Work

Utilization of magnetic mallet during dental implantation in narrow mandibular alveolar ridge: A case report

Year: 2024

Type: article

Abstract: INTRODUCTION AND IMPORTANCE: Placing dental implants in a narrow mandibular alveolar ridge poses a range of significant challenges. The objective of this paper is to demonstrate the combined application of piezoelectric surgery and magnetic mallet for alveolar ridge splitting and bone expansion in dental implant procedures. It aims to highlight the potential benefits of integrating these technologies in mandibular implant sites. CASE PRESENTATION: A 39-year-old female patient sought dental implants for missing teeth in the mandible. She was a non-smoker with no systemic diseases, and clinical examinations revealed no abnormalities. Cone-beam computed tomography (CBCT) showed a narrow alveolar ridge, insufficient for 4 mm diameter implants. To address this, an alveolar ridge split and expansion were performed under local anesthesia. Ridge splitting and bone expansion were achieved with a piezoelectric device and magnetic mallet, followed by implant placement. A two-stage approach was used, with a 4-month healing period before prosthetic restoration. Post-surgery and post-loading evaluations showed satisfactory results, with minimal marginal bone loss and high patient satisfaction. The follow-up CBCT confirmed stable outcomes. CLINICAL DISCUSSION: In this case report, a magnetic mallet was used to place dental implants in a patient with a narrow mandibular ridge, suitable for ridge splitting and bone expansion. Ridge expansion was preferred over alternatives due to its compatibility with established protocols. The procedure yielded positive outcomes, including minimal discomfort and good implant stability. However, the magnetic mallet requires specific skills and may be costlier. Its effectiveness can vary by patient factors, emphasizing the need for careful candidate selection and further research on long-term outcomes. CONCLUSION: The use of magnetic mallets for dental implant placement in narrow mandibular ridges shows promising results. Combining piezosurgery for bone splitting with magnetic mallet usage for bone expansion may enhance outcomes, providing a synergistic effect on the success of implants in these challenging cases.

Source: International Journal of Surgery Case Reports

DOI: 10.1016/j.ijscr.2024.110679

Authors: Ahmad Albassal, Nuraldeen Maher Al-Khanati, Munir Harfouch

Institutions: Damascus University, Syrian Private University

Language: English

Topic: Dental Implant Techniques and Outcomes

Subfield: Oral Surgery

Field: Dentistry

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,800