Bone Scrapers for Intraoral Bone Harvesting: A Comparative Review

Abstract

Abstract Background: Dental implants are a standard treatment, but bone defects can complicate their placement. Alveolar ridge augmentation using autogenous bone (AB) grafts, harvested with tools such as bone scrapers, is a well-established solution. This review compares three famous bone scrapers: Ebner, Safe and 1/2 Buser Double-ended. Objective: This review aimed to compare the effectiveness, versatility and clinical outcomes of three commonly used bone scrapers for intraoral bone harvesting: Ebner scraper, Safescraper and 1/2 Buser Double-ended scraper. Methods: A systematic search identified ten relevant articles evaluating the use of these scrapers in intraoral bone harvesting procedures. The review compared the physical characteristics of the scrapers and summarised the clinical outcomes reported in the literature. Results: All three scrapers were effective for intraoral bone harvesting, offering advantages such as precision, cost-effectiveness and minimal risk of damage to surrounding tissues. However, they differed in their blade design, preferred harvesting site and amount of bone obtained. The Ebner scraper was most suitable for convex surfaces, the Safescraper for flat surfaces and the 1/2 Buser Double-ended scraper for irregular surfaces. Studies also showed that bone scrapers can effectively collect AB particles for optimal integration and healing. Conclusion: Bone scrapers are the valuable tools for intraoral bone harvesting procedures. The choice of scraper should be based on the specific clinical scenario and the desired amount of bone to be harvested. This review provides clinicians with information to select the most appropriate tool for their needs.