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Flapless implantology Planning procedure

Clinicians perform virtual implant placement with the assistance of special planning software according to the systems used. As a alternative, data processing may be provided by planning centers, which also offer suggestions according to the requirements of the practitioner. Planning then can be done interactively online from the office.

It must be stressed that the clinician is the person responsible for deciding the implant selection and treatment plan.

Three-dimensional computer-assisted planning is based on reconstructed panoramic, cross-sectional, and horizontal views of the anticipated implant site. Additionally, 3D surface imaging may be provided. Generally, the cross-sectional view is the most informative, and it should be regarded as the standard image for the alignment of implants.

Implant location, size, length, and angulation are determined using a 3D image created from CT scan data. The implant axis is aligned with the alveolar process, and an optimum of the crown axis and the implant position can be simulated.

Contradictory parameters should be considered during planning; the requirements of the crown position, the requirements of the resting bone volume and structure, and the parallelism of adjacent implants that have to be optimized during the planning process. Planning for flapless implantation generally follows the criteria for conventional implant placement.