Br&nemark’s introduction of a scientifically viable osseointegration technique dramatically changed the treatment dynamic for patients needing prosthodontic management. Prior to the seminal 1982 Toronto Symposium and the 1985 publication of Tissue-Integrated Prostheses: Osseointegration in Clinical Dentistry, prosthodontists around the world had already demonstrated impressive evidence of employing different techniques and methods to compensate for tooth loss, including pre-prosthelic surgery. However, several routinely prescribed clinical interventions - especially complex ones - were long on mechanical ingenuity but short on robust biological outcome documentation. Adverse intraoral ecological changes were frequently encountered with prescribed treatments, as a range of inherent biological and mechanical risk considerations developed in the context of time-dependent outcomes.
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