Is it like a piezo?
No, the two devices work very differently. The piezo is conceived to cut the bone, the MM expands and models it.
Does the patient “feels it”?
The perception is very limited and the studies show no VRBO ( vertigos) . The only perception is on the sound of the two magnets when they clash to generate the acceleration ( similar to a MRI machine as the technology is similar). If the Doctor explains this to the patient before starting the procedure, explaining that thanks to this device there will be no/or limited cutting and drilling , it is generally correctly perceived by the patient as a great advantage.
Which forces from 1 to 4 should I use?
The choice of the force is according the procedure ( surgical protocols provide the suggested force) and the type of bone. Empirically, new users start with force 1 or 2 and then progressively increase to 3 and 4 as they gain more confidence.
What are the risks in using the device in the wrong way?
It has to be used in a “very wrong way” to generate complications. It is about extreme situations, like doing extractions placing the instruments on the vestibular side or elevating the membrane during a sinus lift procedure without considering the depths. Or using ostetotomes to condense bone in the mandible when the density of the bone is already elevated. These are mistakes generated by a lack of understanding of basic concepts, which may occur with any device or instruments used.
Why there is no need for irrigation water?
The accelleration of the instrument is so important that the friction is extremely limited reason why the heat generation is almost none, and well below the temperatures that requires irrigation water. This is due also to the fact that the procedures are mush faster than when using rotating or piezo-electric devices. Another benefit of the no-friction is that the instruments do not wear out and must not be replaced.
Can I have a continuos pulse pedal instead of having it in single pulse?
I can safely say that 99% of the Doctors ask this question before using it, and 100% of them drop the request after they start to use it. The reason is simple : the procedures are very fast and generally they need between 5 and maximum 15 pulses to complete them. So, there is absolutely no need to execute this in a even shorter time, sacrificing the good feeling of being in total control when using it. Also, when doing the bone condensing, it is always advisable to wait 3/5 seconds between each pulse to maximize the effect on the elasticity of the bone.
“...no way I am going to use a jackhammer on my patients!”
We totally agree with this. This is the reason why we invented the technology. Decennials scientific literature documents in a very extensive way the benefits of the osteotomes in bone condensing and modelling. We improved this by solving the mechanical problem of using manual mallets.
In fact, the common comments of Magnetic Mallet users is “ no way I am going to drill or cut my patients’s bone unless I really have no other choices”.
Another common phrase is:” when I used the drills…” Or “when I wasn’t doing conservative procedures this much..”
Just an example on how technology changes perceptions, habits and status quo.
If I use the Magnetic Mallet I no longer need drills or other instruments?
Once you start to sell the MM, you’ll be overwhelmed by Doctors sending you “Magnetic Mallet only cases”. This DOES NOT mean that drills, piezo etc.. are no longer needed. We want to stress the fact that the MM is an additional option for the Doctor when planning a case or during the surgery. It is always up to the Doctor what to use.
This said, when the case permits it, doing everything with the MM is generally preferred since it makes the procedure faster, more conservative and increase the patient’s compliance.
Can implants be placed with the Magnetic Mallet?
Yes, the majority of the users end to tap the implants in in most of the cases because it is very practical and works just fine. But this is NOT a protocol we autonomously promote as the variables are too many and related to the type of implant, so we do not have control on it. Some implant companies decided to standardize the protocols and we produce the instrument to engage the fixture.
Why should I use it for extraction since I never have a problem doing them with my tools?
On extractions, the MM may offer what is called a “marginal improvement on the result”. For example, when extracting an ankylosed root with traditional tools, general expectations are that some bone will be definitely lost and the procedure has to be somehow invasive including the use of drills. With the MM chances are that there won’t be any bone loss and the tissues will be well preserved. This mean that the technology may raise the bar in terms of what is perceived as a reasonable expectation of the result. The same concept can be considered on ridge splitting or sinus lift.
Always considering that every case is different and the final decision on how to treat it is on the Doctor, we can definitely say that generally when the MM is used we observe a more conservative result compared to what is expected when using traditional tools or devices.
There is therefore to be considered a change of perspective due to “what I usually expect and have always being doing” versus “ what I can now achieve using a different technology”.
Can the handpiece and cable be sterilized in autoclave?
Yes, every device is delivered with a user manual that explains it.
Can I use it for a trial surgery?
Generally yes, it depens on distributor’s policy, though. We always suggest to use it on trial surgery for procedure that are well know ( extraction, bone condensing or sinus lift) so that the Doctor can compare the result with something he/she is very familiar with.
Can I do a sinus lift with vestibular approach (window technique)?
It is potentially doable, but if that is the treatment plan decided by the Doctor, other devices like the piezo are more advisable. The MM has been conceived for the trans-crestal approach and we do have protocols to treat sinus lift with crestal approach even when the residual one is very thin.
Can I do bone block with the MM?
Potentially doable, but much more complicate other than using traditional devices.
Why should I buy it?
It may simplify the procedures, offering a more ample range of option on how to treat a case, very conservative approach, multiple applications with the same device, cost and time saving factors.