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Implants have a great life expectancy but here are my rules for implants and recommending replacement. 1. If it’s restorable I don’t recommend extraction 2. If the patient is under 24 growth will mean the implant is submerged eventually so retain the tooth to get them as many years as possible 3. If the patient is under 60 years old it’s highly possible that they will deal with an implant failure during their lifetime - so try and retain the tooth as many years as possible 4. Second molar teeth
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🔍 Selection bias: Non-random sampling hurts generalizability → Fix: randomize recruitment. 🏥 Berkson bias: Hospital-only samples ≠ community → Fix: recruit beyond hospital or adjust. ⏳ Attrition bias: Unequal loss to follow-up distorts results → Fix: strong follow-up, intention-to-treat. 🧠 Recall bias: Retrospective studies; cases remember exposure differently → Fix: records/short recall window. 📏 Measurement bias: Poor instruments/protocols → Fix: standardized tools, placebo where relevant.
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