Clinical outcomes of implant placement in the posterior maxilla using a magnetic mallet system versus conventional drilling: A non-randomized controlled interventional study

Nguyen Dinh Luat, Nguyen Thi Thao Van, Nguyen Thi Khanh Ha, Ly Gia Huy, Truong Nhut Khue

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Abstract

This study aimed to evaluate and compare the short-term outcomes of the magnetic mallet system and conventional drilling in posterior maxillary implant placement. A non-randomized controlled interventional study was conducted on 38 patients with 46 implants at Ho Chi Minh City Odonto-Stomatology Hospital from July 2025 to April 2026. The magnetic mallet group had a higher rate of achieving insertion torque ≥ 35 Ncm (91.3% vs. 60.9%, p = 0.016) and lower postoperative pain levels (p = 0.001 and p = 0.005), while bone preparation time was comparable between both groups (6.2 ± 1.1 vs. 6.0 ± 1.2 minutes, p = 0.542). Implant stability was significantly higher immediately after placement and at 3 months (p ≤ 0.001), but no longer differed at 6 months (p = 0.215). Parameters related to marginal bone loss, peri-implant soft tissue condition, implant survival rate (100% vs. 95.7%), and the proportion of cases achieving good overall outcomes (87.0% vs. 73.9%) indicated favorable and comparable clinical performance between the two approaches (p > 0.05). Overall, within the short-term follow-up period, the magnetic mallet system appears to be a promising adjunct for posterior maxillary implant placement, offering enhanced primary stability and reduced postoperative pain while maintaining stable healing outcomes.

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References

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