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Hugo De Bruyn

Risk Assessment to Prevent Biological and Technical Complications and Ensure Long-term Implant Success

Hugo De Bruyn

Evolving biological knowledge and scientifically based enhancements in dental implant surfaces and macroscopic design features have continuously improved the treatment outcome over the last decades. This evolution has allowed treatment protocol shifts from delayed to immediate loading and immediate placement, and has further improved the functional and aesthetic outcome with direct impact on patients’ quality of life. Additionally the indications for implant treatment have enlarged, and predictability has improved both in general and also in patients with compromised bone healing, such as smokers or patients with reduced bone volume or reduced bone quality. Despite high implant survival, biological complications are of great concern to clinicians, patients and implant manufacturers. In particular, peri-implant diseases that lead to bone loss and jeopardise the aesthetics, comfort and long-term prognosis are of great concern to clinicians and manufacturers. The same holds true for technical issues that may lead to compromised outcome and decrease the cost-benefit outcome.

This presentation will give an evidence-based update on the conditions (implant choice, patient selection, clinical protocol) required to ensure predictability with implant treatment in several indications. There will be a special focus on bone stability and the prevention of biological and technical complications.

Learning Objectives

  • To gain an evidence-based summary of the existing literature as well as an overview of results of several ongoing clinical studies assessing the clinical outcome of dental implants with respect to implant survival and bone healing
  • To understand how to enhance predictable peri-implant health conditions, paramount for long-term success with a focus on case selection, prosthetic and maintenance protocols
  • To understand how to prevent and overcome technical issues that may jeopardise the long-term prognosis


Hugo De Bruyn graduated as dentist in 1983 at Leuven University Belgium and obtained a PhD at the University of Groningen in The Netherlands in 1987 and a Master Degree at Lund University Sweden in 1988. From 1988 until 2014 he ran a private specialist referral clinic in Brussels, Belgium. In 2014 he became full Professor and Chairman of the Department of Periodontology & Oral Implantology at the University of Ghent, Belgium. Currently he teaches undergraduates and postgraduates and is Course Director of the 2-year international postgraduate oral implantology program and the 3-year postgraduate specialist program in periodontology and oral implantology.

Hugo leads the research cluster Periodontology & Oral Implantology, Implant & Removable Prosthetics (POI-IRP). The clinical research of this cluster focuses on factors related to implant success, effect of smoking, immediate implant loading, soft and hard periodontal and peri-implant tissues, digital dentistry and implant prosthodontics. He has given more than 500 national/international lectures/courses in the field of implantology/periodontology and published more than 130 international peer reviewed papers. He is currently also visiting Professor at the Department of Prosthodontics of Malmo University, Sweden.

Qualifications: DDS, MSc periodontology, PhD