Background: Implant osteotomy preparation traditionally involves drilling burs, which can cause mechanical trauma and bone necrosis. Magnetic Mallet osteotomy is an alternative minimally invasive technique that aims to be promote healing. New instruments using magneto-dynamic technology are being proposed for bone surgery, including dental implant site preparation.
This study aims: To evaluate clinically and radiographically the effect of Magnetic Mallet osteotomies versus conventional drill implant osteotomies on implant stability, bone density and marginal bone loss in anterior maxilla.
Materials and Methods: A randomized, controlled, parallel-arm clinical trial was conducted on patients requiring dental implants to restore their unitary edentulous in the anterior maxilla. Patients who met the inclusion criteria were randomly divided into two groups: study group (osteotomies with Magnetic Mallet) and control group (osteotomies with conventional drill system). The patients were clinically evaluated for primary stability and radiographically evaluated by CBCT immediate postoperatively and after 6 months to assess bone density and peri-implant bone height.
Results: The percentage change in bone density between immediate postoperative and after six months was significantly higher in the Magnetic Mallet group compared to the conventional drilling group. The stability ISQ comparison between immediately postoperative and four months postoperative revealed a significant increase in both groups, The average crestal bone loss six months postoperatively with no statistically significant difference between the two studied groups.
Conclusion: Compared to the traditional drill system, the Magnetic Mallet demonstrated superior osteointegration, a gradual reduction in pain, and a notable increase in postoperative implant stability.