Multidisciplinary Approach in the Management of Complex Clinical Cases

The successful management of complex dental clinical cases requires close interdisciplinary collaboration, particularly in situations where functional rehabilitation and long-term esthetic stability depend on precise soft-tissue management. This lecture presents a multidisciplinary concept integrating prosthetic dentistry, implantology, and periodontology, with special emphasis on soft tissue augmentation and coronally advanced flap (CAF) techniques.

Through selected clinical cases, the lecture demonstrates how periodontal plastic surgery procedures, including root coverage and peri-implant soft tissue enhancement, play a critical role in establishing stable biological conditions prior to definitive prosthetic rehabilitation. The interaction between prosthetic planning and periodontal execution is discussed in detail, highlighting treatment sequencing, tissue phenotype modification, and risk management in esthetically demanding areas.

Digital diagnostics and planning tools are presented as key elements for interdisciplinary communication and predictability. Common clinical challenges and complications related to soft tissue stability are analyzed, together with strategies for prevention and long-term maintenance.

The lecture aims to provide clinicians with practical, evidence-based guidelines for achieving predictable outcomes in complex cases through coordinated multidisciplinary treatment.

Prof. Dr. Dimitar Filtchev

Dr. Dimitar Filtchev obtained his degree in Dental Medicine from the Faculty of Dental Medicine in Sofia, in 1998. In 2000 he was appointed Assistant Professor at the Department of Prosthetic Dentistry at the same Faculty and from 2015 is elected as an Associated Professor at the same department. In 2003 he acquired a postgraduate specialization in Prosthetic Dentistry. In 2013 he presented his thesis and got a PhD degree. From 2007-2015 is a President of the Sofia Dental Meeting Association. Co-founder of the Laser Dental Center and the Implant Dental Center at the Medical University in Sofia. Specialization in Prosthodontics, Faculty of Dentistry – Munster, Germany. Participated at trainings in Prosthodontics with N. Bichacho, M. Fradeani, in Implantology-H. Salama, in Perio- A. Saadoun, M. Hurzeller, G. Zucchelli. Honorary Member of Style Italiano Group, the Bulgarian Society of Esthetic Dentistry, Bulgarian Scientific Dental Association, Affiliate of the EAED, Instructor at the Zimmer Institute Switzerland. Since 1998 he has been running a successful private practice in Sofia, focused on Implantology , Esthetic and Digital Dentistry and Orthodontics. Dr. Filtchev has more than 80 publications in scientific journals, many scientific presentations, numerous participations as an keynote speaker at national and international congresses such as the Implant Days at the NYU, AEEDC Dubai, ICOI, DGZI and many others.

---

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