Implant type -- Select -- Conventional Mini Implant needed Experimental Implants Brand for chosen Implant Type Implant Location (choose Two) How long has the site been edentulous -- Select -- Tooth extracted over 6 months Tooth less then 6 months Tooth to be pulled same day of implant surgery

Bone width -- Select -- Ideal: >6 mm Acceptable: 4 mm Compromised: 2-4 mm Challenging: < 2 mm Bone height -- Select -- Ideal: >10 mm Acceptable: 7-10 mm Compromised: 5-7 mm Challenging: <5 mm Bone Density -- Select -- D1 Dense Cortical bone D2 Coarse trabecular bone D3 porous cortical bone D4 fine trabecular bone

Bone Quality -- Select -- 600 GV 30000 GV Less than 300 GV Is site preparation needed? -- Select -- None Bone graft Ridge splitting During placement

Implant placement angulation (load) -- Select -- Ideal: 0-10° Compromised: 11-20 From Vertical: 21-30° Over 15° Over 30° Data collected

Stent needed? -- Select -- Yes No Restorative considerations? -- Select -- Single crown Bridge Full arch Removable attachments (denture hybrid) Custom abutment Prefab abutment Tissue training (usually anterior teeth)

Denture Attachment angles -- Select -- Vertical 15 degree angle 30 degrees Not applicable Interdental spacing (mm between teeth) -- Select -- Ideal: >2 mm Acceptable: 1-2 mm Compromised: 0.5-1 mm Challenging: <0.5 mm

Is there any Perio disease? -- Select -- None Localized Rampant Near surgical site Tissue porcelain needed? -- Select -- Yes No