Program DOKTORI

Flap design including the position of crestal incision position as well as the extension of the flap greatly depends on the vestibular depth, amount of keratinized tissue available. Minimally invasive flap management using the periosteo-elastic technique is crucial part of better soft tissue healing, but also in the prevention of any infraorbital nerve branch or arterial injuries. Techniques such as the suborbicularis preparation, the periosteoplasty, the papilla shift are going to be demonstrated and explained during high quality video presentations.

Minimally invasive bone harvesting techniques, membrane adaptation and fixation techniques are also going to be demonstrated in conjunction with digital membrane placements. Combination of vertical ridge and sinus augmentation is a frequently needed surgical procedure in the reconstruction of the posterior maxilla. In severely defective cases the clinician must master techniques such as the “Island technique”, the “Atomic bomb design” are essentials for success.

Tooth-retention procedures involving regenerative periodontal surgery have been extensively documented over the last two decades, and innovative flap designs have contributed to improved clinical outcomes with reduced patient morbidity.

Nevertheless, certain clinical conditions still require tooth extraction, and implant therapy remains one of the most predictable alternatives for tooth replacement. When natural dentition and dental implants coexist, treatment planning and surgical execution become more complex due to anatomical, biological, and vascular differences between teeth and implants.

Blood supply, soft tissue handling, flap thickness, flap design, passive adaptation, and tension control are essential determinants of surgical success, particularly in guided bone regeneration and peri-implant tissue reconstruction. Even when these critical factors are carefully controlled, hard and soft tissue deficiencies resulting from previous therapies, anatomical limitations, or disease-related tissue loss may create significant clinical challenges.

This lecture will highlight contemporary surgical concepts and clinical strategies for managing hard and soft tissues around teeth and implants, with particular emphasis on biologically driven decision-making, minimally invasive flap design, wound stability, and the pursuit of predictable reconstructive outcomes.

• The science behind immediate replacement.
• Bone and soft tissue preservation: procedure and clinical benefits.
• Clinical case, from planning to final restoration.
• Long term outcome, vertical compensation.

This lecture will provide a comprehensive guide, from the surgical, digital planning protocols and the restorative aspects of the treatment.

Covering a spectrum of topics, the lecture will provide indispensable knowledge on immediate and delayed placement protocols, hard and soft tissue augmentation techniques, and a clear decision-making framework tailored for the restorative aspect of the treatment, from the temporary to the definitive restoration.

Key points:
• Exploring immediate and delayed placement protocols for tooth replacements in the aesthetic zone.
• Understanding the importance of hard and soft tissue augmentation for achieving optimal aesthetic outcomes.
• Decision-making and selection of prosthetic components
• Understanding the importance of the provisional restoration and how to transition from the provisional to the final implant restoration

The presentation will then focus on the analysis of patient-related and site-related risk factors that may compromise implant therapy outcomes. Particular attention will be given to biofilm-related aspects and to modern professional techniques
for its periodic removal, in accordance with current clinical guidelines, on screw-retained and cement-retained prosthetic crowns as well as full-arch implant-supported prosthetic structures.

The selection of materials, instruments and non-surgical approaches plays a crucial role both in primary prevention, aimed at maintaining peri-implant health without damaging prosthetic restorations or implant components, and in the treatment of peri-implant mucositis and peri-implantitis.

Special emphasis will be placed on the Guided Biofilm Therapy (GBT) protocol, which will be described in detail, with its clinical applications demonstrated through video presentations.

Using KATANA Zirconia as a central example, the presentation demonstrates how modern multilayer zirconia systems can be applied consistently in both high-load, implant-supported reconstructions and highly esthetic, tooth-preserving anterior restorations.

Through detailed case presentations, the workflow from digital treatment planning and prosthetic design to preparation concepts and adhesive cementation protocols is systematically analyzed. Particular attention is given to how utilizing the same zirconia system across different indications can streamline laboratory procedures, enhance esthetic consistency, and improve interdisciplinary communication.
Participants will gain practical insights into indication-driven material selection, minimally invasive preparation strategies, and integrated clinical–technical workflows. The lecture provides evidence-based guidance for optimizing function, esthetics, and efficiency, illustrating how a unified, material-centered approach can elevate the quality and predictability of modern restorative and implant dentistry.