S ince Branemark first described the principle of osseointegration in the field of dentistry, dental implantology has become a rapidly evolving and innovative field. In 2004, the American Dental Association Council on Scientific Affairs cited dental implants as the ‘‘first generation of tissue engineering devices that will affect the dental profession.’’ Accordingly, a wide variety of implant materials, shapes, sizes, and surface treatments have been devised. Patients have become aware of the potential of dental implants; prostheses that function immediately are often desired. To meet this demand, implants of increasingly smaller diameter have been devised, and singlestage procedures with immediate functional loading have become available. Small-diameter implants (SDIs) are the preferred treatment modality in cases of limited anatomic geography. These implants range from 2.75–3.3 mm in width and from 8.0–15.0 mm in length. Specifically, SDIs are indicated for replacement of teeth with small cervical diameters and in cases of reduced interradicular bone. They also have been shown to be a viable alternative to bone augmentation when poor alveolar ridge width is encountered and in cases of restricted mesiodistal anatomy. Based on this in vivo and in vitro success, the mini dental implant (MDI) seems a logical successor. Smaller than their SDI counterparts, MDIs have diameters ranging from 1.8– 2.4 mm. MDIs were initially designed for temporary prosthetic stabilization during the healing phase of standard implants. Reproducible success in this indication has led to expanded use in orthodontic anchorage, for the temporary fixation of transplanted teeth, in periodontal therapy, and, more recently, for long-term fixed and removable prosthetics. Although the Sendax MDI (3M ESPE, OsseoSOURCE, St Paul, Minn) was the first MDI to gain approval from the U.S. Food and Drug Administration for long-term applications, several other MDI systems are available, including Hi Tec Implants (Hi Tec Implants, Herzlia, Israel) and Monorail MTI 1 Private dental practice, DEIMPERIO, LLC, Bratislava, Slovak Republic. 2 Department of Stomatology and Maxillofacial Surgery of the Faculty of Medicine, Comenius University and Oncologic Institute of St Elisabeth, Bratislava, Slovak Republic. 3 Private dental practice, DENTALNE CENTRUM, LLC, Trnava, Slovak Republic. 4 Private dental practice, Eurodent Medima, LLC, Martin, Slovak Republic. * Corresponding author, e-mail: richard.jurkovic@chello.sk DOI: 10.1563/AAID-JOI-D-09-00138 CASE LETTER