MODERATOR: ASSOC. PROF.  S. DIMITROVA

The success of root canal treatment depends on the complete removal of infected microbial content from the root canal system. Today, with the development of nickel-titanium rotary file systems, root canal shaping has become quite simple and fast. Despite mechanical reduction of the bacterial population, it is not possible to eliminate the whole bacteria and root canal debris without the use of antibacterial solutions and activation systems from the root canals. New techonogy makes it real to clean the root canal space without damaging tooth structure.  In this presentation, characteristics of known and developing root canal irrigation agents and irrigation methods will be evaluated under the light of current literature information.   Objectives How to efficiently use NaOCI

Sandoz corporate presentation Associate Professor Elka Radeva, DMD, PhD Department of Conservative Dentistry Faculty of Dental Medicine Medical University – Sofia, Bulgaria  For symptomatic and short-term treatment of pain conditions associated with dental pain, pain after dental procedures, as well as pain after surgical intervention, nonsteroidal anti-inflammatory drugs are most often used in dental practice (1,2). Antibiotics can also be prescribed for more severe inflammatory processes. The change in the microbiome, as a result of antibiotic therapy, is one of the reasons for adding a probiotic. Another reason is the additional anti-inflammatory effect that certain probiotic strains can have. Probiotics are foods and products containing significant numbers of viabl

Endodontics its one of the speciality in odontology where we cannot see what we are doing thats why we need to think that its going to be real hard to resolve every single case that arrive to our consult, knowing that there is a classification of the cases in endodontics I would like to share some of the hardest cases that arrived to my consult and i wouldn't be able to resolve with out having a microscope or a CBCT near me, the technology its a very important part for the planification and treatment of cases.

MODERATOR: ASSOC. PROF.  D. NEITCHEV

The participation of the lecturer and the presented topic are supported by Oral B Dr. Charalampos Kalaitzakis, Greece Member of the Hellenic Society of Periodontology & Implant Dentistry Member of the European Federation of Periodontology Member of the American Academy of Periodontology   According to recent epidemiological studies severe periodontitis, or stage III and IV periodontitis in line with the new classification of periodontal diseases, is the sixth most prevalent condition in the world. Direct treatment costs due to dental diseases (caries, periodontitis) worldwide correspond to 4.6% of global health expenditure. Periodontal disease is an advanced public health issue. Furthermore it is associated with more than fifty systemic diseases. There is no

Berlin-Chemie/A. Menarini Bulgaria company`s presentation   Prof. Dr. Vladimir Panov DMD, PhD, DSc Department of Conservative Dentistry and Oral Pathology Faculty of Dental Medicine Medical University “Prof. Dr. Paraskev Stoyanov” – Varna, Bulgaria   The oral cavity is particularly susceptible to the manifestations of viral diseases. Viral infections often have a subclinical course and clinical manifestations in the form of oral lesions as a result of viral cell destruction or the immune response to viral proteins. Oral lesions are in many cases the initial manifestation or even the only sign of a disease. Such lesions can represent a diagnostic challenge due to the diverse clinical picture. The DNA viruses most often affecting the oral mucosa are represen

The participation of the lecturer and the presented topic are provided according to the Sisterhood Agreement between The Bulgarian Dental Association and The Hellenic Dental Associaton Dr. Emmanouil Vardas, DDS, MSc, PhD Department of Oral Pathology & Hospital Dentistry School of Dentistry National and Kapodistrian University of Athens, Greece   Medication-related osteonecrosis of the jaws (MRONJ) is a severe complication that manifests with many possible clinical signs and symptoms, including exposed bone, fistula, inflammation with or without suppuration, ulcers, soft and hard tissue necrosis, and edema. In the majority of cases, MRONJ manifests as exposed bone in the maxillofacial region, although non-exposed MRONJ has also been recognized MRONJ is a drug-

MODERATOR: ASSOC. PROF.  T. UZUNOV

The participation of the lecturer and the presented topic are supported by Dentatechnica.   Dr. Konstantinos Sergis, Greece   Learn how you can implement digital techniques to advanced prosthodontics, implantology and challenging cases. Use all the available features of TRIOS such as Smile Design and Patient Monitoring for empowering your digital workflow and build your digital philosophy in complex cases. Plan and design your virtual implant placement, accurately and prosthetically driven, for achieving a successful, predictable, and stress-free result. Apply the available digital tools and keep a smooth workflow from surgery to final prosthesis, even if you treat partial edentulous or fully edentulous cases that need full mouth reconstructions.  

Fixed prosthetic structures on natural teeth and/or dental implants is a preferred method of prosthetic treatment for partial or complete edentulism. The current progress in the field of dentistry has created new possibilities for taking information from the prosthetic field, designing and manufacturing the fixed prostheses. The range of innovative materials widely used for metal and non-metal restorations is constantly expanding. The choice between composite and ceramic materials, single-component and multi-component structures produced by pressing, milling or 3D printing creates new treatment possibilities and challenges. The lecture will clarify the indications for using analog and digital methods for registering and transferring information. Digital possibilities for diagnosis and a

Dr. Hristina Galeva Department of Prosthetic Medicine Faculty of Dental Medicine Medical University – Sofia, Bulgaria   Taking accurate impression has always been at the heart of all prosthetic work. In the last decade, digital methods to take an impression become more and more prevalent in clinical practice. The rapid development of CAD/CAM systems and, in particular, the different scanners are the reason for new questions to the dental practitioner regarding the scanning method, the type of scanner, the advantages and disadvantages of analog and digital protocols at work. The lecture will present a scientific study comparing different impression methods. It includes three digital protocols: direct intraoral scanning, laboratory scanning of an analog impression an

 "Change is the only constant thing in life." This is what the Greek philosopher Heraclitus said around 500 BC. Could we consider this still valid today?   Technology has fundamentally transformed the dental world in recent decades in terms of new materials and equipment, protocols of choice, clinicians’ and dental technicians’ mindset, as well as final results and overall experience of patients in the dental office. Some innovations that are offered to us from the dental industry stand the test of time and become tools of choice for a given treatment, while other novelties emerge and disappear soon after. The risk of investing in dental equipment which subsequently would become just an expensive element in the corner of the dental office, is very real for owners of dental

Assist. Prof. Todor Bogdanov, PhD 3DLab Department of Medical Physics and Biophysics Medical Faculty Medical University – Sofia, Bulgaria   From the first studies of adding materials (additive manufacturing) in the 1980s by Dr. Hideo Kodama and Charles 'Chuck' Hull to the RepRap project, the development of 3D printing technologies is aimed at the freedom to visualize our ideas. This technology these days is not only a new platform for creating art and entertainment but is increasingly used in architecture, industry, and science. Medicine is emerging as a promising field for the application of additive technologies. The wide range of printing methods combined with the constantly developing and enriching range of materials offer an alternative or completely new approa

MODERATOR: ASSOC. PROF.  E. RADEVA

In long-standing root canal infection with presence of sinus tract formation, preoperative swelling and pain, or large size of periapical lesion, as well a patients factors, multi-visit treatment is indicated. During the first visit, instrumentation and irrigation of the root canals is performed, due to the bacterial biofilm and smear layer being an obstruction for the efficacy of fthe following intracanal desinfection. After proper root canals cleaning and shaping, disinfecting medication is placed between visits to achieve a reduction of microbial numbers and restrict bacterial growth. Intracanal medication influences inflammation, helps eliminate periapical exudate, protects roots from resorption, and plays an important role in preventing re-infection of the periapical tissue. Pain reli

The lecture presents the possibilities of modern dentistry for performing endodontic treatment in one visit. Indications, contraindications and steps for a single-session root canal treatment will be discussed. In the lecture will be presented different strategies for preparation of root canals with fully mechanical protocol of work (contemporary Ni-Ti instruments Kerr, TF-adaptive, Traverse, Zenflex). Selection of irrigation protocols will be discussed. Different means and methods for root canal obturation will be presented (cold methods with bioactive materials; warm methods). In the lecture will be presented the potential complications of endodontic treatment in one visit and ways to prevent and overcome them. The lecture will analyze a large number of modern literature sources in relat

Treatment plan in cases of pathology of endodontic origin includes a specific clinical protocol for the respective nosological unit. Following this protocol strictly will allow the dentist to achieve better clinical results with good short- and long-term prognosis. Treatment outcome will be influenced negatively by any mishap and complication which may appear in every single stage of the endodontic therapy. In most of the cases, these situations are due to the individual characteristics of the patient and the tooth and, on other hand due to the practitioner. The need of detailed interpretation of the information found in the anamnesis, clinical and paraclinical examinations as well as the treatment methods and techniques are crucial for the final result. The periapical healing process m

MODERATOR: PROF.  M. ABADJIEV

The participation of the lecturer and the presented topic are provided by Association of Dental Managers in Bulgaria according to Agreement with Bulgarian Dental Association Irena Sokolova, Bulgaria   “Communication: The Key to Successful Dental Practice Management" is a specialized training program designed for dental medicine specialists and dental practice owners. This training aims to develop effective communication skills that can be applied both in day-to-day interactions and during challenging situations. By mastering skillful communication, participants can enhance their ability to express themselves, set boundaries in a calm manner, communicate goals and priorities, and effectively influence others. The training focuses on fostering a deeper understanding of the int

The participation of the lecturer and the presented topic are supported by Sparrow Medical BG   Prof. Dr. Curd Bollen, DDS, PhD, MSc perio. PGCert rest dent, Belgium Editor in chief of the "Journal of Dental Health, Oral Disorders & Therapy" Executive editor of "Journal of Dental Reports & Practice" Ambassador of the Cleanimplant foundation Ambassador for Z-Systems     When insufficient bone volume is diagnosed intra-orally, before dental implants are considered, most clinicians advise a bone augmentation to their patients. The overall succes of horizontal, and in particular vertical bone augmentation is quite unpredictable, surely in the hands of insufficiently trained or experienced surgeons. Moreover, for patients this extra surgery i

MODERATOR: PROF.  S. TOPALOVA

Since centuries there has been a desire to look better and nicer. We all know that the smile is the biggest contrast on the human face and that makes it even more important to harmonize with the face. Though there is a never ending marketing machine to have whiter teeth and brighter teeth, but we all know that nature has a certain design element built it which can be modified to a limit. Why should the teeth/ prosthesis we give to our patients be any different? We need to change form and sometimes function but it should all be done in harmony with the face and personality of the individual. In the same way Ceramic veneers should be made to look, feel and function, like natural teeth. The long term success defined by key elements of biology, function and esthetics is possible with how

Modern dentistry imposes increasingly high demands to clinicians in order to ensure not only longevity and functionality, but also the achievement of aesthetic results. The biggest challenges for the dentists are aesthetic restorations in the frontal area of the upper jaw, which also require a change in the soft tissue contour and volume. In recent years, many changes have occurred in preparation techniques, allowing as minimally invasive preparations for the hard dental tissues as possible, while allowing the management of the soft tissue profile by changing the contour of the restorations. These changes also require changes in the design of surgical techniques for soft tissue and bone correction to meet current standards of minimal invasiveness and predictability, as well as to accommoda

Complete Dental Solutions company`s presentation Dr. Manol Ivchev, Bulgaria Objectives: To realize the importance of mapping out all 3D movements of the mandible during function, going from a static to dynamic diagnose To understand the importance of having the same plane of reference in 2D and 3D assessment of our patients To compare and access the precision of clinical impressions and plaster models versus intra-oral scanning and 3D printed models To recognize the importance of a precise functional wax-up in comparison to a 3D computer generated wax-up

MODERATOR: ASSOC. PROF.  K. KOTSILKOV

“Treatment planning in aesthetics zone ” is a didactic lecture for both dentists that start doing  smile design and those comfortable with their basic skills but would like to advance to the next level. The purpose of this presentation will be to teach all participants the skills necessary to successfully perform motivational mock ups, place ceramic veneers and crowns and introduce them to more advanced procedures. The beauty of digital workflow and mock up is that it can be successfully planed by any dentist that is willing to learn the basic techniques. If you are currently not providing digital planning in your practice on a regular basis or do not feel confident, this lecture will provide you with the skills necessary to gain that confidence. If you think you know how to do prepa

In our times the digital technologies are participating more and more in everyday life of a dentist and save time and resources of both the clinicians and dental technicians, optimise the treatment and  help having predictable results. Using their advantages, we can improve the communication with the patient, we can visualise the treatment plan with them, we can test the design of the future restorations, we can discuss the preparation techniques and materials with the patient and the lab. This presentation will map the protocol for digital Wax-up and its transfer in the mouth, how we communicate with the patient and the lab if we need corrections and will show the steps in execution of the final aesthetic restoration - stratification technique - layering of composite masses using a

Solving complex cases involves all aspects of our dental profession. All treatments should be performed safely and securely with respect to nature and biology. For being minimally invasive in dentistry nowadays, we need all the resources of the contemporary dental world. Using the Invisalign system is part of the treatment plan for difficult complex cases to simple complex cases. It is highly appreciated from the patients since it makes esthetic, prosthetic and implant work predictable and easy. In this presentation will be shown the excellent syncing between orthodontics and prosthetics, facilitated by the Invisalign system in order to achieve outstanding treatment results, save time and investments. Different clinical challenges will be shown, and how we can easily overcome them th

The participation of the lecturer and the presented topic are provided by Sofia Dental Meeting Association according to Agreement with Bulgarian Dental Association Dr. Mirela Feraru, Romania Restoring teeth at the smile zone has always been a challenging task due to the need to combine structural strength of the restored tooth and the aesthetic integration with the adjacent dentition. Moreover, in order to achieve a harmonious esthetic result of an indirect restoration at the smile zone - the operative team should not only choose the material of the restoration, but also analyze and relate to the abutment type and color and to the integration of the whole restorative complex with the surrounding tissues, whether of a natural tooth (vital or non-vital), or an implant. Several tec

MODERATOR: PROF.  L. ANDREEVA

Temporomandibular disorders are a complex, heterogeneous, and multifactorial group of pathologies of the stomatognathic system that require precise modern diagnostics and various therapies depending on the specific disease. The commonly associated comorbid conditions of TMDs require the application of an interdisciplinary approach emphasizing on evidence-based prevention, diagnosis, and treatment strategies. There is a discussion of the results of cutting-edge therapy modalities, about which the worldwide literature contains relatively little information. We address a number of conditions, such as distortion due to hypomobility of the contralateral joint and osteoarthritis of the temporomandibular joint, as well as the role of Superluminous cluster devices in myofascial pain, contrac

The general dental practitioner daily encounters diseases and various pathological conditions of the oral mucosa, which have a variety of etiologies. These diseases manifest themselves generally uniformly, regardless of whether they are caused by local causes or are symptomatic of some general diseases, which creates diagnostic difficulties. Although most diseases of the oral mucosa are not dangerous to the life and health of the patient, the dentist must navigate among the wide variety of nosologies, as well as be able to distinguish, diagnose and treat the more common ones among them.   The leading principle in the exposition of the currant lecture is the clinical-morphological principle. In a systematized form, the lecture presents the main groups of oral lesions - white, red

The development of technology, ecology, the improvement of the standard of living and the quality of health services, the accumulation of knowledge enable more and more people to live to an advanced age. Extended life is a great success for humanity - medically and socially - but also a challenge due to the emergence of new problems. Geriatric patients are a special group because of changes that inevitably occur with time, their vulnerability to physiological, psychological, social and health problems. The study of the characteristics of the geriatric patient and the peculiarities of aging, is important for increasing the medical qualification and obtaining competencies that improve the care of these patients, and is imperative given the demographic trends. People today retain m