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Cumulative implant survival rate (CSR) and the estimated marginal bone loss (MBL) under different follow-up times were calculated.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Thirty-nine studies were included, with 3,787 mini-implants supporting 1,026 overdentures (109 maxilla, 896 mandible) in 1,005 patients, with a mean follow-up of 28.1\u2009\u00b1\u200919.8 months (min-max 0.3\u201384.0). 202 mini-implants failed, after a mean of 9.4\u2009\u00b1\u200911.8 months (7-year CSR 91.4%). The implant survival was lower in the maxilla in comparison to the mandible (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), lower for early\/delayed-loaded in comparison to immediately-loaded implants (<jats:italic>p<\/jats:italic>\u2009=\u20090.005) and lower for 2-mini-implant in comparison to 4-mini-implant-retained mandibular overdenture (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001; Log-rank test). A high rate of transversal fracture of the prosthesis and wear of the attachment parts was observed. The estimated mean MBL gradually increased from 0.518 (\u2264\u20096 months) to 1.260\u00a0mm (58.8\u201390 months). There was an estimated MBL increase of 0.011\u00a0mm per additional month of follow-up.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Although presenting a high 7-year CSR, mini-implant-retained overdentures may require frequent maintenance follow-ups, due to the high rate of technical complications. The estimated MBL of mini-implants over 80 months is low.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Clinical relevance<\/jats:title>\n            <jats:p>The ability to anticipate outcomes is an essential part of risk management in clinical practice. The findings reported herein set some recommendations and potential strategies for minimizing failures and complications commonly associated with this mini-implant-retained overdentures.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00784-025-06242-3","type":"journal-article","created":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T04:19:16Z","timestamp":1740802756000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Clinical and radiographic outcomes of mini-implant-retained maxillary and mandibular overdentures: a systematic review and meta-analysis"],"prefix":"10.1007","volume":"29","author":[{"given":"Morteza","family":"Mohammadi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emad","family":"Baker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno Ramos","family":"Chrcanovic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,3,1]]},"reference":[{"key":"6242_CR1","volume-title":"United Nations. 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This is a systematic review of the literature.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Not applicable. This is a systematic review of the literature.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"The authors declare that they have no conflict of interest.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"164"}}