Objectives: The purpose of this study was to evaluate the bone manipulation technique for implant placement and initial stability.
Methods: A Cone Beam CT scan was taken to measure width pre-operatively and post-operatively of 19 implant sites in 11 patients. Bone manipulation technique was performed in maxilla and mandible. Stability of all implants placed was measured using the Penguin device.
Results: The initial width ranged from 2.45mm to 13.99mm (mean ± SD: 5.12mm ± 2.88). The final width ranged from 5.18mm to 14.74mm (mean ± SD: 7.44mm ± 2.27). Primary implant stability was established for all cases.
Conclusions: There was a statistically and clinically significant increase in bone width after the bone manipulation technique. Bone manipulation expanded narrow alveolar ridges allowing adequate bone architecture for stable implant placement. This is a technique-sensitive procedure that allowed expansion and compaction of bone in 19 cases where all implants were placed.