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The Self-Evaluation Maintenance (SEM) model offers a psychological framework to understand how individuals’ self-esteem is influenced by the achievements of others, particularly those with whom they share close personal bonds. The SEM model operates when personal rather than social identity guides individuals. Central to this model is the notion that individuals have an inherent desire to preserve a favorable self-image, which is continuously shaped by interpersonal comparisons and...
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A loading dose is an essential pharmacological strategy to rapidly achieve the target plasma drug concentration necessary for an immediate therapeutic effect. This approach is especially critical for drugs characterized by slow absorption or extended half-lives, where delaying therapeutic plasma levels could compromise treatment outcomes. By administering a loading dose, clinicians ensure a prompt onset of drug action, even for agents with complex pharmacokinetic profiles.Achieving steady-state...
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Updated: Jan 25, 2026

Author Spotlight: Advancements in Impedance Monitoring for Cochlear Implant Surgery
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Implant maintenance and aftercare.

Craig Barclay1

  • 1Restorative Dentistry/Oral Rehabilitation, Manchester Foundation Trust, Manchester, United Kingdom. craig.barclay@mft.nhs.uk.

British Dental Journal
|January 23, 2026
PubMed
Summary

Dental implant use is rising, necessitating tailored maintenance protocols. The new periodontal classification now includes peri-implant diseases, emphasizing patient-focused care for implant survival.

Area of Science:

  • Dentistry
  • Periodontology
  • Biomaterials Science

Background:

  • Dental implant placements are increasing across diverse patient demographics.
  • Historically, implants were mainly for edentulous patients, but this is shifting.
  • A patient-focused approach to peri-implant maintenance is now crucial.

Purpose of the Study:

  • To highlight the need for updated peri-implant maintenance protocols.
  • To emphasize the impact of maintenance on biological complications and implant survival.
  • To acknowledge the inclusion of peri-implant diseases in the 2018 periodontal classification.

Main Methods:

  • Review of current trends in dental implantology.
  • Analysis of the implications of the 2018 periodontal classification.

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  • Discussion of patient-centered maintenance strategies.
  • Main Results:

    • The expanding patient population for dental implants requires specialized care.
    • Peri-implant diseases and conditions are now recognized within periodontal classifications.
    • Maintenance therapy directly influences biological complications and implant longevity.

    Conclusions:

    • A shift towards patient-focused peri-implant maintenance is essential.
    • The 2018 periodontal classification marks a significant step in recognizing peri-implant health.
    • Effective maintenance protocols are key to ensuring long-term dental implant success.