Therapeutic Challenge in a Severely Atrophic Mandible


  • Edvard Janev Faculty of Dentistry, Ss Cyril and Methodius University of Skopje, Skopje
  • Nadica Janeva Department of Prosthodontics, Faculty of Dental Medicine, Ss. Cyril and Methodius University in Skopje
  • Marija Peeva-Petreska Department of Oral Surgery, Faculty of Dental Medicine, Ss. Cyril and Methodius University in Skopje
  • Kristina Mitic Department of Periodontology, Faculty of Dental Medicine, Ss. Cyril and Methodius University in Skopje



Mini implants, Edentulous mandible, Total prosthesis, Augmentation


BACKGROUND: After tooth loss, however, severely atrophic residual alveolar ridges are fairly common, especially in patients who have been edentulous for a long period. Anterior area of the mandible is areas where clinicians have greater anatomical limitations. Reduced alveolar bone height very often represents a contraindication to implant therapy, unless a procedure such as a ridge augmentation is performed.

CASE REPORT: This study aims to present two separate cases in highly selected edentulous anterior mandibular sites, where one stage, mini implants were used to support total prostheses. Small diameter implants have been used for retention of complete removable mandibular overdentures. This is an excellent option for those who suffer from the inconvenience and embarrassment of loose lower dentures and are tired of having to use sticky pastes and creams to make their dentures stay in place.

CONCLUSION: Small diameter implants, when used multiples may offer adequate support for a removable prosthesis and overcome this problem.


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Esposito M, Grusovin MG, Coulthard P et al. The efficacy of various bone augmentation procedures for dental implants: A Cochrane systematic review of randomized controlled clinical trials. Int J Oral Maxillofac Implants. 2006; 21:696–710. PMid:17066630

Davarpanah M, Martinez H, Tecucianu JF et al. Small-diameter implants: Indications and contraindications. J Esthet Dent. 2000; 12:186–194. PMid:11323862

Tarnow D, Elian N, Fletcher P et al. Vertical distance from the crest of bone to the height of the interproximal papilla between adjacent implants. J Periodontol. 2003; 74:1785–1788. PMid:14974820

Comfort MB, Chu FC, Chai J et al. A 5-year prospective study on small diameter screw-shaped oral implants. J Oral Rehabil. 2005; 32:341–345. PMid:15842242

Flanagan D. Implant-supported fixed prosthetic treatment using very small diameter implants: A case report. J Oral Implantol. 2006; 32:34–37. PMid:16526580

Mazor Z, Steigmann M, Leshem R et al. Mini-implants to reconstruct missing teeth in severe ridge deficiency and small interdental space: A 5 year case series. Implant Dent. 2004; 13:336–341. PMid:15591995

Fritz U, Diedrich P, Kinzinger G et al. The anchorage quality of mini-implants towards translatory and extrusive forces. J Orofac Orthop. 2003;64:293–304. PMid:12937865

Ahn MR, Choi JH, Sohn DS. Immediate loading with mini dental implants in the fully edentulous mandible. Implant Dent. 2004; 13:367–372. PMid:15591999

Kanie T, Nagata M, BanS. Comparison of the mechanical properties of 2 prosthetic mini-implants. Implant Dent. 2004; 13:251–256. PMid:15359162

Romeo E, Lops D, Amorfini L et al. Clinical and radiographic evaluation of small-diameter (3.3-mm) implants followed for 1–7 years: A longitudinal study. Clin Oral Implants Res. 2006; 17:139–148. PMid:16584409

Cosme DC, Baldisserotto SM, CanabarroSA et al. Bruxism and voluntary bite force in young dentate adults. Int J Prosthodont. 2005; 18:328–332. PMid:16052788

Vigolo P, Givani A, Majzoub Z et al. Clinical evaluation of small-diameter implants in single-tooth and multiple-implant restorations: A 7-year retrospective study. Int J Oral Maxillofac Implants. 2004; 19: 703–709. PMid:15508986

Vigolo P, Givani A. Clinical evaluation of single-tooth mini-implant restorations: A five-year retrospective study. J Prosthet Dent. 2000; 84:50–54. PMid:10898842

Kim Y, Oh TJ, Misch CE et al. Occlusal considerations in implant therapy: Clinical guidelines with biomechanical rationale. ClinOralImplRes.2005; 16:26–35.



How to Cite

Janev E, Janeva N, Peeva-Petreska M, Mitic K. Therapeutic Challenge in a Severely Atrophic Mandible. Open Access Maced J Med Sci [Internet]. 2018 Mar. 10 [cited 2024 Mar. 5];6(3):564-7. Available from:



Case Report in Dentistry