Stage 1(2 months preoperative) – CBCT and Laboratory analysis
Presurgical implant imaging assessment includes all radiologic
examinations performed previously, as well as new radiologic
examinations chosen to support the implant team in formulating a
definitive and comprehensive treatment plan for the patient. The goals
of this phase include all surgical and prosthetic information needed to
determine the amount, quality, and density of bone; the association of
critical structures with the proposed implant sites; and whether or not
disease is present at the proposed surgery sites (5).
It has been observed that a significant proportion of patients with a
generally satisfactory dental history who have undergone laboratory
screening have been found to have undetected systemic diseases, ranging
from 12% to 18%. These disorders may have an impact on the implant
surgery protocol or the likelihood of long-term success. The most common
clinical laboratory tests are based on blood samples taken from the
urine and venous system. These tests may include a CBC (complete blood
count), a BMP (Basic Metabolic Panel), a Comprehensive Metabolic Panel
(CMP) and bleeding disorder tests like PT (Prothrombin Time) or PTT
(Partial Prothrombin Time). An A1c can also be obtained if a patient has
prediabetes or diabetes, as this test measures how well the patient is
managing their diabetes. (5).