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Electrical mallet provides essential advantages in split-crest and immediate implant placement
Roberto Crespi1, Paolo Capparè, Enrico Felice Gherlone
1Department of Dentistry, Vita Salute University, San Raffaele Hospital, Milan, Italy, robcresp@libero.it.
Oral and Maxillofacial Surgery
|January 19, 2013
Summary
An electrical mallet offers advantages over a hand mallet for osteotome-assisted crest splitting in dental implant surgery. Both tools yielded similar results in ridge width and split length, with high implant survival rates.
Area of Science:
- Dentistry
- Oral Surgery
- Implantology
Background:
- Split-crest procedures are used to widen narrow alveolar ridges for dental implants.
- Traditional methods often employ hand mallets, which can be less controlled.
Purpose of the Study:
- To compare the efficacy and outcomes of using an electrical mallet versus a hand mallet in osteotome-assisted split-crest procedures.
- To evaluate implant survival rates following immediate placement after split-crest augmentation.
Main Methods:
- A prospective study involving 46 partially edentulous patients undergoing 46 split-crest procedures.
- Patients were randomized into two groups: hand mallet (control) and electrical mallet (test).
- Measurements of alveolar ridge width and incision dimensions were taken pre- and post-procedure, with 181 implants placed immediately.
Main Results:
- The 2-year implant survival rate was 98.31%.
- Average initial ridge width was 2.8 mm, increasing to 7.2 mm post-procedure.
- No statistically significant differences were observed between the hand and electrical mallet groups regarding split length or ridge width changes.
Conclusions:
- The electrical mallet demonstrated clinical advantages in crest splitting and immediate implant placement compared to the hand mallet.
- Despite no significant differences in measurements, the electrical mallet offers benefits for the clinician.
