Our Summary

This research paper discusses the use of mini dental implants to support crowns and different types of dentures. These smaller implants can be beneficial for patients who have limited bone width or length. They have less exposure and movement, which could possibly reduce complications. However, they do put about twice as much pressure on the supporting bone, so it’s crucial to manage how much pressure is put on them to avoid causing damage.

For fixed prosthetics, the paper suggests that rounded flat cusps, splinting (joining two or more teeth into a rigid unit), using protective occlusal schemes (ways to balance the bite), and only placing the implant in dense bone areas are all important for successful treatment.

For removable prosthetics, multiple mini implants might be needed to hold and resist the load properly. The paper suggests that the best places for these mini implants are in the upper side incisor (tooth next to your front teeth) and lower incisor sites.

However, the authors caution that most research has been focused on standard sized implants, and mini implants behave differently under functional load, so they should be used carefully. The paper is a brief review and does not cover all aspects of the topic, as each would require a more thorough discussion or text.

FAQs

  1. What are mini dental implants and what are they used for?
  2. What factors should be considered in the successful treatment with mini dental implants?
  3. How do mini dental implants behave differently under functional load compared to standard-sized implants?

Doctor’s Tip

One helpful tip a doctor might tell a patient about dental implant surgery is to follow proper oral hygiene practices, including regular brushing and flossing, to ensure the longevity and success of the implant. In addition, it is important for patients to avoid smoking and maintain regular dental check-ups to monitor the health of the implant and surrounding tissues. Proper care and maintenance of the implant can help prevent complications and ensure a successful outcome.

Suitable For

Patients who may benefit from dental implant surgery include those with compromised edentulous sites, lack of bone width or site length, and those in need of support for crowns or partial and complete dentures. Mini implants may be particularly useful for patients with limited bone density or where standard implants may not be feasible. Additionally, mini implants may be recommended for patients who require implant-supported prosthetics in maxillary lateral incisor and mandibular incisor sites. It is important for clinicians to carefully consider the unique characteristics of mini implants, such as increased load transmission to the supporting bone, when determining the suitability of this treatment option for their patients.

Timeline

Before dental implant surgery:

  1. Patient consults with dentist to discuss treatment options and determine if they are a good candidate for dental implants.
  2. Diagnostic tests such as x-rays and CT scans are done to assess bone density and health.
  3. Treatment plan is created and discussed with the patient, including timeline, costs, and expected outcomes.
  4. Patient may need to undergo bone grafting or other preparatory procedures to ensure a successful implant placement.
  5. Implant surgery is scheduled and patient is given pre-operative instructions.

After dental implant surgery:

  1. Patient may experience some discomfort and swelling in the days following surgery, which can be managed with pain medication and ice packs.
  2. Patient will need to follow post-operative care instructions provided by the dentist, including proper oral hygiene practices and dietary restrictions.
  3. Healing process takes several weeks to months, during which the implant fuses with the surrounding bone (osseointegration).
  4. Once the implant has fully healed, a final restoration (crown, bridge, or denture) is attached to the implant to complete the treatment.
  5. Patient will need to attend regular follow-up appointments with the dentist to monitor the implant’s health and functionality.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with dental implant surgery?
  2. How long is the recovery process and what can I expect in terms of pain and discomfort?
  3. What type of anesthesia will be used during the procedure and are there any potential side effects?
  4. How long will the dental implants last and what is the success rate of this procedure?
  5. Will I need to follow any special dietary restrictions or oral hygiene practices after the surgery?
  6. What is the cost of dental implant surgery and are there any financing options available?
  7. How many dental implants will I need and where will they be placed in my mouth?
  8. What is the difference between standard implants and mini implants, and why would one be recommended over the other?
  9. How will the dental implants affect my ability to chew and speak after the surgery?
  10. Are there any alternative treatments to dental implant surgery that I should consider?

Reference

Authors: Flanagan D. Journal: J Oral Implantol. 2021 Oct 1;47(5):437-444. doi: 10.1563/aaid-joi-D-19-00317. PMID: 32663848