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Volume 26 , Issue 3
May/June 2006
Pages 215–221

Prosthetically Directed Implant Placement Using Computer Software to Ensure Precise Placement and Predictable Prosthetic Outcomes. Part 1: Diagnostics, Imaging, and Collaborative Accountability

Alan L. Rosenfeld, DDS, FACD / George A. Mandelaris, DDS, MS / Philippe B. Tardieu, DDS

PMID: 16836163
DOI: 10.11607/prd.00.0692

The need for an accurate diagnosis and treatment plan remains essential for predictable treatment outcomes with dental implants. Advances in computerized tomography (CT) technology now enable the execution of a surgical outcome based on presurgical planning. Precise implant placement no longer relies on so-called mental navigation but rather can be computer guided, based on a three-dimensional, prosthetically directed plan. Current CT technology enables all implant team members to embrace the concept of collaborative accountability, which can ensure consistent outcomes. Clinicians can fabricate an implant-supported prosthesis presurgically using patients’ CT scan data. The purpose of this paper is to discuss the use of scanning appliances to transfer clinically relevant prosthetic outcome information to a CT data set. With SimPlant software, this information can be used to provide a pretreatment outcome analysis, which can be used for fabrication of stereolithographic models and surgical drilling guides used during osteotomy preparation. (Int J Periodontics Restorative Dent 2006;26:215–221.)

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