Title: Requirements for inserting implants in sites with low bone supply – Conf. Univ. dr. Marius Leretter

Dr. Leretter Marius is a professor at the Department of Prosthodontics, Faculty of Dentistry, UMF Timisoara. Author of numerous publications (13 books, monographs and treatises, 8 lectures, 31 articles in specialized journals), Dr. Leretter is an active member of several unions and associations both in the country and abroad. He is a member of the Association for Multidisciplinary Research, the National Union of Stomatological Associations, the Balkan Stomatological Society, the Deutsche Gesellschaft für Zahnärztliche Implantologie, and the Romanian Society of Oral Medicine. Dr. Leretter is a primary physician in General Dentistry, Doctor of Medical Sciences in the field of laser therapy in dental medicine and holds a certificate of competence in Dental Implantology.

Requirements for inserting implants in sites with low bone supply
This lecture aims to address the complexity of dental implant insertion in difficult clinical cases characterized by reduced bone supply, active infections, extensive bone destruction and the need for immediate post-extraction insertion. In routine practice, more and more patients present with significant bone loss as a result of periodontal disease, chronic infections or dental trauma, which requires the clinician to rigorously evaluate the local anatomic conditions before initiating implant-supported treatment.

Essential anatomical criteria that influence the decision for immediate implant insertion will be discussed: integrity of the buccal alveolar wall, availability of apical and palatal/lingual bone, degree of bone destruction and control of local infection. It will also emphasize the importance of three-dimensional imaging diagnosis (CBCT) and the role of bone regeneration techniques (GBR, sinus lift, autologous grafts) in the rehabilitation of complex cases.

The presentation will include documented clinical cases and will highlight current protocols that allow predictable implant insertion even in limited anatomic conditions, while maintaining primary stability and a favorable esthetic outcome.