Evidence map›Paper›PMID 42226346›Full record

Trial reportClinical oral implants research2026

Mandibular Overdentures on Four Immediately Loaded Mini-Implants Versus Two-Delayed Loaded Regular Implants: 1-Year, Two-Center RCT on Patient-Reported Outcomes.

Martin Schimmel, Cláudio Rodrigues Leles, Nicole Schenk, Simone F M Janner, Beat Wallkamm, Valérie G A Suter, Samir Abou-Ayash, Clemens Raabe

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter StudyComparative Study
In one paragraph

Trial report in Clinical oral implants research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03837158 (Is the Stabilization of a Mandibular Overdenture Employing Four Novel One-piece Immediately Loaded TiZr Implants With Miniaturized Stud-type Attachments a Feasible Alternative to Two Two-piece Early Loaded Tissue-level Implants With Regular Stud-type Attachments?), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03837158 naactive not recruitingnot on this map

Is the Stabilization of a Mandibular Overdenture Employing Four Novel One-piece Immediately Loaded TiZr Implants With Miniaturized Stud-type Attachments a Feasible Alternative to Two Two-piece Early Loaded Tissue-level Implants With Regular Stud-type Attachments?

TypeinterventionalSponsorUniversity of BernRan2019 to 2033Enrolled72ConditionsDental ImplantsArmsearly loading, immediate loading
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Martin SchimmelDepartment of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.ORCID https://orcid.org/0000-0001-9700-5534
Cláudio Rodrigues LelesDepartment of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.ORCID https://orcid.org/0000-0002-6812-4849
Nicole SchenkDepartment of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.ORCID https://orcid.org/0009-0007-8025-819X
Simone F M JannerSurgery Center ZIKO Bern, Bern, Switzerland.ORCID https://orcid.org/0000-0002-7597-6863
Beat WallkammDivision of Periodontology, School of Dental Medicine, University of Geneva, Geneva, Switzerland.
Valérie G A SuterDepartment of Oral Surgery and Stomatology, School of Dental Medicine, University of Bern, Bern, Switzerland.ORCID https://orcid.org/0000-0003-3206-5266
Samir Abou-AyashDepartment of Prosthetic Dentistry and Material Science, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.ORCID https://orcid.org/0000-0003-1047-5571
Clemens RaabeDepartment of Oral Surgery and Stomatology, School of Dental Medicine, University of Bern, Bern, Switzerland.ORCID https://orcid.org/0000-0003-2659-3505

Funding

International Team for Implantology 1286_2018
6 · The paper itself

Abstract

objectiveThis one-year randomized clinical trial compared the effects of mandibular implant-overdentures (IODs) on two two-piece regular-neck tissue-level implants (Group A) or on four mini-implants (Group B) with different loading protocols in edentulous patients concerning dental Patient-Reported Outcomes (dPROs). MATERIAL AND

methodsSeventy-two participants were randomly assigned to Group A (n = 35) for treatment with two standard implants (3.3 mm diameter, conventional loading) with a stud-type abutment, or to Group B (n = 37) for treatment with four mini-implants (2.4 mm diameter, immediate loading) with a mini-stud-type abutment. Primary outcomes were measured using the General Oral Health Assessment Index (GOHAI), the 14-item Oral Health Impact Profile (OHIP-G14), and the Denture Satisfaction Index (DSI), at visit #1-baseline (pre-treatment), visit #2-implant placement (immediate loading, Group B), visit #3-8-10-week follow-up (conventional loading, Group A; control visit, Group B), and visit #4-1-year post-placement. Data analysis included descriptive statistics, non-parametric comparison tests, effect-size measures, and multiple regression.

resultsSixty-two participants completed the 1-year follow-up (Group A = 32; Group B = 30). Significantly improved dPROs were observed for both treatments after 1 year, compared with baseline (p < 0.01), with similar effects in the two Groups. In the mini-implant group, higher improvement in satisfaction was observed after implant placement and immediate loading, compared to Group A (p < 0.001).

conclusionSignificant improvements in satisfaction and Oral Health Related Quality of Life were observed after 1 year, and benefits were observed earlier for mini-implants using immediate loading. Overall, findings support the use of four immediately loaded mini-implants in the mandible as a suitable treatment alternative for edentulous patients. REGISTRATION: ClinicalTrials.Gov ID: NCT03837158. https://clinicaltrials.gov/study/NCT03837158.

Indexed as

Dental ImplantsDental Prosthesis, Implant-SupportedDenture, OverlayImmediate Dental Implant LoadingPatient Reported Outcome MeasuresAgedFemaleHumansMaleMandibleMiddle AgedPatient SatisfactionQuality of LifeTreatment OutcomeDental Implants

Identifiers

PMID42226346
PMCPMC13446240

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.