模型ベース、ノンガイデッド、セミガイデッドプランニング

Achieving your intended outcome with endosseous implant therapy requires careful planning and execution of both the surgical and prosthodontic aspects of treatment. Seamless integration of these two phases of care is vital. Attaining your final treatment outcome typically is based on a number of factors: a comprehensive evaluation of the patient, obtaining the required records, a thorough understanding of the possibilities and limitations inherent in both the surgical and prosthodontic phases of different treatment options, developing and communicating a definitive treatment plan to the patient, and patient acceptance of that treatment plan.

Proper surgical planning requires that the clinicians involved in the care of the patient jointly discuss the various phases of the patient’s treatment, beginning with a thorough diagnosis and detailed treatment plan. The restoring dentist and the surgeon, using a team approach, must decide on all the treatment details prior to the surgical appointment. The team first must decide if the patient is an appropriate candidate for a dental implant. Once it is determined the patient is suitable, the edentulous ridge should be analyzed to determine if there is sufficient bone present to permit implant placement. If so, then the precise position and form of the crown should be identified. The position of that crown can be transferred to a cone beam computed tomography (CBCT) scan for the purpose of fabricating a surgical template to guide implant placement precisely during the actual surgery.