{"id":"https://openalex.org/W7225344152","doi":"https://doi.org/10.3390/dj14110723","title":"Clinical Outcomes at 2 Years and Early Radiographic Changes Following Transcrestal Sinus Floor Elevation in Sites with Residual Bone Height Below or Above 4 mm: A Retrospective Comparative Cohort Study","display_name":"Clinical Outcomes at 2 Years and Early Radiographic Changes Following Transcrestal Sinus Floor Elevation in Sites with Residual Bone Height Below or Above 4 mm: A Retrospective Comparative Cohort Study","publication_year":2026,"publication_date":"2026-11-05","ids":{"openalex":"https://openalex.org/W7225344152","doi":"https://doi.org/10.3390/dj14110723"},"language":"en","primary_location":{"id":"doi:10.3390/dj14110723","doi":"https://doi.org/10.3390/dj14110723","is_oa":true,"landing_page_url":"https://doi.org/10.3390/dj14110723","pdf_url":null,"source":{"id":"https://openalex.org/S2764449849","display_name":"Dentistry Journal","issn_l":"2304-6767","issn":["2304-6767"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-20","russia-white-list-2"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Dentistry Journal","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.3390/dj14110723","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5113957462","display_name":"Francesco Mattia Ceruso","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Francesco Mattia Ceruso","raw_affiliation_strings":["Department of Dentistry \u201cFra G.B. Orsenigo\u2014Ospedale San Pietro F.B.F.\u201d, 00100 Rome, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Dentistry \u201cFra G.B. Orsenigo\u2014Ospedale San Pietro F.B.F.\u201d, 00100 Rome, Italy","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111402789","display_name":"Francesco Pernice","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Francesco Pernice","raw_affiliation_strings":["Department of Dentistry \u201cFra G.B. Orsenigo\u2014Ospedale San Pietro F.B.F.\u201d, 00100 Rome, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Dentistry \u201cFra G.B. Orsenigo\u2014Ospedale San Pietro F.B.F.\u201d, 00100 Rome, Italy","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074217658","display_name":"Marco GARGARI","orcid":"https://orcid.org/0000-0002-9799-2821","observed_orcids":["https://orcid.org/0000-0002-9799-2821"]},"institutions":[{"id":"https://openalex.org/I116067653","display_name":"University of Rome Tor Vergata","ror":"https://ror.org/02p77k626","country_code":"IT","type":"education","lineage":["https://openalex.org/I116067653"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Marco Gargari","raw_affiliation_strings":["Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, 00133 Rome, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, 00133 Rome, Italy","institution_ids":["https://openalex.org/I116067653"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5120292682","display_name":"Carola Di Frischia","orcid":"https://orcid.org/0009-0001-3989-2902","observed_orcids":["https://orcid.org/0009-0001-3989-2902"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Carola Di Frischia","raw_affiliation_strings":["Department of Dentistry \u201cFra G.B. Orsenigo\u2014Ospedale San Pietro F.B.F.\u201d, 00100 Rome, Italy"],"raw_orcid":"https://orcid.org/0009-0001-3989-2902","affiliations":[{"raw_affiliation_string":"Department of Dentistry \u201cFra G.B. Orsenigo\u2014Ospedale San Pietro F.B.F.\u201d, 00100 Rome, Italy","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079142874","display_name":"Alessandro Mastroianni","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Alessandro Mastroianni","raw_affiliation_strings":["Department of Dentistry \u201cFra G.B. Orsenigo\u2014Ospedale San Pietro F.B.F.\u201d, 00100 Rome, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Dentistry \u201cFra G.B. Orsenigo\u2014Ospedale San Pietro F.B.F.\u201d, 00100 Rome, Italy","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5116790908","display_name":"Carlotta Cacci\u00f2","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Carlotta Cacci\u00f3","raw_affiliation_strings":["Independent Researcher, 57127 Livorno, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Independent Researcher, 57127 Livorno, Italy","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080212215","display_name":"Marco Tallarico","orcid":"https://orcid.org/0000-0001-9206-0454","observed_orcids":["https://orcid.org/0000-0001-9206-0454"]},"institutions":[{"id":"https://openalex.org/I159650629","display_name":"University of Sassari","ror":"https://ror.org/01bnjbv91","country_code":"IT","type":"education","lineage":["https://openalex.org/I159650629"]}],"countries":["IT"],"is_corresponding":true,"raw_author_name":"Marco Tallarico","raw_affiliation_strings":["Department of Medicine, Surgery, and Pharmacy, University of Sassari, 07100 Sassari, Italy"],"raw_orcid":"https://orcid.org/0000-0001-9206-0454","affiliations":[{"raw_affiliation_string":"Department of Medicine, Surgery, and Pharmacy, University of Sassari, 07100 Sassari, Italy","institution_ids":["https://openalex.org/I159650629"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5013246443","display_name":"Fabrizio Zaccheo","orcid":"https://orcid.org/0000-0003-2387-9276","observed_orcids":["https://orcid.org/0000-0003-2387-9276"]},"institutions":[{"id":"https://openalex.org/I861853513","display_name":"Sapienza University of Rome","ror":"https://ror.org/02be6w209","country_code":"IT","type":"education","lineage":["https://openalex.org/I861853513"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Fabrizio Zaccheo","raw_affiliation_strings":["Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, 00161 Rome, Italy"],"raw_orcid":"https://orcid.org/0000-0003-2387-9276","affiliations":[{"raw_affiliation_string":"Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, 00161 Rome, Italy","institution_ids":["https://openalex.org/I861853513"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5059456846","display_name":"Erta Xhanari","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405271426","display_name":"Aldent University","ror":"https://ror.org/02dt6ta13","country_code":"AL","type":"education","lineage":["https://openalex.org/I4405271426"]}],"countries":["AL"],"is_corresponding":false,"raw_author_name":"Erta Xhanari","raw_affiliation_strings":["Department of Implantology and Prosthetic Aspects, Master of Science in Dentistry Program, Aldent University, 1001 Tirana, Albania"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Implantology and Prosthetic Aspects, Master of Science in Dentistry Program, Aldent University, 1001 Tirana, Albania","institution_ids":["https://openalex.org/I4405271426"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5080212215"],"corresponding_institution_ids":["https://openalex.org/I159650629"],"apc_list":{"value":2000,"currency":"CHF","value_usd":2413},"apc_paid":{"value":2000,"currency":"CHF","value_usd":2413},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"14","issue":"11","first_page":"723","last_page":"723"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10359","display_name":"Dental Implant Techniques and Outcomes","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3504","display_name":"Oral Surgery"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10359","display_name":"Dental Implant Techniques and Outcomes","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3504","display_name":"Oral Surgery"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11363","display_name":"Dental Radiography and Imaging","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3504","display_name":"Oral Surgery"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10059","display_name":"Bone Tissue Engineering Materials","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2204","display_name":"Biomedical Engineering"},"field":{"id":"https://openalex.org/fields/22","display_name":"Engineering"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/transcrestal-sinus-floor-elevation","display_name":"transcrestal sinus floor elevation","score":0.9819999933242798},{"id":"https://openalex.org/keywords/maxillary-sinus-floor-elevation","display_name":"maxillary sinus floor elevation","score":0.7509999871253967},{"id":"https://openalex.org/keywords/residual-bone-height","display_name":"residual bone height","score":0.8640000224113464},{"id":"https://openalex.org/keywords/posterior-maxilla","display_name":"posterior maxilla","score":0.6370000243186951},{"id":"https://openalex.org/keywords/dental-implants","display_name":"dental implants","score":0.777999997138977},{"id":"https://openalex.org/keywords/implant-survival","display_name":"implant survival","score":0.703000009059906},{"id":"https://openalex.org/keywords/prosthesis-survival","display_name":"prosthesis survival","score":0.902999997138977},{"id":"https://openalex.org/keywords/vertical-bone-gain","display_name":"vertical bone gain","score":0.8519999980926514},{"id":"https://openalex.org/keywords/implant-supported-prostheses","display_name":"implant-supported prostheses","score":0.5090000033378601},{"id":"https://openalex.org/keywords/partially-edentulous-patients","display_name":"partially edentulous patients","score":0.7020000219345093},{"id":"https://openalex.org/keywords/radiographic-outcomes","display_name":"radiographic outcomes","score":0.5270000100135803}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9399999976158142},{"id":"https://openalex.org/C2781411149","wikidata":"https://www.wikidata.org/wiki/Q486975","display_name":"Implant","level":2,"score":0.6862999796867371},{"id":"https://openalex.org/C36454342","wikidata":"https://www.wikidata.org/wiki/Q245341","display_name":"Radiography","level":2,"score":0.675599992275238},{"id":"https://openalex.org/C199343813","wikidata":"https://www.wikidata.org/wiki/Q12128","display_name":"Dentistry","level":1,"score":0.6186000108718872},{"id":"https://openalex.org/C2778705571","wikidata":"https://www.wikidata.org/wiki/Q6498170","display_name":"Maxillary sinus","level":2,"score":0.5950999855995178},{"id":"https://openalex.org/C2776407911","wikidata":"https://www.wikidata.org/wiki/Q7525187","display_name":"Sinus (botany)","level":3,"score":0.5690000057220459},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.5424000024795532},{"id":"https://openalex.org/C122246415","wikidata":"https://www.wikidata.org/wiki/Q350956","display_name":"Maxilla","level":2,"score":0.4722999930381775},{"id":"https://openalex.org/C2779127617","wikidata":"https://www.wikidata.org/wiki/Q2289694","display_name":"Sinus lift","level":3,"score":0.42800000309944153},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.40149998664855957},{"id":"https://openalex.org/C2778614594","wikidata":"https://www.wikidata.org/wiki/Q17055904","display_name":"Implant failure","level":3,"score":0.3776000142097473},{"id":"https://openalex.org/C2780338112","wikidata":"https://www.wikidata.org/wiki/Q143680","display_name":"Dental implant","level":3,"score":0.34860000014305115},{"id":"https://openalex.org/C2776283816","wikidata":"https://www.wikidata.org/wiki/Q332823","display_name":"Survival rate","level":2,"score":0.323199987411499},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.2833000123500824},{"id":"https://openalex.org/C194887381","wikidata":"https://www.wikidata.org/wiki/Q16014789","display_name":"Dental prosthesis","level":3,"score":0.27950000762939453},{"id":"https://openalex.org/C2779329777","wikidata":"https://www.wikidata.org/wiki/Q2304401","display_name":"Bone density","level":3,"score":0.2752000093460083},{"id":"https://openalex.org/C155512373","wikidata":"https://www.wikidata.org/wiki/Q287450","display_name":"Residual","level":2,"score":0.2671000063419342},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.2648000121116638},{"id":"https://openalex.org/C29694066","wikidata":"https://www.wikidata.org/wiki/Q118301","display_name":"Orthodontics","level":1,"score":0.25529998540878296}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.3390/dj14110723","doi":"https://doi.org/10.3390/dj14110723","is_oa":true,"landing_page_url":"https://doi.org/10.3390/dj14110723","pdf_url":null,"source":{"id":"https://openalex.org/S2764449849","display_name":"Dentistry Journal","issn_l":"2304-6767","issn":["2304-6767"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-20","russia-white-list-2"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Dentistry Journal","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.3390/dj14110723","doi":"https://doi.org/10.3390/dj14110723","is_oa":true,"landing_page_url":"https://doi.org/10.3390/dj14110723","pdf_url":null,"source":{"id":"https://openalex.org/S2764449849","display_name":"Dentistry Journal","issn_l":"2304-6767","issn":["2304-6767"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-20","russia-white-list-2"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Dentistry Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":23,"referenced_works":["https://openalex.org/W2104428729","https://openalex.org/W2116792097","https://openalex.org/W2808602922","https://openalex.org/W2910770557","https://openalex.org/W3133565597","https://openalex.org/W4220697047","https://openalex.org/W4289238880","https://openalex.org/W4310332364","https://openalex.org/W4362663392","https://openalex.org/W4380264455","https://openalex.org/W4385620799","https://openalex.org/W4386779698","https://openalex.org/W4388913325","https://openalex.org/W4389608134","https://openalex.org/W4395054305","https://openalex.org/W4401419919","https://openalex.org/W4401873032","https://openalex.org/W4403046505","https://openalex.org/W4403888278","https://openalex.org/W4406333832","https://openalex.org/W4409869841","https://openalex.org/W4410449199","https://openalex.org/W7127119712"],"related_works":["https://openalex.org/W4294203833","https://openalex.org/W7117242776","https://openalex.org/W4286471028","https://openalex.org/W2051613877","https://openalex.org/W4280501471","https://openalex.org/W106397820","https://openalex.org/W3108861938","https://openalex.org/W4403240301","https://openalex.org/W7130513701","https://openalex.org/W1921507200"],"abstract_inverted_index":{"Background/Objectives:":[0],"Maxillary":[1],"sinus":[2,66,356],"floor":[3,67,357],"elevation":[4,68,149,358],"is":[5,21],"a":[6,112,125,142,392],"well-established":[7],"procedure":[8],"for":[9],"enabling":[10],"implant":[11,158,192,195,209,224,318],"placement":[12],"in":[13,74,96,222,235,244,261,336,344,370,395],"the":[14,28,31,59,71,97,164,174,191,203,236,245,262,317,324,349,360,387],"posterior":[15,98],"maxilla":[16,99],"when":[17],"residual":[18,78,178,376,401],"bone":[19,79,116,129,152,179,182,185,188,230,259,279,338,377,402],"height":[20,80,117,130,189,231,315,339,378],"insufficient.":[22],"Minimally":[23],"invasive":[24],"transcrestal":[25,65,355],"techniques,":[26],"including":[27,373],"use":[29],"of":[30,51,64,166,177,351],"Crestal":[32],"Approach":[33],"Sinus":[34],"(CAS)":[35],"kit,":[36],"have":[37],"been":[38],"developed":[39],"to":[40,57,111,419],"reduce":[41],"surgical":[42],"morbidity":[43],"while":[44],"maintaining":[45],"predictable":[46],"clinical":[47,60,366],"outcomes.":[48],"The":[49,154],"aim":[50],"this":[52,352],"retrospective":[53,353],"comparative":[54],"study":[55],"was":[56,232,320,340],"evaluate":[58],"and":[61,103,124,150,159,163,187,201,213,225,298,367,413],"radiographic":[62,175,368,411],"outcomes":[63,156,172,369],"performed":[69,140],"using":[70,141,359],"CAS":[72],"kit":[73],"patients":[75,90,398],"presenting":[76],"with":[77,146,375,399,409],"below":[81,379],"or":[82,168,210,216],"above":[83,190,316],"4":[84,119,132,380],"mm.":[85,381],"Methods:":[86],"Forty-five":[87],"partially":[88],"edentulous":[89],"who":[91],"received":[92],"single":[93],"implant-supported":[94],"rehabilitations":[95],"between":[100,323],"September":[101],"2021":[102],"October":[104],"2024":[105],"were":[106,109,139,157,219,281],"included.":[107],"Patients":[108],"allocated":[110],"test":[113,237,263],"group":[114,127,238,247,264],"(residual":[115,128],"<":[118,253,275],"mm;":[120,133,273,294,310],"n":[121,134],"=":[122,135,296,312],"20)":[123],"control":[126,246],"\u2265":[131],"25).":[136],"All":[137],"procedures":[138],"standardized":[143,410],"CAS-kit":[144,362],"protocol":[145],"hydraulic":[147,361],"membrane":[148],"xenogeneic":[151],"grafting.":[153],"primary":[155],"prosthetic":[160,197,211,226,300],"survival":[161,227],"rates":[162],"occurrence":[165],"biological":[167,215],"technical":[169,217],"complications.":[170],"Secondary":[171],"included":[173],"evaluation":[176],"height,":[180,183],"final":[181,278],"vertical":[184,258],"gain,":[186],"apex":[193,319],"at":[194,202,299,326],"placement,":[196],"delivery":[198,301],"(9":[199],"months)":[200],"2":[204],"years":[205],"follow-up.":[206],"Results:":[207],"No":[208],"failures":[212],"no":[214],"complications":[218],"recorded,":[220],"resulting":[221],"100%":[223],"rates.":[228],"Residual":[229],"significantly":[233,256],"lower":[234],"(2.8":[239],"\u00b1":[240,249,266,271,287,292,303,308],"0.8":[241],"mm)":[242,251],"than":[243],"(5.3":[248],"1.0":[250],"(p":[252],"0.001).":[254],"Despite":[255],"greater":[257],"gain":[260],"(10.9":[265],"1.6":[267,304,309],"mm":[268,289,305],"vs.":[269,290,306],"8.2":[270],"0.6":[272],"p":[274,295,311],"0.001),":[276],"comparable":[277],"heights":[280],"observed":[282,341],"immediately":[283],"after":[284],"augmentation":[285],"(13.7":[286],"1.7":[288],"13.5":[291],"1.5":[293],"0.742)":[297],"(12.6":[302],"12.9":[307],"0.556).":[313],"Bone":[314],"also":[321],"similar":[322],"groups":[325],"both":[327,345,371],"time":[328],"points.":[329],"A":[330],"modest":[331],"but":[332],"statistically":[333],"significant":[334],"reduction":[335],"augmented":[337],"during":[342],"healing":[343],"groups.":[346],"Conclusions:":[347],"Within":[348],"limitations":[350],"study,":[354],"technique":[363],"showed":[364],"favorable":[365],"groups,":[372],"sites":[374],"These":[382],"preliminary":[383],"findings":[384],"suggest":[385],"that":[386],"crestal":[388],"approach":[389],"may":[390],"represent":[391],"treatment":[393],"option":[394],"carefully":[396],"selected":[397],"limited":[400],"height.":[403],"However,":[404],"larger":[405],"prospective":[406],"controlled":[407],"studies":[408],"assessments":[412],"longer":[414],"follow-up":[415],"periods":[416],"are":[417],"needed":[418],"confirm":[420],"these":[421],"findings.":[422]},"counts_by_year":[],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2026-11-06T00:00:00"}
