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Record W2319249606 · doi:10.11607/prd.2014.3s.e

Implant Dentistry: A Continuing Evolution

2014· editorial· en· W2319249606 on OpenAlexaboutno aff
Myron Nevins

Bibliographic record

VenueThe International Journal of Periodontics & Restorative Dentistry · 2014
Typeeditorial
Languageen
FieldDentistry
TopicDental Implant Techniques and Outcomes
Canadian institutionsnot available
Fundersnot available
KeywordsDentistryOrthodonticsMedicine

Abstract

fetched live from OpenAlex

Myron Nevins, DDS: The success and predictability of the science of osseointegration has had a global impact on dental treatment planning. P.-I. Brånemark’s 1984 presentation in Toronto opened the door to a new thought process that has influenced everyday decisions in patient care. My introduction to dental implants in 1966 was with subperiosteal implants that were mainly effective for atrophic edentulous mandibles. This era also included blade implants, but these implants were found to have a significant lack of predictability. In the mid-1980s, implant practitioners began to expand beyond treating edentulous patients to include partially dentate individuals. Someone with a single missing tooth could have a single restoration without depreciating the structure of adjacent teeth. It was immediately apparent that partial restorations could not display titanium abutments such as those that were acceptable for mandibular edentulism. This necessitated innovative approaches and resulted in customized abutments to bring about results simulating fixed restorative dentistry. Patient acceptance and satisfaction were immediately enhanced. Two significant detriments to patient care remained. The first was the 3- to 6-month waiting period between implant placement and delivery of the final prosthesis. A publication by Lazzara demonstrating success with an implant placed in an extraction socket played a significant role in legitimizing a shorter treatment regime. Today many patients are restored with provisional and sometimes permanent restorations delivered simultaneously with implant placement. Free-hand surgery has been supplemented by computer-guided implant placement. A second detriment was the lack of alveolar process and the presence of anatomical obstacles such as the inferior alveolar nerve and maxillary sinus. The 1990s ushered in a rapid progression of surgical procedures with the use of biologics to construct bone that would successfully support occlusal loads. This was further augmented by the introduction of growth factors at the beginning of the 21st century. The understanding of the role played by the implant surface became more and more sophisticated. This has improved success in challenging situations and resulted in developments in which rougher surfaces can be used more apically and smoother surfaces more occlusally. In the future, I fully expect to see a steady stream of additional breakthroughs and improvements involving implants, abutments, impression techniques, and restorative materials that will be a segue for continued success. This special supplemental issue reports on a number of recent developments aiming to make implant treatment safer, more effective, and enduringly esthetic. I truly expect the best is yet to be.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.002
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Scholarly communication, Research integrity
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Editorial · Consensus signal: Editorial
Teacher disagreement score0.226
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.002
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0010.000
Open science0.0030.001
Research integrity0.0010.002
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.016
GPT teacher head0.329
Teacher spread0.313 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designNot applicable
Domainnot available
GenreEditorial

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations4
Published2014
Admission routes1
Has abstractyes

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