Biomolecular, Histological, Clinical, and Radiological Analyses of Dental Implant Bone Sites Prepared Using Magnetic Mallet Technology: A Pilot Study in Animals

Baldi, Domenico; Peirone, Bruno; Degerfeld, Mitzy Mauthe; Navone, Roberto; Bragoni, Alberto; Colombo, Jacopo; Autelli, Riccardo; Muzio, Giuliana

doi:10.3390/ma14226945

Cited by 9 publications

(7 citation statements)

References 44 publications

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“…The use of the handpiece is also very simple; in fact, it can be handled with one hand. For whatever procedure is used (from extraction to split crest), [9][10][11][12][13] the forces are applied with great precision and in a predictable manner, ensuring total control by the operator during surgery.…”

Section: Introductionmentioning

confidence: 99%

Magnetic Mallet and Laser for a Minimally Invasive Implantology: A Full Arch Case Report

Caccianiga

Ferri²,

Baldoni³

et al. 2022

Applied Sciences

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In the past, complex rehabilitations, such as the rehabilitation of an entire arch with a prosthesis on implants, were reserved for the few patients who presented an optimal state of health as the interventions were long and traumatic. Nowadays, the use of devices such as the Magnetic Mallet and the laser allows us to perform the same interventions in less time and in a minimally invasive way. The case report we present shows how a fragile patient, subjected to the insertion of eight implants on the same day, had a positive response, thanks to the use of a Magnetic Mallet to prepare the implant sites, the application of the photodynamic therapy without dye (diode laser + hydrogen peroxide) to decontaminate the post-extraction alveoli and the use of an erbium laser to induce more bone bleeding and promote healing. The implants were then loaded in 48 h with a Toronto-type temporary total prosthesis. The patient had a pain-free and complication-free outcome. It is interesting to note how technological development, aimed at reducing the morbidity of surgery, makes it possible to perform almost all surgical therapies, even the most advanced, on any patient, regardless of general health conditions.

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Section: Introductionmentioning

confidence: 99%

Magnetic Mallet and Laser for a Minimally Invasive Implantology: A Full Arch Case Report

Caccianiga

Ferri²,

Baldoni³

et al. 2022

Applied Sciences

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“…The MM, compared to the TD technique, demonstrates a greater tendency to maintain the structure of the trabecular bone and causes less damage to the cortex and spongy bone. Additionally, it enhances the density of the remaining bone [39,40].…”

Section: Discussionmentioning

confidence: 99%

Primary Stability of Implants Inserted into Polyurethane Blocks: Micro-CT and Analysis In Vitro

Dura Haddad,

Andreatti,

Zelezetsky

et al. 2024

Bioengineering

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The approach employed for the site preparation of the dental implant is a variable factor that affects the implant’s primary stability and its ability to integrate with the surrounding bone. The main objective of this in vitro study is to evaluate the influence of different techniques used to prepare the implant site on the primary stability of the implant in two different densities of artificial bone. Materials and Methods: A total of 150 implant sites were prepared in rigid polyurethane blocks to simulate two distinct bone densities of 15 pounds per cubic foot (PCF) and 30 PCF, with a 1-mm-thick simulated cortex. The implant sites were equally distributed among piezoelectric surgery (PES), traditional drills (TD), and black ruby magnetic mallet inserts (MM). Two methods have been employed to evaluate the implant’s primary stability, Osstell and micro-tomography. Results: In the present study, we observed significant variations in the implant stability quotient (ISQ) values. More precisely, our findings indicate that the ISQ values were generally higher for 30 PCF compared to 15 PCF. In terms of the preparation technique, PES exhibited the greatest ISQ values, followed by MM, and finally TD. These findings corresponded for both bone densities of 30 PCF (PES 75.6 ± 1.73, MM 69.8 ± 1.91, and TD 65.8 ± 1.91) and 15 PCF (PES 72.3 ± 1.63, MM 62.4 ± 1.77, and TD 60.6 ± 1.81). By utilizing Micro-CT scans, we were able to determine the ratio of the implant occupation to the preparation site. Furthermore, we could calculate the maximum distance between the implant and the wall of the preparation site. The findings demonstrated that PES had a higher ratio of implant to preparation site occupation, followed by TD, and then the MM, at a bone density of 30 PCF (PES 96 ± 1.95, TD 94 ± 1.88, and MM 90.3 ± 2.11). Nevertheless, there were no statistically significant differences in the occupation ratio among these three approaches in the bone density of 15 PCF (PES 89.6 ± 1.22, TD 90 ± 1.31, and MM 88.4 ± 1.17). Regarding the maximum gap between the implant and the site preparation, the smallest gaps were seen when TD were used, followed by MM, and finally by PES, either in a bone density 15 PCF (PES 318 ± 21, TD 238 ± 17, and MM 301 ± 20 μm) or in a bone density 30 PCF (PES 299 ± 20, TD 221 ± 16, and MM 281 ± 19 μm). A statistical analysis using ANOVA revealed these differences to be significant, with p-values of < 0.05. Conclusion: The outcomes of this study indicate that employing the PES technique and osteo-densification with MM during implant insertion may enhance the primary stability and increase the possibility of early implant loading.

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“…Bennardo et al 49 conducted a systematic review to evaluate the effectiveness of the magnetic mallet in oral and implant surgery, suggesting the need for more extensive randomised controlled trials. Schierano et al, 50 in their pilot study in animals using magnetic mallet technology for dental implant sites, showed effectiveness in implant site preparation, particularly in poor bone quality cases. Bruschi et al, 51 in a retrospective study, analysed flapless trans-crestal maxillary sinus floor elevation with simultaneous dental implant placement, finding it safe and effective with low morbidity.…”

Section: Discussionmentioning

confidence: 99%

Magneto-dynamic tool for full arch immediate loading in post-traumatic restoration with narrow implants: A case report

Cervino,

Fiorillo,

Scotti

et al. 2024

SAGE Open Medical Case Reports

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New surgical techniques using narrow, tilted implants positioned through a magneto-dynamic tool in guided surgery for a Toronto restoration. A 69-year-old woman wanted fixed rehabilitation to replace her removable complete dentures. A cone-beam computed tomography showed significant bone resorption in both the maxillary and mandibular regions. The plan was to load the entire upper arch with six implants immediately, while removable partial dentures were recommended for the lower jaw. The guided surgery project was aligned with the new dentures, and the laboratory created a printed cast with dental implant analogues in planned positions. A metal-reinforced denture was constructed, and surgery was performed to place six narrow implants using the magneto-dynamic instrument. The denture was directly screwed onto multi-unit abutments. Final rehabilitation was completed after 6 months. Narrow implants can be a good option for fixed, full-arch rehabilitations. Further research is needed to confirm these findings on a larger scale.

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Biomolecular, Histological, Clinical, and Radiological Analyses of Dental Implant Bone Sites Prepared Using Magnetic Mallet Technology: A Pilot Study in Animals

Cited by 9 publications

References 44 publications

Magnetic Mallet and Laser for a Minimally Invasive Implantology: A Full Arch Case Report

Magnetic Mallet and Laser for a Minimally Invasive Implantology: A Full Arch Case Report

Primary Stability of Implants Inserted into Polyurethane Blocks: Micro-CT and Analysis In Vitro

Magneto-dynamic tool for full arch immediate loading in post-traumatic restoration with narrow implants: A case report

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