Dr. Luigi Canullo

Bioactive Implant Surfaces: Could this be the key to accelerate our loading protocols?

In the replacement of missing teeth with implant-supported prostheses, specifically in the aesthetic area, several variables are identified – soft tissue management, post-extraction socket management, implant site preparation, abutment integration, and peri-implant soft tissue seal around the abutment. Bioactive surface implants enable accelerated osseointegration, enhanced bone formation, and high primary stability. Suitable for early loading protocols, they allow clinicians to plan precise and personalized treatment, and provide optimal patient care, with safer and faster treatment and healing time. This presentation will address how successful results can be obtained by considering and managing all five variables, to meet patients’ demand for aesthetics, and accelerated treatment time.

Dr. Levente Sidó

Theoretical and practical aspects of prosthetic design, PRF bone augmentation methods and implant prosthetic care

Introduction: In the practice of dental-oral surgery today, more and more
teamwork and prosthetic “backwards” planning, with an important element of preserving natural tissue structures. From an implantological point of view, it is particularly important to have an adequate bone supply and gingival tissue in good condition.
Materials and methods: we will present case studies to illustrate the surgical techniques and workflows used in clinical practice
Results: In our experience, the indications for tooth extraction, atraumatic extraction technique and preservation of blood supply, timing of bone grafting, preliminary laboratory examination, use of an adequate PRF bone augmentation technique, timing of implant placement and teamwork are of paramount importance.
Conclusions: In recent years, the PRF technique has become increasingly widespread and is nowadays recognized worldwide for its role in guided bone regeneration, and the use of PRF membranes also offers remarkable advantages from a mucogingival surgical point of view. Several international publications confirm the predictability and reliability of the method. These results suggest that Platelet Rich Fibrin (PRF) is an excellent choice for the treatment of extraction bone lesions. This method is not yet widely used in our country, which is why we consider our presentation worth presenting.

Dr. Pál Nagy

Design, surgical and prosthetic considerations for the replacement of upper 2 aplasia with implants

In the aesthetic zone, the replacement of missing (aplastic) small teeth often poses a challenge to the dentist. The difficulty is not only the limited prosthetic space, but also the lack of development and eruption of the gingiva, which implies an underdevelopment of the processus alveolar. Late-type implant placement must therefore in many cases be complemented by hard and soft tissue replacement to achieve optimal results. Proper positioning of the implant and ideal use of the available prosthetic space, respecting the biological rules for healing tissues, is usually not without digital design and manufacturing processes. The presenter will highlight the problems encountered and the possibilities for solving them in 3 cases with similar indications but different outcomes.

Dr. Zsanett Kövér

Maxilo facial rehabilitations with the support of SGS Dental

The PTE-KK-Dentistry and Oral Surgery Clinic has been permanently
with SGS Implant Hungary KFT for the treatment of patients requiring prosthetic rehabilitation. Patients are selected on the basis of different disease groups. The main objective is the postoperative care of patients with tumours for a better quality of life, but also aplasia, trauma and other pathological processes affecting the oral cavity as well as patients with systemic diseases. The care of elderly, polymorbid patients also accounts for a significant proportion of our patients treated. We have carried out a quality of life survey to assess changes in the daily lives of our patients. This presentation will present our experiences and some cases from the last 10 years.

Dr. Márk Antal

The issue of impression-taking techniques in implantology

Taking an impression is a critical element of a successful restoration. Of course, the cameraman and the materials used have a great influence on the whole process. success of the whole process, but in the case of implant restorations, the cemented and screwed the difference between cemented and cemented restorations, the specificities of open and closed impression-taking techniques and the use of multi-unit components can also influence the final result. The presentation will review the possible solutions, highlighting their advantages and disadvantages, with particular attention to objective results from scientific research. As the present and future of implant prosthetics favours screw-retained solutions, their potential from both impression and restorative aspects will be specifically discussed. The latest digital impression-taking techniques will also be discussed, taking into account their current limitations and future potential.

Gábor Dorogi

Oral surgery 3D CAD/CAM technologies, noninvasive measurement method for volumetric analysis of intraoral bone grafting surgery using 3D CAD technology

Introduction: a large number of bone replacement operations are performed in oral surgery. Today, reconstructive surgery for bone deficiencies due to atrophy of the jawbone, trauma of the jawbone, and pathological processes are routine tasks. CT-based CAD/CAM technology, a collaboration between medical and engineering disciplines, enables accurate and rapid reconstructive surgery. For extensive reconstructive surgery, it provides to achieve the best possible individualised results. CT-based CAD/CAM technology allows accurate calculations and planning to assist in therapeutic decisions and also allows the fabrication of custom implants. All of this contributes greatly to the successful performance of surgeries.
Material and method: case studies will be presented to illustrate the clinical
CT-based CAD/CAM technology used in our clinical practice and its advantages.
Results: several hours of bone replacement and implantation surgery
Using pre-designed and manufactured grafts and/or implants. The use of such surgical devices ensures the best possible geometric fit. The accuracy and speed of insertion is enhanced by the use of 3D printed surgical navigation devices.
Non-invasive CT-based measurement methods based on the comparison of pre- and post-operative data sets can also be used to compare the volume of bone volume remodeled during bone replacement surgery, effectively aiding planning and surgical execution for physicians.
Conclusions: Several international articles report that 3D CAD/CAM technologies are faster and more accurate, more accurate, cost-effective and complex surgeries. Healthcare institutions that have adopted 3D CT-based CAD/CAM technologies are able to provide the highest quality of surgical care.

Dr. Zoltán Baráth

Testing the All-on-Four concept with the Ansys Simulation Software finite element modeling of the end-effector: the stress between the occlusion and the implant analysis of the relationship between

Introduction: setting the ideal occlusion of dental restorations through the optimization of the implants and the surrounding stress has a decisive influence on the lifetime of the implants and the restorations they anchor. Finite element analysis (FEA) is a method for the in vitro study of peri-implant stresses that can be used to model various clinical cases.
Material and method: The dicom format images obtained from CBCT images were integrated into the “3D Slicer” program, where the geometry of the solid bodies (implant, mandible) was modelled. In the “Ansys SpaceClim” software we were able to create the body mesh of the implants and the mandible. The general physical characteristics of the implants and the bone were set based on literature data, and then the analysis and the determination of the principal stresses were performed using the “Ansys Workbench” software.
Results: for the primary principal stress, the results for the tensile stress at the implant-bone interface do not exceed the 135 MPa limit, and for the tertiary principal stress, the results for the compressive stress at the implant-bone interface do not exceed the 300 MPa limit; stress values above the limits would indicate significant bone degradation in both cases. These maximum stress values were determined by the software at a single point, but the maximum stresses are of course distributed loads at the implant-bone interface, since the load is not transferred to the interface at a single point. The most optimal case for the measured results – when the stress values do not exceed the biophysical limits – is where the extensor surface is also loaded.
Conclusions: Taking into account the limitations of our study, we conclude that the most favourable load distribution during occlusion of the “All-On-4” implant technique on a four-implant anchored prosthesis occurs when the extensor surface is also loaded.

Dr. Árpád Joób-Fancsaly

Complications and problems during bone grafting and their treatment

In the vast majority of cases, bone grafting prior to or in parallel with implantation is a complicated and risky procedure that can only be performed with the appropriate instrumentation and expertise. Procedures that require lengthy, relatively extensive exploration and complex surgical techniques are followed by minor or major complications or develop during the operation. These must be treated with the utmost care by the operating surgeon. Often these problems can be solved individually, but sometimes they can be solved with well-practised movements or techniques and instructions.
In my presentation, I would like to highlight the complications and complications that can occur and the options for their treatment

Dr. Zoltán Nyárády

Dynamic real-time navigation in implantology – Using NavTech X-Guide for minimally invasive implantology

The author reviews the possibilities of pre-computer-planned implantology interventions. He describes dynamic real-time navigation, its use, advantages, limitations and position in the literature.
The author describes his experience with NavTech X-Guide in minimally invasive surgery.

Dr. Alexander Tzovairis

Full Hard and Soft tissue surgical restoration in one single step: Introducing the One Step Optimisation process and the Poncho Lamina technique in single anterior and posterior sites

Dr. László Párkányi

Surgical options with the Neodent implantation system