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Mini-dental implants: an overview

From Volume 49, Issue 11, December 2022 | Pages 889-893

Authors

Milisha Chotai

DDS MSc MSc PGCert

School of Oral and Dental Sciences, University of Bristol; Private Practice, Ely, Cambridgeshire

Articles by Milisha Chotai

Sary Rahma

BDS, MFDS RCS Glasg, PGCert MedEd

Specialty Doctor, Oral & Maxillofacial Surgery, Norfolk & Norwich University Hospital, Norwich

Articles by Sary Rahma

Stefan Abela

BChD, MFDS RCS Eng, MSc, Morth RCS Ed, GCAP AHEA, FDS Orth RCS Ed

Consultant in Orthodontics, Norfolk and Norwich University Hospital

Articles by Stefan Abela

Abstract

Mini-dental implants (MDIs) are defined as dental implants with a diameter of less than 3 mm, made of the same biocompatible material as conventional dental implants. Their use to replace missing teeth as well as to support complete overdentures is very well documented in the literature. Additional indications for their use include placement in interdental spaces with insufficient space to warrant placement of conventional dental implants and in cases where surgical bone augmentation procedures are contraindicated. In general, MDIs are less invasive, require less time, result in less post-operative morbidity and are more cost effective in comparison to conventional dental implants.

CPD/Clinical Relevance: Dental implants are the fastest growing area in dentistry and MDIs have been exhibiting an increase in popularity. They are considered a viable treatment option due to their associated decreased surgical morbidity, their clinical efficiency with immediate-loading being the norm and above all cost-effectiveness.

Article

An increasing number of patients request reliable long-term treatment options, and dental implants have exhibited exponential growth within the profession since their introduction. Numerous dental implant studies have in the past, demonstrated high success rates and excellent predictability.1 Conventional dental implants were introduced in the 1960s by Dr Brånemark, and the introduction of mini-dental implants (MDIs) in the 1970s was a useful development.2 They were first introduced by Dr Sendax and later marketed by IMTEC Corporation.3

Dental implants have been revolutionary in replacing single and multiple teeth, and restoring function in edentulous arches. However, atrophy of the alveolar crest following dental extractions, with reduced bone volume in both vertical and bucco-lingual dimensions limits the use of conventionally sized dental implants.4

The presence of inadequate bone volume in areas such as the maxillary lateral incisor region and mandibular incisors, or in other areas where alveolar bone has been affected by trauma, malformation, neoplasia and prolonged denture-wearing can make the placement of conventional implants impractical without surgical augmentation.4

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