A Comparison of Manual and Electrical Mallet in Maxillary Bone Condensing for Immediately Loaded Implants: A Randomized Study

Roberto Crespi, Paolo Capparè, Enrico Gherlone

Research output: Contribution to journalArticle

Abstract

Purpose: The aim of this clinical study was to compare electrical versus hand mallet in osteotome-assisted surgery for maxillary bone condensing in immediately loaded implant procedure. Materials and Methods: Edentulous patients in maxillary premolar and molar regions with type III or IV bone were enrolled in this prospective clinical study. The patients were randomly divided in two groups: in the test group (magnetic mallet group [MMG]), the implant site was prepared with osteotomes pushed by electrical mallet, while in the control group (hand mallet group [HMG]), the implant site was performed with osteotomes pressed by hand mallet. Implants were immediately loaded. Intraoral digital radiographic measurements were reported at 6, 12, and 24 months. Results: Fifty patients were enrolled in the study. Twenty-five patients were included in MMG and 25 patients in the HMG. One hundred thirty-eight dental implants were placed. In 12 cases, six in MMG and six in HMG, sinus elevation was performed. After 24-month follow-up, a survival rate of 94.93% was reported (MMG and HMG reported a survival rate of 97.10 and 92.75%, respectively, not statistically significant [P>.05]). In control group, two patients claimed benign paroxysmal positional vertigo following the use of osteotomes with hand hammer. Marginal bone levels remained stable over time for both groups, and no statistically significant differences were found. After 12 months, the bone height increased in both groups and, at 24 months, was stable. Statistical analysis reported no significant differences between test and control groups. Conclusions: These results demonstrated a stable marginal bone levels over time and a significant increase in bone height between 6 and 12 months in osteotome technique. The use of electrical mallet provided some essential clinical advantages for the patients during surgical procedure in comparison with hand mallet.

Original languageEnglish
Pages (from-to)374-382
Number of pages9
JournalClinical Implant Dentistry and Related Research
Volume16
Issue number3
DOIs
Publication statusPublished - 2014

Fingerprint

Maxilla
Hand
Bone and Bones
Control Groups
Survival Rate
Dental Implants
Bicuspid
Prospective Studies

Keywords

  • Bone condensing
  • Immediate loading
  • Osteotome
  • Surgery mallet

ASJC Scopus subject areas

  • Dentistry(all)
  • Oral Surgery

Cite this

A Comparison of Manual and Electrical Mallet in Maxillary Bone Condensing for Immediately Loaded Implants : A Randomized Study. / Crespi, Roberto; Capparè, Paolo; Gherlone, Enrico.

In: Clinical Implant Dentistry and Related Research, Vol. 16, No. 3, 2014, p. 374-382.

Research output: Contribution to journalArticle

@article{c5041aef072c45f188b4004b5e89e4ba,
title = "A Comparison of Manual and Electrical Mallet in Maxillary Bone Condensing for Immediately Loaded Implants: A Randomized Study",
abstract = "Purpose: The aim of this clinical study was to compare electrical versus hand mallet in osteotome-assisted surgery for maxillary bone condensing in immediately loaded implant procedure. Materials and Methods: Edentulous patients in maxillary premolar and molar regions with type III or IV bone were enrolled in this prospective clinical study. The patients were randomly divided in two groups: in the test group (magnetic mallet group [MMG]), the implant site was prepared with osteotomes pushed by electrical mallet, while in the control group (hand mallet group [HMG]), the implant site was performed with osteotomes pressed by hand mallet. Implants were immediately loaded. Intraoral digital radiographic measurements were reported at 6, 12, and 24 months. Results: Fifty patients were enrolled in the study. Twenty-five patients were included in MMG and 25 patients in the HMG. One hundred thirty-eight dental implants were placed. In 12 cases, six in MMG and six in HMG, sinus elevation was performed. After 24-month follow-up, a survival rate of 94.93{\%} was reported (MMG and HMG reported a survival rate of 97.10 and 92.75{\%}, respectively, not statistically significant [P>.05]). In control group, two patients claimed benign paroxysmal positional vertigo following the use of osteotomes with hand hammer. Marginal bone levels remained stable over time for both groups, and no statistically significant differences were found. After 12 months, the bone height increased in both groups and, at 24 months, was stable. Statistical analysis reported no significant differences between test and control groups. Conclusions: These results demonstrated a stable marginal bone levels over time and a significant increase in bone height between 6 and 12 months in osteotome technique. The use of electrical mallet provided some essential clinical advantages for the patients during surgical procedure in comparison with hand mallet.",
keywords = "Bone condensing, Immediate loading, Osteotome, Surgery mallet",
author = "Roberto Crespi and Paolo Cappar{\`e} and Enrico Gherlone",
year = "2014",
doi = "10.1111/j.1708-8208.2012.00485.x",
language = "English",
volume = "16",
pages = "374--382",
journal = "Clinical Implant Dentistry and Related Research",
issn = "1523-0899",
publisher = "Wiley-Blackwell",
number = "3",

}

TY - JOUR

T1 - A Comparison of Manual and Electrical Mallet in Maxillary Bone Condensing for Immediately Loaded Implants

T2 - A Randomized Study

AU - Crespi, Roberto

AU - Capparè, Paolo

AU - Gherlone, Enrico

PY - 2014

Y1 - 2014

N2 - Purpose: The aim of this clinical study was to compare electrical versus hand mallet in osteotome-assisted surgery for maxillary bone condensing in immediately loaded implant procedure. Materials and Methods: Edentulous patients in maxillary premolar and molar regions with type III or IV bone were enrolled in this prospective clinical study. The patients were randomly divided in two groups: in the test group (magnetic mallet group [MMG]), the implant site was prepared with osteotomes pushed by electrical mallet, while in the control group (hand mallet group [HMG]), the implant site was performed with osteotomes pressed by hand mallet. Implants were immediately loaded. Intraoral digital radiographic measurements were reported at 6, 12, and 24 months. Results: Fifty patients were enrolled in the study. Twenty-five patients were included in MMG and 25 patients in the HMG. One hundred thirty-eight dental implants were placed. In 12 cases, six in MMG and six in HMG, sinus elevation was performed. After 24-month follow-up, a survival rate of 94.93% was reported (MMG and HMG reported a survival rate of 97.10 and 92.75%, respectively, not statistically significant [P>.05]). In control group, two patients claimed benign paroxysmal positional vertigo following the use of osteotomes with hand hammer. Marginal bone levels remained stable over time for both groups, and no statistically significant differences were found. After 12 months, the bone height increased in both groups and, at 24 months, was stable. Statistical analysis reported no significant differences between test and control groups. Conclusions: These results demonstrated a stable marginal bone levels over time and a significant increase in bone height between 6 and 12 months in osteotome technique. The use of electrical mallet provided some essential clinical advantages for the patients during surgical procedure in comparison with hand mallet.

AB - Purpose: The aim of this clinical study was to compare electrical versus hand mallet in osteotome-assisted surgery for maxillary bone condensing in immediately loaded implant procedure. Materials and Methods: Edentulous patients in maxillary premolar and molar regions with type III or IV bone were enrolled in this prospective clinical study. The patients were randomly divided in two groups: in the test group (magnetic mallet group [MMG]), the implant site was prepared with osteotomes pushed by electrical mallet, while in the control group (hand mallet group [HMG]), the implant site was performed with osteotomes pressed by hand mallet. Implants were immediately loaded. Intraoral digital radiographic measurements were reported at 6, 12, and 24 months. Results: Fifty patients were enrolled in the study. Twenty-five patients were included in MMG and 25 patients in the HMG. One hundred thirty-eight dental implants were placed. In 12 cases, six in MMG and six in HMG, sinus elevation was performed. After 24-month follow-up, a survival rate of 94.93% was reported (MMG and HMG reported a survival rate of 97.10 and 92.75%, respectively, not statistically significant [P>.05]). In control group, two patients claimed benign paroxysmal positional vertigo following the use of osteotomes with hand hammer. Marginal bone levels remained stable over time for both groups, and no statistically significant differences were found. After 12 months, the bone height increased in both groups and, at 24 months, was stable. Statistical analysis reported no significant differences between test and control groups. Conclusions: These results demonstrated a stable marginal bone levels over time and a significant increase in bone height between 6 and 12 months in osteotome technique. The use of electrical mallet provided some essential clinical advantages for the patients during surgical procedure in comparison with hand mallet.

KW - Bone condensing

KW - Immediate loading

KW - Osteotome

KW - Surgery mallet

UR - http://www.scopus.com/inward/record.url?scp=84944866386&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84944866386&partnerID=8YFLogxK

U2 - 10.1111/j.1708-8208.2012.00485.x

DO - 10.1111/j.1708-8208.2012.00485.x

M3 - Article

C2 - 22897742

AN - SCOPUS:84944866386

VL - 16

SP - 374

EP - 382

JO - Clinical Implant Dentistry and Related Research

JF - Clinical Implant Dentistry and Related Research

SN - 1523-0899

IS - 3

ER -