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    Implant Iti Links

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    Lynda M. Naranjo
    The document describes The SAC Assessment Tool, which is a 10 step framework for classifying the complexity of implant prosthetic treatments using 3 planning phases and considerations for patient risk factors, biomaterials and centered care; it analyzes factors such as bone quality and location of the planned implants to determine a surgical complexity score and a restorative complexity score to provide an overall treatment complexity rating.

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    Implant Iti Links

    Uploaded by

    Lynda M. Naranjo
    41 views31 pages
    The document describes The SAC Assessment Tool, which is a 10 step framework for classifying the complexity of implant prosthetic treatments using 3 planning phases and considerations for patient risk factors, biomaterials and centered care; it analyzes factors such as bone quality and location of the planned implants to determine a surgical complexity score and a restorative complexity score to provide an overall treatment complexity rating.

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    The document describes The SAC Assessment Tool, which is a 10 step framework for classifying the complexity of implant prosthetic treatments using 3 planning phases and considerations for patient risk factors, biomaterials and centered care; it analyzes factors such as bone quality and location of the planned implants to determine a surgical complexity score and a restorative complexity score to provide an overall treatment complexity rating.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    41 views31 pages

    Implant Iti Links

    Uploaded by

    Lynda M. Naranjo
    The document describes The SAC Assessment Tool, which is a 10 step framework for classifying the complexity of implant prosthetic treatments using 3 planning phases and considerations for patient risk factors, biomaterials and centered care; it analyzes factors such as bone quality and location of the planned implants to determine a surgical complexity score and a restorative complexity score to provide an overall treatment complexity rating.

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    of 31

    The SAC Assessment Tool

    Asbjørn Jokstad, DDS, PhD


    Professor and Head, Prosthodontics
    Faculty of Dentistry, University of
    Toronto

    Holland Bloorview ITI Education Week


    October 26, 2011
    The 10 steps of Implant Prosthetic
    Treatment
    Planning Interventions: 4 Patient centered
    phases: 3 Biomaterials: 4 considerations: 3
    Planning Total
    Strategy 1 Diagnostic 1 Risk-factors 1

    Patient
    Communication

    Surgery phase Site-optimizing 2


    planning 2 Grafting-material 1 2
    Patient Implant surgery 3 Biological
    Communication response
    Implant 2

    Restorative 3
    Hard & soft 4
    phase Clinical
    3 tissue restorative
    planning outcomes &
    Abutment 3 events Maintenance &
    Patient Post-operative
    Supra-construction 4
    Communication interventions
    The 3 planning phases of Implant
    Prosthetic Treatment
    Planning Interventions: 4 Patient centered Dawson A, Chen S
    phases: 3 Biomaterials: 4 considerations: 3
    Planning Total
    Strategy 1 Diagnostic 1 Risk-factors 1

    Patient
    Communication

    Surgery phase Site-optimizing 2


    planning 2 Grafting-material 1 2
    Patient Implant surgery 3 Biological
    Communication response
    Implant 2
    Quintessence Publishing
    2009
    Isbn: 978-1-85097-188-7
    Restorative 3
    Hard & soft 4
    phase Clinical
    3 tissue restorative
    planning outcomes &
    Abutment 3 events Maintenance &
    Patient Post-operative
    Supra-construction 4
    Communication interventions
    General Determinants of the
    Normative SAC classification
    Modifying Factors determining
    the Final SAC classification
    Modifying Factors determining
    the Final SAC classification
    Modifying Factors determining
    the Final SAC classification
    Modifying Factors determining
    the Final SAC classification
    General Modifying Factors

    High Risk Reduced Heavy Smoker Ongoing Sub-optimal


    Immune system (>10 cigs/day) preceeding
    outcome
    Moderate Light smoker Moderate /
    Risk (<10 cigs/day) Suboptimal
    outcome

    Low Risk Healthy, co- Non-smoker Completed Optimal


    operative with an
    intact immune
    system
    Esthetic Modifying Factors

    High High High High Triangula Acute >=7mm to >=2 Soft Vertical
    Risk scalloped, r contact teeth tissue bone
    thin point & defects deficienc
    Restored y

    Mod Mediu Medium Medium Chronic 5.5-6.5mm 1 tooth Horizontal


    erate m scalloped, to contact (<= bone
    Risk medium point 7mm) deficiency
    thick
    Low Low Low Low Rectangul None <=5mm to 1 tooth Intact soft No bone
    Risk scalloped, ar contact (>= tissue deficiency
    thick point & 7mm)
    Virgin
    Surgical Modifying Factors

    High Risk Deficient, High risk of Yes /Thin Implant High / Severely
    / degree requiring prior involvement /Insufficient placement with compromised
    of augmentation <1mm staged outcome
    procedures
    difficulty
    Moderate Deficient, but Moderate risk of Implant Moderate /
    Risk / allowing involvement placement with Suboptimal
    degree of simultaneous simultaneous outcome
    augmentation procedures
    difficulty

    Low Risk / Adequate Minimal risk of No /Thick Implant Minimal / No


    degree of involvement /Sufficient > placement adverse effect
    difficulty 1mm without
    adjunctive
    procedures
    Restorative Modifying Factors

    High Risk / a. Virgin / b. a. Adjunctive therapy a. No guidance /b. a. Fixed /b. Margin > 3mm
    degree of Periodontal disease needed to gain sufficient Involved in guidance from crest /c. Immediate
    difficulty or parafunction space or b. to achieve /c. Present /d. --/e. High
    satisfactory result /c. Full
    arch / d. Required
    Moderate Risk a. Restricted / b. some a. Removable /b. Margin
    / degree of reduction required /c. <3mm from crest /c. -- /d.
    difficulty Extended space PFM /e. Moderate

    Low Risk / a. Restored teeth / b. a. Adequate /b. Sufficient /c. a. Anterior guidance /b. a. None /b. not required /c.
    degree of Caries or Trauma Single tooth / d. Not minimal involvement /c. Conventional/Early d.
    difficulty required Absent Resin-metal /e. Low
    Examples, General Modifying Factors
    Example, Esthetic Modifying Factors
    Example, Surgical Modifying Factors

    High Risk / Deficient,


    degree of requiring prior
    augmentation
    difficulty

    Moderate Deficient, but


    Risk / degree allowing
    simultaneous
    of difficulty
    augmentation

    Low Risk / Adequate


    degree of
    difficulty
    Normative
    Surgical
    SAC
    classification
    Normative
    Surgical
    SAC
    classification
    Normative
    Surgical SAC
    classification
    Normative
    Surgical SAC
    classification
    Normative SAC classification
    + Modifier Considerations
     SAC Classification
    Application of Surgical SAC classification:
    Single tooth space with
    sufficient bone
    Non-Esthetic Zone

    Straightforward
    Esthetic Zone

    Advanced
    Application of Surgical SAC classification:
    Single tooth space with
    deficient vertical bone volume
    Non-Esthetic Zone

    Complex
    Esthetic Zone

    Consistent 5 clinical parameters Complex


    Application of the Restorative SAC classification
    Anterior Single Teeth

    Anterior edentulous spaces

    Posterior Single Teeth

    Posterior edentulous spaces

    Clinical parameters depending on intraoral location and size


    Application of the Restorative SAC classification
    Edentulous – Fixed Restorations
    Assumptions – SAC Tool
    http://www.iti.org/var/external/
    sac-tool/default-1000.htm

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