{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T16:19:18Z","timestamp":1792858758305,"version":"4.5.0"},"reference-count":206,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geriatrics"],"abstract":"<jats:p>Background\/Objectives: The management of edentulism and severe alveolar bone loss in older adults remains a significant challenge in implant dentistry. Given the potential biological and therapeutic burden associated with extensive regenerative procedures, increasing interest has been directed toward treatment strategies that utilize available anatomy and reduce surgical complexity. This narrative review examined contemporary augmentation-avoidance approaches for implant rehabilitation in geriatric patients. Methods: A structured narrative literature search was performed in PubMed\/MEDLINE, Scopus, and Web of Science, including studies published up to 30 May 2026. Clinical studies, systematic, umbrella and narrative reviews, meta-analyses that evaluate augmentation-avoidance approaches in implant dentistry were considered. The review examined evidence relevant to older adults, including clinical, prosthetic, functional, and patient-centered outcomes. Results: The available literature describes multiple strategies for managing reduced bone availability, including short and ultra-short implants, narrow-diameter implants, tilted implant concepts, pterygoid and trans-sinus implants, zygomatic implants, immediate loading protocols, flapless and computer-guided surgery, and implant-retained overdentures. These approaches have broadened the range of treatment options available for patients with reduced bone availability and may reduce the need for extensive regenerative procedures in selected clinical situations. In addition to implant and prosthetic outcomes, increasing attention has been directed toward oral health-related quality of life, masticatory function, treatment satisfaction, and maintenance requirements. However, evidence specifically focused on geriatric populations remains limited. Conclusions: Contemporary implant dentistry offers several alternatives to extensive bone regeneration in carefully selected geriatric patients, although current evidence is largely extrapolated from mixed adult populations. Treatment planning should integrate anatomical conditions with systemic health, functional status, frailty-related factors, and long-term maintenance considerations. Further geriatric-focused research is needed to support patient-centered decision-making and optimize long-term rehabilitation outcomes in aging populations.<\/jats:p>","DOI":"10.3390\/geriatrics11050117","type":"journal-article","created":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T12:41:18Z","timestamp":1788266478000},"page":"117","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Minimally Invasive Implant Rehabilitation in Geriatric Patients: A Comprehensive Narrative Review of Contemporary Strategies to Avoid Extensive Bone Augmentation Procedures"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-7636-4211","authenticated-orcid":false,"given":"Angelo","family":"Aliberti","sequence":"first","affiliation":[{"name":"Department of Neuroscience, Reproductive Science and Odontostomatological Sciences, University of Naples Federico II, Via Sergio Pansini, 5, 80138 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wien Cirine Ben","family":"Amor","sequence":"additional","affiliation":[{"name":"Research Laboratory Oral Health and Rehabilitation, LR12ES11, Faculty of Dental Medicine, University of Monastir, Monastir 5000, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mauro","family":"Mariniello","sequence":"additional","affiliation":[{"name":"Interdepartmental Research Centre in Health Management and Innovation in Healthcare (CIRMIS), University of Naples Federico II, Via Sergio Pansini, 5, 80138 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0579-794X","authenticated-orcid":false,"given":"Gilberto","family":"Sammartino","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Reproductive Science and Odontostomatological Sciences, University of Naples Federico II, Via Sergio Pansini, 5, 80138 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oreste","family":"Trosino","sequence":"additional","affiliation":[{"name":"Department of Integrated Time-Dependent Network Activities for Stroke, Surgical Emergencies, and Trauma, Head and Neck Outpatient and Inpatient Specialties, Federico II University Hospital, Via Sergio Pansini 5, 80138 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2399-6395","authenticated-orcid":false,"given":"Francesco","family":"Giordano","sequence":"additional","affiliation":[{"name":"Department of Medicine, Surgery and Dentistry Scuola Medica Salernitana, University of Salerno, 84081 Baronissi, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,9,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e521","DOI":"10.1016\/S2666-7568(21)00142-2","article-title":"Oral health for healthy ageing","volume":"2","author":"Patel","year":"2021","journal-title":"Lancet Healthy Longev."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Lipsky, M.S., Singh, T., Zakeri, G., and Hung, M. 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