Читать книгу The SAC Classification in Implant Dentistry - Группа авторов - Страница 9

Chapter 1: Introduction to the Updated SAC Classification

A. DAWSON, W. MARTIN, W. D. POLIDO

1.1 Introduction

1.2 Historical Background

1.3 The Review Team

1.4 Potential Roles for the SAC Classification

1.5 Using this Book

Chapter 2: The Rationale Behind the Updated SAC Classification

A. DAWSON, C. STILWELL

2.1 Definitions

2.2 Assumptions

2.3 Is the Clinician a Risk Factor?

2.3.1 Factors impacting the clinician as a risk factor

2.3.1.1 Experience

2.3.1.2 Training

2.3.1.3 Self-assessment of ability

2.3.1.4 Shared learning

2.3.1.5 Short training courses

2.3.1.6 Structured education and training

2.3.2 Reducing clinician-related risk

2.3.2.1 Recognizing “human factor” risks

2.3.2.2 Stress as a risk factor

2.3.2.3 Mitigating the human factor issues

2.3.2.4 Clinician risk factor in relation to other sources of risks

2.4 Classification Rationale

Chapter 3: Risks in Implant Dentistry

A. DAWSON, W. MARTIN, W. D. POLIDO

3.1 Principles of Risk Management

3.2 The SAC Classification as a Risk Management Tool

3.3 General Risks

A. DAWSON, J. KLEINHEINZ, A. MURAT KÖKAT, D. WISMEIJER

3.3.1 Patient medical factors

3.3.1.1 Medical fitness

3.3.1.2 Medications

3.3.1.3 Radiation

3.3.1.4 Growth status

3.3.2 Patient attitudes/behaviors

3.3.2.1 Smoking habit

3.3.2.2 Compliance

3.3.2.3 Oral hygiene

3.3.2.4 Patient expectations

3.3.3 Site-related factors

3.3.3.1 Periodontal status

3.3.3.2 Access

3.3.3.3 Previous surgeries in the planned implant site

3.3.3.4 Nearby pathology

3.4 Esthetic Risk

W. MARTIN, V. CHAPPUIS, D. MORTON, D. BUSER

3.4.1 Medical status and smoking habit

3.4.2 Gingival display at full smile

3.4.3 Width of the edentulous space

3.4.4 Shapes of tooth crowns

3.4.5 Restorative status of adjacent teeth

3.4.6 Gingival phenotype

3.4.7 Volume of surrounding tissues

3.4.8 Patient’s esthetic expectations

3.5 Edentulous Esthetic Risk Assessment (EERA)

L. GONZAGA, W. MARTIN, D. MORTON

3.5.1 Facial support

3.5.2 Labial support

3.5.3 Upper lip length

3.5.4 Buccal corridor

3.5.5 Smile line

3.5.6 Maxillomandibular relationship

3.6 Surgical Risks

W. D. POLIDO

3.6.1 Anatomy

3.6.1.1 Bone volume – Horizontal

3.6.1.2 Bone volume – Vertical

3.6.1.3 Presence of keratinized tissue

3.6.1.4 Quality of soft tissues

3.6.1.5 Proximity to vital anatomical structures

3.6.2 Adjacent teeth

3.6.2.1 Papilla

3.6.2.2 Recession

3.6.2.3 Interproximal attachment

3.6.3 Extractions

3.6.3.1 Radicular morphology / interradicular bone

3.6.3.2 Alveolar and basal bone morphology

3.6.3.3 Socket walls

3.6.3.4 Thickness of facial wall

3.6.3.5 Anticipated residual defect after implant placement

3.6.3.6 Quality and quantity of soft tissues

3.6.4 Surgical complexity

3.6.4.1 Timing of placement

3.6.4.2 Grafting procedures

3.6.4.3 Number of implants

3.7 Prosthetic Risks

C. STILWELL, W. MARTIN

3.7.1 Restorative site factors

3.7.1.1 Prosthetic volume

3.7.1.2 Interocclusal space

3.7.1.3 Volume and characteristics of the edentulous ridge

3.7.2 Occlusal factors

3.7.2.1 Occlusal scheme

3.7.2.2 Involvement in occlusion

3.7.2.3 Occlusal parafunction

3.7.3 Complexity of process

3.7.3.1 Access

3.7.3.2 Interim prosthesis

3.7.3.3 Implant-supported provisional restoration

3.7.3.4 Number and location of implants

3.7.3.5 Loading protocols

3.7.4 Complicating factors

3.7.4.1 Biologic

3.7.4.2 Mechanical and technical

3.7.4.3 Maintenance

Chapter 4: How Does the SAC Assessment Tool Derive a Classification?

A. DAWSON, S. KELLER

4.1 Introduction

4.2 Definitions

4.3 Workflow

4.3.1 General risk assessment (GRA)

4.3.2 Esthetic risk assessment (ERA)

4.3.2.1 ERA

4.3.2.2 EERA

4.3.3 Surgical risk assessment (SRA) and surgical classification

4.3.4 Prosthodontic risk assessment (PRA) and prosthodontic classification

4.4 Calculating a Classification

4.4.1 Calculation mechanism

4.5 Testing the Algorithm

4.6 Presenting the Results

Chapter 5: Practical Application of the SAC Assessment Tool

W. MARTIN, A. DAWSON, W. D. POLIDO

5.1 Introduction

5.2 Implants for Restoration of Single-Tooth Spaces: Areas of Low Esthetic Risk

5.2.1 Mandibular molar

M. ROCCUZZO

5.2.2 Mandibular molar

L. GONZAGA

5.3 Implants for Restoration of Single-Tooth Spaces: Areas of High Esthetic Risk

5.3.1 Maxillary central incisor

L. GONZAGA, W. MARTIN

5.3.2 Maxillary lateral incisor

A. TREVIÑO SANTOS

5.4 Implants in Extraction Sockets: Single-Rooted Teeth

5.4.1 Maxillary central incisor

W. MARTIN, L. GONZAGA

5.4.2 Maxillary premolar

L. GONZAGA

5.5 Implants in Extraction Sockets: Multirooted Teeth

5.5.1 Maxillary first molar

P. CASENTINI

5.6 Implants for Restoration of Short Edentulous Spaces: Areas of Low Esthetic Risk

5.6.1 Adjacent maxillary premolars

S. CHEN, A. DICKINSON

5.7 Implants for Restoration of Short Edentulous Spaces: Areas of High Esthetic Risk

5.7.1 Adjacent maxillary incisors

P. CASENTINI, M. CHIAPASCO

5.8 Implants for Restoration of Long Edentulous Spaces: Areas of High Esthetic Risk

5.8.1 Maxillary lateral and central incisors

A. TREVIÑO SANTOS

5.9 Implants for Restoration of Long Edentulous Spaces: Removable Prostheses

5.9.1 Maxilla

C. STILWELL

5.10 Implants for Restoration of the Full Arch: Removable

5.10.1 Edentulous maxilla: Bar-supported overdenture:

WS. LIN, D. MORTON

5.10.2 Edentulous maxilla: Zygomatic implant bar-supported overdenture

W. D. POLIDO, WS. LIN

5.11 Implants for Restoration of the Full Arch: Fixed

5.11.1 Edentulous mandible: Fixed dental prosthesis

P. CASENTINI

5.11.2 Edentulous maxilla and mandible: Implant-supported all-ceramic fixed complete dentures

D. MORTON, WS. LIN, W. D. POLIDO

Chapter 6: Conclusion

A. DAWSON, W. MARTIN, W. D. POLIDO

Chapter 7: References