Download PDF
ZWR - Das Deutsche Zahnärzteblatt 2013; 122(10): 494-503
DOI: 10.1055/s-0033-1361944
Fortbildung
Implantologie
© Georg Thieme Verlag Stuttgart · New York

Mini-Implantate: eine sichere Therapie-Alternative beim zahnlosen Patienten

N Enkling
,
A Worni
,
R Mericske-Stern
Further Information

Publication History

Publication Date:
19 November 2013 (online)

Also available at
    Permissions and Reprints

Durchmesser-reduzierte Implantate stellen eine gute Alternative zur Knochenaugmentation und Insertion von Standard-Durchmesser-Implantaten (> 3,5 mm) dar. Narrow-Diameter-Implants (NDI, 1,8–3,5 mm) werden hinsichtlich ihres Durchmessers in 3 Kategorien unterschieden, wobei Kategorie 1 die Mini-Implants (MDI, 1,8–2,9 mm) umfasst. Die derzeit verfügbare wissenschaftliche Evidenz zeigt für Durchmesser-reduzierte Implantate in den Indikationen herausnehmbare und festsitzende Prothetik eine sehr gute Implantat-Überlebensrate von 90–100 %. Der zu erwartende Erfolg ist von der Patientenselektion, aber auch von der Erfahrung des Behandlers abhängig. An der Universität Bern werden seit dem Jahr 2009 zur Versorgung von zahnlosen Patienten mit ausgeprägter Alveolarfortsatzatrophie oder kompromittierter Allgemeingesundheit MDI's eingesetzt. Die häufigste Indikation stellen 4 interforaminale Implantate dar, die über die bestehende Unterkiefer-Totalprothese sofort belastet werden.

 

  • Literatur

  • 1 Hasan I, Heinemann F, Aitlahrach M et al. Biomechanical finite element analysis of small diameter and short dental implant. Biomed Tech (Berl) 2010; 55: 341-350
    CrossrefPubMedGoogle Scholar
  • 2 Atieh MA, Zadeh H, Stanford CM et al. Survival of short dental implants for treatment of posterior partial edentulism: a systematic review. Int J Oral Maxillofac Implants 2012; 27: 1323-1331
    PubMedGoogle Scholar
  • 3 Sohrabi K, Mushantat A, Esfandiari S et al. How successful are small-diameter implants? A literature review. Clin Oral Implants Res 2012; 23: 515-525
    CrossrefPubMedGoogle Scholar
  • 4 Esposito M, Grusovin MG, Felice P et al. The efficacy of horizontal and vertical bone augmentation procedures for dental implants – a Cochrane systematic review. Eur J Oral Implantol 2009; 2: 167-184
    PubMedGoogle Scholar
  • 5 Mertens C, Decker C, Seeberger R et al. Early bone resorption after vertical bone augmentation--a comparison of calvarial and iliac grafts. Clin Oral Implants Res 2013; 24: 820-825
    CrossrefPubMedGoogle Scholar
  • 6 Schlegel KA, Karascholi T, Fenner M et al. [Clinical and radiological results after augmentation procedures – a prospective study]. Mund Kiefer Gesichtschir 2007; 11: 209-219
    CrossrefPubMedGoogle Scholar
  • 7 Mundt T, Schwahn C, Stark T et al. Clinical response of edentulous people treated with mini dental implants in nine dental practices. Gerodontology DOI: 10.1111/ger.12066. 2013;
    PubMedGoogle Scholar
  • 8 Laurell L, Lundgren D. Marginal bone level changes at dental implants after 5 years in function: a meta-analysis. Clin Implant Dent Relat Res 2011; 13: 19-28
    CrossrefPubMedGoogle Scholar
  • 9 Esposito M, Hirsch JM, Lekholm U et al. Biological factors contributing to failures of osseointegrated oral implants. (II). Etiopathogenesis. Eur J Oral Sci 1998; 106: 721-764
    CrossrefPubMedGoogle Scholar
  • 10 Alsaadi G, Quirynen M, Michiles K et al. Impact of local and systemic factors on the incidence of failures up to abutment connection with modified surface oral implants. J Clin Periodontol 2008; 35: 51-57
    CrossrefPubMedGoogle Scholar
  • 11 Anitua E, Tapia R, Luzuriaga F et al. Influence of implant length, diameter, and geometry on stress distribution: a finite element analysis. Int J Periodontics Restorative Dent 2010; 30: 89-95
    PubMedGoogle Scholar
  • 12 Bornstein MM, Al Nawas B, Kuchler U et al. Consensus Statements and Recommended Clinical Procedures Regarding Contemporary Surgical and Radiographic Techniques in Implant Dentistry. Int J Oral Maxillofac Implants DOI: 10.11607/jomi.2013.g1. 2013;
    PubMedGoogle Scholar
  • 13 Allum SR, Tomlinson RA, Joshi R. The impact of loads on standard diameter, small diameter and mini implants: a comparative laboratory study. Clin Oral Implants Res 2008; 19: 553-559
    CrossrefPubMedGoogle Scholar
  • 14 Barros SE, Janson G, Chiqueto K et al. Effect of mini-implant diameter on fracture risk and self-drilling efficacy. Am J Orthod Dentofacial Orthop 2011; 140: 181-192
    CrossrefPubMedGoogle Scholar
  • 15 Shatkin TE, Shatkin S, Oppenheimer BD et al. Mini dental implants for long-term fixed and removable prosthetics: a retrospective analysis of 2514 implants placed over a five-year period. Compend Contin Educ Dent 2007; 28: 100-101
    PubMedGoogle Scholar
  • 16 Gleiznys A, Skirbutis G, Harb A et al. New approach towards mini dental implants and small-diameter implants: an option for long-term prostheses. Stomatologija 2012; 14: 39-45
    PubMedGoogle Scholar
  • 17 Renouard F, Nisand D. Impact of implant length and diameter on survival rates. Clin Oral Implants Res 2006; 17 (Suppl. 02) 35-51
    CrossrefPubMedGoogle Scholar
  • 18 Bulard RA, Vance JB. Multi-clinic evaluation using mini-dental implants for long-term denture stabilization: a preliminary biometric evaluation. Compend Contin Educ Dent 2005; 26: 892-897
    PubMedGoogle Scholar
  • 19 Scepanovic M, Calvo-Guirado JL, Markovic A et al. A 1-year prospective cohort study on mandibular overdentures retained by mini dental implants. Eur J Oral Implantol 2012; 5: 367-379
    PubMedGoogle Scholar
  • 20 Goodacre CJ, Bernal G, Rungcharassaeng K et al. Clinical complications with implants and implant prostheses. J Prosthet Dent 2003; 90: 121-132
    CrossrefPubMedGoogle Scholar
  • 21 Chung K, Chan D, Gustafson M. Retentive characteristics of narrow-diameter implant-retained overdentures after fatigue loading. J Dent Res 2012; 91: 1433-1433
    PubMedGoogle Scholar
  • 22 Meier M. Retentionskraft von O-Ringen bei MH 1, 2 und 3 Matrizen auf Kugelankern – eine in vitro Studie. University of Berne/Switzerland 2013;
    PubMedGoogle Scholar
  • 23 Flanagan D. Fixed partial dentures and crowns supported by very small diameter dental implants in compromised sites. Implant Dent 2008; 17: 182-191
    CrossrefPubMedGoogle Scholar
  • 24 Flanagan D, Ilies H, McCullough P et al. Measurement of the fatigue life of mini dental implants: a pilot study. J Oral Implantol 2008; 34: 7-11
    CrossrefPubMedGoogle Scholar
  • 25 Ahn MR, An KM, Choi JH et al. Immediate loading with mini dental implants in the fully edentulous mandible. Implant Dent 2004; 13: 367-372
    PubMedGoogle Scholar
  • 26 Elsyad MA, Gebreel AA, Fouad MM et al. The clinical and radiographic outcome of immediately loaded mini implants supporting a mandibular overdenture. A 3-year prospective study. J Oral Rehabil 2011; 38: 827-834
    CrossrefPubMedGoogle Scholar
  • 27 Griffitts TM, Collins CP, Collins PC. Mini dental implants: an adjunct for retention, stability, and comfort for the edentulous patient. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005; 100: 81-84
    PubMedGoogle Scholar
  • 28 Tadic A, Mirkovic S, Petronijevic B et al. [Stabilisation of lower denture using mini dental implants]. Med Pregl 2012; 65: 405-408
    CrossrefPubMedGoogle Scholar
  • 29 Albrektsson T, Isidor F. Consensus report of session IV. In: Lang NP, Karring T, Hrsg. Proceedings of the 1st European Workshop on Periodontology. London: Quintessence Publishing Co; 1994: 365-369
    Google Scholar
  • 30 Roos-Jansaker AM, Renvert H, Lindahl C et al. Nine- to fourteen-year follow-up of implant treatment. Part III: factors associated with peri-implant lesions. J Clin Periodontol 2006; 33: 296-301
    CrossrefPubMedGoogle Scholar
  • 31 Choi M, Acharya V, Berg RW et al. Resinous denture base fracture resistance: effects of thickness and teeth. Int J Prosthodont 2012; 25: 53-59
    PubMedGoogle Scholar
  • 32 Preoteasa E, Marin M, Imre M et al. Patients' satisfaction with conventional dentures and mini implant anchored overdentures. Rev Med Chir Soc Med Nat Iasi 2012; 116: 310-316
    PubMedGoogle Scholar
  • 33 Shatkin TE, Petrotto CA. Mini dental implants: a retrospective analysis of 5640 implants placed over a 12-year period. Compend Contin Educ Dent 2012; 33: 2-9
    PubMedGoogle Scholar
  • 34 Jofre J, Conrady Y, Carrasco C. Survival of splinted mini-implants after contamination with stainless steel. Int J Oral Maxillofac Implants 2010; 25: 351-356
    PubMedGoogle Scholar
  • 35 Jofre J, Cendoya P, Munoz P. Effect of splinting mini-implants on marginal bone loss: a biomechanical model and clinical randomized study with mandibular overdentures. Int J Oral Maxillofac Implants 2010; 25: 1137-1144
    PubMedGoogle Scholar
  • 36 Feine JS, Carlsson GE, Awad MA et al. The McGill consensus statement on overdentures. Mandibular two-implant overdentures as first choice standard of care for edentulous patients. Montreal, Quebec, May 24-25, 2002. Int J Oral Maxillofac Implants 2002; 17: 601-602
    PubMedGoogle Scholar
  • 37 British Society for the Study of Prosthetic D. The York consensus statement on implant-supported overdentures. Eur J Prosthodont Restor Dent 2009; 17: 164-165
    PubMedGoogle Scholar
  • 38 Flanagan D. Immediate placement of multiple mini dental implants into fresh extraction sites: a case report. J Oral Implantol 2008; 34: 107-110
    CrossrefPubMedGoogle Scholar