In reconstructive dentistry, the replacement of missing teeth to restore masticatory function as 
well as esthetics, is one of the most sought-after treatments by patients. In the early days of dental implantology, the focus was on osseointegration, to ensure that dental implants would remain in the bone for as long as possible.
In the face of surging immediate tooth loss replacement options by dental implants and the 
concomitant esthetic failures and peri-implantitis cases, it became apparent that a mere focus on 
osseointegration was not enough. Against this, the healing concept of Bio-Integration has been 
gaining popularity in recent years. Bio-integration is the bonding of living tissue to the surface of 
a biomaterial or implant, independent of any mechanical interlocking mechanism. In practical 
terms, Bio-Integration means the complete and sustainable healthy connection of a dental 
implant with all surrounding tissues – including the soft tissues.
Our lecture will focus on how to, with extraction immediate implantation, achieve and sustain 
soft tissue integration, realize long term esthetic results with healthy gingiva and stable tissue levels even after lengthy functional periods. Ideal Implant positioning, implant design, type of 
connection, temporization, grafting, impression taking, abutment design and type of the final 
restoration are among the topics that will be addressed. 
Today, osseointegration is not enough for a successful treatment outcome. Bio-integration is essential to the success and longevity of the implant restorations. Unlike osseointegration, which focuses only on the healing into the bone, Bio-Integration is achieved only when all surrounding tissues bond to the implant. For successful long-term results, stable soft and hard tissue levels are critical, improving the quality of our services and patients’ life.