{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T10:31:35Z","timestamp":1780050695281,"version":"3.53.1"},"reference-count":72,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2023,1,27]],"date-time":"2023-01-27T00:00:00Z","timestamp":1674777600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004488","name":"Croatian Science Foundation","doi-asserted-by":"publisher","award":["1218"],"award-info":[{"award-number":["1218"]}],"id":[{"id":"10.13039\/501100004488","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background and objectives: Long-term studies of clinical outcomes of mini-implants (MDIs) in the first premolar\/canine sites retaining a bilateral free-ending removable partial dentures (RPD) in Kennedy class I subjects have not been well documented. The aim was to assess clinical outcomes in a prospective 5-year cohort study comparing the mandible and maxilla. Material and Methods: Participants (n = 92) who received two MDIs each and a new RPD were reviewed after one, three and five years. A total of 71 participants (82 mini-implants in the mandible; 58 in the maxilla) completed the study. Marginal bone level change, success, survival rates, Modified Plaque (MPI) and Bleeding Indices (MBI) were assessed. Results: The five-year success rate was 93.3% and 93.4% (p &gt; 0.05), in the mandible and the maxilla, respectively. Mean peri-implant bone loss (MBL) increased significantly over five years (p &lt; 0.01) to 0.50 mm in the mandible and 0.52 mm in the maxilla. Age had a significant effect on the MBL (higher rates in younger participants), while jaw of insertion, gender, and antagonistic jaw status did not. MPI and MBI were not significantly correlated with MBL. Conclusions: The insertion of two MDIs in previous first premolar\/canine sites for retention of a free-end saddle RPD can be a successful treatment modality in subjects with narrow alveolar ridges.<\/jats:p>","DOI":"10.3390\/medicina59020237","type":"journal-article","created":{"date-parts":[[2023,1,30]],"date-time":"2023-01-30T03:56:27Z","timestamp":1675050987000},"page":"237","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Mini-Implants Retaining Removable Partial Dentures in Subjects without Posterior Teeth: A 5-Year Prospective Study Comparing the Maxilla and the Mandible"],"prefix":"10.3390","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5985-8966","authenticated-orcid":false,"given":"Asja","family":"Celebic","sequence":"first","affiliation":[{"name":"Department of Removable Prosthodontics, School of Dental Medicine, University of Zagreb, 10000 Zagreb, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8505-5251","authenticated-orcid":false,"given":"Ines","family":"Kovacic","sequence":"additional","affiliation":[{"name":"Department of Removable Prosthodontics, School of Dental Medicine, University of Zagreb, 10000 Zagreb, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikola","family":"Petricevic","sequence":"additional","affiliation":[{"name":"Department of Removable Prosthodontics, School of Dental Medicine, University of Zagreb, 10000 Zagreb, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9492-3986","authenticated-orcid":false,"given":"Dario","family":"Puljic","sequence":"additional","affiliation":[{"name":"School of Dental Medicine, University of Zagreb, 10000 Zagreb, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4303-2526","authenticated-orcid":false,"given":"Aleksandra","family":"Popovac","sequence":"additional","affiliation":[{"name":"Clinic for Dental Prosthetics, School of Dental Medicine, University of Belgrade, 11000 Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0338-9643","authenticated-orcid":false,"given":"Sanja Persic","family":"Kirsic","sequence":"additional","affiliation":[{"name":"Department of Removable Prosthodontics, School of Dental Medicine, University of Zagreb, 10000 Zagreb, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,1,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1111\/jopr.12395","article-title":"Treatment Outcomes Based on Patients\u2019 Self-Reported Measures after Receiving New Clasp or Precision Attachment-Retained Removable Partial Dentures","volume":"26","year":"2017","journal-title":"J. Prosthodont."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1111\/cid.12484","article-title":"Implant-Supported Mandibular Removable Partial Dentures: Functional, Clinical and Radiographical Parameters in Relation to Implant Position","volume":"19","author":"Jensen","year":"2017","journal-title":"Clin. Implant Dent. Relat. Res."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1186\/s40729-021-00394-z","article-title":"Treatment Outcomes of Implant-Assisted Removable Partial Denture with Distal Extension Based on the Kennedy Classification and Attachment Type: A Systematic Review","volume":"7","author":"Goto","year":"2021","journal-title":"Int. J. Implant Dent."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1097\/ID.0b013e3180500b2c","article-title":"Implants in Conjunction with Removable Partial Dentures: A Literature Review","volume":"16","author":"Mijiritsky","year":"2007","journal-title":"Implant Dent."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1016\/j.cden.2018.11.007","article-title":"Revisiting the Removable Partial Denture","volume":"63","author":"Kim","year":"2019","journal-title":"Dent. Clin. N. Am."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"919","DOI":"10.1007\/s11136-014-0817-2","article-title":"Influence of Different Prosthodontic Rehabilitation Options on Oral Health-Related Quality of Life, Orofacial Esthetics and Chewing Function Based on Patient-Reported Outcomes","volume":"24","year":"2015","journal-title":"Qual. Life Res."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"e956","DOI":"10.1111\/j.1741-2358.2011.00592.x","article-title":"A 3-Year Longitudinal Study of Quality-of-Life Outcomes of Elderly Patients with Implant- and Tooth-Supported Fixed Partial Dentures in Posterior Dental Regions","volume":"29","author":"Petricevic","year":"2012","journal-title":"Gerodontology"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"5699962","DOI":"10.1155\/2021\/5699962","article-title":"Biomechanics in Removable Partial Dentures: A Literature Review of FEA-Based Studies","volume":"2021","author":"Mousa","year":"2021","journal-title":"BioMed Res. Int."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1111\/j.1365-2842.2009.02044.x","article-title":"Mandibular Kennedy Class I Implant-Tooth-Borne Removable Partial Denture: A Systematic Review","volume":"37","author":"Shahmiri","year":"2010","journal-title":"J. Oral Rehabil."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1016\/j.prosdent.2014.12.011","article-title":"Placement of a Distal Implant to Convert a Mandibular Removable Kennedy Class I to an Implant-Supported Partial Removable Class III Dental Prosthesis: A Systematic Review","volume":"113","author":"Karam","year":"2015","journal-title":"J. Prosthet. Dent."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"6003","DOI":"10.1007\/s00784-022-04622-7","article-title":"Clinical Performance of Tooth Implant-Supported Removable Partial Dentures: A Systematic Review and Meta-Analysis","volume":"26","author":"Bischof","year":"2022","journal-title":"Clin. Oral Investig."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1111\/clr.13574","article-title":"Effect of Conversion to Implant-Assisted Removable Partial Denture in Patients with Mandibular Kennedy Classification \u2160: A Systematic Review and Meta-Analysis. Clin","volume":"31","author":"Park","year":"2020","journal-title":"Oral Implants Res."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Yi, Y., Heo, S.-J., Koak, J.-Y., and Kim, S.-K. (J. Prosthodont. Off. J. Am. Coll. Prosthodont., 2022). Clinical Outcomes of Implant-Assisted Removable Partial Dentures According to Implant Strategic Position, J. Prosthodont. Off. J. Am. Coll. Prosthodont., in press.","DOI":"10.1111\/jopr.13609"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1016\/j.jdent.2016.10.008","article-title":"Implant-Supported Mandibular Removable Partial Dentures; Patient-Based Outcome Measures in Relation to Implant Position","volume":"55","author":"Jensen","year":"2016","journal-title":"J. Dent."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1111\/clr.13342","article-title":"Group 1 ITI Consensus Report: The Influence of Implant Length and Design and Medications on Clinical and Patient-Reported Outcomes","volume":"29","author":"Jung","year":"2018","journal-title":"Clin. Oral Implants Res."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"827","DOI":"10.1111\/j.1365-2842.2011.02213.x","article-title":"The Clinical and Radiographic Outcome of Immediately Loaded Mini Implants Supporting a Mandibular Overdenture. A 3-Year Prospective Study","volume":"38","author":"Elsyad","year":"2011","journal-title":"J. Oral Rehabil."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"926","DOI":"10.1111\/clr.12660","article-title":"Patient Satisfaction and Prosthetic Aspects with Mini-Implants Retained Mandibular Overdentures. A 5-Year Prospective Study","volume":"27","author":"Elsyad","year":"2016","journal-title":"Clin. Oral Implants Res."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1111\/cid.13098","article-title":"Comparative Clinical Study of Conventional Dental Implant and Mini Dental Implant-Retained Mandibular Overdenture: A 5- to 8-Year Prospective Clinical Outcomes in a Previous Randomized Clinical Trial","volume":"24","author":"Chatrattanarak","year":"2022","journal-title":"Clin. Implant Dent. Relat. Res."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"132","DOI":"10.15644\/asc56\/2\/4","article-title":"Adaptation to New Dentures and 5 Years of Clinical Use: A Comparison between Complete Denture and Mini-Implant Mandibular Overdenture Patients Based on Oral Health-Related Quality of Life (OHRQoL) and Orofacial Esthetics","volume":"56","author":"Kovacic","year":"2022","journal-title":"Acta Stomatol. Croat."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1111\/clr.13542","article-title":"A Cohort Study on Short Mini-Implants for Mandibular Overdentures Compared to Those of Standard Length","volume":"31","year":"2020","journal-title":"Clin. Oral Implants Res."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Borges, G.A., Codello, D.J., Del Rio Silva, L., Dini, C., Bar\u00e3o, V.A.R., and Mesquita, M.F. (J. Prosthet. Dent., 2022). Factors and Clinical Outcomes for Standard and Mini-Implants Retaining Mandibular Overdentures: A Systematic Review and Meta-Analysis, J. Prosthet. Dent., in press.","DOI":"10.1016\/j.prosdent.2021.11.010"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1111\/clr.13591","article-title":"Clinical Outcomes and Bone-Level Alterations around One-Piece Mini Dental Implants Retaining Mandibular Overdentures: 5-Year Follow-up of a Prospective Cohort Study","volume":"31","author":"Enkling","year":"2020","journal-title":"Clin. Oral Implants Res."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"28","DOI":"10.11607\/ijp.4457","article-title":"Oral Health-Related Quality of Life in Different Types of Mandibular Implant Overdentures in Function Longer Than 3 Years","volume":"29","year":"2016","journal-title":"Int. J. Prosthodont."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1811","DOI":"10.1016\/j.joms.2022.07.145","article-title":"Are Mini Dental Implants Suitable for Support of Crowns or Small Bridges in the Mandibular Incisor Region? A 5-Year Longitudinal Study","volume":"80","year":"2022","journal-title":"J. Oral Maxillofac. Surg. Off. J. Am. Assoc. Oral Maxillofac. Surg."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1016\/j.ijom.2019.08.015","article-title":"Flaplessly Placed 2.4-Mm Mini-Implants for Maxillary Overdentures: A Prospective Multicentre Clinical Cohort Study","volume":"49","author":"Shtino","year":"2020","journal-title":"Int. J. Oral Maxillofac. Surg."},{"key":"ref_26","first-page":"45","article-title":"Marginal Bone Loss around Unsplinted Mini-Implants Supporting Maxillary Overdentures: A Preliminary Comparative Study between Partial and Full Palatal Coverage","volume":"44","author":"ELsyad","year":"2013","journal-title":"Quintessence Int."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"6688521","DOI":"10.1155\/2021\/6688521","article-title":"Effect of the Location of Dental Mini-Implants on Strain Distribution under Mandibular Kennedy Class I Implant-Retained Removable Partial Dentures","volume":"2021","author":"Rungsiyakull","year":"2021","journal-title":"Int. J. Dent."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"4825177","DOI":"10.1155\/2022\/2416888","article-title":"Effect of Number and Location on Stress Distribution of Mini Dental Implant-Assisted Mandibular Kennedy Class I Removable Partial Denture: Three-Dimensional Finite Element Analysis","volume":"2022","author":"Rungsiyakull","year":"2022","journal-title":"Int. J. Dent."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1016\/j.prosdent.2017.12.012","article-title":"Biomechanical Behavior of 2-Implant\u2013 and Single-Implant\u2013Retained Mandibular Overdentures with Conventional or Mini Implants","volume":"120","author":"Pisani","year":"2018","journal-title":"J. Prosthet. Dent."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"152002","DOI":"10.1016\/j.aanat.2022.152002","article-title":"Upgrading Removable Denture Design by Using Strategic Implants: A Case Report","volume":"245","author":"Mundt","year":"2023","journal-title":"Ann. Anat. Anat. Anz."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"184","DOI":"10.15644\/asc52\/3\/2","article-title":"Mini Dental Implant-Retained Removable Partial Dentures: Treatment Effect Size and 6-Months Follow-Up","volume":"52","author":"Disha","year":"2018","journal-title":"Acta Stomatol. Croat."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"178","DOI":"10.11607\/jomi.7707","article-title":"Stabilizing Removable Partial Dentures by Immediate or Delayed Loading of Mini-Implants: Chewing Efficiency in a Randomized Controlled Clinical Trial","volume":"35","author":"Mundt","year":"2020","journal-title":"Int. J. Oral Maxillofac. Implants"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"785","DOI":"10.1111\/cid.12646","article-title":"Comparison of Immediate-Load Mini Dental Implants and Conventional-Size Dental Implants to Retain Mandibular Kennedy Class I Removable Partial Dentures: A Randomized Clinical Trial","volume":"20","author":"Threeburuth","year":"2018","journal-title":"Clin. Implant Dent. Relat. Res."},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Lemos, C.A.A., Nunes, R.G., Santiago-J\u00fanior, J.F., Marcela de Luna Gomes, J., Oliveira Limirio, J.P.J., Rosa, C.D.D.R.D., Verri, F.R., and Pellizzer, E.P. (J. Prosthet. Dent., 2021). Are Implant-Supported Removable Partial Dentures a Suitable Treatment for Partially Edentulous Patients? A Systematic Review and Meta-Analysis, J. Prosthet. Dent., in press.","DOI":"10.1016\/j.prosdent.2021.06.017"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1007\/s00784-020-03360-y","article-title":"Immediate versus Delayed Loading of Strategic Mini-Implants under Existing Removable Partial Dentures: Patient Satisfaction in a Multi-Center Randomized Clinical Trial","volume":"25","author":"Heinemann","year":"2021","journal-title":"Clin. Oral Investig."},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Mundt, T., Heinemann, F., M\u00fcller, J., Schwahn, C., and Al Jaghsi, A. (2022). Survival and Stability of Strategic Mini-Implants with Immediate or Delayed Loading under Removable Partial Dentures: A 3-Year Randomized Controlled Clinical Trial. Clin. Oral Investig., 1\u201313.","DOI":"10.1007\/s00784-022-04805-2"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1038\/sj.bdj.4800358","article-title":"Complications and Maintenance","volume":"187","author":"Palmer","year":"1999","journal-title":"Br. Dent. J."},{"key":"ref_38","first-page":"15","article-title":"Revised Success Criteria: A Vision to Meet Frailty and Dependency in Implant Patients","volume":"31","author":"Schimmel","year":"2016","journal-title":"Int. J. Oral Maxillofac. Implants"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1097\/01.id.0000247855.75691.03","article-title":"Medical Contraindications to Implant Therapy: Part I: Absolute Contraindications","volume":"15","author":"Hwang","year":"2006","journal-title":"Implant Dent."},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Gonz\u00e1lez-Valls, G., Roca-Millan, E., C\u00e9spedes-S\u00e1nchez, J.M., Gonz\u00e1lez-Navarro, B., Torrejon-Moya, A., and L\u00f3pez-L\u00f3pez, J. (2021). Narrow Diameter Dental Implants as an Alternative Treatment for Atrophic Alveolar Ridges: Systematic review and meta-analysis. Materials, 14.","DOI":"10.3390\/ma14123234"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1111\/joor.12585","article-title":"Mini-Implants and Narrow Diameter Implants as Mandibular Overdenture Retainers: A Systematic Review and Meta-Analysis of Clinical and Radiographic Outcomes","volume":"45","author":"Faot","year":"2018","journal-title":"J. Oral Rehabil."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"1171","DOI":"10.11607\/jomi.4339","article-title":"A Pilot Study on Mandibular Overdentures Retained by Mini Dental Implants: Marginal Bone Level Changes and Patient-Based Ratings of Clinical Outcome","volume":"31","author":"Zygogiannis","year":"2016","journal-title":"Int. J. Oral Maxillofac. Implants"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"1149","DOI":"10.11607\/jomi.4012","article-title":"Changes in Bone Levels Around Mini-Implants in Edentulous Arches","volume":"30","author":"Mundt","year":"2015","journal-title":"Int. J. Oral Maxillofac. Implants"},{"key":"ref_44","first-page":"253","article-title":"Changes in Crestal Bone Levels for Immediately Loaded Implants","volume":"21","author":"Yoo","year":"2006","journal-title":"Int. J. Oral Maxillofac. Implants"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1111\/j.1399-302X.1987.tb00298.x","article-title":"The Microbiota Associated with Successful or Failing Osseointegrated Titanium Implants","volume":"2","author":"Mombelli","year":"1987","journal-title":"Oral Microbiol. Immunol."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1097\/ID.0b013e3181676059","article-title":"Implant Success, Survival, and Failure: The International Congress of Oral Implantologists (ICOI) Pisa Consensus Conference","volume":"17","author":"Misch","year":"2008","journal-title":"Implant Dent."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1111\/clr.13298","article-title":"Group 2 ITI Consensus Report: Prosthodontics and Implant Dentistry","volume":"29","author":"Morton","year":"2018","journal-title":"Clin. Oral Implants Res."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"117","DOI":"10.11607\/ijp.5559","article-title":"Short-Term Postoperative Pain and Swelling Associated with Mini and Standard-Size Implants in the Same Patients","volume":"31","author":"Disha","year":"2018","journal-title":"Int. J. Prosthodont."},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"Kahn, A., Masri, D., Shalev, T., Meir, H., Sebaoun, A., and Chaushu, L. (2021). Patients\u2019 Perception of Recovery after Dental Implant Placement. Medicina, 57.","DOI":"10.3390\/medicina57101111"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1111\/j.1365-2842.1996.tb01230.x","article-title":"Oral Conditions and Aptitude to Receive Implants in Patients with Removable Partial Denture: A Cross-Sectional Study: Part II Aptitude","volume":"23","author":"Bassi","year":"1996","journal-title":"J. Oral Rehabil."},{"key":"ref_51","first-page":"47","article-title":"Mini-Implants for Mandibular Overdentures: Cost-Effectiveness Analysis alongside a Randomized Trial. JDR Clin","volume":"3","author":"Leles","year":"2018","journal-title":"Transl. Res."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1563\/AAID-JOI-D-10-00052.1","article-title":"The Mini Dental Implant in Fixed and Removable Prosthetics: A Review","volume":"37 Spec No","author":"Flanagan","year":"2011","journal-title":"J. Oral Implantol."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/j.jpor.2013.01.002","article-title":"Effect of Implant Support on Mandibular Distal Extension Removable Partial Dentures: Relationship between Denture Supporting Area and Stress Distribution","volume":"57","author":"Sato","year":"2013","journal-title":"J. Prosthodont. Res."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"e87-90","DOI":"10.1111\/clr.12534","article-title":"Impact of Implant Support on Mandibular Free-End Base Removable Partial Denture: Theoretical Study","volume":"27","author":"Oh","year":"2016","journal-title":"Clin. Oral Implants Res."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1097\/ID.0b013e31818363b2","article-title":"Evaluation of the Influence of Location of Osseointegrated Implants Associated with Mandibular Removable Partial Dentures","volume":"17","author":"Cunha","year":"2008","journal-title":"Implant Dent."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1111\/clr.12840","article-title":"Cost-Effectiveness of Implant-Supported Mandibular Removable Partial Dentures","volume":"28","author":"Jensen","year":"2017","journal-title":"Clin. Oral Implants Res."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1111\/jopr.12370","article-title":"Strains Around Abutment Teeth with Different Attachments Used for Implant-Assisted Distal Extension Partial Overdentures: An In Vitro Study","volume":"26","author":"ELsyad","year":"2017","journal-title":"J. Prosthodont. Off. J. Am. Coll. Prosthodont."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"116","DOI":"10.4047\/jap.2016.8.2.116","article-title":"Strains around Distally Inclined Implants Retaining Mandibular Overdentures with Locator Attachments: An in Vitro Study","volume":"8","author":"Elsyad","year":"2016","journal-title":"J. Adv. Prosthodont."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"586","DOI":"10.11607\/ijp.5400","article-title":"Influence of Attachment Height and Shape on Lateral Force Transmission in Implant Overdenture Treatment","volume":"30","author":"Ying","year":"2017","journal-title":"Int. J. Prosthodont."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1111\/j.1600-0501.2009.01834.x","article-title":"The Effect of Maximum Bite Force on Marginal Bone Loss of Mini-Implants Supporting a Mandibular Overdenture: A Randomized Controlled Trial","volume":"21","author":"Hamada","year":"2010","journal-title":"Clin. Oral Implants Res."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1016\/j.jdent.2016.11.009","article-title":"Complete Overdentures Retained by Mini Implants: A Systematic Review","volume":"57","author":"Lemos","year":"2017","journal-title":"J. Dent."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1016\/j.prosdent.2016.07.022","article-title":"Clinical and Radiological Investigations of Mandibular Overdentures Supported by Conventional or Mini-Dental Implants: A 2-Year Prospective Follow-up Study","volume":"117","author":"Temizel","year":"2017","journal-title":"J. Prosthet. Dent."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1111\/clr.13272","article-title":"Narrow-Diameter Implants: A Systematic Review and Meta-Analysis","volume":"29","author":"Schiegnitz","year":"2018","journal-title":"Clin. Oral Implants Res."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"343","DOI":"10.11607\/jomi.6991","article-title":"Survival of Mini Dental Implants Used to Retain Mandibular Complete Overdentures: Systematic Review","volume":"34","author":"Jawad","year":"2019","journal-title":"Int. J. Oral Maxillofac. Implants"},{"key":"ref_65","doi-asserted-by":"crossref","unstructured":"Vi, S., Pham, D., Du, Y.Y.M., Arora, H., and Tadakamadla, S.K. (2021). Mini-Implant-Retained Overdentures for the Rehabilitation of Completely Edentulous Maxillae: A Systematic Review and Meta-Analysis. Int. J. Environ. Res. Public. Health, 18.","DOI":"10.3390\/ijerph18084377"},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1111\/clr.13444","article-title":"A Prospective Cohort Study on Survival and Success of One-Piece Mini-Implants with Associated Changes in Oral Function: Five-Year Outcomes","volume":"30","author":"Enkling","year":"2019","journal-title":"Clin. Oral Implants Res."},{"key":"ref_67","first-page":"744","article-title":"Conventional and Advanced Implant Treatment in the Type II Diabetic Patient: Surgical Protocol and Long-Term Clinical Results","volume":"23","author":"Tawil","year":"2008","journal-title":"Int. J. Oral Maxillofac. Implants"},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"798","DOI":"10.11607\/jomi.3066","article-title":"Predictors of Peri-Implant Bone Loss during Long-Term Maintenance of Patients Treated with 10-Mm Implants and Single Crown Restorations","volume":"28","author":"Sierra","year":"2013","journal-title":"Int. J. Oral Maxillofac. Implants"},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1111\/cid.12812","article-title":"Implant Failures and Age at the Time of Surgery: A Retrospective Study on Implant Treatments in 4585 Edentulous Jaws","volume":"21","author":"Jemt","year":"2019","journal-title":"Clin. Implant Dent. Relat. Res."},{"key":"ref_70","doi-asserted-by":"crossref","unstructured":"Gonz\u00e1lez-Gil, D., Dib-Zaitum, I., Flores-Fraile, J., and L\u00f3pez-Marcos, J. (2022). Importance of Osseoperception and Tactile Sensibility during Masticatory Function in Different Prosthetic Rehabilitations: A Review. Medicina, 58.","DOI":"10.3390\/medicina58010092"},{"key":"ref_71","doi-asserted-by":"crossref","unstructured":"Lee, I.-K., Choi, H.-S., Jeong, S.-H., and Lee, J.-T. (2021). The Effect of Three Surgical Therapies to Increase Keratinized Mucosa Surrounding Dental Implants with Peri-Implantitis: A Pilot Study. Medicina, 57.","DOI":"10.3390\/medicina57101093"},{"key":"ref_72","doi-asserted-by":"crossref","unstructured":"D\u2019Ambrosio, F., Caggiano, M., Schiavo, L., Savarese, G., Carpinelli, L., Amato, A., and Iandolo, A. (2022). Chronic Stress and Depression in Periodontitis and Peri-Implantitis: A Narrative Review on Neurobiological, Neurobehavioral and Immune-Microbiome Interplays and Clinical Management Implications. Dent. J., 10.","DOI":"10.3390\/dj10030049"}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/59\/2\/237\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:16:56Z","timestamp":1760120216000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/59\/2\/237"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,27]]},"references-count":72,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2023,2]]}},"alternative-id":["medicina59020237"],"URL":"https:\/\/doi.org\/10.3390\/medicina59020237","relation":{},"ISSN":["1648-9144"],"issn-type":[{"value":"1648-9144","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1,27]]}}}