Albassal Ahmad, Al-Khanati Nuraldeen Maher, Harfouch Munir
Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Damascus University, Damascus, Syria.
Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Damascus University, Damascus, Syria; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Syrian Private University, Damascus, Syria.
Int J Surg Case Rep. 2025 Jan;126:110679. doi: 10.1016/j.ijscr.2024.110679. Epub 2024 Nov 28.
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.
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.
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.
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.
在下颌狭窄牙槽嵴植入牙种植体面临一系列重大挑战。本文旨在展示压电外科手术与磁性骨锤在下颌牙种植手术中牙槽嵴劈开与骨增量联合应用的情况。其目的是突出将这些技术整合于下颌种植部位的潜在益处。
一名39岁女性患者因下颌牙齿缺失寻求牙种植治疗。她不吸烟，无全身性疾病，临床检查未发现异常。锥形束计算机断层扫描（CBCT）显示牙槽嵴狭窄，不足以容纳直径4毫米的种植体。为解决这一问题，在局部麻醉下进行了牙槽嵴劈开与骨增量手术。使用压电装置和磁性骨锤实现了牙槽嵴劈开与骨增量，随后植入种植体。采用两阶段方法，在进行修复体修复前有4个月的愈合期。术后及加载后评估显示结果满意，边缘骨吸收极少，患者满意度高。随访CBCT证实结果稳定。
在本病例报告中，使用磁性骨锤为一名下颌牙槽嵴狭窄患者植入牙种植体，该方法适用于牙槽嵴劈开与骨增量。由于与既定方案兼容，骨增量优于其他替代方法。该手术取得了积极效果，包括不适轻微且种植体稳定性良好。然而，磁性骨锤需要特定技能，且成本可能更高。其效果可能因患者因素而异，这强调了仔细选择候选患者以及对长期结果进行进一步研究的必要性。
在下颌狭窄牙槽嵴植入牙种植体时使用磁性骨锤显示出有前景的结果。将用于骨劈开的压电外科手术与用于骨增量的磁性骨锤联合使用可能会改善结果，在这些具有挑战性的病例中对种植体的成功产生协同效应。
