Filipe Lopes

Management of the anterior esthetic zone in patients with a reduced periodontium: tooth preservation vs implant rehabilitation | Peri-implant regeneration

  • DDS, Faculty of Dental Medicine, University of Porto (FMDUP), Hospital de São João.
  • Member of the International Scientific Committee of Biotechnology Institute (BTI), 2006–2019.
  • DentalXP Expert (USA).
  • Lecturer in the Master's Program in Oral Rehabilitation, Faculty of Dental Medicine, University of Porto (FMDUP), 2000–2007.
  • Invited Lecturer in the Postgraduate Program in Implantology, CESPU (2016–2019).
  • Lecturer at the BTI Institute in several Advanced Courses in Implantology and Oral Rehabilitation (2009–2019).
  • Member of the Scientific Committee of the journal Science Pro.
  • Member of the Scientific Committee of the journal Dental Dialogue.
  • Author of the textbook Dental Materials (18th Edition), Faculty of Dental Medicine, University of Porto (FMDUP).
  • Author of the multimedia Brightbook The Soft Block: Managing Severe Recessions Around Dental Implants, and author of numerous national and international publications and lectures.

Nationality: Portugal

Scientific areas: Periodontology

Auditorium B

Conference summary

The anterior esthetic zone in a reduced periodontium represents the highest-risk scenario in implant dentistry. Pre-existing bone loss compromises alveolar volume, gingival architecture, and the emergence profile. The clinician is faced with a decision that will determine the esthetic prognosis for decades to come.
 
Peri-implant regeneration begins before implant placement. It begins with the decision of whether to extract or preserve the tooth.
 
The complexity and importance of the anterior esthetic zone in facial esthetics require the clinician to act simultaneously as a periodontist, surgeon, and prosthodontist at the moment of decision-making.
 
Clinical decision-making requires a logical sequence of procedures in which long-term esthetic outcomes constitute one of the primary objectives of implant therapy.
Congresso da OMD 2026
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