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The Truth About Small-Diameter Implants
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Course Objectives (2 CE Credits)

Once reserved for transitional use in the application of conventional, root-form implants, small-diameter implants (SDIs) offer a reasonable alternative for patients who do not receive traditional implants due to medical, anatomical or financial reasons. Though criticized by some unfamiliar with their benefits, SDIs have been approved by the FDA and enjoy a high rate of clinical success. In their article, Drs. Gordon Christensen and Paul Child seek to dispel some of the unwarranted negativity regarding SDI use, detailing their evolution, indications and suggestions for successful use, as well as outlining their advantages, such as:

  • Minimally invasive surgical protocol
  • Immediate loading
  • Provisional and long-term stabilization
  • Affordability
  • Suitability for patients suffering significant bone resorption

Summary

While not intended to replace conventional, root-form implants, SDIs have proven themselves to be a viable clinical solution where indicated. When proper treatment planning and radiographic techniques are observed, and when primary stability and appropriate occlusal loading are ensured, these FDA-approved devices can provide edentulous patients new levels of comfort and confidence in their prostheses.


References

  1. Bulard RA, Vance JB. Multi-clinic evaluation using mini-dental implants for long-term denture stabilization: a preliminary biometric evaluation. Compend Contin Educ Dent. 2005;26:892–97.
  2. Clinical Research Associates. Small-diameter “mini” implants – user status report. CRA Newsletter. 2007;31:1–2.
  3. Griffitts TM, Collins CP, Collins PC. Mini dental implants: an adjunct for retention, stability and comfort for the edentulous patient. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;100:e81–e84.
  4. Morneburg TR, PrÖschel PA. Success rates of micro-implants in edentulous patients with residual ridge resorption. Int J Oral Maxillofac Implants. 2008;23:270–76.
  5. Shatkin TE, Shatkin S, Oppenheimer BD, et al. Mini dental implants for long-term fixed and removable prosthetics: a retrospective analysis of 2,514 implants placed over a five-year period. Compend Contin Educ Dent. 2007;28:92–99.
  6. Vigolo P, Givani A. Clinical evaluation of single-tooth mini-implant restorations: a five-year retrospective study. J Prosthet Dent. 2000;84:50–54.

 

 
   
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