patients with type 3 or 4 maxillary bone.
• Randomized allocation to either magnetic mallet (test group) or hand mallet (control group) for osteotome use.
• Intraoral digital radiography for bone level assessment at 6, 12, and 24 months post-surgery.

Main Results:

• A 96.0% implant survival rate was observed after 24 months.
• Both groups showed stable marginal bone levels and a significant bone height increase between 6 and 12 months.
• Two patients in the hand mallet group reported benign paroxysmal positional vertigo; no such adverse events were noted with the magnetic mallet.

Conclusions:

• Osteotome technique leads to stable marginal bone levels and increased bone height.
• The magnetic mallet offers clinical advantages over the hand mallet in osteotome-assisted procedures.
• Magnetic mallet use is a safe and effective alternative, potentially reducing adverse events like vertigo.