Both periodontal and peri-implant disease develop as a result of the accumulation of bacterial plaque and so the treatment for both diseases adopts the same principles. Even though treatment principles are similar, outcomes differ as well as long term prognosis. Proper understanding of biological principles, development and progression of these diseases as well as understanding and creating simplified protocols can have a big impact when treating complex cases. Application of minimally invasive concept, gentle tissue management during non-surgical and surgical techniques allow the clinician to obtain predictable, successful and long term results.

The following will be covered:

• Full arch restorative option (Removable vs Fixed)
• Classification of full arch fixed prostheses (FP1, FP2, FP3)
• Material options
• Restorative space and solutions for lack of restorative space
• Resect or not to resect
• Immediate loading
• Provisionalization
• Full arch implant impression options (Analog, IOS, Photogrametry, Reverse scan bodies, Specialized Scan bodies, )
• Passivity of the fit
• Occlusion
• Maintenance

Achieving predictable outcomes and long-term stability in our cases requires a clear understanding of the biological system at the core of implantology. This lecture explores the critical elements that determine the success of implant therapy, emphasising how these factors are interconnected and interdependent. Through everyday clinical cases, Dr Leventis will discuss the crucial pillars of modern implantology, including bacteria control, bone biology, and soft tissue management. Furthermore, he will introduce simplified, well-structured protocols and innovative materials for the enhancement of healing and the alveolar ridge reconstruction, aligning with these biological principles. By integrating these concepts into daily practice, clinicians can enhance patient outcomes and establish solid workflows for their approach to implant therapy.

BOPT (Biological Oriented Preparation Technique) is a procedure prosthetic simplification that allows to intervene in clinical cases already treated prosthetically, without multidisciplinary interventions. New concepts will be examined: controlled sulcus invasion, profiles emerging adaptation, differentiated abbrasion that are part of the technique itself. Step-by-step cases will be presented with long-term follow-up proving of the stability of the esthetic results. The concepts of the B.O.P.T. technique have been also transferred to the implant field with the creation of the vertical abutment millable. The resulting thickening of the soft tissues allows for greater stability of the same and better aesthetics in the marginal. The further evolution of these concepts was the creation of a transmucosal implant with a vertical component: IL.

Both periodontal and peri-implant disease develop as a result of the accumulation of bacterial plaque and so the treatment for both diseases adopts the same principles. Even though treatment principles are similar, outcomes differ as well as long term prognosis. Proper understanding of biological principles, development and progression of these diseases as well as understanding and creating simplified protocols can have a big impact when treating complex cases. Application of minimally invasive concept, gentle tissue management during non-surgical and surgical techniques allow the clinician to obtain predictable, successful and long term results.

As the demand for dental implants solutions is growing rapidly, the need to manage severe alveolar bone deficiency is growing accordingly. Dental trauma, untreated periodontal and peri-implant diseases, failing surgical procedures and prolonged use of dentures, may cause severe alveolar bone deficiency. In his lecture, Dr Eran Gabay will demonstrate the difficulties and dilemmas that clinicians are facing. Dr Gabay will give his own original perspective and interpretation for those cases. He will demonstrate how complexed cases can become much simpler by using creative and innovative solutions by applying several regenerative techniques in the same case.

Prosthetic management for implant-supported full mouth rehabilitation is a complex procedure that requires expertise and a broad vision. Unfortunately, the means involved in prosthetic treatment often overshadow the essence of our achievements. It becomes increasingly evident that the efficiency of technology and science is overshadowing the philosophy and humanistic dimension of our profession.

Albert Einstein once said, “The perfection of the means and the confusion of the goal seem to characterize our age.” This presentation aims to demonstrate that in the treatment of full mouth restoration, the objective must be clearly identified because it dictates the selection of the means.

Rather than seeking an ideal treatment, which is unrealistic given the multitude of contributing factors, we must ask ourselves:

• What does the patient want?
• What does the patient need?
• What can we achieve?

These questions bring up issues of our responsibilities and values:

• Should we respond to the patient's request regardless of its relevance and give them what they desire, or should we educate them?
• Can we consider that standardization and protocol should govern our practice?
• Should we maintain our identity, creativity, and imagination to preserve the artistic dimension of our profession?
• Can we believe that the quality of our achievements is exclusively dependent on products and technology?

Digital technology has revolutionized dentistry. However, workflows that bridge the analogue to digital workflow are still being perfected. In this lecture we will present how the workflows of the future are the new normal and comprehensive interdisciplinary digital dentistry is made easier with 3d printed devices like MIS’s Mguide to enable results which are easier, accurate and more predictable than ever.

Immediate implant placement with a socket-sealing abutment or temporary restoration is a highly effective treatment option for maintaining the original morphology and natural aesthetics of the gingiva around implant-supported prosthetic restorations. However, the availability of this treatment can be complicated in cases of socket bone wall defects, which impair implant stability, compromise alveolar ridge bone healing, and increase the risk of soft tissue collapse, leading to a loss of soft tissue volume, quality, and anatomy. In this lecture, two available treatment options will be presented: Immediate Dentoalveolar Restoration (IDR) and the Multilayer technique. The IDR, based purely on autologous materials, leverages the unique biological features of tuberosity corticocancellous bone grafts. The Multilayer technique, utilizing xenogenic cortical lamina, will be presented as an effective and predictable approach for implant placement in extraction sockets with incomplete bone walls. Key aspects include: 1. Soft tissue support to prevent collapse, 2. Soft tissue recontouring in the same step, 3. Soft tissue management in cases of severe deficiency and fistulation, 4. Replacement of missing bone walls with a tuberosity bone or cortical lamina device, and 5. Bone augmentation using autologeous spongaeous bone and autologous dentin.

Lecture Objectives:

• Evaluation of the socket defect for the correct choice of technique, clinical management of an inflammed and destroyed bone socket.
• Multilayer technique and Immediate Dentoalveolar technique.
• Autologeous dentin as a potent bone grafting material providing both volumetric stability and osteoinduction.