Patient Name: Erimar

Patient ID: 9758594-5

Date: Mar 2, 2022 / 17:41

Surgical Assessment: Single-Tooth Gap

Defining characteristics: One missing tooth to be replaced by an implant-borne prosthesis.

Placement Protocol Early or late implant placement

Bone Volume Deficient horizontally, allowing simultaneous augumentation

Anatomical Risk Low

Esthetic Risk High

Risk of Complications Low

Anatomical Risk Low

Additional procedures • simultaneous horizontal bone augmentation

may be required • adjunctive soft tissue graft

Additional risks • gingival recession at adjacent teeth

• involvement of the mental nerve in mandibular sites
• donor site morbidity
• complications in the grafted site (low for small defects, risk
increases with larger defects)

Normative SAC Classification

Advanced

SAC Assessment Tool 1.5

© ITI International Team for Implantology 1 of 2
 Patient Name: Erimar
Patient ID: 9758594-5
Date: Mar 2, 2022 / 17:41

Modifiers

Patient's Expectations Medium

General Medical Status Healthy

Periodontal Status Healthy

Oral Hygiene and Good

Compliance

Smoking Habit Non-smoker

Craniofacial / Skeletal Completed

Growth

Access Adequate

Lip Line Exposure of papillae

Gingival Biotype Medium-scalloped, medium-thick

Shape of Tooth Crowns Rectangular

Infection at Implant Site Chronic

Bone Level at Adjacent Teeth ≤ 5 mm to contact point

Restorative Status of Virgin

Neighboring Teeth

Width of Edentulous Span 1 tooth (≥ 7 mm)

Soft Tissue Anatomy Defective

Loading Protocol Conventional

Additional complexity/risk based on modifiers

Low

SAC Assessment Tool 1.5

© ITI International Team for Implantology 2 of 2