Edentulism remains a significant global challenge, and mandibular denture instability continues to affect mastication, comfort, and quality of life in elderly populations. Traditional implant systems, while effective, are limited by surgical invasiveness, cost, and bone requirements. Mini dental implants (MDIs) and intraoral magnets have emerged as minimally invasive, cost-efficient alternatives that enhance denture retention, particularly in patients with narrow or resorbed ridges. MDIs provide immediate stability through simplified placement and high primary fixation, whereas magnetic attachments offer passive, self-seating retention with reduced lateral stress. Their combined application yields synergistic benefits, improving functional efficiency, ease of use, and patient satisfaction. This narrative review synthesizes current evidence on the design, biomechanics, clinical protocols, and comparative advantages of MDIs and intraoral magnets, highlighting their value in prosthetic rehabilitation while noting the need for standardized long-term studies to refine patient selection and treatment outcomes.
Introduction
The text reviews the role of mini dental implants (MDIs) and intraoral magnetic attachments in improving denture retention for edentulous patients, particularly older adults with severe mandibular ridge resorption. Edentulism remains a major public health issue worldwide, and although dentures improve quality of life, mandibular dentures often suffer from poor stability due to anatomical and functional limitations. Conventional implant-based solutions and mechanical attachments, while effective, are frequently limited by high cost, surgical invasiveness, bone requirements, and extended healing times.
MDIs have emerged as a minimally invasive, cost-effective alternative to conventional implants. Their narrow diameter allows placement in resorbed ridges without bone grafting, often using flapless surgery and enabling immediate loading. Clinical evidence shows that MDIs significantly enhance denture stability, mastication, speech, and patient satisfaction, especially for mandibular overdentures. However, their reduced diameter limits fatigue strength, making them less suitable for high-load posterior fixed restorations.
Intraoral magnetic attachments, particularly rare-earth magnets such as neodymium–iron–boron (NdFeB) and samarium–cobalt (SmCo), provide denture retention through magnetic attraction. Their advantages include self-seating behavior, reduced lateral stress on implants, ease of insertion and removal, and clinical simplicity. Modern closed-field, hermetically sealed magnet systems address earlier concerns related to corrosion and tissue safety. Nevertheless, magnets exhibit rapid force decay with distance, potential bulk issues, and require careful alignment and long-term maintenance.
Conclusion
Mini implants and intraoral magnets represent valuable advancements in denture stabilization, offering improved retention, patient comfort, and functional efficiency compared to conventional methods. Their minimally invasive nature and high success rates make them especially suitable for patients with compromised bone anatomy. While current evidence supports their clinical benefits, long-term comparative studies are still needed to optimize selection criteria and treatment protocols. Overall, these modalities significantly enhance prosthetic outcomes and patient quality of life.
References
[1] Yuan L, Yuan Y, Ren H, Zhang F, Zhao Z, Jiang Q, Wei Z, Sun JH. Decomposition Analysis of the Prevalence of Denture Use Between Rural and Urban Older Individuals With Edentulism in China: Cross-Sectional Study. Interact J Med Res. 2024 Dec 13;13:e48778. doi: 10.2196/48778. PMID: 39671593; PMCID: PMC11681290.
[2] Al-Rafee MA. The epidemiology of edentulism and the associated factors: A literature Review. J Family Med Prim Care. 2020 Apr 30;9(4):1841-1843. doi: 10.4103/jfmpc.jfmpc_1181_19. PMID: 32670928; PMCID: PMC7346915.
[3] Devameena S. Improving stability of mandibular complete denture in severely atrophied ridge using neutral zone technique: A case report. Int J Appl Dent Sci. 2019;5(3):185-188.
[4] Bouanane, B., Assraoui, K.E., Oubbaih, A., Kaoun, K. and Bellemkhannate, S. (2024) Treatment Approaches to Improve Retention and Stability of Mandibular Complete Dentures. Open Access Library Journal, 11: e11772
[5] Constantin I, Beuran IA, Forna NC, Knieling A, Forna DA, Budacu CC. Mini dental implants: advantages, limitations and clinical applicability. Rom J Oral Rehabil. 2024 Oct-Dec;16(4):908. doi: 10.6261/RJOR.2024.4.16.87.
[6] Bulard, R., & Vance, J. (2005). Multi-clinic evaluation using mini-dental implants for long-term denture stabilization: a preliminary biometric evaluation. Compendium of Continuing Education in Dentistry, 26(12), 892–897. https://pubmed.ncbi.nlm.nih.gov/16389776/
[7] Bohle, G. C., Mitcherling, W. W., Mitcherling, J. J., Johnson, R. M., & Bohle, G. C. (2008). Immediate Obturator Stabilization Using Mini Dental Implants. Journal of Prosthodontics, 17(6), 482–486. https://doi.org/10.1111/J.1532-849X.2008.00321.X
[8] Patel, P. B. (2015). Denture Stabilization with Mini Dental Implants. 1(3), 101–103. https://doi.org/10.5005/JP-JOURNALS-10004-1042
[9] Tomasi, C., Idmyr, B.-O., & Wennström, J. L. (2013). Patient satisfaction with mini-implant stabilised full dentures. A 1-year prospective study. Journal of Oral Rehabilitation, 40(7), 526–534. https://doi.org/10.1111/JOOR.12053
[10] Ramadhany, Yunita & Dammar, Irfan. (2020). Mini implant overdenture with magnetic retention in the prosthetic case. Makassar Dental Journal. 9. 225-229. 10.35856/mdj.v9i3.361.
[11] Ishida Y, Kumar HSK, Goto T, Watanabe M, Wigianto R, Ichikawa T. Magnet-Retained Two-Mini-Implant Overdenture: Clinical and Mechanical Consideration. Dent J (Basel). 2016 Oct 10;4(4):35. doi: 10.3390/dj4040035. PMID: 29563477; PMCID: PMC5806947.
[12] Anna Miyayasu, Mandibular two mini-implants overdenture using magnetic attachments: a case report. J Dent Indones. 2017 Dec 30;24(3):209-213. doi: 10.14695/jdi.v24i3.738.
[13] Alshenaiber R, Barclay C, Silikas N. The Effect of Mini Dental Implant Number on Mandibular Overdenture Retention and Attachment Wear. BioMed Res Int. 2023 Apr 30;2023:7099761. doi: 10.1155/2023/7099761.
[14] Yalamolu SSS, Bathala LR, Tammineedi S, Pragallapati SHLP, Vadlamudi C. Prosthetic journey of magnets: a review. J Med Life. 2023 Apr;16(4):501-506. doi: 10.25122/jml-2020-0012. PMID: 37305814; PMCID: PMC10251383.
[15] Lee E, Shin SY. The influence of the number and the type of magnetic attachment on the retention of mandibular mini implant overdenture. J Adv Prosthodont. 2017 Feb;9(1):14-21. doi: 10.4047/jap.2017.9.1.14.
[16] Gaballa OA, Hamed HAEF, Fayyad AE, Rahhal MM. Overdentures Supported by Mini or Conventional Implants-effect on Patient Satisfaction and Bone Resorption Rates. A Randomized Clinical Trial. Open Access Maced J Med Sci [Internet]. 2021 Nov. 12 [cited 2025 Nov. 25];9(D):300-13. Available from: https://oamjms.eu/index.php/mjms/article/view/7126
[17] AlHelal, A.A. Application of Immediate Loaded Mini Dental Implants for Retaining Mandibular Overdenture Prosthesis in Edentulous Patients: A Systematic Review. Appl. Sci. 2021, 11, 10724. https://doi.org/10.3390/app112210724
[18] Bagchi G, Trikha A, Grover SS, Patil P, Patel CBS. A simple and innovative low cost technique for fabricating magnet retained overdentures- A case report. Int J Appl Dent Sci. 2022;8(1):99-103.
[19] Rassawet, Reena Roy; Mittal, Sanjeev; Kalra, Himanshi. Magnets – Role in Prosthodontic Rehabilitation: A Review. Indian Journal of Dental Sciences 12(3):p 168-171, Jul–Sep 2020. | DOI: 10.4103/IJDS.IJDS_52_20
[20] Aung, Z.H.P., Win, P.P., Sastraruji, T. et al. Ball versus other attachments in mini implant retained overdenture: a systematic review and meta-analysis. BMC Oral Health 25, 560 (2025). https://doi.org/10.1186/s12903-025-05961-z
[21] Chotai M, Rahma S, Abela S. Mini-dental implants: an overview. Dent Update. 2022;49(11):889-893.
[22] Sykara M, Sykaras N, Trifkovic B, Markovic A. Mini implants as retainers for mandibular overdentures. ITI Blog. 2025 Jul 15 [cited 2025 Nov 26]
[23] Wu M, Zhao Z, Sang C, Rong C. Magnetic attachment improves the chewing ability of patients with dental defects after oral restoration. Am J Transl Res. 2023 Jun 15;15(6):4090-4099. PMID: 37434843; PMCID: PMC10331655.
[24] Zygogiannis K, Wismeijer D (2016) Immediate Loading of Mini Dental Implants for Stabilization of Mandibular Complete Dentures: Rationale and Clinical Considerations. JSM Dent 4(2): 1063.
[25] Coca, I., Lotzmann, U., & Prisender, K. (2002). A clinical follow-up study of magnetically retained overdentures (Dyna-system). The European Journal of Prosthodontics and Restorative Dentistry, 10(2), 73–78. https://europepmc.org/article/MED/12148148
[26] Mehrez, H., & Bassem, K. M. (2023). Mini Dental Implants in the Stabilization of the Complete Mandibular Removable Prosthesis. SAS Journal of Surgery, 9(04), 232–235. https://doi.org/10.36347/sasjs.2023.v09i04.004
[27] Gillings BR. Magnetic denture retention systems: inexpensive and efficient. Int Dent J. 1984 Sep;34(3):184-97. PMID: 6384053.
[28] Putra Wigianto, A.Y.; Ishida, Y.; Matsuda, T.; Goto, T.; Watanabe, M.; Ichikawa, T. Novel Magnetic Attachment System Manufactured Using High-Frequency Heat Treatment and Stamp Technique: Introduction and Basic Performance. Dent. J. 2022, 10, 75. https://doi.org/10.3390/dj10050075
[29] Anupam P, Anandakrishna GN, Vibha S, Suma J, Shally K. Mandibular Overdenture Retained by Magnetic Assembly: A Clinical tip. J Indian Prosthodont Soc. 2014 Dec;14(Suppl 1):328-33. doi: 10.1007/s13191-012-0194-x. Epub 2012 Oct 19. PMID: 26199541; PMCID: PMC4501981.
[30] Griffitts, T.M.; Collins, C.P.; Collins, P.C. Mini dental implants: An adjunct for retention, stability, and comfort for the edentulous patient. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endodontol. 2005, 100, 81–84.