Latest / Straumann® ProTalk / Family, Fitness, Firm, Finance, and Fueling the Mind: Dr. Eik Schiegnitz's keys to dentistry success (video version)
Transcript
- 0:00We always say feedback is the breakfast of the Champions.
- 0:04You are a researcher.
- 0:05You are a educator.
- 0:07You are a great clinician.
- 0:08You are generally very curious.
- 0:11You're the most curious person I probably know.
- 0:14So why is this, why are you so curious?
- 0:16We are egocentric as human.
- 0:18The first thing about listening or about curiosity is if you want
- 0:22to create good feelings in someone else, you have to listen to them.
- 0:25Try to understand people who are around you.
- 0:27I want to learn from the best of the best, get a kind of best practice
- 0:31for all of my Five- Fs, and this can only happen with curiosity.
- 0:48Welcome to ProTalk.
- 0:50Welcome to the Pulse of Dentistry.
- 0:52Welcome to this episode of our inspiring conversations, and today,
- 0:56George and myself are welcoming professor Dr. Eik Schiegnitz.
- 1:00Welcome Eik.
- 1:01It's a big pleasure to have you today from Germany.
- 1:05Eik, you are a maxillofacial surgeon by training.
- 1:09You are running the department for Implantology at the University of Mainz.
- 1:15Beyond this, you also started health economics, and we
- 1:18come to this topic later.
- 1:19I'm curious what's behind this one?
- 1:21You are a researcher.
- 1:23You're a educator.
- 1:24You are a great clinician.
- 1:25You're very active in I associations such as the ITI and the DGI
- 1:30to help them progress and to also generation shift there.
- 1:34But beyond this, you also started your endeavor now running your own
- 1:38private practice just recently.
- 1:40So a lot going on in your life.
- 1:42We come to this later.
- 1:44Really a big pleasure to have you here, Eik.
- 1:45We know each other for a long time and are very close friends, so
- 1:49it's a pleasure to have you today.
- 1:50Yeah.
- 1:51Eik, for the ones that are not knowing you, who is Eik Schiegnitz in one minute.
- 1:57Yeah.
- 1:58First, thanks for the kind introduction and for the invitation.
- 2:02I'm appreciated a lot.
- 2:04Yeah.
- 2:04Who is Eik Schiegnitz?
- 2:05It's quite easy at the core.
- 2:06I'm someone who loves challenges.
- 2:08I try to challenge my status quo every day.
- 2:12Whether it's complex bone regeneration, whether it's a new fancy, immediate
- 2:16protocol, it's my favorite clinical topics, or if it's running an Iron Man
- 2:21or being a father of two great childs.
- 2:24For me, it's about growth.
- 2:25It's about purpose.
- 2:27But very important.
- 2:28It's not for pushing harder for the sake of pushing.
- 2:32For me, it's important to have harmony in my complete life.
- 2:36So I have defined five pillars for a fulfilled life.
- 2:40For myself, it's my five F, and it's the first.
- 2:43F is the most important.
- 2:44It's family and friends.
- 2:45It's my close relationships.
- 2:47And the second F is fitness.
- 2:49So it's all about regeneration, it's about sports about nutrition.
- 2:53The third F is about the firm.
- 2:55So my business, I'm a clinician, and leader of a
- 2:59department and a business owner.
- 3:01So I want to push harder in this firm thing.
- 3:04The fourth F is about finance.
- 3:07Of course, we all want to have financial freedom and topic for itself.
- 3:10And the fifth F is about fueling the mind.
- 3:13So progress.
- 3:15Yeah, learning long life learning presence, and for me, it's very important
- 3:20to be excellent in every of this five Fs but to have harmony between these five Fs.
- 3:26Yeah, not to be the super clinician, but who has no family or who is not fit.
- 3:30I want to have harmony in all of these five Fs.
- 3:33So at the end, at the core I'm a passionate or a maxillofacial surgeon.
- 3:37I go to work every day with a big smile.
- 3:40But I'm also a passionate family father, a passionate
- 3:42sportsman, a passionate educator.
- 3:45For me it's a holistic approach to my happiness in life.
- 3:50Wow.
- 3:51Yeah.
- 3:51Sounds very, it sounds very inspiring.
- 3:52Good plan.
- 3:53And we come to this and I think I take one question followed that I always
- 3:58wanted to ask you because Eik, we know each other long time and there are not
- 4:02many people that ask so many questions.
- 4:05You, again, you are genuinely very curious.
- 4:08You're the most curious person I probably know.
- 4:11So why is this, why are you so curious?
- 4:15I have learned we have two ears, but only one mouth.
- 4:17Yeah.
- 4:18Most of us want to get a message to the person who is next to one because
- 4:23they want to get a better feeling of, they say we are egocentric as human.
- 4:27Yeah.
- 4:28And.
- 4:29The first thing about listening or about curiosity is if you want
- 4:33to create good feelings in someone else, you have to listen to them.
- 4:36Don't get your own message inside the other person.
- 4:39Get his message to you.
- 4:40Try to understand people who are around you, and if you understand them, you
- 4:44know their problems, where you can improve them or get impact for them.
- 4:47So for me, it's all about listening, proactive listening, understanding
- 4:51the person who is next to you.
- 4:53This is the one case, and I am from the heart.
- 4:56Someone who learns very happily, or who is a big learner and you
- 5:02only learn with smart questions.
- 5:04So if I'm at a congress or at a business meeting or just in a private
- 5:08setting, I always look in the room and.
- 5:10Look for the pa, for the person who I think is the most
- 5:14impressive, the most inspiring.
- 5:16And then I try to approach this person and try to understand this person.
- 5:20Why is he or she so successful?
- 5:23Huh?
- 5:24To get impact for my own life, huh?
- 5:27And I talked about the five F, the five pillars of my life.
- 5:31And of course I have mentors or inspiring people for every F. Yeah.
- 5:36So you have to learn a lot or you have to meet a lot of.
- 5:39Great people to have the best benchmark for every F So this is my career
- 5:45curiosity coming from, I want to learn from the best of the best, get a kind
- 5:49of best practice for all of my five Fs And this can only happen with curiosity.
- 5:54No, it's very, it's great to hear and it's exactly how I experience it.
- 5:57I think it helps you to fuel relations.
- 6:00Because people relate much better to you, but also, of course,
- 6:04it fuel fuels your progress.
- 6:05And I think curiosity is the starting of learning.
- 6:09And, learning is the start of progress.
- 6:11And as you said before, progress is probably the start of happiness.
- 6:14Yeah.
- 6:14At one point.
- 6:15So that's a question I always wanted to ask you.
- 6:19You are not only a dentist, you are a maxillofacial surgeon.
- 6:21So you, at one point in your career, you had to decide not to pursue
- 6:25dentistry, but to go a step beyond and also do a medical degree.
- 6:30Why was that?
- 6:31How did this go?
- 6:33Yeah.
- 6:33I didn't just want to treat teeth.
- 6:34I wanted to understand, learn the whole system, the whole body, and
- 6:38there this fusion of dentistry and medicine and oral maxillofacial surgery
- 6:42for us, for me, like a calling, huh?
- 6:44I thought, wow that's the big thing.
- 6:47I can be a very focused specialist on, on treating tooth or treating
- 6:51implants, but can see the whole body.
- 6:53Yeah, and I think on congresses today we focus very much only on
- 6:57the tooth or only on the implant.
- 6:59And we forget that on this tooth is hanging a whole patient so we have to see.
- 7:04At the beginning, always the whole patient.
- 7:06Yeah.
- 7:07And this is oral maxillofacial surgery for me about so the stool
- 7:11expertise still shapes my everyday diagnosis, my everyday treatment.
- 7:17So I want to always have a holistic approach of my patient, and therefore
- 7:22I choose oral maxillofacial surgery.
- 7:24And of course it's a great, specialty where you can do research,
- 7:28you can go into university, you can go into private practice.
- 7:32You have a huge possibilities in oral maxillofacial, probably the
- 7:36best specialty in surgery if you want to have all the options open.
- 7:40Yeah.
- 7:41I almost see it like a continuum.
- 7:43You being, a dentist, a maxillofacial surgeon, down to your sports career.
- 7:48Because you also talk a lot about longevity and health.
- 7:52And you will have later a lecture here in the house speaking about longevity.
- 7:56So there, I think that there seems to be a continuum, which is not breaking anywhere.
- 8:00It's very complete.
- 8:02Maybe to build on this, so how do you see the current dental field
- 8:06actually looking at general health?
- 8:09Because there is a lot of know-how and knowledge that actually this
- 8:13is closely linked and oral health has a big impact on general health,
- 8:17but it is not general practice.
- 8:20Absolutely.
- 8:21It's still in the niche.
- 8:22Yeah.
- 8:22We have to get it on the big congresses.
- 8:25We have to big to do the big lectures about the whole patient, but the.
- 8:30Colleagues don't want to listen to these lectures.
- 8:32We always try to implement them, but at the end, they want to have the special
- 8:36lecture on a fancy surgery technique, so we have to begin with ourselves.
- 8:41We as a clinician, have to start with this mindset.
- 8:45I want to understand my whole patient and then go into detail, but this
- 8:49mindset is n. Not enough implemented in the minds of our colleagues.
- 8:55So we have to start to, to get this mindset into our colleagues.
- 8:59Huh?
- 9:00Everybody has to start first at its own private practice
- 9:04to see more holistic approach.
- 9:05Then there's something else, which is very special.
- 9:07You started health economics.
- 9:09What is this and why?
- 9:11Did you decide to embark on this journey?
- 9:14Yeah.
- 9:15At the end, we all want to be specialist or we want to have clinical excellence,
- 9:20but this does not exist in a vacuum.
- 9:23Yeah.
- 9:23We always have to see the broader context.
- 9:27And I wanted to understand the system, how it works, how is resource where comes
- 9:33the money from, where does the money go?
- 9:35And if you want to be.
- 9:37A good leader in your private practice if you want to be a good
- 9:40leader in a department, and if you want to get a more strategic
- 9:44mindset in your younger colleagues, you have to see the whole system.
- 9:48And of course everybody says, I don't get enough money.
- 9:51Yeah.
- 9:51Everybody is complaining now in Germany about, too less
- 9:54money in the dental system.
- 9:56But then you have to understand where's the money coming from?
- 9:58Who is paying for this?
- 9:59We all pay for this.
- 10:00So you always have to see the broader context and their hubs
- 10:04have economics to see both sides.
- 10:07We as a clinician, and of course the side who's paying the bill at the end, huh?
- 10:11And I think it's totally necessary and it should be implemented in dentistry
- 10:15studies already, but that's not the case.
- 10:18And I think that's a big mistake we have to.
- 10:21Much earlier.
- 10:21Think about these broader context.
- 10:23How do we finance health in the future?
- 10:26We will all have a big problem in the future financing our health system, and
- 10:31we have to think ourselves about it.
- 10:33How can we get our parts to make our health system more sustainable?
- 10:38Make it work.
- 10:39So how long was this study?
- 10:41Was it like an MBA for one year or a food study for four years?
- 10:45How was that?
- 10:46Yeah.
- 10:46In Germany we have the, but it's MBA it's a three year studies and you
- 10:51get in touch with every player in the health system, with the insurance,
- 10:55with the state, with the private practice, with the clinicians, and.
- 10:59You see every side and every advantage and disadvantages when you do this in
- 11:04the kind of health setting or that, huh?
- 11:06So you get a broader context that's all about it.
- 11:10So it was like three years in parallel to you working and
- 11:14preparing for Ironman and stuff.
- 11:16Okay.
- 11:18Being on the cross trainer.
- 11:19So how do you benefit from this today?
- 11:22A lot.
- 11:23A lot.
- 11:23Every day.
- 11:24Every day.
- 11:24Yeah.
- 11:25Because I already told you.
- 11:26Oh you see it's yourself that everybody is complaining.
- 11:30I think.
- 11:31Smart human doesn't complain.
- 11:33Yeah.
- 11:33Why complain?
- 11:34Because complaints doesn't make the world better.
- 11:36Yeah.
- 11:37You always have to think about it.
- 11:38How can I make a difference in the world?
- 11:41How can I make the world a little bit better?
- 11:44Or the patient's treatment a little bit better?
- 11:46And these have economics helps you that you are not alone.
- 11:49A lonesome player in the world.
- 11:51You are many part of the big system.
- 11:53Yeah.
- 11:54And it doesn't have to complain.
- 11:56So you have to see, how can I survive or how can I improve my clinical setting?
- 12:01So regardless of the university or private practice setting, how can I
- 12:06make, my department's safe so that the employers come there with joy
- 12:11and that they can I pay them safely?
- 12:13Yeah.
- 12:14And this is today only possible if you talk about private, pay or private
- 12:20patient patients paying private bills.
- 12:23Yeah.
- 12:23And this is a mindset change In Germany.
- 12:26Yeah.
- 12:26But without this mindset change, our system will get in flames.
- 12:32Yeah.
- 12:32You are really the prototype player learner.
- 12:34As we call it.
- 12:35The concept that we use in our cultural language a lot.
- 12:37So really leading from above the line and, focusing on what you can
- 12:41influence and on the positive things.
- 12:43And I think it really makes a difference in life, not only in
- 12:46business, but also privately.
- 12:48Let's stay a little bit longer for on your, let's say, business journey.
- 12:52If you look back in your journey, you know what have, what has been
- 12:56a moment where you would say that this was really influential for you,
- 13:00or a person that influenced you?
- 13:02As I looked at this was really the changing tipping point in my career.
- 13:06Yeah.
- 13:07During my school days, I had very non inspiring and boring teachers.
- 13:11I hated my school time.
- 13:13I think it's a man problem, especially.
- 13:15Yeah.
- 13:15Women are smarter.
- 13:16They also already see in school times that it has a broader goal.
- 13:21These school time for me, it was just boring.
- 13:23I hated it.
- 13:24And then I started studying medicine and then I heard.
- 13:28Inspiring very inspiring lectures by my later mentors, Professor
- 13:32Neuhaus and Professor Wagner.
- 13:34And from this inspiring lectures on, I was mentally on fire.
- 13:38Yeah.
- 13:39First I deep dived into the learning journey, how to become inspiring
- 13:44like my mentors, and then how to educate others so it, it started.
- 13:51Becoming a better surgeon for myself.
- 13:53And then how to get others being better surgeons.
- 13:56So this lectures from Professor Wagner and Professor Neuhaus this
- 14:00was, these were absolute game changers for me in school times.
- 14:04I were absolutely afraid to talk in front of an audience.
- 14:08I was the totally shy guy.
- 14:10Yeah, he completely changed.
- 14:13Thanks to Professor Wagner, professor Neuhaus
- 14:15. Thanks for the inspiration that gave you.
- 14:17Because you can create impact.
- 14:19Yeah.
- 14:20My purpose is to create impact in a business context.
- 14:22Yeah.
- 14:23And, but in myself, it's not about money.
- 14:25I don't care about money.
- 14:26I care about impact.
- 14:27Yeah.
- 14:28I want to get my employers getting better and better.
- 14:31I want to get my child to be open-minded, to be happy persons in the world.
- 14:36And it's, for me, it's about creating impact.
- 14:38And you only can create impact if you, are inspiring, leading as an example.
- 14:44And if you can educate others, and this was for me, the game changer to understand
- 14:49this, that if you want to be an inspiring person, you have to learn education.
- 14:54Okay.
- 14:56Can we dive into this a little bit deeper?
- 14:57So why is this?
- 14:58Because, we take it for granted, but it's not, you could just be a great
- 15:03clinician, treating patients every day.
- 15:07And have a happy life in your clinic or in the university clinic
- 15:10or your private practice, and you would be already very busy.
- 15:15But you decided to be an educator and a mentor, and I think that's, I see you
- 15:19on many stages spending a lot of time and investing a lot of time, free time
- 15:23actually in associations and helping also younger clinicians to, to grow.
- 15:28Why is this, why did you decide to do this?
- 15:31Yeah.
- 15:32At the end you have to know what is your purpose in life.
- 15:34It sounds very philosophically, but I think it's very important
- 15:38to understand your bigger purpose.
- 15:41Yeah.
- 15:41For some it's about money.
- 15:43Yeah.
- 15:43They want to have these fancy lifestyle.
- 15:45For others like me, it's more about impact.
- 15:48Huh.
- 15:48And if you have, understand.
- 15:50Purpose deep in the heart, and I recommend to dive deeper into Iki ka.
- 15:55Yeah.
- 15:55It's a Japanese philosophy.
- 15:57There are three questions.
- 15:58What do you love?
- 16:00Yeah.
- 16:00What are you enthusiastic about?
- 16:02About which topic?
- 16:03You can talk for hours and don't get bored.
- 16:05So what do you love?
- 16:06Second question is, where are you good at?
- 16:08It's a difference.
- 16:09You can love something but be very bad at it.
- 16:12Huh?
- 16:12So if you have to.
- 16:14Have 100% success in a task, what would it be like?
- 16:19Yeah.
- 16:19For me it's doing something with my hands.
- 16:21I know I'm talented in in, in doing surgery, but you have to
- 16:24know it and ask other people.
- 16:25Don't just ask yourself, ask other people, where do I have success in your mind?
- 16:30So these.
- 16:31Two question at the beginning, what do you love?
- 16:33Where are you good at?
- 16:35And if you answer this, these are two circles and you have to have the combining
- 16:40things between these two circles.
- 16:42But with these two, it's just passion.
- 16:44You cannot live with it.
- 16:45So the third question is with what can you help the world?
- 16:50Yeah.
- 16:50What, where is a business context in a kind of way in these things that
- 16:55you laugh and that you're good at?
- 16:57And if you have this.
- 16:59Area with where all these three points come together.
- 17:02You have found your purpose, your sweet spot, and your sweet spot.
- 17:05Yeah.
- 17:06Wonderful word.
- 17:07Your sweet spot.
- 17:07And if you have your sweet spot for me it's impact generation,
- 17:10then you can do whatever you want.
- 17:13You will be fulfilled.
- 17:15We have a community question.
- 17:17Following this from someone that you know, it's an Andre Chen from Portugal.
- 17:21So thanks for providing the question.
- 17:23Andre.
- 17:24He knows you obviously quite well, and this question is, how do you
- 17:26balance your passion for outdoor sports and outdoor in general with
- 17:31your passion for the industry?
- 17:34Yeah.
- 17:34My mantra is progress equals happiness.
- 17:37How I told you.
- 17:38And in sports, it's just one of my five pillars.
- 17:42Yeah.
- 17:42And each pillar fuels the other pillar.
- 17:46Yeah.
- 17:46So I think it's not, they don't drain.
- 17:49Yeah.
- 17:50Yeah.
- 17:50They don't drain.
- 17:51So they are synergy.
- 17:53Yeah.
- 17:53I think if you have a fulfilled, familiar pillar, yeah, it's much
- 17:57easier to be a peak performer and work because, to at home it's happy,
- 18:01there is happy mood happy life.
- 18:03Then you are much more relaxed going to work.
- 18:06Yeah.
- 18:06And if you feel fit, if you are well regenerated, if you have slept well, it's
- 18:10much easier for you to be a peak performer in the operation room or as an educator.
- 18:16So for me it's all about synergy.
- 18:18Every pillar fuels the other, and therefore yeah, I try to have
- 18:22harmony between these five pillars
- 18:24That makes sense.
- 18:25That they're not draining energy from each other, but they're fueling each other.
- 18:29But to be honest.
- 18:30To challenge this a bit.
- 18:31You could do fitness also, with running twice a week.
- 18:34Based on sciences would be enough but you do much more than this hike.
- 18:38You did a couple of Ironmans and also long distance and those are
- 18:43really extreme situations mentally.
- 18:45But also physically, both.
- 18:47So what is it that you transfer from this, the toughest moments that you have there.
- 18:51It's, I can imagine, doing the last part of it, running a marathon
- 18:56after already two other disciplines.
- 18:59There are some tough moments as well.
- 19:00What do you learn from this for, let's say, your professional career?
- 19:04Yeah, I like your word toughest moments.
- 19:06You have toughest moments in all areas of life, and they are normally
- 19:09in, in a sports kind of way.
- 19:11And when your body says no, but your mind still says, go.
- 19:15Yeah.
- 19:16And in these toughest moments, you really have to get mentally into a tunnel.
- 19:21You have to be very focused.
- 19:23And there again comes your why.
- 19:25Why are you doing an Ironman?
- 19:27Yeah.
- 19:27Are you doing it for your parents because they love you more because
- 19:30then you are the famous sportsman.
- 19:32How are you doing this Ironman for yourself?
- 19:34Yeah, and I am doing it for myself.
- 19:36I like the moment.
- 19:39Going above the finishing line.
- 19:41Yeah.
- 19:41For me that's dopamine, it's endos.
- 19:44It's just a beautiful feeling.
- 19:46Other people take drugs to get these feeling.
- 19:48I do a matter.
- 19:49You take the internal drugs, Ironman or the training?
- 19:51Yeah.
- 19:51For me it's.
- 19:52Yeah.
- 19:52It's about, it's my why.
- 19:53Yeah.
- 19:54It's, I can't explain it.
- 19:56Why is Reinhard Messner going on a Mount Everest?
- 19:59He cannot explain.
- 19:59He says, because it's there, he always says, and everybody has his own strange
- 20:05things in mind, what he's curious about or what he want to achieve,
- 20:08and that's what we already discussed.
- 20:11You have to find your why, and then these toughest moments, they become achievable.
- 20:16Yeah.
- 20:16Because when you have this, your.
- 20:18Bigger why you have this good feeling in mind when you.
- 20:22Get through these toughest moments, you will have endorphins.
- 20:25So you push through these endorphins and especially in an iron man
- 20:30I think you have to respect the saying, how do you eat an elephant?
- 20:35Slice by slice.
- 20:36Yeah.
- 20:36So don't think about an.
- 20:37Marathon.
- 20:38When you start the marathon, think about the first kilometers.
- 20:41Yeah.
- 20:42And then the next kilometers.
- 20:43And if it's getting hard after 30 kilometers, it's really getting hard.
- 20:47Don't think about a kilometer, just think about a step.
- 20:50So I can do one step, and if I can do this step, I can do the next step too.
- 20:54Do it into small pieces, every big task, and then you can achieve with the
- 20:59right mindset and the right purpose.
- 21:01Everything in, in the world, there are no limits for yourself.
- 21:04I have to say.
- 21:05I'm very impressed by how mindful you are about yourself and your purpose and
- 21:10the why and how you build your life.
- 21:11So it's quite impressive and also inspiring I wanted to ask
- 21:14you also about the environment you're working at the moment.
- 21:17The University of Mainz knowing Bilal also quite well.
- 21:21I know it's a special place and from a leadership perspective,
- 21:24there's also a lot of output.
- 21:25Mainz is one of the most productive universities in the industry.
- 21:30If it comes to really meaningful publications.
- 21:34In your point of view, what makes mind so special and so productive
- 21:38and a really great place to work.
- 21:41Yeah.
- 21:41We foster a kind of striving for excellent culture.
- 21:45Huh?
- 21:45So we prioritize smart questions over hierarchy.
- 21:50There is no, this big boss who is standing on top of the game.
- 21:53Yeah.
- 21:54The alpha male.
- 21:55No, we want to have a flat hierarchy.
- 21:57Yeah.
- 21:58So from the student to the leading clinicians.
- 22:02It's about curiosity.
- 22:04Yeah.
- 22:04We want to have smart questions and we want to get better every day.
- 22:09Yeah.
- 22:10And what we learned, we are allowed to fail.
- 22:14Yeah.
- 22:15My, my former boss, professor Wagner always gave us the
- 22:19right to try new things.
- 22:21Also, we knew not everything will work.
- 22:24Yeah.
- 22:25Failure is part of the game.
- 22:27Yeah, and in my biggest failures, I think I had the biggest learning presence.
- 22:33Yeah.
- 22:34But you have to get feedback.
- 22:36Don't just do a mistake and do nothing.
- 22:39You have to reflect about your mistake.
- 22:40You have to recognize the mistake and then make conclusion out of this mistake.
- 22:45Yeah.
- 22:46And this is only possible if you have a, an inspiring setting.
- 22:51And in our university, are there so many smart guys?
- 22:55Yeah.
- 22:56So we can challenge each other every day and learn from each other.
- 22:59And we always say feedback is the.
- 23:03Breakfast of the Champions.
- 23:05Yeah.
- 23:05Without feedback, you don't get better.
- 23:07So I take hundreds of pictures every day when I'm at the clinic.
- 23:11And I don't go too bad before I have checked every picture and
- 23:14think about would I do it tomorrow the same or was it not perfect?
- 23:19Yeah.
- 23:19And before this, I call it after action review.
- 23:23It's from the military after the US military does an operation,
- 23:26they always do it after.
- 23:27Action review.
- 23:29They look what was the purpose or what was the goal?
- 23:32Did we achieve the goal, yes or no?
- 23:34And what can we do the next time better?
- 23:36And after every surgery, I mentally check this after action review, and
- 23:40I try to implement this after action all also with our younger clinicians.
- 23:45So we sit together after surgery and think, was it perfect?
- 23:48Was it not perfect?
- 23:49What can we do better?
- 23:50And only with this constant improvement constant.
- 23:53And never ending improvement.
- 23:55A lifelong journey.
- 23:56So now to, to I like this, that you prioritize the smartest
- 23:59question, not the hierarchy.
- 24:01I think that's a great, philosophy.
- 24:04This could drive a lot of creativity, creativity does not finish projects.
- 24:08But we know you guys, and because we do a lot of studies with you guys,
- 24:12clinical studies, really difficult and important clinical studies, and we
- 24:16know also that the department is very performant and very good in execution.
- 24:20So how do you manage this one then?
- 24:23Yeah, I think that's about leadership.
- 24:26Yeah.
- 24:27Leadership sounds fancy, but at the end, leadership begins with yourself.
- 24:32Yeah.
- 24:32You have to be an inspiring leader to have inspiring colleagues.
- 24:37Yeah.
- 24:37So I think it starts from the top.
- 24:40You have to live the lifestyle or the business lifestyle you
- 24:44want to have in your department.
- 24:45If you are not there, if you are traveling all the time or doing crazy
- 24:49not effective stuff, probably your.
- 24:52Clinicians will do the same.
- 24:53So at the beginning, it starts with yourself, huh?
- 24:57So start with yourself.
- 24:59Start just tell you or ask you the right questions.
- 25:02And if you answer these questions smart and effectively, I think.
- 25:09Running a business or running a department is no rocket science.
- 25:12You don't have to be the inspiring Steve Jobs.
- 25:15Everybody thinks about when he talks about leaders, about Steve Jobs
- 25:18and then everybody gets Oh, scared.
- 25:20I'm not Steve Jobs.
- 25:21I'm not Steve Jobs too.
- 25:22But we don't have to be Steve Jobs.
- 25:24Yeah.
- 25:24We just have to implement a system.
- 25:26Yeah.
- 25:27Where do we want to go?
- 25:28Where we can achieve it?
- 25:29How can we achieve it?
- 25:30And then you have to build up systems.
- 25:32Yeah.
- 25:32It's not about the leader who's.
- 25:34Gives every day a motivational speech.
- 25:37Yeah.
- 25:37Come on.
- 25:38We are the best.
- 25:38No, that's not about, it's about systems.
- 25:40Yeah.
- 25:41You have to have checklists before going into a surgery.
- 25:44Yeah.
- 25:44Not just doing it freestyle, but thinking before you go into the
- 25:47surgery, did I do the right diagnosis?
- 25:50Did I ask the patient, if you take any medications we started.
- 25:53The holistic mindset, so checklist before you go into the surgery.
- 25:57Checklists During surgery, when I do a surgery, I have a complete workflow.
- 26:02How I perform the surgery.
- 26:04Always a plan.
- 26:05Plan A, yeah.
- 26:07Then if plan A doesn't work for whatever kind of reason, I have plan B already in
- 26:12my mind and plan C and plan D, so I never.
- 26:15Never, but get nervous in a surgery.
- 26:18For me it's always focus, focus.
- 26:20Yeah.
- 26:21It's about visualization.
- 26:23Yeah.
- 26:23And then already how I told after action review.
- 26:27So if you do live this lifestyle, this.
- 26:31Checking at the beginning, having a straight workflow,
- 26:34doing an after action review.
- 26:36If you live it, I think your clinicians will follow, and then your department
- 26:41or your private practice has no limits.
- 26:43Okay, cool.
- 26:45Let's spend a word also on the ITI because you are, you're very active in
- 26:49Germany, but also on, on a global scale now as a mentor for the young leaders.
- 26:53Why did you engage in the ITI and what kind of a community
- 26:57do you want to help building?
- 26:59Because you are very active in also shaping the ITI.
- 27:03Yeah.
- 27:03For me, the ITI is not just a society.
- 27:06Yeah.
- 27:06It's more a think tank.
- 27:08Yeah.
- 27:08Or a hub for achieving excellence in implant dentistry.
- 27:13So it's not about coming together and chitchat.
- 27:16It's about.
- 27:18Curiosity, how you mentioned it's about growth.
- 27:20It's about at the end, happiness.
- 27:23Yeah.
- 27:23And in the ITI, there are so many inspiring people.
- 27:27If I go to A ITI Congress, I can approach every person there and learn something.
- 27:32Yeah.
- 27:32And at the it i, there are in a percentage the most inspiring people.
- 27:39Yeah.
- 27:39Therefore, I love the ITI from the bottom of the heart, and I want to be part of it.
- 27:44And I want.
- 27:46To give my best to shape this society, huh?
- 27:51To at the end get better patients treatment all over the world.
- 27:55Huh?
- 27:55This is the beauty about the ITI.
- 27:57It's international so we can reach with our things we are doing
- 28:00at the ITI, not only Germany.
- 28:02We can go to Africa, we can go to Asia and where.
- 28:06Billions of people are living.
- 28:08So with the ITI, we can create an incredible impact and therefore I love the
- 28:14ITI from the bottom of my dentistry heart.
- 28:18I also have a, then that's the last question probably to, to your, let's
- 28:21say, educational influencer journey and then we go more to clinical
- 28:25topics and the future of the industry.
- 28:27You're also running a podcast.
- 28:29Yeah.
- 28:30Eik for the DGI in Germany it's called knowledge to go.
- 28:34If we translate it into English, how do you see this?
- 28:37So why did you come up with it and how do you see the.
- 28:39The place.
- 28:40What is the place of a podcast format in today's learner world?
- 28:46I think it's getting a big pillar inside the learning market
- 28:49because it democratizes knowledge.
- 28:52Yeah.
- 28:52This podcast we are here, microscope today will be heard all around the world.
- 28:578 million, 8 billion people have the opportunity to hear
- 29:00this stuff we are talking about.
- 29:02Yeah.
- 29:02It's democracy at its best.
- 29:04Yeah.
- 29:05And the important thing, it's snackable and portable.
- 29:08Yeah, you can hear it doing sports, you can hear it between surgeries, you
- 29:13can hear it everywhere on the planet.
- 29:15Yeah.
- 29:15And this is the beauty of this format.
- 29:18Yeah.
- 29:18And of course it has this disadvantages.
- 29:20You can't show slides and in some cases, especially clinical topics, it's
- 29:25better to have also a visual learning.
- 29:27Yeah.
- 29:28That's the disadvantage.
- 29:29But for this Democrat thinking, I think podcasts are coming to stay.
- 29:37Yeah.
- 29:38They have a big future.
- 29:39What makes a great podcast episode for you?
- 29:42I think I'll try to get some tips, George.
- 29:44Exactly.
- 29:46Yeah.
- 29:46At the end it's, I think you have to have an authentic discussion.
- 29:53Yeah.
- 29:53It's like a backstage discussion.
- 29:58Yeah.
- 29:58You want the people want to hear the person behind the script.
- 30:03Yeah.
- 30:04Getting knowledge about why is Professor Buser, what he's doing?
- 30:09Why is Professor Isan Urban so successful?
- 30:12Yeah.
- 30:13We want to understand the person, and I think this is the podcast
- 30:17format is optimal to have this short look behind the scenes.
- 30:21Yeah.
- 30:21Because on a lecture you see the superstar on the lecture, he's showing
- 30:24his best cases and there is a great distance between you and the lecturer.
- 30:29Huh.
- 30:30On a podcast, you think it's more personal.
- 30:32He's just sitting next to you and you have a chitchat at the breakfast.
- 30:36Yeah.
- 30:36And you don't see the journey and the work behind.
- 30:38Absolutely.
- 30:39Yeah.
- 30:39All the successes.
- 30:40You are totally right.
- 30:41Yeah.
- 30:41No, thanks for sharing.
- 30:42I, so yeah, let's move a bit more on the clinical topic.
- 30:45Exactly.
- 30:46Eik, so let's dive into one of your passions implantology and
- 30:50particularly also digital implantology.
- 30:53And here, maybe let's start with the question, where do
- 30:56you see the biggest shifts in implantology happening right now?
- 31:01Yeah.
- 31:02Everybody is talking about AI.
- 31:04Yeah, of course this is a big topic.
- 31:06But I think these AI topic is more in the diagnostic and treatment perspective.
- 31:13Yeah.
- 31:14I don't see robots overtaking our job as a surgeon.
- 31:19It's too complicated.
- 31:20It will take, a lot of time to have really robots doing the surgery.
- 31:24So you as a surgeon, you have a safe job for the next 2020,
- 31:27perhaps, probably 30 years.
- 31:29Yeah.
- 31:30I see.
- 31:30The big changes in a more holistic planning and a
- 31:35holistic treatment planning.
- 31:37So for me, the future is that the patient is coming to our clinic he gets.
- 31:44Diagnosis, full diagnosing a scan, and hopefully soon x-ray
- 31:49diagnosis without radiation.
- 31:52So I think the MRT at the moment, it's not so far like the CBCT, but I hope that the
- 31:58MRT without radiation has a big future.
- 32:00So then we can get every patient just walking in our clinic, having
- 32:04a scan, having a MRT, then get the full patient, get an anonymous.
- 32:10And then the AI gives us the different treatment options.
- 32:15Yeah.
- 32:15Gov for auto gov for classical pros gov for implant surgery.
- 32:20Do we need a bone augmentation?
- 32:21And there the AI helps us.
- 32:24Enormously because he has a broader mindset.
- 32:26Yeah.
- 32:26As a surgeon, you are always single-minded to the implant, but that's not in,
- 32:30in the perspective of the patient.
- 32:32I think the patient, the whole patient journey, the patient
- 32:35perspective is getting more in focus with the AI because it helps two.
- 32:41Give us advice how to treat the patient.
- 32:43And at the end, of course, it's about money.
- 32:46If you do orthodontic treatment, it takes time.
- 32:48It costs more money.
- 32:49The patient has to decide, am I willing to invest this money all the time
- 32:53or go just straight for the implant?
- 32:55Yeah.
- 32:56It's a decision making progress.
- 32:58The AI helps us, but especially for complex treatment decisions, we
- 33:03as a clinician are still helpful.
- 33:05Yeah.
- 33:06To get the emotions behind because the AI.
- 33:08I don't think can get the emotions of the per of the patients perfectly.
- 33:13So in the future we have better diagnosis, planning, and decision
- 33:18making, the surgery behind.
- 33:22This diagnosis and treatment plan stays probably nearly the same.
- 33:27We have tools which help us like guided workflow, dynamic
- 33:31navigation, static navigation, but I don't see there the big changes.
- 33:36I see it more on the diagnostic part.
- 33:38To build on this.
- 33:39And it's very fascinating that you see there.
- 33:41Also the biggest changes happening now, if I listen to you, there
- 33:45will be superhuman performance of ai, particularly in diagnostics.
- 33:49And it's there already for some fields.
- 33:51Now, will this change also the private practice versus university clinic
- 33:57importance Because, at the university clinic you have a multidisciplinary
- 34:00team that can actually come together and also discuss a patient case.
- 34:05Now, will AI make private practices even more closer, coming to providing
- 34:11that holistic service thanks to ai.
- 34:15At the end, university and private practice is sitting in the same boat.
- 34:19So we have the same goal and the future of the university is to be the specialist
- 34:25clinic for the very, very complex cases.
- 34:27Yeah.
- 34:28At the university you have intensive care so they can do the big tumor surgeries.
- 34:32Yeah.
- 34:33If a university has to place an implant because the cost structure at the
- 34:38university is 10 times higher than.
- 34:41At the private practice.
- 34:42At the private practice, yeah.
- 34:43Yeah.
- 34:43I think we can create a win-win situation.
- 34:46Yeah.
- 34:46And the hos, the big hospital at the university should very
- 34:50prioritize on the challenging cases.
- 34:53And the persons in the private practice should do the not so complex cases
- 34:58because it's much more efficient.
- 35:00Yeah.
- 35:00And if we get this mindset together it's difficult.
- 35:03That's true.
- 35:04Because everybody thinks you can do the best.
- 35:06Yeah.
- 35:06But at the end we have to.
- 35:08Get a step back, think what can we do best in the private practice?
- 35:12It's the straightforward cases.
- 35:14Yeah.
- 35:14Easy workflow, small costs for the patient and the system in whole.
- 35:19And complex cases to the university.
- 35:21Yeah.
- 35:21Perfect segue.
- 35:22So complex cases you also, you drive a lot on complex rehabilitation,
- 35:27building up heart and soft tissues and.
- 35:31This augmentation cases that you're doing, it's quite fascinating also, particularly
- 35:34with cat chem meshes and we'll come to this talking about your learning journey.
- 35:40It was not easy probably to get there.
- 35:41Those are very difficult cases.
- 35:43What were your moments where you actually, learned most maybe procedures that
- 35:48you tried and now you had to abandon because you learned that actually.
- 35:53They were not the best.
- 35:54Yeah.
- 35:54Beautiful question.
- 35:55When I started my career, it were all about block augmentation procedures.
- 35:59Yeah.
- 35:59We started with the autologous blocks and they had good results.
- 36:03Yeah.
- 36:04Then there came these cut cam allergenic blocks.
- 36:06Yeah.
- 36:07And we were used to the autologous blocks, so Wow.
- 36:09Individualized techniques and beautiful cut cam allogenic blocks.
- 36:13These are the features.
- 36:14I really dive deep into it.
- 36:15And.
- 36:16If I see my results years later, I see that block augmentation
- 36:21procedures have not the result I would wish for my patients.
- 36:25Yeah.
- 36:25Because the vascularization, the bone regeneration in blocks, regardless of
- 36:30its autologous or allergenic, is not so sufficient because there are cortical
- 36:35parts and they don't vascularize.
- 36:38So I saw, or we see today, a clear trend to going to particular techniques.
- 36:43We did nice things with blocks, but today I don't do blocks anymore.
- 36:48I am in the game of particulate techniques.
- 36:50There are different techniques we can discuss for hours.
- 36:53Yeah.
- 36:53There are pro and cons for every technique, but in after action review,
- 36:59after 20 years of implant dentistry, I would start quite faster with particulate
- 37:04techniques than with block techniques.
- 37:06And you perfected this particular technique quite a bit.
- 37:09So you, you have a specific ratio of ologists and genic.
- 37:13Particulate graphs that you're using.
- 37:1470 30, if I'm not mistaken.
- 37:17Maybe let's dive a little bit more into this.
- 37:19How do you take the decision when you see a patient with a large defect that
- 37:23you would actually go for digitally enhanced, maybe patient specific mesh?
- 37:27And when can you stay with normal augmentation procedures?
- 37:32Super.
- 37:32When we talk about digital bone regeneration, we always have to say
- 37:36it's an individualized approach.
- 37:39It's not a fashion.
- 37:39So we don't use digital techniques just for the sake of using digital techniques.
- 37:44At the end, we have a patient and we want to have the best treatment outcome.
- 37:48When we talk about complex bone augmentation procedures, we have to
- 37:52respect the biological principles.
- 37:54How does the bone regeneration works?
- 37:56And at the end, we need time.
- 37:58Yeah, at least three to four months if we go only with autologous bone,
- 38:03if we use bone substitute, probably we need more than six months.
- 38:07Yeah.
- 38:07So we need time, we need vascularization, and we need a stable scaffold.
- 38:13That's very important.
- 38:14Yeah.
- 38:14If we think about a bone regeneration, how does it work?
- 38:18A small vessel is growing from the local, regional bone inside our graft.
- 38:23A very small vessel you can nearly see in the microscope.
- 38:26And this vessel brings not only vascularization, it brings stem cells.
- 38:32So progenitor cells who can develop into osteoblasts and if you have movement in
- 38:38your bone augmentation this small vessel.
- 38:41It's got crushed to be damaged.
- 38:42Yeah.
- 38:43Yeah.
- 38:43It's like a earthquake for this small vessel.
- 38:46I like that though.
- 38:46And you don't have sufficient boney generation.
- 38:49You have as the American call it mushy mu.
- 38:53Yeah, mushy.
- 38:53Mushy tissue.
- 38:54Yeah.
- 38:54And this is not sufficient bone gen, so we need a stable scaffold.
- 38:58And now there are different techniques to achieve a stable scaffold.
- 39:03In complex bone augmentation procedures in minor defects, we have the GBR there.
- 39:08The classical collagen membrane is sufficient enough to get
- 39:12stability of your particles because the defect is self-containing.
- 39:17In complex defect, it's a non self-containing defect.
- 39:20So you have to have a graph that stabilizes your particular techniques.
- 39:24So you need to create this stabilization that otherwise would be given by the 1
- 39:282, 3 wall defect that simplifies that.
- 39:31Absolutely.
- 39:31And there are many ways to roam, and you can ask several clinician, and everybody
- 39:36says he has the best technique at the end.
- 39:38It's all lies.
- 39:39Yeah.
- 39:39It's all lies.
- 39:40Okay.
- 39:40It's all lies because you can be a successful with every technique we have.
- 39:44The shell technique autologous or allogenic shell technique.
- 39:48Beautiful technique, but it's a learning curve.
- 39:51Yeah.
- 39:51It's not a no-brainer.
- 39:52You have to be a very used clinician to position these shells in a
- 39:58correct position and don't get the dehiscence, shell technique.
- 40:01We have the mesh techniques.
- 40:03Yeah.
- 40:03Nowadays, CAD/CAM mesh techniques, it's easier to create the scaffold
- 40:08compared to the shell technique.
- 40:10Yeah, but you have the disadvantage that the mesh has to be taken out after
- 40:15the six months of bone degeneration.
- 40:16Yeah.
- 40:17Then you have the Istvan Urban technique or the Gore-Tex membranes.
- 40:21They are more stable than a classical collagen membrane,
- 40:23but they have the same goal.
- 40:25Just to create a stable scaffold.
- 40:27The disadvantage about the Gore-Tex membrane is that you
- 40:30have no connection between the Gore-Tex and your soft tissues.
- 40:34So soft tissue management is very crucial and you have to be a top clinician to
- 40:39have success and complex augmentation procedures with the Gore-Tex technique.
- 40:43Every technique has advantages, pros and cons.
- 40:45Yeah, absolutely.
- 40:46And you need to know how to apply it.
- 40:48Now obviously you chose the CAD/CAM technique also to be trained to
- 40:52other clinicians, younger clinicians.
- 40:54Why is that so out of all of these techniques what makes that one for
- 40:58you the most teachable or the one that has actually has a lot of potential?
- 41:04We have to stay cautious.
- 41:06Of course on lectures, most of the time the big cases.
- 41:10I'm coming from a university setting.
- 41:12We have a lot of tumor patient or a big trauma patient with huge defects.
- 41:16The cat cam mesh is not my choice.
- 41:20My favorite choice for easy defects.
- 41:22Yeah, sure.
- 41:23I only choose CAD/CAM mesh.
- 41:25If we have a vertical com.
- 41:27Com component of the defect.
- 41:30And if we have a C curvature of our defect, the straight vertical
- 41:34defect, I go for shell technique.
- 41:36But in the frontal region.
- 41:37Yeah.
- 41:38If we have the C curvature.
- 41:40It's very hard to set your shells in the right position, that
- 41:45you get the curve of your jaw.
- 41:47There it's much easier to go for a CAD/CAM mash.
- 41:50So CAD/CAM mash, favorite choice.
- 41:52Vertical defects with a C curvature.
- 41:55Yeah.
- 41:55Every other vertical defect, I go for a shell technique or the Gore-Tex
- 42:00membrane at the end, I don't decide it.
- 42:03My patient decides, I tell them the pros and cons.
- 42:06And then in a common discussion.
- 42:08We choose the right approach for the patient, but there is
- 42:12not the augmentation technique.
- 42:14There are difference and different techniques with pros and cons.
- 42:19Differentiated way of looking at it's very important.
- 42:22Are there any biomaterials, Eik, that biomaterials or also augmentation
- 42:27procedures that you think are undervalued today and that should be researched more?
- 42:33Absolutely.
- 42:34Absolutely.
- 42:35I think especially in Germany and Europe, the Allogenic
- 42:38bone has a battery reputation.
- 42:40Yeah.
- 42:41And is not used and very often.
- 42:43Yeah.
- 42:43Allogenic Bone is very common in the United States, but in
- 42:45Germany it's a niche product.
- 42:47And the problem is that we had a big Tuto Plus scandal 20 years ago
- 42:51where Allogenic Bone was, bought by a company from very difficult origin.
- 42:57That's not the case anymore.
- 42:58Yeah.
- 42:59The scientific evidence is absolutely clear.
- 43:02For allogenic bone, it's 100% safe, it's very predictable, and you have
- 43:07very nice outcomes, and you have less morbidity compared to the autologous bone.
- 43:12So I use allogenic bone very often, and we have great long-term results.
- 43:17Yeah.
- 43:17But in Germany it's a mindset problem.
- 43:20We are working on this mindset problem to get these yeah, crucial
- 43:25mindset about the bad thing about allergenic bone out of the colleagues'
- 43:29minds, but it's a long journey.
- 43:31But in future times, I will think I, I see the allogenic bank much
- 43:34more coming up, even in Germany.
- 43:36Staying between the future.
- 43:38And if there would be, a Christmas wish what would you actually wish
- 43:42that we will bring to the market or the industry in a broader scale?
- 43:47Yeah.
- 43:48I think you as German, you are the global leader.
- 43:51Yeah.
- 43:52So you have a great opportunity, but also a great responsibility not just to respond
- 43:58to the market, but to shape it, huh?
- 44:01You have the opportunity to really get implant dentistry in, in the next
- 44:05century or in the next development.
- 44:07And I think we should not think about products, we should think
- 44:11about the patient journey.
- 44:13Yeah.
- 44:13I already mentioned that we get a holistic approach.
- 44:16I see the companies helping us to get a very streamlined
- 44:21workflow in the clinical setting.
- 44:23Yeah.
- 44:24To make implant dentistry more social.
- 44:27At the moment, it's very expensive.
- 44:29Yeah.
- 44:29But with the clinical digital tools, we can get implant
- 44:34dentistry much more cost effective.
- 44:37Yeah, less expensive.
- 44:38For example, the pro-arch cases.
- 44:40Yeah.
- 44:41In a pro-arch case, the final prosthesis is very expensive for the patient.
- 44:46But with the new digital techniques, we can go for the fully digital
- 44:50workflow, so go very smart and very time efficient in a surgery.
- 44:54And then put just the cut cam provision just after surgery inside the patient.
- 44:59And this CAD/CAM provision cost from the material side.
- 45:02Five euros, six euros.
- 45:04And it could stay there.
- 45:05Yeah.
- 45:06And if it breaks after three or four years, we just print
- 45:08for three euro a new one.
- 45:10Yeah.
- 45:10I think that's your homework as a company to think about the patient journey.
- 45:16How can we get implant dentistry wider into the market?
- 45:20How can we improve the patient journey from the beginning to the end.
- 45:25And Andreas, you are talking a lot about patient's journey and
- 45:28you are already making a lot of thoughts about this concept, but
- 45:31there is still a lot of improvement.
- 45:33Yeah.
- 45:33The follow up, you have started a registry.
- 45:36I love your registry because it's about feedback.
- 45:40Yeah.
- 45:40We plays a lot of implants and nobody cares about the success rates.
- 45:44Yeah.
- 45:45Nobody stays humble and thinks.
- 45:46Was I really successful after 10 years?
- 45:48That's the ultimate debriefer that you talked about before yeah, absolutely.
- 45:51So I think this is from the planning, the first approach perhaps also marketing.
- 45:56Yeah.
- 45:57How do I get the patient inside my clinic?
- 45:58Yeah.
- 45:58Perhaps you can have us too, as a company to to get the right patient,
- 46:02the A patients we want to have.
- 46:04Then the complete journey and then the follow up.
- 46:06If you help us as a company to get this whole journey implemented in
- 46:11a smart workflow in our private practice you will stay the number one.
- 46:15Also democratizing implantology to a certain degree.
- 46:17Yeah.
- 46:17Yeah, absolutely.
- 46:19Maybe last question.
- 46:20You are a very visionary person, very passionate person.
- 46:23What is your vision of dent Implantology in 10 years from now?
- 46:27How will you run your private practice?
- 46:30What patients will you see and what biggest changes will you hope
- 46:33that actually are materialized?
- 46:35Yeah.
- 46:36I hope that we will be more minimally invasive.
- 46:39I don't talk about fla blood surgery.
- 46:42Absolutely not.
- 46:43I talk about immediacy concepts.
- 46:45I'm the biggest fan of immediacy concept because the patient absolutely.
- 46:50Yeah.
- 46:50Has a benefit of it.
- 46:52Yeah.
- 46:52He only has one surgery tooth out implant in.
- 46:56Ready to go.
- 46:57Classical concept, tooth extraction, implant placement,
- 47:01and then second stage surgery.
- 47:02These are three appointments according to one.
- 47:05And we have to think about ecology.
- 47:07Yeah.
- 47:08This the carbon footprint coming patient three times in your private practice with
- 47:12the follow ups or just coming one time.
- 47:15It has a huge holistic impact of on our environment.
- 47:19Yeah.
- 47:19We have to also respect this to be more sustainable.
- 47:22Yeah, so I think about minimal invasive surgery getting less
- 47:27morbidity to our patient, less clinical appointments, less carbon footprint.
- 47:32Yeah, we can talk about short implants.
- 47:35I think they are still in a niche.
- 47:37But do we really need all these vertical augmentation procedures?
- 47:40Yeah.
- 47:40Can we just go for short implants or the new gen and cut.
- 47:44Come implants.
- 47:45Yeah.
- 47:46We can design beautiful implants where we don't need
- 47:49any bone augmentation procedure.
- 47:51Yeah, I think there is the future about, of course, we
- 47:54already discussed the AI thing.
- 47:56I see it more on the diagnostic part.
- 47:58Me as a surgeon, I think I will be more like a pilot.
- 48:03Yeah, have my checkup briefing at the beginning of my flight
- 48:07or my surgery with all the ai.
- 48:09Then I have digital tools who helps me to perform my surgery,
- 48:13but I'm still doing it on my own.
- 48:15Hopefully.
- 48:16But I'm quite sure.
- 48:17And then the debriefing is, again, with checklists, again with AI helping
- 48:21me to do the follow up and better so that ai probably calls my patient the
- 48:27day after surgery that I don't have to call it myself, that the eye calls the
- 48:30patient has everything fine with you.
- 48:32Do you have pain?
- 48:33Yeah.
- 48:33This would help me a lot because I try to phone every patient the day after surgery.
- 48:37This is a pain in my schedule, but I want to have this personal contact and hope
- 48:43and want to see the result and it would AI help me to do this more time for.
- 48:49Half hour to one hour, less, more time for different other five pillar stuff.
- 48:55Great.
- 48:56Thanks a lot for sharing and for answering a lot of questions.
- 48:59Very unusual for you that you have to answer questions.
- 49:01Usually you ask questions.
- 49:03So that there's also space in our podcast for you asking a question
- 49:07that you always wanted to ask your industry partner as Eik.
- 49:11Yeah.
- 49:12I am a fan of Straumann.
- 49:14I I'm honest because you have a great culture.
- 49:18I'm working with a lot of different people from different hierarchies with
- 49:23Straumann and I see always A people.
- 49:26Yeah, A players.
- 49:27So smart people and humble people.
- 49:30That's, it's a combination I like very much when people are smart and stay
- 49:34humble and I think it's about your mindset in your company, and I've learned
- 49:41that's the player & learner mindset.
- 49:43Exactly.
- 49:43I love this word.
- 49:44I learned from you.
- 49:45But personally for you, and just for you, George, what is the
- 49:48player & learner mindset for you?
- 49:52That's a big question.
- 49:53Do you wanna go or
- 49:55I can start.
- 49:55And it aligns very much with what you also shared from your mindset.
- 50:00So it's this, you need to stay open for new input because otherwise
- 50:07you're getting into this lower spiral, so you're listening to people
- 50:11that are confirming your views.
- 50:13And with this, you're actually generating a closed mindset.
- 50:17And if you want to break the cycle, then you need to find people that actually
- 50:21provide you challenging questions as you formulated it, or also giving
- 50:25you very honest and clear feedback.
- 50:28And we try to surround us ourselves with those challenger personalities
- 50:33and, for, to me, this has been not only a huge learning for the.
- 50:40I would say business setting, but also for the private setting.
- 50:43So I learned from my entire life based on this cultural journey,
- 50:46and we call it player learner.
- 50:47There is, let's say a whole, I would say, set of activities that
- 50:51we from top to bottom, everyone at the company goes through.
- 50:55And by this we also get a common vocabulary and a common understanding of
- 50:59how we want to interact with each other.
- 51:01So this.
- 51:02Being able to fail.
- 51:03Component that you also mentioned is, for example, particularly
- 51:06for r and d, extremely important.
- 51:08You cannot do search research without the mandate to fail.
- 51:13Yeah.
- 51:13Actually, I tell my people, you, if you're never making a mix
- 51:18mistake you will not be successful.
- 51:20You cannot advance the field if you're not pushing the boundaries and
- 51:24pushing the boundaries means that.
- 51:26Things do not go according to plan, because according to plan means you could
- 51:30predict what it, what the outcome is.
- 51:32So you already knew how do you create additional know-how without failing.
- 51:37And this is at the core of what we're doing.
- 51:39And it makes I would say the entire work with our companies so much more
- 51:44rewarding for the individuals because they can go on their own individual
- 51:48learning journey and we encourage them, to try to make those mistakes.
- 51:53Now, of course it's about learning about from these mistakes afterwards
- 51:55because otherwise it's just a failure.
- 51:58And I think cultivating this mindset has been tremendously important for
- 52:02me personally, for our teams at r and d, and of course also I would
- 52:07say the entire company because I believe that this is one of the big
- 52:12strengths that we're having, that it's not just about the immediate reward.
- 52:18Tomorrow.
- 52:19It's about the longer journey.
- 52:21And it's fascinating to be in a field where there is so much
- 52:25open questions still existing and we can really move things.
- 52:28So this is something that, motivates and inspires people.
- 52:32So the whole culture thing is extremely important.
- 52:34I think also for the success of the company.
- 52:37And I would add that it's not always been like this, we had situations in this
- 52:41company and George and I self, we are both more than 20 years in the company.
- 52:46Where we've not been so successful because we thought we know.
- 52:49We had a tissue level implant and we were convinced this is the best implant.
- 52:53Then we broke the paradigm and we brought the bone level and we
- 52:56realized, oh, it was good to break the paradigm and to open this door.
- 53:00And then we broke the paradigm to immediacy, which was not favored in the
- 53:04company and also with the ITI note, and we realized it was an important move.
- 53:08The BLX.
- 53:09It was an important move.
- 53:10So whenever we opened our mind and we tried new things, we realized
- 53:14it made us more successful.
- 53:16And I think this is just really fostering curiosity and openness because
- 53:20we realized this openness was very important for us to be successful.
- 53:24And I think this is also what Marco Gadola did in his time when
- 53:27he was the CEO and also Guillaume, what he's doing at the moment.
- 53:31And then the last word, it's actually two things.
- 53:33Play a learn.
- 53:34And you mentioned this humbleness.
- 53:35And I really want to underline this.
- 53:37I think we have people.
- 53:39In all hierarchies who are genuinely interested in, what you guys are doing.
- 53:45I'm really interested in what you do and that you can speak still to our CEO.
- 53:49You can have any conversation about any technique product.
- 53:53He's still in the details.
- 53:54We are not managing the company in a helicopter view, but we are very, we try
- 53:58to be very close and try to be very humble and to be honest, people that are coming
- 54:02to us as an organization that are not humble and not close to the clinicians.
- 54:06That they don't have a long history in this company.
- 54:09It's not the company you wanna be in because we are all very
- 54:11humble and hands-on, I think, and this is what we appreciate.
- 54:14I think it makes it a very special place to be.
- 54:16Yes, super great question.
- 54:19So thanks a lot Eik.
- 54:21Thanks for sharing a lot of interesting insights, your recipe to success the
- 54:25five Fs and I was impressed about how mindfully you work on your purpose,
- 54:31the why your life and how deep you are in all the topics that you do.
- 54:35If you do something, you really do it right.
- 54:37I try to, and that was very impressive.
- 54:39So thanks for sharing all of this was great.
- 54:42To have you and for all of our listeners look out for the next episode.
- 54:46One of the guests we are going to have is Bilal Al Nawas your dear mentor he's
- 54:50already scheduled, so he's going to be one of the next episodes, so thanks a lot.
- 54:53If you want to share feedback, please do so on all the podcasts platforms,
- 54:57and if you want to ask questions, please also watch out for the next episodes.
- 55:01We always ask for questions in our Instagram channel, so
- 55:03thanks a lot for listening in.