The complete removable prosthesis, despite all the progress that dentistry has made, is still a very popular therapy. Currently, stabilization by implant significantly improves comfort and the prosthesis functions.
However, in a number of cases, bone volume deficits may contraindicate the use of standard implants without prior crestal adjustment, when this adjustment is not desired by the patient due to its higher cost, longer treatment time or number of procedures, etc., or by the practitioner for anatomical or medical reasons, mini implants remain the best alternative.
Stabilization by mini implants is a recognized technique by the FDA (Food and Drug Administration: May 12, 1998). Its success rate as high as that of larger diameter implants. The immediate functional comfort and the moderate cost of this technique explain its success.
The placement of four mini implants in the edentulous mandible to retain a lower complete overdenture is an acceptable treatment modality. Survival rates are satisfactory for the first 2 to 3 years after placement and loading. Failures are most common within the first year of placement. Flapless surgery, immediate loading, simplicity, and reduced cost make this system attractive to both patients and operators alike.
Keywords: complete dentures, mini implants, survival, balance