Talk:Dental implant/GA2

GA Review

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Reviewer: TonyTheTiger (talk · contribs) 13:53, 7 March 2014 (UTC)

• I will do this review.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 13:53, 7 March 2014 (UTC)

:thank you Tony - I'm away from internet for next couple of days Ian Furst (talk) 17:11, 9 March 2014 (UTC)

Back at it Tony, will begin changes. Ian Furst (talk) 16:31, 14 March 2014 (UTC)

Hey Tony - I think everything has now been addressed? Ian Furst (talk) 14:43, 31 March 2014 (UTC)

Hey Tony - I believe I've addressed the latest set of changes. Ian Furst (talk) 11:59, 2 April 2014 (UTC)

Hey Tony - I've finished the latest set of changes. Ian Furst (talk) 11:57, 3 April 2014 (UTC)

WP:LEAD

• link abutment.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 19:21, 9 March 2014 (UTC)  Done Ian Furst (talk) 16:33, 14 March 2014 (UTC)
• Are there linkable examples of Pre-prosthetic procedures or does that term have a link?--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 19:21, 9 March 2014 (UTC)  Done The term doesn't have its own page but there are examples which have been added. Ian Furst (talk) 16:36, 14 March 2014 (UTC)

Indications

• What is the meaning of this section name?--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 21:40, 9 March 2014 (UTC)

An indication is "a valid reason to use a certain test, medication, procedure, or surgery" and one of the recommended section headings for a procedure or surgery according to MEDMOS. Maybe change to "Reasons for Use"? or something like that. I can also bring it up at Wikiproject Medicine - maybe it's something we should consider changing globally to a more user friendly heading. Ian Furst (talk) 16:44, 14 March 2014 (UTC)

 DoneI discussed it at Wikiproject Medicine and we've changed the MEDMOS to read "Medical uses" instead of "Indications". Ian Furst (talk) 22:31, 14 March 2014 (UTC)

• Merge or expand each stubby paragraph.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 19:23, 9 March 2014 (UTC)  Done Merged. Old habit from blogging days Ian Furst (talk) 16:46, 14 March 2014 (UTC)
• Make sure each paragraph has at least one WP:IC.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 19:23, 9 March 2014 (UTC)  Done (for the indications section) will watch for this as I make changes in remaining sections Ian Furst (talk) 17:17, 14 March 2014 (UTC)
• What are artificial teeth and anchor points? Links?--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 19:51, 9 March 2014 (UTC)

This was intended to be an opening sentence to draw the reader into the paragraphs 3, 4 and 5 which explain artifical teeth, anchor points and facial prosthetics (each paragraph has the links). Remove the opening sentence? Ian Furst (talk) 16:57, 14 March 2014 (UTC)

• • • I was just asking if you can find links for these terms. Not everyone knows what they are.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 20:05, 27 March 2014 (UTC)
  • By the time I finish the paragraph, I would expect to understand what these two terms mean, but you don't really define them or link them. The subsequent content may explain the terms but their is no connection for the layperson reader.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 04:48, 18 March 2014 (UTC)  Done I've removed the sentence - tried to reword but it didn't work well into the paragraph. Ian Furst (talk) 12:51, 27 March 2014 (UTC)
    • The term anchor point is still used quite a bit. Is there a link?--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 03:48, 1 April 2014 (UTC)
      •  Not done There is no specific page about orthondontic anchorage or mini-implants as anchors. Dental braces is the only page that would relatew which I have linked to. I've expanded the paragraph to better explain the concept and will (eventually) create a page for TADs. Ian Furst (talk) 11:57, 2 April 2014 (UTC)
• Join is not a noun as far as I know.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 19:51, 9 March 2014 (UTC)  Done In dentistry we use it as a noun to describe the meeting point between each element (abutment or pontic) in a bridge) but it's used inappropriately here. I've reworded. Ian Furst (talk) 16:53, 14 March 2014 (UTC)
• The first three paragraphs are confusing to me. They do not describe the cutting away of gums and drilling of the jawbone that I have recently gone through. I think this is the first step. The doctor drilled successively larger holes and then put in an element the will house a screwed in post. Then a toothlike element will be added on. Why doesn't the article reflect what I just went through?--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 19:51, 9 March 2014 (UTC)

Described in the techniques section below. Was trying to avoid turning the article into a manual by keeping the description of the technique to a minimum. You'll see it in the pictures , although I only put up one drill shot rather than each increasing size. There are many variations on the technique depending on the situation and manufacturer. Ian Furst (talk) 18:02, 14 March 2014 (UTC)

• Facial prosthetics para is quite bare.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 21:55, 9 March 2014 (UTC)  Done added a sentence and 2nd reference although this is a microspecialty of implants and there's not a lot written in non-primary sources. A picture is worth a thousand words for this one. Although I don't have a pic, I'll contact the authors of the review articles and see if they would supply one. Ian Furst (talk) 17:12, 14 March 2014 (UTC)
  • Let me know what is going on with the picture.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 04:53, 18 March 2014 (UTC) : unable to get a picture Assume it is not coming - I've contacted some friends in cancer care but because they show the face it's tough to get adequate releases for good licence. Ian Furst (talk) 12:54, 27 March 2014 (UTC)

Biomechanical considerations

• What are "early and late failures"?--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 05:11, 13 March 2014 (UTC)  Done discussed at length in the complications section. Rather than define and discuss it here, I've removed "early or late" and left it at "failure". Ian Furst (talk) 17:44, 14 March 2014 (UTC)
• What does "putting the implants in function until the point of failure" mean?--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 05:15, 13 March 2014 (UTC)  Done reworded - its a lab test where they strike the implant 5,000,000 times with increasing force until it fails. Ian Furst (talk) 17:53, 14 March 2014 (UTC)
  • P.S. I assume that you mean "5,000,000 times" as a joke. Otherwise you are saying they all fail on the 5millionth strike.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 04:56, 18 March 2014 (UTC)

No joke. They put an implant into a jig, at 20^oC, in air then a machine taps it 5,000,000 times at a frequency of 3-15Hz at a given force (let's call it F(a)). If it doesn't break, the force is increased and the test repeated with a new implant. This cycle continues until the implant breaks prior to the 5 x 10^6 hits. There's a standard for the force that an implant should be able to resist. I think it's called endurance testing although I'm not a biomaterials guy so this may not be exactly correct. There's a second test that's completed in saline with 2x10^6 hits. Ian Furst (talk) 13:50, 27 March 2014 (UTC)

Core surgical procedures

• I am now seeing the content that I was looking for above. I must be misunderstanding the structure of the article due to section titles. "Indications" is still confusing to me.

I've posted a request to wp medicine asking if others use a different term. I can think of many but would prefer to keep uniformity with others. Ian Furst (talk) 17:59, 14 March 2014 (UTC)  Done see above, changed to "Medical uses" as per discussion at Wikiproject Medicine and subsequent changes to MEDMOS. Ian Furst (talk) 22:31, 14 March 2014 (UTC)

• Context does give clues, but what does "loading of dental implants" mean.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 05:30, 13 March 2014 (UTC)  Done reworded, it means "when to attach teeth to the implants". Ian Furst (talk) 17:55, 14 March 2014 (UTC)

One-stage, two-stage surgery

• First paragraph needs a WP:IC.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 05:56, 13 March 2014 (UTC)  Done Ian Furst (talk) 18:29, 14 March 2014 (UTC)

Hard tissue (bone) reconstruction

• 2nd para needs a WP:IC.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 05:56, 13 March 2014 (UTC)  Done Ian Furst (talk) 18:32, 14 March 2014 (UTC)

Soft tissue (gingiva) reconstruction

• I think a word is missing in "There are various methods to accomplish this by either taking a roll of tissue adjacent an implant (palatal roll)".  Done reworded the paragraph to make it easier to understand Ian Furst (talk) 12:26, 15 March 2014 (UTC)
• "Additionally, for an implant to look esthetic, a band of full, plump gingiva is needed to fill in the space on either side of implant." is a stubby paragraph that needs to be expanded or merged. It could also use a citation.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 05:56, 13 March 2014 (UTC)  Done the sentence went with the next paragraph, moved. Ian Furst (talk) 12:26, 15 March 2014 (UTC)

Prosthetic procedures for removable dentures

• Merge or expand opening one-line paragraph and the one-sentence third paragraph.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 06:34, 16 March 2014 (UTC)  Done
• potion-->portion.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 06:34, 16 March 2014 (UTC)  Done

During surgery

• Having had two implants, I find the phrase "Because the surgeon is blind to the location of the tip of the drill when it is in the bone, nearby anatomic structures can also be injured" to be very troubling. The surgeon is not throwing darts or something.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 04:09, 18 March 2014 (UTC)  Done Ha! - I forget, sometimes, how it sounds when you're on the other end of the drill. Reworded and added a reference. Ian Furst (talk) 14:43, 18 March 2014 (UTC)

Long term

• The 9-word paragraph needs to be merged or expanded.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 04:32, 18 March 2014 (UTC)  DoneIan Furst (talk) 14:43, 18 March 2014 (UTC)

• I have finished reading the prose. I will check the images later this week.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 04:39, 18 March 2014 (UTC)  Thank you! Ian Furst (talk) 14:45, 18 March 2014 (UTC)

Images

• All images but two are Creative Commons Attribution-Share Alike 3.0 from Coronation Dental Specialty Group.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 06:41, 24 March 2014 (UTC)
• One of the other two (File:Branemark's initial radiograph.jpg) was posted with the assistance of the OTRS process.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 06:41, 24 March 2014 (UTC)
• The only other file (File:Mini Dental Implant 3M.jpg) is also Creative Commons Attribution-Share Alike 3.0.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 06:41, 24 March 2014 (UTC)
• WP:CAPTIONs need a lot of work. Remember complete sentences end with a period. Phrases that are not complete sentences do not.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 07:09, 24 March 2014 (UTC)
  • Captions are still not entirely correct. Look at the first one. "Individual teeth replaced with implants where it is difficult to distinguish the real teeth from the prosthetic teeth." I believe this is a word short of being a complete sentence: "Individual teeth were replaced with implants where it is difficult to distinguish the real teeth from the prosthetic teeth." Meanwhile "Gingiva recessions leads to show of the metal abutment" seems to be a complete sentence to me. Subsequent CAPTION also. Please recheck.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 21:06, 26 March 2014 (UTC)

 Done I've tried to create a narrative thru the article for someone that only reads the captions. Ian Furst (talk) 01:35, 28 March 2014 (UTC)

• You did not have to make every caption a complete sentence, but I appreciate the effort. Now you have several run on sentences and a few phrases ending with periods even though they are not complete sentences. If you conjoin two independent phrases (that could each be a complete sentence) with an "and", you need a comma before the and to make for a properly formed compound sentence as I learned it for standardized testing here in the United States. However, wikipedia's articles seem to suggest that this comma is optional. I will let those all slide. However, you continue to have several phrases that end in periods that are not complete sentences such as "Bone loss on implants over 7 years in a heavy smoker." and "The steps taken to secure dental crowns on the implant fixture including placement of the abutment and crown." There may be others.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 04:06, 1 April 2014 (UTC)
  • I've gone through every caption again in an effort to improve them.  Done Ian Furst (talk) 11:58, 2 April 2014 (UTC)
    • "A healing abutment is attached to the implant fixture, and the flap of gingiva sutured around the healing abutment." seems like it needs an is before sutured.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 20:41, 2 April 2014 (UTC)  Done Ian Furst (talk) 11:55, 3 April 2014 (UTC)
    • "Recession of the gingiva leads to exposure of the metal abutment under a dental crown" seems like a full sentence to me.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 20:41, 2 April 2014 (UTC)  Done Ian Furst (talk) 11:55, 3 April 2014 (UTC)
    • "Fracture of an implant and abutment screw is a catastrophic failure and the fixture cannot be salvaged" also seems like a complete compound sentence.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 20:41, 2 April 2014 (UTC)  Done Ian Furst (talk) 11:55, 3 April 2014 (UTC)
    • "Fracture of an abutment (all-zirconia) requires replacement of the abutment and crown" seems like a sentence.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 20:41, 2 April 2014 (UTC)  DoneIan Furst (talk) 11:55, 3 April 2014 (UTC)
    • "Fracture of abutment screws (arrow) in 3 implants required removal of the remainder of the screw and replacement" ibid--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 20:41, 2 April 2014 (UTC)  Done Ian Furst (talk) 11:55, 3 April 2014 (UTC)
    • "Dental cement under the gingiva causes peri-implantitis and implant failure" ibid--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 20:41, 2 April 2014 (UTC)  Done Ian Furst (talk) 11:55, 3 April 2014 (UTC)
    • "While studying bone cells in a rabbit femur using a titanium chamber" comma--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 20:41, 2 April 2014 (UTC) Done Ian Furst (talk) 11:55, 3 April 2014 (UTC)
      • Captions look better. Give me a few days to take another look at the whole article again.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 12:23, 5 April 2014 (UTC)

• Can you revisit the WP:LEAD and make sure that each section of the table of contents has a summary in the LEAD.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 00:48, 6 April 2014 (UTC)  Done pretty major rewrite Ian Furst (talk) 23:24, 6 April 2014 (UTC)
  • Wow!! Now, it is a bit long at 3301 characters, especially for an article that is only 30,000 characters. Can you cut it down to 3000.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD)  Done down to 2937 - don't think I've lost any key points either! Ian Furst (talk) 01:58, 7 April 2014 (UTC)
    • Please reorganize. A LEAD is suppose to be max 4 paragraphs.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 03:04, 7 April 2014 (UTC)  Done Ian Furst (talk) 09:35, 7 April 2014 (UTC)

• I am now PASSING this article.--TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 16:28, 7 April 2014 (UTC)

Comments

• The use of "cite PMID" is strongly discouraged by most of us at WP:MED. There are even up for deletion right now. Would recommend that you switch it to "cite journal"

: Partly done; started this article before seeing the discussion of problems with cite PMID, replacing cite PMID and cite ISBN but it'll take some time due to number of uses. Ian Furst (talk) 00:54, 15 March 2014 (UTC)  Done all "cite pmid" and "cite isbn" removed. Time for a beer. Ian Furst (talk) 03:38, 15 March 2014 (UTC)

• Would shorten many of the headings. Dental implant is implied as that is what the article is about.  Done (by James - thank you) Ian Furst (talk) 23:26, 14 March 2014 (UTC)
• "See also" sections not recommended per WP:MEDMOS. These should either be combined into the text if notable and removed or simply removed if not notable.  Done also combined composition and implant types into history since not part of MEDMOS Ian Furst (talk) 23:26, 14 March 2014 (UTC)
• Some simplification of the text is needed. Remember one of our key goals is to write for a general audience.  Done will continue Ian Furst (talk) 00:54, 15 March 2014 (UTC)

Doc James (talk · contribs · email) (if I write on your page reply on mine) 22:27, 14 March 2014 (UTC)