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Role models and network are crucial.

Der Mythos vom Schalker Markt in St Pauli

During each of her visits in nearly 60 countries, she consistently met the President of the country or the Prime Minister, and the Ministers of Health and sometimes Minister of Education in order to advocate for a strategy of Oral Health integrated into the strategy of General Health through prevention, planning and budget. She obtained tangible results during those visits and always received large media coverage. How to use positive psychology to develop your leadership skills , Dr. Don't hesitate to sell yourself - online marketing as a key to success , Sevim Canlar. Monday morning, you are at 8 o'clock in the morning in your practice, two employees have reported sick and there are already the first pain patients in the waiting room.

The first patients need a lot of attention and you are mercilessly behind schedule. Your e-mail inbox is full of emails that you have to edit in a timely manner and at 10 o'clock calls the Kita and tells that your child has a fever and must be picked up. Every day there are such challenges that need to be mastered. How is it possible to handle this hullabaloo? How do I stay resilient? To achieve long-term predictable results with implant therapeutics, stable hard and soft tissue around implant are prerequisite.

Various approaches had been proposed to solve compromised situations simultaneously or prior to implant placement, however most of proposed new approaches had been diminished due to lack of scientific evidences, technical sensitivity, low patient quality of life during treatment and medico social aspects.

In this lecture, emphases will be made the efficacy of various approaches by reviewing long-term clinical results, especially solution to posterior maxilla, anterior maxilla and extended edentulous situations. In addition, the transition of the treatment concepts in 20 years and current trends of site development with minimal invasive approaches will be discussed.

Number of patients have occlusal problems with or without clinical symptoms. We need to correct mal-occlusion and obtain the harmonized stomatognathic system including temporomandibular joint, perioral muscle, tooth and periodontium to secure favorable oral environment with long-term stability. Recently clinicians tend to consider the occlusal reconstruction is complicated and difficult, because actual patients have multiple etiology such as malalignment, periodontal disease, tooth defect, and with increasing high esthetic demands. Key points to lead to the successful occlusal reconstruction are to examine and to clearly diagnose the true problems with the stomatognathic system, and to perform effective combination of therapies with the best order.

Needless to say, explanation for the patients, selection of therapy and determination of therapy priority are crucial. I have categorized those etiology into three groups, such as malalignment, periodontal disease, and multiple teeth defect. Then I will explain the characteristics and treatment key points of each category.

In order to achieve esthetic results with anterior implants, it is necessary to three dimensionally augment bone along the dental arch to not only place the implant inside the bone, but to also support the soft tissue in harmony with the projected crown form. In many situations, not only hard tissue, but soft tissues are also significantly diminished, making soft tissue augmentation necessary.

In addition, grafting of connective tissue and adjustments to the superstructure are needed to create a stable and attractive soft tissue frame.

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Using several cases, this presentation will demonstrate hard and soft tissue management techniques to achieve natural and esthetic implant treatment results. Modern implantology is becoming established as a routine treatment in daily practice. Also full ceramic restorations are a matter of course in modern dentistry. There is an allegedly high degree of predictability and patients enter our practices with high expectations. However, despite the progress that has been made in many areas, what is often overlooked is the fact that implantology and high level restorations has not got any easier: The lecture will show the successful application of structured treatment planning, how to integrate the latest advances in implantology on the one hand and full ceramic restorations on the other hand into daily practice and how to solve even complex challenges by consistent involvement of functional aspects.

Current periodontal therapy and implant treatment have made it possible to restore esthetic and function and to achieve long lasting treatment result. Accordingly, periodontal plastic surgery PPS is getting essential. However, PPS not always achieve complete success and consistency of the result is not stable by surgeons. Detailed diagnosis of cases, the surgical techniques and choices of regenerative materials will be explained to achieve predictable final treatment outcomes.

The pursuit of aesthetics in implant treatment catches the hearts of many implant logistics and doesn't hand away. The reason is that when many factors correlate with each other, even if one part of them is missing, the result is greatly affected.

And there is a difficulty to reach the ideal goal. Particularly in aesthetically important parts, as shown by the concept of "Esthetic Triangle" by Zetu, Wang et al. In addition, by applying advanced prosthetic technology, the aesthetics in implant treatment are achieved for the first time. In recent trends, we will examine biomaterials and new surgical procedures used for soft tissue formation for improving the aesthetics of implants.

Soft tissue augmentation around implants prosthesis placed in the esthetic zone is the mandatory requirement. And this represents that both implant positioning and its restoration in the esthetic zone will become very challenging field for dental clinicians. In reality, one of the major complaints to those cases was related to the change in the appearance of restorations caused by peri-implant gingival recessions. Through the author's clinical experiences of having favorable prognosis in 10 year follow-up to both root coverage and ridge augmentation procedures using connective tissue graft to those natural teeth cases when working under a microscope, adapting the technique likely to exposed implant abutment surfaces may become a valid alternative to recover it in the aesthetic zone.

This lecture will present clinical cases of micro-surgical peri-implant soft tissue reconstruction for both single and multiple implant cases and discuss the technical solutions to each cases. Recession coverage in challenging clinical situations , Prof. The main goal of comprehensive dental rehabilitation is to achieve a pleasing harmony between the face, smile and teeth.

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Here, a number of tools are being implemented by the clinicians to evaluate the relationship between the different components of the face and to provide guidance for treatment planning as well as for the fabrication of the final restorations. Today, the progressive shift towards implementing digitally-driven 3D engineering tools in reconstructive dentistry is obvious. Compared to the conventional techniques, the ultimate goal of the digital technologies is to improve the quality and capabilities in examination, diagnosis and treatment of the dental patient.

It is still questionable, however, whether such digital tools facilitate improved accuracy in data acquisition and assessment, superior efficacy in treatment planning, and more controlled and faster manufacturing process. This presentation will provide an insight about the emerging technologies in contemporary prosthodontics and discuss their possibilities and advantages compared to the conventional approach. Current surgical concepts for implants in the esthetic zone , PD Dr. Preparation, adhesive bonding or implant placement?

Dabei besitzen beide Versorgungskonzepte spezifische Vorteile. Management of white and pink esthetics: Key to success for the long-term maintenance of restorations in digital dentistry , Prof. The art of the personalized smile design , Dr. Designing full-mouth complex rehabilitations on natural dentition and implants with optimum esthetics requires correct treatment planning, evaluation of the most suitable ceramic material and advanced skills. Today technology validly supports the clinician in the definition of an ideal treatment plan thanks to GETApp Guided Esthetic Treatment Application , an app that automatically analyzes all the values and esthetic and functional information on the patient to determine the best treatment to be chosen in accordance with the patient's and the clinician's needs.

The tool guides the dentist step-by-step through the complete decision-making process, aiding him or her in achieving optimal esthetic and functional results. The two main phases of data collection and processing offer detailed clinical explanations, which contribute to making GETApp a modern educational system for both simple and complex prosthetic rehabilitations. By the clinician following all of the suggested steps and entering all of the requested values and parameters, the app automatically generates a PDF file containing all of the information provided by the clinician.

This allows the dentist to easily share with the dental lab every detail for the fabrication of the ideal prosthetic work. This app is also designed to interact with other available technological tools such as new-generation 3-D face scanners , thus facilitating an entirely digital workflow for prosthetic rehabilitations. Innovative operative protocols such as the MIPP Minimally Invasive Prosthetic Procedures , combined with the use of modern digital systems such as the GETApp, represent a revolution in the approach to prosthetic treatment.

This lecture will discuss what we need to do to get adequate disinfection of the root canal system with subsequent healing of periapical lesions. The most important aspect in this context are neither new tools nor special disinfectants, but a thorough understanding of the actual case we are treating.

It will be shown that not all endodontic cases are equal, and how we can address the more difficult cases by choosing our approach wisely. One core issue is timing. How much time are we prepared to spend on a case, and what is best for our patient? In this context, the effectiveness and compatibility of the means we use to debride and disinfect are key. The other core issue is anatomy. Whilst many clinicians are aware of the macro anatomy of root canal systems, fewer consider micro anatomy. Activated root canal irrigation: Apical periodontitis is caused by an inflammatory reaction of the host to the presence of bacteria planktonic state or biofilm and their products which are close to, in or outside the root canal.

Treating an infected pulp, root canal irrigation aims at removal or inactivation of the biofilm.

Activation of the irrigant during the irrigation procedure can enhance the efficacy of the irrigant and the procedure. One of the problems in dentistry is that we lack clinical evidence for most of our procedures. This lecture will explain the activation possibilities, available at the moment, for treatment of vital or infected pulps and its proven clinical relevance. Restoration of the root-filled tooth: Discoloured anterior teeth can have a very negative effect on a patient's appearance.

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  6. In the past, a lot of root canal treated teeth were reconstructed using metal posts and crowns. Today, more conservative strategies such as bleaching, fiber posts, composite restoration or minimal invasive porcelain veneers represent an alternative treatment option.

    On the other hand, endodontically treated teeth present impaired crown stiffness due to structural loss of hard tissues. Preserving intact coronal and radicular tooth structure, especially maintaining cervical tissue to create a ferrule effect, is considered to be crucial for the optimal biomechanical behaviour of restored teeth.

    The presence of ferrule has a positive effect on fracture resistance of endodontically treated teeth. This lecture aims to provide an update on modern adhesive technology to directly restore teeth. Composites can be bonded according to an 'etch-and-rinse' or 'self-etch' bonding protocol.

    Enamel requires phosphoric acid for durable adhesion, while phosphoric acid onto dentin is today less preferred. Self-etch adhesives make use of chemical interaction and nano-technology. This lecture provides a full update on dental adhesives from molecular-level interaction at the adhesive-tooth interface to laboratory and clinical performance, with a clear practice-oriented message how to bond most durably to enamel and dentin. Managing the deep carious lesion "MI" way! Indications and protocols in esthetic dentistry: The future prospective of minimally invasive full-mouth rehabilitation adapting digital approach would require the following clinical discussions: The speaker wishes to explain all of the above through his clinical cases.

    Resin-bonded fixed dental prostheses made from zirconia ceramic: Resin-bonded fixed dental prostheses RBFDPs, so-called Maryland bridges with two metal retainer wings have been introduced over 30 years ago for a minimal invasive replacement of missing teeth. However RBFDPs are still not considered a comparable treatment modality to implants by most of the dentists.