The use of interactive computed tomography to predict the esthetic and functional demands of implant-supported prostheses.

Diagnosis, treatment planning, and prediction of a final implant-supported prosthetic design require precise noninvasive presurgical information. In addition, coordination of implant team member services and predetermination of treatment fees are critical to a successful resolution of patient needs and concerns. By combining the use of a clinically verified barium-coated template and interactive computed tomography, the implant team can determine and address the relevant issues affecting treatment outcomes. These issues include: fixture/prosthesis incompatibility; recognition of anatomic limitations and anomalies; the need for presurgical bone augmentation; fixture diameter and distribution; abutment type and angle; bone density; soft-tissue augmentation requirements; accurate fee determination; and medicolegal protection. The data collection methodology and format for the Mecall and Rosenfeld prosthesis prediction analysis are discussed as part of a case presentation.