In recent years, dentistry has seen remarkable advancements in digital technologies and biomaterials, allowing clinicians to virtually plan implant placement in the ideal three-dimensional position. These innovations have also influenced bone augmentation procedures. However, questions remain regarding their universal applicability and scientific validation. This lecture aims to critically evaluate digital workflows and new biomaterials, discussing their advantages, limitations, and clinical indications.

Learning Objectives:

• Understand the advantages of digitally planning cases with severe bone defects.

• Recognize when digital workflows may be time-consuming and not clinically justified.

• Learn how to use new biomaterials to reduce treatment time, cost, and patient morbidity

This presentation highlights soft tissue management as a true “recipe for success” in implantology — from the assessment of periodontal biotype and keratinized tissue volume to peri-implant soft tissue augmentation and contouring techniques. Contemporary concepts related to mucosal attachment, the peri-implant seal, and the impact of soft tissue thickness on bone stability will be discussed. Through clinical cases, decision-making algorithms and indications for connective tissue grafts, free gingival grafts, coronally advanced flaps, and biotype thickening procedures will be presented, emphasizing the integration of mucogingival surgery into the comprehensive implant-prosthetic treatment plan to prevent biological complications and ensure long-term stability.

Achieving anterior implant esthetics is a challenging procedure.

Understanding the biologic and physiologic limitations of the soft and hard tissue will facilitate predictability in simple to complex esthetic situations. This lecture will focus on current implant treatment philosophies and methodologies for immediate tooth replacement in the esthetic zone. Besides, it will discuss whether socket shield procedure is needed to maintain the implant mucosal profile.

Objectives:

1. Prognostic keys for predictable anterior immediate tooth replacement

2. Management of socket with compromised facial bone

3. Connective Tissue Grafts vs Socket Shield: What we know and what we do not know

Currently, clinical dentistry faces the need to solve complications associated with implant treatment. Peri-implantitis has become a real problem in daily practice, as well as trying to reverse the aesthetic consequences often derived from insufficient surgical/prosthetic planning. Unfortunately, current clinical guidelines for the resolution of these problems are limited and without a solid scientific basis. During the presentation, we will share the experience in treating these situations using an interdisciplinary approach, its limitations, and protocols that help us face these challenges will be presented.

Objectives:

• To analyze the primary biological and aesthetic complications associated with single implants in the aesthetic zone.

• To evaluate the impact of inadequate surgical and prosthetic planning on peri-implant health and aesthetic outcomes.

• To review current evidence-based protocols and interdisciplinary approaches for managing peri-implant complications.

• To examine the limitations of existing clinical guidelines in addressing aesthetic and biological challenges.

• To present clinical cases that highlight the integration of periodontal and prosthodontic strategies to optimize treatment outcomes.

Sinus lifting, from basics to advanced, new innovative techniques!

Abstract: The course will include an incursion into the anatomy of the maxillary sinus. The anthral cavity limits, the vascularization and innervation of the maxillary sinus, as well as the microscopic of the sinus Schneiderian membrane will be detailed.

Subsequently, a synthesis of the sinus pathology will be made and on the basis of the existing bibliography the criteria will be defined by which we can decide when and how we can treat a sinus with pathology and when we cannot.

Very detailed clinical cases will be shown to sustain the theory.

A lot of “tips and tricks“ will be discussed so that we can transform a difficult case in a succes, but maybe the most important thing, the attendees will learn how to end up with predictable safe results.

Learning Objectives:

– various and very attentive selection of scientific informations, according to the latests studies and publications

– detailed anatomy description, to prevent complications

– elaborated synthesis of the pathology of the maxillary sinus

– very detailed description of every step of the surgical procedure

– how to choose the materials for safe and predictable results

– very complex clinical cases to exemplify the theory

– theoretical and practical details of the new SPAM Technique, described by Dr. Dima

– tips and tricks for esthetic and predictable outcomes

Can the treatment of gingival recessions and peri-implant tissue dehiscences be approached with the same principles?
S.AROCA

The management of soft tissues surrounding teeth and dental implants has been extensively investigated in the scientific literature. Concurrently, patient expectations regarding aesthetic outcomes have evolved substantially over the past decade.
A variety of surgical techniques for root coverage are currently available to clinicians. Among these, the trapezoidal coronally advanced flap, the multiple coronally
advanced flap (with or without a connective tissue graft), and the tunnel technique have all demonstrated proven clinical efficacy.
With respect to implant therapy, the management of peri-implant tissue dehiscences and soft-tissue augmentation has received growing attention during the past decade.
Nonetheless, several aspects of these procedures remain controversial and continue to stimulate debate within the scientific community.

This presentation will address several critical questions, including:

• What is the optimal clinical approach when the root surface to be covered
  exhibits cervical lesions and/or when keratinized mucosa is deficient?
• Do variations in flap design and configuration influence treatment outcomes in cases of gingival recession and/or peri-implant tissue dehiscence?
• Which parameters and clinical factors should guide the selection of the most appropriate surgical technique for managing soft-tissue recessions and dehiscences?

Clear, evidence-based conclusions will be drawn from a comprehensive review of the current literature and supported by clinical experience.

Among the different causes for implant failure, most of which being clinical aspects of the implant treatment, medications and health conditions, bacterial periodontal infections have been reported to be a major risk factor for early and late loss of dental implants. In addition to having been associated with the etiology of peri-implantitis and periodontitis, post-extraction periodontal pathogens have been linked to increase in bone loss, reduction in bone healing and implant instability.

Current methods for post-extraction disinfection of the implant site are mainly based on the use of drugs and surgical techniques, although the pharmacological risk of the former and the invasiveness of the latter have led researchers to seek alternative therapeutic methods which are safer for the patients, and one of them is laser therapy.

The present lecture outlines new laser protocols consisting of degranulation, disinfection, decortication, de-epithelialization, clot stabilization and photobiomodulation using Er:YAG and Nd:YAG wavelengths to prevent and save peri-implantitis clinical cases

Full-arch rehabilitation of edentulous patients using osseointegrated implants has become a well-established solution in clinical practice, offering both functional and aesthetic predictability. Proper planning and execution of these cases require a deep understanding of the different prosthetic approaches — FP1, FP2, and FP3 — and their corresponding biological, surgical, and aesthetic considerations. Beyond implant placement and prosthetic design, soft tissue management plays a critical role in long-term success. Mucogingival integration is essential, especially when aiming to replicate natural dentogingival anatomy, as in FP1 restorations. In FP2 and FP3 cases, where partial or total replacement of soft tissues is necessary, careful control of tissue contours and stability is key to achieving harmonious aesthetic outcomes. This presentation provides a practical, evidence-based overview of the core principles behind full-arch implant rehabilitation — from surgical planning to prosthetic execution — while integrating soft tissue techniques that enhance predictability and elevate aesthetic results.

Bone augmentation procedures are an essential part of modern implant dentistry, yet they remain among the most technique-sensitive interventions in clinical practice. Complications are not exceptions—they are part of the clinical reality. Understanding how and why they occur is fundamental to improving outcomes and reducing failure rates.

This lecture addresses bone regeneration without filters, grounded in scientific evidence and extensive clinical experience. Dr. Spinu focuses on the prevention, early recognition, and management of complications associated with oral implantology, with particular emphasis on horizontal and vertical bone augmentation procedures.

Participants will explore complications related to sinus lifting, inferior alveolar nerve lateralization, and implant placement in regenerated bone. The role of soft tissue grafting in the context of newly formed bone will also be discussed, along with the impact of prosthetic restorations on the long-term stability of bone reconstructions.

By following precise, repeatable clinical protocols, complication rates can be significantly reduced, leading to safer, more predictable regenerative outcomes.

Key takeaways:

 Understand the real clinical causes of complications in bone regeneration procedures

 Learn evidence-based strategies for preventing and managing complications in horizontal and vertical bone augmentation

 Identify risks and management approaches in sinus lifting and inferior alveolar nerve lateralization

 Evaluate the role of soft tissue grafting in supporting regenerated bone

 Understand the challenges of implant placement in regenerated bone and how to address them

 Recognize the impact of prosthetic restorations on the stability and success of bone reconstructions

 Apply structured, repeatable protocols to reduce failure rates and improve clinical predictability