Scientific background

Frequently Asked Questions (FAQ)

1. What is a mini implant and how does it differ from a traditional implant?

A mini implant (Small Diameter Implant, SDI) is a small-diameter, single-piece implant that is primarily used to stabilize removable dentures or in cases of limited bone availability.
The main difference between mini implants and traditional implants is their diameter (usually 1.8–3.0 mm) and the fact that they can often be inserted in a single procedure without sutures.

2. For what clinical indications are mini implants recommended?

  • For stabilizing removable dentures (especially full lower dentures)
  • In cases of narrow alveolar ridges where standard implants cannot be placed
  • For temporary fixation or as a temporary solution
  • For older patients or patients with systemic conditions requiring minimally invasive procedures

3. What bone quality is recommended for the use of mini implants?

The best results can be achieved with bone quality D1–D3.
In the case of loose bone structure (D4), primary stability is more difficult to achieve, therefore increased caution or an alternative solution is recommended.

4. What is the clinical survival rate of mini implants?

According to the literature (Christensen, 2023; Flanagan, 2019), the 5-year survival rate of mini implants ranges from 90 to 95% with appropriate indications and loading.
Success is most influenced by bone quality, primary stability, and the direction of loading.

5. Can immediate loading be used with mini implants?

Yes, in certain cases.
The advantage of mini implants is the possibility of immediate or early loading due to their primary stability, especially in the case of prosthesis stabilization.
However, it is important that the insertion torque reaches a value of 35–45 Ncm.

6. Are there any age restrictions or contraindications for mini implant placement?

There are no absolute age restrictions, but the following may constitute relative contraindications:

  • Severe osteoporosis
  • Untreated diabetes mellitus
  • Active periodontal inflammation
  • Radiation-treated jawbone
  • Extreme smoking (>10 cigarettes/day)

7. How is a mini implant inserted?

In most cases, insertion is performed using a flapless technique in a single step.
The procedure is minimally invasive, does not require sutures, and can usually be performed under local anesthesia.
In most cases, the patient can wear the stabilized dental prosthesis on the same day.

8. What are the advantages of mini implants for patients?

  • Shorter procedure time
  • Fast healing, minimal discomfort
  • Lower cost
  • Bone grafting can often be avoided
  • Possibility of immediate functional rehabilitation

9. What kind of care does a mini implant require in the long term?

Regular check-ups and professional cleaning are essential.
It is recommended to have a radiological check-up every six months and to replace the retention elements (O-rings, housings) if necessary.
With good oral hygiene, mini implants can remain stable in the long term.

10. Is there scientific evidence for the effectiveness of mini implants?

Yes. Numerous studies (e.g., Christensen, 2023; Flanagan, 2019; Shatkin et al., 2014) confirm the clinical success of mini implants when used for the appropriate indications.
The literature unanimously concludes that mini implants are a safe and effective alternative to traditional systems, especially in the field of prosthesis stabilization.