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As implant dentistry is progressing rapidly, the implants with small diameters are one of the major advancements in dental history; they can be used successfully in a variety of clinical situations. Researches continue to demonstrate the surgical and prosthodontic success of those implants. They offer patients satisfaction due to less surgical time, less postoperative pain and ability of direct loading after surgery with no harm to bone. Also they are more cost effective option, since they can support a denture with a reduced cost. It must be emphasized that the reduced surface implants require correct treatment planning so that the loading force would not cause bone loss or implant failure. Nevertheless, MDI showed high survival rates, but special cautions of bone quality and good oral hygiene should be maintained.The MDI-supported removable prostheses successfully improved patients' chewing and speaking ability, quality of life, and satisfaction, suggesting that MDIs are a viable and safe option to support removable prostheses in the mandibular arch.
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