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.

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.)

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.

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.

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.

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