title: Prosthetically directed implant placement using computer software to ensure precise placement and predictable prosthetic outcomes. Part 1: diagnostics, imaging, and collaborative accountability.
abstract: 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 socalled 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.
authors.affiliation: Parkside Center, Lutheran General Hospital, Park Ridge, IL 60068, USA. IMPLANDDS@aol.com
authors.forename: Alan L
authors.initials: AL
authors.lastname: Rosenfeld
authors.forename: George A
authors.initials: GA
authors.lastname: Mandelaris
authors.forename: Philippe B
authors.initials: PB
authors.lastname: Tardieu
mesh_terms: D017076:Computer-Aided Design; D019992:Databases as Topic; D003758:Dental Implantation, Endosseous / Q000379:methods*; D004867:Equipment Design; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods; D008953:Models, Anatomic; D010027:Osteotomy / Q000295:instrumentation; D010347:Patient Care Planning; D010348:Patient Care Team; D012984:Software; D025321:Surgery, Computer-Assisted; D013679:Technology, Radiologic; D014057:Tomography, X-Ray Computed / Q000379:methods*; D016896:Treatment Outcome