Biomedical subjects
Publications and source records attributed to M Nevins.
Many fine physicians have practiced in the Pascack Valley, but for sheer continuity of quality medical care and community service, the trio of Dr. Neer, Dr. Samuel Alexander, and Dr. Stewart Alexander, was extraordinary. Their careers can be summed up as professionalism with a face and with a heart.
A severely damaged edentulous ridge frequently obviates the placement of dental implants or results in placing them at an angle that compromises the prosthetic restoration. This paper demonstrates the repair of severely resorbed edentulous ridges by a combination of bone allografting and the placement of a barrier membrane. The damaged edentulous ridge is treated first in this two-stage process. The implants are then installed at a second surgery.
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At present, the diagnosis of periodontal disease requires a clinical evaluation of the patient including visual findings, the use of the periodontal probe, and radiographs. No test is available to evaluate disease activity. In specific cases, adjunctive procedures may also be useful. The identification of pathogenic microorganisms may aid in evaluating the periodontal status of special patients. However, these are not required for an adequate diagnosis of the common adult form of chronic periodontitis.
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Studies conducted in 1979 and 1984 suggested that young periodontists in the early eighties were faced with a variety of stresses and challenges not faced by their counterparts of previous generations. Among the changes observed was the fact that sharply increased numbers of younger periodontists were practicing in multiple locations. The present study focused on multiple location practice and on other early career experiences in periodontology. Multiple site practice appears to be an outgrowth of expanding group practices and the increased popularity of part-time associateship opportunities. Costs of establishing solo practice, as well as other factors, serve to encourage young specialists to seek such positions. Many specialists see this style of practice as one way to increase their market share, but stresses arising from multiple site practice include travel time and lack of continuity with patients. Thus far, younger periodontists remain satisfied with their careers, but the job market suggests that more and more periodontists will be practicing in multiple locations during the early years of their careers, thus prolonging stabilization of their economic and professional lives.
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In 1980 the American Academy of Periodontology published the results of its first major survey of practice characteristics in the Journal of Periodontology. That first study arose from membership concerns about the lack of knowledge about career patterns of periodontists and, more specifically, about employment opportunities for graduating periodontists. Three years later, the Committee on Practice Styles and Opportunities in Periodontics was appointed to replicate the earlier study in order to provide information on recent changes in the practice of periodontics. This decision is commendable since few dental specialty organizations collect data from their membership which can be systematically compared to data from an earlier study. The Academy's Committee contacted David O. Born, PhD, a dental manpower specialist at the University of Minnesota and a technical advisor on the earlier study, for assistance in conducting a replication in 1984. Based on feedback on the first survey and on comments and suggestions from committee members, a revised questionnaire was developed. This questionnaire was, for the most part, a replication of the earlier survey instrument, although several problematic items were deleted or modified and new items, reflecting more recent concerns, were added. The revised questionnaire was distributed in the Spring of 1984 through two mailings to 2937 Active members and 798 Affiliate members. After unusable and undeliverable questionnaires were deleted from the returns, an effective response rate of 55% (N = 2082) was obtained. This report is based on the information supplied by those 2082 members. In the tables and text which follow, the figures reported at the national level refer to "Private practice" periodontists responding to the survey; Academy members who are a part of the Federal services (e.g., Military, Veterans' Administration, Indian Health Service, etc.) are tabulated separately as "District 8" data. While several members from foreign countries responded to the survey, their data have not been included since the information was too dispersed to permit conclusions to be drawn.
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