{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:37:55Z","timestamp":1786649875948,"version":"build-2736575974"},"reference-count":52,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>Immediate loading protocols are frequently applied when placing mini-implants (MIs), although many of these may not be functional loading. Data on immediately functionally loaded MIs are limited. Therefore, this systematic review aimed to answer the question: What is the survival rate (SR) of immediately functionally loaded MIs placed in the edentulous mandible to retain a complete mandibular overdenture?<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings and Design:<\/jats:title>\n                    <jats:p>Studies published in peer-reviewed journals up to April 2025 were considered.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods:<\/jats:title>\n                    <jats:p>An electronic search was conducted using MeSH terms and free-text search in April 2025 across Web of Science, PubMed, Cochrane Central, EBSCOhost, and ScienceDirect. Eligible criteria included case-control studies, retrospective and prospective case series, cohort studies, clinical trials, and randomized controlled trials.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Statistical Analysis Used:<\/jats:title>\n                    <jats:p>Not applicable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Out of 1854 identified references, seven studies met the inclusion criteria, three randomized controlled and four prospective case series. A total of 496 immediately functionally loaded MIs were placed in 124 patients. The diameters of MIs were 1.8, 2.0, 2.1, 2.2, and 2.4 mm. Within the 1\n                      <jats:sup>st<\/jats:sup>\n                      year, 16 out of 495 MIs failed, resulting in a 1-year SR of 96.77%. A 24-month SR of 94.4% was reported by three studies, and a 36-month rate of 94.77% was reported by two studies.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Current evidence indicates that immediately functionally loaded MIs are a promising option for retaining mandibular overdentures, with a high 1-year SR of 96.77%. However, the limited number of included studies and relatively short follow-up periods highlight the need for further well-designed, long-term research to validate these findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jips.jips_361_25","type":"journal-article","created":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T06:00:24Z","timestamp":1767247224000},"page":"3-13","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Survival rate of immediate functionally loaded ball-attachment mini-implants retaining mandibular overdentures: A systematic review"],"prefix":"10.4103","volume":"26","author":[{"given":"Heba M.","family":"Moftah","sequence":"first","affiliation":[{"name":"Department of Removable Prosthodontics, Faculty of Dental Medicine, Damascus University, Meza Highway, Damascus, Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohannad H.","family":"Al-Saadi","sequence":"additional","affiliation":[{"name":"Department of Removable Prosthodontics, Faculty of Dental Medicine, Damascus University, Meza Highway, Damascus, Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1,1]]},"reference":[{"key":"R1-20260420","first-page":"313","article-title":"Bone healing and soft tissue contour changes following single-tooth extraction: A clinical and radiographic 12-month prospective study","volume":"23","author":"Schropp","year":"2003","journal-title":"Int J Periodontics Restorative Dent"},{"key":"R2-20260420","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1111\/j.1600-051X.2005.00642.x","article-title":"Dimensional ridge alterations following tooth extraction. 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