Dental implants have become the treatment of choice for single tooth and multiple tooth replacement. Adequate bone quantity and good bone quality are the foundations of obtaining a successful treatment outcome, but ridge deficiencies and inadequate mesial-distal spacing are often encountered in daily practice. Various augmentation techniques or orthodontic treatments have been developed, but these procedures are often complex, time consuming and incur significant additional costs. Therefore, in such circumstances, small diameter implants may be applied to these cases in order to solve the clinical predicament. We provide here a report of three cases with compromised edentulous ridges that were reconstructed using mall diameter implants together with a brief literature review and treatment guidelines based on current evidence.