To keep or to extract - the modern dilemma

In modern clinical practice, treatment protocols are promoted that postulate preventive tooth extraction for the needs of dental treatment. The criteria for determining the indications for these extractions are often not well defined, and in some cases contradictory between different treatment protocols. This situation presents the dentist with a difficult choice to assess the possibility of preserving the natural teeth of his patients.

The presentation is focused on the possibilities to ensure the preservation of the natural teeth of patients with severe periodontal diseases. Modern methods of regenerative periodontal therapy will be presented, their indications and limitations. The indications for determining teeth as irrational for treatment and the possibility of the mucogingival approach in periodontal surgery to support implantological treatment will be discussed.

 

Knowledge and skills that the presentation will provide:

1. Knowledge of the possibilities and indications for regenerative periodontal therapy.

2. Skills for making clinical decisions for choosing an approach for periodontal regeneration.

3. Knowledge of the indications for tooth extraction, irrational for treatment.

4. Knowledge of the possibilities for applying the mucogingival approach in Dental Implantology.

5. Scheme of clinical decisions for tooth preservation or extraction.

 

Assoc. Dr. Kamen Kotsilkov, MD

EDUCATION:

2024 – Postgraduate specialization in Dental implantology, FDM, MU Sofia

2024 – International Master Program in Dental Implantology – New York University, College of Dentistry

2018 - Professional Master Program II level - “Soft tissue management around teeth and implants” – University of Bologna, Academic year 2017-2018

2008 - International Summerschool 2008 for Clinical Periodontology and Implantology. Heidelberg, Germany. 

2007 – Postgraduate Spezialization in Periodontology and Oral Mucosa Diseases FDM, MU Sofia. 

1999 – Master in Dental Medicine

1993 – High school graduation

OCCUPATIONS:

Since 2021 – The Top Dental Eduation centre and dental clinic

Since 2015 – associate professor at the Department of Periodontology, Facuty of Dental Medicine, Medical Univercity of Sofia

2007 –2015 – chief assistant at at the Department of Periodontology, Facuty of Dental Medicine, Medical Univercity – Sofia

2006 – 2007 assitant at the Department of Periodontology, Facuty of Dental Medicine, Medical Univercity – Sofia

2001 – 2005 honorary assistant at at the Department of Periodontology, Facuty of Dental Medicine, Medical Univercity – Sofia

Since 2000 – private practice – Dental Clinic Kotsilkovi

PHD THESIS: Adjunctive systemic antimicrobial therapy in chronic periodontitis. Held at Medical University of Sofia, 24.02.2015

LECTURES AND COURSES HELD: 117

PUBLICATIONS – 46

ORAL AND POSTER PRESENTATIONS– 56

INTERNATIONAL AND NATIONAL PROJECTS – 10

EDUCATIONAL MOVIES – 1бр.

CITATION ACTIVITY:

Research Interest Score 101.3

Citations 104

h-index 5

MEMBERSHIP IN PROFESSIONAL ORGANIZATIONS:

Since 2000 – member of Bulgarian Dental Association

Since 2001 – member of Bulgarian Scientific Dental Association

Since 2018 – member of Sofia Dental Meeting Association

Since 2019 – member and curent president of Bulgarian Society of Periodontology

Since 2022 – Affiliate в European Academy of Esthetic Dentistry

LANGUAGES: English, German, Russian