Which recommendation would not apply due to low density in the posterior maxilla (D4 bone)?

In the context of implant dentistry, particularly in areas with low bone density like the posterior maxilla classified as D4 bone, the choice to utilize mini-pins is less relevant due to the specific challenges these conditions present. Mini-pins, also known as mini-implants, are often used in situations where traditional implants may not be ideal; however, their smaller size does not provide the sufficient stability and load-bearing capacity required for osseointegration in low-density bone.

In contrast, increasing the number of implants can distribute the load more evenly, reducing the stress on each implant. Splinting implants can enhance stability, particularly when placed in compromised bone conditions. Placing wide body implants is another option utilized to improve anchorage and distribution of occlusal forces in areas where bone density is a concern.

Thus, opting for mini-pins does not effectively address the fundamental issues of stability and load distribution necessary for successful implant placement in the posterior maxilla with low bone density.