Peri-implant soft tissues play a role of paramount importance, not only on the esthetic appearance, but also on the maintenance and long-term stability of implants. The present report presents the conclusions from the Consensus Conference of the South European North African Middle Eastern Implantology & Modern Dentistry Association (SENAME) (4–6 November 2016, Cairo, Egypt). The conference focused on the topic of the soft tissue around dental implants, and in particular, on the influence of implant configurations on the marginal soft tissues, soft tissue alterations after immediate, early or delayed implant placement and immediate loading, the long-term outcomes of soft tissue stability around dental implants, and soft tissue augmentation around dental implants. Thirty world experts in this field were invited to take part in this two-day event; however, only 29 experts were in the final consensus voting process.

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This case report represents a female patient treated with alveolar socket preservation technique using a xenograft bovine bone substitute 'Bio-Oss®' and a biological glue 'PeriAcryl® 90' over the substitute material as a sealer to isolate the socket. 7 years post loading, implant site showed a perfect stability of both soft and hard tissues. Methods: A 50 year old healthy patient presented a deep horizontal root fracture of the upper right canine, delayed implant placement was indicated, extraction followed by socket preservation technique using Bio-oss and PeriAcryl was performed, After 5 months of healing period, an excellent soft and hard tissues conservation was noticed, implant was then inserted showing a high bone quality and quantity. Seven year follow up period express a perfect stability of the bone cortical margin and the surrounding soft tissues. Conclusions: biological 'PeriAcryl® 90' glue may be used as an alternative technique for socket coverage to avoid complications related to gingival graft, coronally advanced flap or barrier membrane.

This case report exhibits a patient with generalized aggressive periodontitis who has been under maintenance for the past 12 years after being surgically treated in a single sitting and restored with dental implants. A 41-year-old systemically healthy male patient presented complaining of lower anterior teeth mobility and pain in the upper right quadrant. After clinical and radiographic examination, the upper right molars and lower anterior incisors were deemed unrestorable. Covered by doxycycline, the patient received a nonsurgical periodontal treatment. Three weeks later, teeth extraction, immediate implant placement, immediate nonloading provisional prosthesis, and a guided tissue regeneration were performed at indicated areas in a single sitting. The clinical decisions were based on patient compliance, the status of the existing periodontal tissues, and the prognosis of the remaining teeth. During the 12-year follow-up period, no residual pockets were observed and there was no exacerbation of the inflammatory condition. Marginal bone stability is present on all implants. For aggressive periodontal disease, a high risk of relapse as well as limited success and survival of dental implants should be considered. This case shows proper containment of the disease based on appropriate treatment planning and a strict maintenance program.