This lecture will include a roundup of different experiences, with common fundamental basis, as cornerstones of a predictable surgical success, built on many easily avoidable errors. In which areas it has brought us experience and failures. What we consider basic for a simple and predictable surgery.

Dr. Maurizio Signorini graduated in Dentistry and Dental Prosthesis at the University of Pavia in Italy. He specializes in advanced oral surgery, guided bone regeneration, implantology and microscopic dentistry. Since his graduation in 2006, he has attended around 100 courses and congresses in all fields of dentistry. Since 2011, he is active member of the Italian Academy of Microscopic Dentistry (AIOM). Together with Dr. Massimo Mazza he also founded the Microscopic Dental Club – an international scientific association for spread of knowledge of microscopic dentistry.

Among the goals in periodontal plastic surgery of the key ones around implants is to change the phenotype of the soft tissue. Based on the current literature the connective tissue graft is still considered as a gold standard for soft tissue enhancement around implants. Since autogenous soft tissue harvesting requires an additional surgical procedure, this makes it more traumatic and painful for the patients. To reduce patients' morbidity over the last decade xenogenous collagen matrices have been introduced as replacement grafts to autogenous ones. However these materials have limitations and there is also a learning curve when utilizing them. This lecture will cover various collagenous matrices for soft tissue reconstruction and will show clinical results when using these materials and comparisons to autogenous grafts. Furthermore, their limitations and proper indications will be shown in order to understand what could be the right approach when using these materials.

Darko Božić is an Associate prof at the Department of Periodontology, School of Dental Medicine, Zagreb, Croatia. He works at the University Clinical Hospital at the Clinic for periodontology as a specialist in periodontology. In addition to that, he also works every day in his private clinic. He is the the President of the EFP – European Federation of Periodontology (2023 – 2024) and currently also the president of the Croatian Society of Periodontology. The focus of his research is proteomic analysis of periodontal tissues for which he and his team received two prestigious IADR awards. His main focus in his clinical work is the reconstruction of soft and hard tissues in periodontitis affected patients with a special research interest is the application of growth factors, namely BMPs and the Hyaluronic acid in regenerative procedures as well as soft tissue reconstruction utilizing various collagen matrices. He lectures extensively on the national and international level on various topics with more than 70 invited lectures so far, many at international periodontal congresses. He frequently gives advanced clinical master class courses with live surgical procedures.

Andrea Mombelli graduated from the University of Bern School of Dental Medicine and completed his post-graduate studies reaching the status of Private Docent in 1992. He has a Swiss Federal diploma in dentistry (D.D.S.), a Doctorate in dentistry (Dr. med. dent.) and is a Swiss board-certified periodontist. Andrea Mombelli was professor and director of the Division of Periodontology at the Clinic of Dental Medicine of the University of Geneva, Switzerland (1999-2019). From 2001 to 2005 he served as president of the Dental Section of the Faculty of Medicine, and from 2005 to 2011 he was associate vice-dean of the Faculty of Medicine. Earlier he held the position of Head of the Laboratory for Oral Microbiology at the School of Dental Medicine of the University of Bern, Switzerland (1992-1999). He is former president of the Swiss Society of Periodontology (1992-1996 and 2004-2008). He and his colleagues have been pioneers in studies on the diagnosis, etiology and therapy of peri-implantitis. He has conducted multiple clinical trials evaluating antimicrobial protocols to optimize the treatment of periodontal and peri-implant diseases. Dr. Mombelli has received several awards and honorary memberships of various societies of periodontology and implantology. In 2019 he received the IADR Distinguished Scientist Award for Research in Periodontal Disease and in 2020 the Distinguished Scientist Award of the EFP.

The health of the peri – implant tissues plays an important role in the long term outcome of dental implants. The absence of keratinized gingiva (KG) may be a risk factor for developing recession or periimplantitis. Among the various soft tissue augmentation techniques Apically repositioned flap, Free gingival grafts ( FGG ) and Connective tissue grafts ( CTG ) are documented as the most predictable methods to increase the width of KG. Autogenous grafts increase the soft tissue thickness and improve aesthetics compared to non-grafted sites. But all these techniques involve harvesting the graft opening another wound. The "Snake technique", described by Dr. Dima Cosmin, is the only one technique having advantages of only one wound but in the same time offering the best results in time like the other well known techniques mentioned above.


How the technique should be used, the details that make surgical intervention a success, but also the possible complications and their solving, will be detailed during presentation. The second part of the presentation will be about difficult cases in the esthetic zone and how to transform a big challenge into success. Maybe the most important goal of the presentation is that the participants will learn how to end with beautiful and safe results, even when we deal with very difficult cases.

Dr. Cosmin Dima has graduated from the Faculty of Dentistry, University of Medicine and Pharmacy "Carol Davila" Bucuresti (UMF) in 2001. Since then he has continued and developed professionally and became a certified implantologist in 2004. From 2014 he holds a master's degree in periodontology and in 2019 he has finished his PhD in surgery on the theme "Bone regeneration around implants ". During the years he published many articles about bone regeneration around implants. He also became member in different societies such as: Society of Esthetic Dentistry in Romania (SSER), European Society of Cosmetic Dentistry ( ESCD) , International Congress of Oral Implantologists (ICOI), He is co-founder and education director of the Digital Dentistry Romania Society. During the last years Dr Cosmin Dima sustained a lot of conferences in the field of piezosurgery, esthetics around implants and advanced surgery for ESCD, SSER, Steigmann Institute, EDAD, ADRE and many other important dental societies all around the world . He is also KOL for Acteon Romania, is certified in advanced soft tissue grafting and implant surgery by the University of Michigan and certified Xpert at dentalXp.com.
Dr. Dima invented two surgical techniques, "Snake" Technique and PMT( periosteal membrane technique) both of them with excellent results in bone and soft tissue augmentation. The value of his clinical cases is worldwide known and Geistlich Company, has chosen one spectacular case about vertical bone regeneration, made by Dr. Dima, to be exposed on Geistlich Jubilee Platform as a recognition of 50 years of success in bone regeneration. He is the managing director of the Dental Progress Clinic, one of the most important dental clinics in Romania.

In this presentation, we will discuss extreme all-on x techniques. Specifically, we will be discussing the palatal approach, pterygoids, transinus, transnasal, hybrid, quad zygomas, and patient-specific implants.

Dr. Pedro Moura is a member of the Board of the Portuguese Society of Implantology and Osteointegration (SOPIO). In 2014, he founded and is currently the pedagogic coordinator at Foramen Dental Education, a dental training center in Porto dedicated to educating dentists in all areas of dentistry. In collaboration with Foramen Dental Education, he is also the Director of the Surgery and Clinical Residency Master's program, at Universidad Miguel Cervantes, where he leads a team of residents over a 10-month education and training period. Dr. Moura lectures regularly at both national and international conferences and has been a keynote speaker at numerous events in the field of dental surgery, including autologous grafts, digital dentistry, sinus lift, full arch, and mucogingival procedures. He owns and manages a clinical practice in Porto that is limited to surgery.

Implant placement in the esthetic zone remains always a challenging clinical procedure requiring clinical skills and meticulous planning. "Maintain or recreate the volume" has always been a dilemma for the clinician the last decades affecting the treatment choice and often the clinical outcome. Immediate implants seem to gain again more trust since better hardware and software are being used. The purpose of this presentation is to provide simple clinical concepts to ensure stable transmucosal contours with high white and pink esthetic scores regardless of implant placement timing. Starting with the proper implant macro-geometry and guided implant placement, understanding the importance of the abutment design and the different zones of the transmucosal contour, the participants will be able to master step by step simple clinical procedures to achieve better long-term esthetic outcomes.

Learning objectives:
– defining the rationale of immediate implant placement-what are the limits?
– when and how to use early and delayed implant concepts
– the different zones of the implant transmucosal contour and how the change through the healing phase
– the importance of different treatment-steps sequencing in late implant placement for long term esthetic results.

Comprehensive & Practical Implantology, all-in-one... Infection control, Dental Implants, Bond Cements, Protective wound dressing, Maintenance...

Dr. Stavros Pelekanos received his undergraduate degree in Dentistry (D.D.S.) in 1991 from the University of Athens, Greece. Since 2013 he is an active member of the European Academy of Esthetic Dentistry (EAED). His professional affiliations include: the International College of Prosthodontics (ICP), European Prosthodontic Association (EPA), Greek Prosthodontic Association and many others. He is a faculty member of gIDE Institute (Global Institute of Dental Education, Los Angeles, California) lecturing internationally and performing hands on courses on implants, esthetics and restorative procedures. In 2008 and 2011, Dr. Pelekanos received second and first prize at the scientific award competition of the European Academy of Esthetic Dentistry held in Madrid, Spain and Istanbul, Turkey respectively. To date he has published over twenty articles in peer reviewed journals and two chapters in books. In 2002, he was appointed full-time Lecturer at the Department of Prosthodontics, Dental School, University of Athens, Greece, and is now Assistant Professor in the same department. In 1993, he obtained his doctoral degree in Prosthodontics (Dr med dent) from the University of Freiburg (Prof. Dr. J.R. Strub), Germany. Following his professional training, Dr. Pelekanos established a private practice in Athens, oriented towards prosthodontics, implantology and esthetic dentistry.

This lecture will analyze the significance of biologic and prosthetic principles for proper implant 3-dimensional position, soft tissue management and prosthesis design for long term stable results and prevention of iatrogenically induced peri-implantitis.

Osteoimmunology is the modern science that shows the influence of the immune system on bone metabolism but also on all tissue healing phenomena. Indeed, bone healing starts with an immune reaction: inflammation triggered by the release of inflammatory cytokines. These cytokines are responsible for angiogenesis, which activates the formation of bone callus.

The behavior of bone cells is dependent on the functioning of the immune system which depends on the oxidants level. High level production of oxidants is named oxidative stress, will lead to a failure of the immune system with collateral effects such as infection, bone resorption by stopping remodeling, or fibro-integration. This is the case, for example, in diabetics, smokers, patients allergic to penicillin or in chronic inflammatory diseases.

A favorable bone metabolism will necessarily require a reduction of oxidative stress by means of various solutions such as adequate vitamin D supplementation, reduction of LDL cholesterol levels or other adequate immune stimulants. Antibiotic prophylaxis must also be revisited in order to use antibiotics with significant immune-stimulating properties. PRF has also an immune function : decreases the inflammatory level and increases the local anti-oxidants. It will be easy to demonstrate that peri-implantitis is an immune disease that causes bone loss around the implant, triggered by oxidative bone stress.

This presentation will delve into the capabilities of PTFE membranes for autologous bone regeneration and provide a practical guide for handling both simple and complex clinical cases.
This presentation offers a comprehensive overview of autologous bone regeneration using PTFE membranes, supported by current research findings, clinical experiences, and practical guidance, to enable participants to optimize their treatment methods and enhance patient care.
Additionally, the presentation will feature numerous surgical videos to illustrate key techniques and approaches in real-world scenarios. These videos will enhance understanding by showing the step-by-step application of PTFE membranes in various clinical settings, such as vertical bone augmentation.
A key focus of the presentation will be the management of membrane complications. Participants will learn about common pitfalls to avoid and how to effectively manage them to maximize the success rates of their procedures. From the correct placement of the membrane to its securing and maintenance, practical tips and case studies will be presented to demonstrate how critical errors can be avoided.

Zirconium implants are increasingly being used across various fields of dentistry and medicine (such as orthopedic implants). This is due to the numerous advantageous properties that zirconium has compared to titanium implants commonly used in daily practice. Hence, it is often referred to as the implant system of the future. Perhaps the most outstanding of these advantages is the enhanced tissue regeneration.
The first part of the presentation discusses zirconium implants in general, as well as their everyday applications. The second part presents three case studies where zirconium implants were placed in patients who had previously undergone surgery for malignant tumors in the oral cavity and had received radiation therapy thereafter.

According to the latest consensus workshop of the EFP and AAP, peri-implantitis is highly prevalent (affecting 22% of dental implants), and its management is challenging, unpredictable, and associated with significant morbidity due to the lack of long-term successful treatment options. Given this context, prioritizing prevention of peri-implantitis through novel approaches seems logical. Long-term studies conducted at the universities of Düsseldorf and Graz suggest that the Patent™ Dental Implant System can offer a promising solution. These two independent investigations revealed no peri-implantitis around two-piece Patent™ Implants after 9 and up to 12 years, even among patients with compromised health, hinting at the potential for a future without peri-implantitis in daily practice.
Dr. Roland Glauser, a distinguished specialist in comprehensive implantology based in Zurich, will delve into the reasons behind Patent™ remarkable biological success. Over the past decades, Dr. Glauser has conducted independent research on various implant surfaces, including those of Patent™. According to him, one of the primary factors contributing to the resistance of Patent™ Implants against peri-implantitis is their unique ability to promote robust soft-tissue adhesion to their transmucosal portion. This phenomenon results in the formation of an effective defense barrier — a veritable "biological firewall" — preventing the downward migration of plaque and bacteria.

Dr. Ioannis Vergoullis graduated from the Dental School of the Kapodestrian University of Athens, Greece in 1999. He received his Certificate in Periodontics and Masters degree in Oral Biology from the Louisiana State University School of Dentistry, New Orleans, USA in 2005. Since 2006, Dr Vergoullis is the leading Periodontist at the Vergoullis Dental Clinic in Rhodes, Greece and in 2010 he became a Visiting Assistant Professor of the Periodontics Department at the Louisiana State University School of Dentistry in New Orleans, USA. Dr. Vergoullis is a Diplomate of the American Board of Periodontology and a Fellow and Diplomate of the International Congress of Oral Implantologists (ICOI). Dr. Vergoullis is the co-inventor of the Cervico System by VPI and holds twenty-five patents in the field of Dental Implantology.

Dr. Roland Glauser graduated from the University of Zürich and was from 1997 to 2006 assistant professor at the Department for Fixed Prosthodontics and Dental Materials, University of Zürich. Roland Glauser was president of the scientific board of the Swiss Society of Oral Implantology SSOI and he is an active member of the Academy of Osseointegration AO and the European Association for Osseointegration EAO. He serves as a certified expert in Oral Implantology in the European Dental Association EDA and within the Foundation for Oral Rehabilitation FOR. His research activities mainly focus on tissue integration of oral implants and shortened clinical protocols. Dr. Glauser has published more than 60 articles and textbook chapters on the subject of restorative dentistry and osseointegrated implants. He is a reviewer for the Journal of Biomechanics, the Journal of Oral Rehabilitation, the Journal of Clinical Periodontology, and Clinical Implant Dentistry and Related Research. Roland Glauser lectures extensively all over the world and received Academy Awards for his presentations from the Academy of Osseointegration AO, the Japan Academy of Gnathology and Occlusion, the Asian Academy of Osseointegration AAO, and the Taiwan Formosa Academy of Implant Dentistry FAID. Dr. Glauser runs a renowned private clinic in Zürich and holds an appointment as a clinical associate professor at the College of Dental Medicine, Augusta University, Augusta (GA), USA.

He graduated from Secondary medical school as Dental technician and in 2000 the Faculty of Dentistry at the University of "St. Cyril and Methodius" in Skopje, Republic of North Macedonia. He completed his specialization in Periodontology at the "Goce Delchev" University in Shtip, Republic of North Macedonia in 2021.

He finished Economics and received his master's degree (MBA) at the International Slavic University (ISU) "Gavrilo Romanovich Derzhavin" in Sveti Nikole, Republic of North Macedonia in 2007. He received his Doctorate at the University of Veliko Trnovo "St. ST. Cyril and Methodius" in the Republic of Bulgaria in 2021 and obtained the educational degree PhD, professional field 3.2. Psychology.

He is a Dental clinician visionary in the wide promotion of the importance of modern dentistry. In his work, he showed exceptional talent, vision, top results and thus significantly contributed to the development of Dental aesthetics and continuous education. His dedication to the field of Modern dentistry results in outstanding results. A refined Practitioner and Dental enthusiast with a passion for helping people achieve a healthy and radiant smile.

He works every day in his clinics and also manages one of the biggest dental group company in the region - EDG (www.edg.mk), covering all fields in Dentistry.

Dr. Costantino Vignato was born in Vicenza, Italy, on 14th December 1965. He got his Degree in Medicine and Surgery in 1990 at the University of Padua. He specialized in General Dentistry in 2001. He got his Master in Implantology at the University of Genova in 1998. He is owner at Poliambulatorio Vignato in Vicenza. His field of activity is mostly about Prosthetics and Restorations on Implants. He attended many master curses during his career, among the others on Gnatology and Occlusion disorders. He has always been interested in digital workflows and in developing digital techniques for Full Mouth Rehabilitations. He made researches on the use of lasers in dentistry at the School of Laserendotechnique with Prof. Levy, San Clemente, Ca.

He has developed his wide experience of Prama implants and on the way to use them for many years, and has a wide experience in restoring them in every situation, thus becoming one of the best Prama experts. He has developed many personal approaches and has developed some dedicated prosthetic solution with Sweden & Martina, which have now been consolidated as standard. He frequently holds lectures in National and International congresses about implants. He holds courses in his own office with live surgery and live restorations. He has been a Lecturer for Sweden&Martina since 2016.

Fom 2012, Dr. Kovách works at the Department of Oral Surgery at the University of Dentistry in Debrecen.
Since 2005 he has regularly participated in national and international professional congresses and given scientific lectures. He is currently giving theoretical and practical training courses for several foreign dental implant companies in the country. Currently he works exclusively in the field of oral surgery and implantology. Member of ESCI European Society for Ceramic Implantology.

MD, University of Montpellier, France 1979. Specialist in General Surgery, Anesthesiology & Pain management. Owner of Private Pain Clinic, Nice France. President of SYFAC, international symposium on growth factors, inventor of the PRF techniques. Author of several scientific publications.

Dr. med. dent. Nicolas David Haßfurther is oral surgeon at the Dental Implant Center and Maxillofacial Surgery Dr. Haßfurther & Colleagues in Wettenberg, Germany. After completing his dental studies at the University of Jena, he earned his doctorate at the Justus-Liebig University Giessen in the Department of Oral and Maxillofacial Surgery. He further specialized in implantology and periodontology through a master's program at Steinbeis University in Berlin and has also qualified in endodontics and implantology through respective curricula. Dr. Haßfurther is a member of the European Centers for Dental Implantology (ECDI) and has published numerous publications in renowned dental journals.