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SAC Assessment Tool

Step by step to risk assessment case by case.

The SAC Tool reflects the normative guidelines developed by the ITI for various types of restorative and surgical cases.

The tool makes use of the ITI’s highly regarded classification system referred to as SAC: Straightforward, Advanced, Complex. It is based on the book entitled "The SAC Classification in Implant Dentistry", published by the ITI in cooperation with Quintessence Publishing Group. The tool distills the content of the book in an easy-to-use process that takes you through each step necessary to identify the degree of complexity and potential risk involved in individual cases.

Assumptions

The SAC Classification assumes that appropriate training, preparation and care are devoted to the preparation and implementation of treatment plans. No classification can adequately address cases or outcomes that deviate significantly from the norm. In addition, it is assumed that clinicians will be practicing within the bounds of their clinical competence and abilities. Thus, within each classification, the following general and specific assumptions are implied:

General

  • Treatment will be provided in an appropriately equipped dental operatory with an appropriate aseptic technique
  • Adequate clinical and laboratory support is available
  • Recommended protocols are followed

Patients

  • Patients' medical conditions are not compromised or are appropriately addressed
  • Patients have realistic expectations with respect to the outcomes of their treatment

Specific

  • The type, dimensions and number of implants to be placed are appropriate for the site(s)
  • The implants are correctly positioned and adequately spaced
  • Restorative materials that are used are appropriate to the task
  • This SAC Assessment Tool provides normative feedback. In this context, "normative" relates to the classification that conforms to the norm, or standard, for a given clinical situation in implant dentistry and thus to the most likely classification of a case. The normative classification may alter as a result of modifying factors and/or complications

Contributors

This tool and the corresponding book "The SAC Classification in Implant Dentistry" document the proceedings of the SAC Consensus Conference held by the ITI in March 2007. The following individuals contributed to the consensus statements of the conference, the book publication and the assessment tool:

U. Belser, D. Botticelli, D. Buser, S. Chen, L. Cordaro, A. Dawson, A. Dickinson, J. G. Fabrega, A. Feloutzis, K. Fischer, C. Hämmerle, T. Head, F. Higginbottom, H. Iplikcioglu, A. Januário, S. Jensen, H. Katsuyama, C. Krenkel, R. Leesungbok, W. Martin, L. Heitz-Mayfield, D. Morton, H. Rebelo, P. Rousseau, B. Schmid, H. Terheyden, A. Watkinson, D. Wismeijer

 

U. Belser, D. Botticelli, D. Buser, S. Chen, L. Cordaro, A. Dawson, A. Dickinson, J. G. Fabrega, A. Feloutzis, K. Fischer, C. Hämmerle, T. Head, F. Higginbottom, H. Iplikcioglu, A. Januário, S. Jensen, H. Katsuyama, C. Krenkel, R. Leesungbok, W. Martin, L. Heitz-Mayfield, D. Morton, H. Rebelo, P. Rousseau, B. Schmid, H. Terheyden, A. Watkinson, D. Wismeijer

Frequently asked questions

Can I generate a report of the assessments I carry out with the tool?

You can generate PDF reports of your case assessments at the end of the assessment process when the final case classification is displayed. A valid ITI membership is required to make use of this feature. Please log in before starting your assessment.

What is the impact of the “Additional Complexity and Risk” section of the assessment?

Although the modifier values used to determine the additional complexity and risk do not have a direct impact on the basic normative case classification, some of them can have a considerable influence on the overall demands and risks of a case. If the system indicates that there is an elevated risk based on the combined additional modifier values you have entered, you need to factor this into the overall interpretation of the assessment result.

Is it possible to carry out combined Surgical/Prosthodontic assessments?

The SAC framework as established in the 2009 Quintessence publication looks at surgical and prosthodontic case assessments separately. It is not currently possible to make combined assessments.

What happens to the case information I submit for assessment?

None of the data you enter in our system to classify your cases is permanently stored if you make a standalone case assessment. If you use the SAC Assessment Tool as part of the Case Cloud, the system will automatically add the information you provide to your case documentation.

What is meant by “normative” classification?

No classification can adequately address cases or outcomes that deviate significantly from the norm. In this context, "normative" relates to the classification that conforms to the norm, or standard, for a given clinical situation in implant dentistry and thus to the most likely classification of a case based on contextual assumptions (e.g. patients' medical conditions are not compromised or are appropriately addressed, the clinician and the implant team are adequately skilled, recommended protocols are followed etc.)

What is the SAC Classification?

SAC stands for S(traightforward), A(dvanced) and C(omplex). The SAC framework was developed by the ITI to help practitioners assess the risks and complexity of clinical cases by providing normative classification guidelines based on scientific high-level evidence.

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