Latest / Straumann® ProTalk / Straumann® ProTalk with Dr. Jeanette Chua (video version)
Transcript
- 0:00Jeanette: In the very end, we are still treating a human being.
- 0:02Not just a tooth.
- 0:03Goerge: You founded the Artius Dental Group.
- 0:06What has been one of your most decisive moments in your career?
- 0:10Jeanette: He showed me this traditional carousel slide and said, pick.
- 0:15Which one is the implant?
- 0:16And I could not.
- 0:17And that was the defining moment that I realized my God, implants are going to
- 0:23change the way we practice dentistry.
- 0:26And I still saw a lot of patients with periodontal disease.
- 0:29They are not treated properly, are not given the options of having implants.
- 0:33That's really unfair to them.
- 0:35And that's when we have to move on.
- 0:37And that was one of the most defining moments in my career
- 0:41where it changed my life.
- 0:56Goerge: Welcome to Straumann ProTalk, the Pulse of Dentistry.
- 0:59My name is George Raeber, and today I'm very pleased to be
- 1:02co-hosted by Dr. Christian Jerry.
- 1:04Chris, welcome to this episode of ProTalk.
- 1:07I'm super happy to have you with us.
- 1:09And Chris, actually for good reasons is jumping in for Andrea Utz because stick
- 1:13around, he has to make an announcement at the end of this episode, so there
- 1:17will be even more content coming your way in the form of ProTalks.
- 1:23Now, Chris and I we're both very pleased and honored to welcome Dr.
- 1:27Jeanette Chua here with us today.
- 1:29So welcome Jeanette.
- 1:30Jeanette: Thank you.
- 1:30Thank you George.
- 1:31Thank you Dr. George, and thank you Christian.
- 1:34Goerge: Jeanette, it's a great pleasure to have you with us.
- 1:36You actually are traveling Europe right now.
- 1:38Jeanette: Yes.
- 1:39Goerge: And you will soon be heading off to Paris, but we didn't want
- 1:42to miss the opportunity to actually have a conversation with you today.
- 1:45Jeanette: Thank you.
- 1:46Goerge: So when I looked at your cv, I was very impressed with what you
- 1:50already achieved in the past time.
- 1:52And in the beginning, you oscillated a big back and forth between Australia,
- 1:56melbourne and also Singapore.
- 1:58Yes.
- 1:59So you got your first dental degree.
- 2:01Then you practiced in Singapore, but then you also went back to Australia to get
- 2:05a commercial education as I understood.
- 2:07Jeanette: Master's in Applied Commerce.
- 2:09Goerge: Yeah, that probably comes in handy later on in your career.
- 2:13Then you actually went to Loma Linda University, school of Dentistry where
- 2:17you got your specialty education in Implantology and also advanced
- 2:22periodontology amongst many other I would say education elements.
- 2:26You are a board certified periodontist.
- 2:30When you got back then to Asia, you started founding your own clinic.
- 2:34And in 2015, if I'm not mistaken you founded the Artius Dental Group.
- 2:40Yes.
- 2:40And now this is comprising more than eight clinics in Kuala Lumpur and
- 2:44Round, and you're also have co-branded clinics in Singapore, in Thailand,
- 2:49and recently also in Paris, in France.
- 2:52So very, I would say an interesting journey that you undertook.
- 2:58We also would like to talk in this episode, besides
- 3:01that, a bit about education.
- 3:03Because you're a very passionate educator and also here, you
- 3:07founded your own institute.
- 3:08It has a very nice Italian name.
- 3:10It's the Ancora Imparo.
- 3:12Jeanette: That's right.
- 3:13Goerge: Education Center, which stands for, I'm still learning and
- 3:16it is a testimony of continuous learning journey that you take as
- 3:21very important, I think in your life.
- 3:23Jeanette: Yes.
- 3:24Goerge: Now, besides all of these elements that probably people can
- 3:27read in, see these, for those who don't know you personally Jeanette.
- 3:31Who are you in?
- 3:32Just one minute.
- 3:33Jeanette: I think in just one minute, I'm still a mom of three
- 3:37kids, which are my absolute joy.
- 3:39They're Maximilian who is 15, Mireille who is 12, and MacAllister, who is 9.
- 3:45A lot of people think that I just work and work and don't have a family life,
- 3:48but we do and we all move on and we get on with life and kids and family,
- 3:53it's a main part of what supports me to do so much in our career.
- 3:58Other than that, I think Artius and to group has grown from 2015 to now.
- 4:02With Ancora Imparo, and also a digital lab with our main partners, Mr.
- 4:07Arista, as well as Mr. Herman Lai.
- 4:10To be serving the community of dentistry, to do digital workflows
- 4:15as well as aesthetic dentistry.
- 4:17I think that's the main thing.
- 4:18And every day I still do surgeries.
- 4:21I still see patients as a periodontist, and that's the part that I enjoy the most.
- 4:26Yeah.
- 4:28Chris: That's amazing.
- 4:29You started your professional journey as a periodontist.
- 4:32Yes.
- 4:32And also implantology.
- 4:34Yes.
- 4:34Now I'm curious because Periodontics, for example, we can have two ways.
- 4:38One, you're really focusing on treating disease the other, really
- 4:42improving your soft tissue management.
- 4:44Yes.
- 4:44So you can prove your implant skills.
- 4:47What is Jeanette Chua and what drew you to that in first place?
- 4:51Jeanette: What drew me into Periodontics were, because of my early experience, and
- 4:56I think you were talking about me being in Singapore as well as in Australia.
- 5:01When I was back in Singapore I was very fortunate to be mentored by one of my
- 5:07first mentor or my ex boss, who was very much into implant dentistry at that point.
- 5:11So he exposed me immediately into implants, and that was the world 20
- 5:16years ago where it was so different.
- 5:19And when we see these patients that have implants, most of them are older,
- 5:24but you see the younger ones that need implants and you're wondering
- 5:28why and when you see them, a lot of them have periodontal disease.
- 5:31And it's a disease that's so hard to control.
- 5:34And that came to the question of why do we need implants?
- 5:37Why can't we control the disease?
- 5:38What's periodontal disease?
- 5:39And that's how the curiosity started because of this difficult patients
- 5:44that we have to deal with all the time.
- 5:46Goerge: Yeah, I fully agree.
- 5:47So implants should be the last resort, and it's so much, probably more impactful
- 5:51if you're trying to not need implants.
- 5:54And it might sound strange if an implant company says that, but I'm
- 5:57very convinced that it's actually should go in that direction.
- 6:00Jeanette: Yeah.
- 6:00I think it's about ethical care and we are treating a disease, and if we're
- 6:05using an implant to treat a disease, we need to understand the environment.
- 6:08We need to understand everything that goes along with it.
- 6:11And in the very end, we are still treating a human being.
- 6:14Not just a tooth.
- 6:15And it's a whole mouth that we are looking at.
- 6:17Yeah.
- 6:18Chris: Yeah.
- 6:18But again, honestly, the periodontology.
- 6:21Can go two ways, right?
- 6:23Yes.
- 6:23And despite all this purpose and treating a human and disease,
- 6:28there's this beautiful element of soft tissue management.
- 6:31And you take very good pride in care into going to that side of the periodontology.
- 6:36What do you find most rewarding in this segment?
- 6:39Jeanette: So in Periodontology, what intrigued me the most was regeneration.
- 6:43Because in order to regenerate, and probably because of my mentors and the
- 6:47people that I was with in peril and Loma Linda with Jan Berg and Professor Max
- 6:53Krieger, we were very much into proper regeneration tissues the hemidesmosomes,
- 6:59all the cells of what regenerates on the tooth, whether we can grow soft
- 7:03tissue, whether we can grow bone.
- 7:05And from there it is important to realize that without regeneration
- 7:10and without handling the bone and the tissues properly, you can't recreate or
- 7:15reverse nature or reverse the disease.
- 7:19Thus, if you know how to handle regeneration, that's when you
- 7:23are able to do good implant dentistry at the same time.
- 7:26So I think that was what intrigued me the most, and a lot of people
- 7:29are very focused on either I'm a soft tissue person or I'm an implant
- 7:33person, or I'm a pure perio person.
- 7:36I see it.
- 7:37I see Periodontics as an all encompassing, our main goal is to regenerate, right?
- 7:42And if our main goal is to regenerate, whether be it implants, be it tooth,
- 7:46you still need to have the same philosophy and same understanding
- 7:50as well, not just soft tissue only.
- 7:52Yeah, I think that's, that's what I am passionate about or what I feel.
- 7:59We still have a lot of work that can be done, especially with bio physiologies
- 8:04and stem cells and everything else that is possible for regeneration that
- 8:08we do not know at this point of time.
- 8:10Yeah.
- 8:11Goerge: Amazing.
- 8:11Jeanette: Yeah.
- 8:12Goerge: Yeah.
- 8:12That's a very, maybe a topic for another let's say product because
- 8:16I'm also very fascinated by tissue engineering and and cell biology.
- 8:19Engineering actually two parts.
- 8:20Yes.
- 8:21There, there is some research going on yes.
- 8:22Very fascinating.
- 8:23Jeanette: It's one of the, one of the hardest and the toughest.
- 8:25Yeah.
- 8:26Because in order to get predictability and periodontal regeneration, that's
- 8:30also one of the hardest topic as well.
- 8:32And not many people, we used to joke during residency time.
- 8:38In Italy, the publications that come out, and this might not be such a good
- 8:41thing, but I will say it in Italy, when the pub, all the publication comes out,
- 8:46they are able to regenerate everything.
- 8:48Goerge: Everything, yeah.
- 8:48Yeah.
- 8:49Jeanette: They can gain four, five millimeters.
- 8:50And when it comes to the United States and when they're regenerating,
- 8:53we only get one or two millimeters.
- 8:55Goerge: That's different population.
- 8:57Jeanette: It might be the population, but what we call it is the pope's water.
- 9:01The holy water.
- 9:02Oh, the holy water.
- 9:03Goerge: Okay.
- 9:03So they have the holy water there.
- 9:04Okay.
- 9:04Yeah.
- 9:05Jeanette: We need the holy water.
- 9:06Goerge: Yeah.
- 9:06We're still in the search of the holy water.
- 9:08Jeanette: Yes.
- 9:09Goerge: When we look a bit at your, let's say career, I think having
- 9:13a good progression is not linear.
- 9:16Yeah.
- 9:16And sometimes you have to take very difficult decisions for yourself.
- 9:20What has been one of your most decisive moments in your career, and, what did
- 9:24you have to decide at that point in time?
- 9:26Jeanette: I think there was a lot of issues before I went to the
- 9:29States, and that was one of the most defining moments in my career.
- 9:34There were two things as a women at that time and having a boyfriend at
- 9:40that time that wanted to settle down, it was between either you get married
- 9:43and have a normal, usual life, or you move on to go study and do postgraduate.
- 9:50And I think that decision came when you have a bigger
- 9:54purpose of what you wanna do.
- 9:55And the passion in dentistry, because I saw what was possible
- 9:59with regeneration on the implants.
- 10:01And that was when Professor Joseph Kan came and showed me this slide.
- 10:05And I have to thank him for it because he's one of my first mentors that
- 10:08really taught us very, taught me very much on implant dentistry where.
- 10:14He showed me this traditional carousel slide and said, pick
- 10:19which one is the implant.
- 10:20And I could not.
- 10:22Oh, really?
- 10:23I could not.
- 10:23Yeah.
- 10:24And that was the defining moment that I realized, my God, implants are
- 10:29going to change the way we practic.
- 10:32Dentistry and it will be here to stay.
- 10:35Despite what I saw, I nearly gave up in implant dentistry.
- 10:38A lot of people think that, like you say, it's a linear progression.
- 10:41It was not a linear progression.
- 10:43I did masters in applied commerce.
- 10:44One thing to quit dentistry in actual fact, because I was
- 10:48Goerge: Yes.
- 10:48You were considering quitting Yes.
- 10:49Dentistry.
- 10:50Oh, yes,
- 10:50Jeanette: because the responsibility of treating a patient or being a
- 10:55medical profession is you hold a lot of responsibility, especially
- 10:58if you're placing implants.
- 10:59Because you're putting a foreign body into a patient, you have to realize
- 11:03Goerge: you should stay there for 20 or more years and Yeah,
- 11:07you can't escape so that, yeah.
- 11:08Yes.
- 11:08You
- 11:08Jeanette: can't escape.
- 11:10And so whatever you do, it has a permanent effect on the patient and you
- 11:14need to be responsible for what you do.
- 11:16And that's what I saw in Singapore and I saw all the complications and
- 11:20all the stuff that could happen, and I'm thinking to myself, this
- 11:23is too much responsibility for me.
- 11:25Do I want this?
- 11:26Do I want to be part of
- 11:27Goerge: this?
- 11:27Yeah,
- 11:27Jeanette: that's right.
- 11:28I'm like, I didn't pick up dentistry thinking I was gonna hold so much of
- 11:32responsibility and I said, maybe it's time for me to look for another job.
- 11:35Yeah.
- 11:36Look for another industry.
- 11:38That's how I did a Master's in applied Commerce.
- 11:40But luck has it such that when he showed me the slide when he was in Melbourne,
- 11:46I realized it was still the way to go.
- 11:49And I still saw a lot of patients with periodontal disease that are
- 11:52not treated properly, are not given the options of having implants.
- 11:56That's really unfair to them.
- 11:58And that's when we have to move on.
- 12:00And that was one of the most defining moments in my career where it changed
- 12:04my life, where I ended up in the States.
- 12:08Yeah.
- 12:09Goerge: So you had to take a decision between let's say the normal
- 12:11progression of life and also, a more special way of continuing Yes.
- 12:16Which actually for you meant that you went to Loma Linda University.
- 12:19Yes, that's right.
- 12:20Yeah, that's, that has certainly been a very difficult decision.
- 12:23Yeah, I can imagine.
- 12:24Jeanette: Not that my parents were very happy with me at that time.
- 12:27You could imagine.
- 12:28I can imagine.
- 12:28Yeah, you could imagine.
- 12:31But I always tell the younger ones, there is always a reason why certain
- 12:36doors are open to you, and if the doors are open to you, please take
- 12:40the opportunity and don't regret.
- 12:41And if you don't take the opportunity, do not regret as well.
- 12:45It usually means there is something else for you to do.
- 12:47And life is such, is like what we were just discussing.
- 12:51It's like what Albert Einstein says, you just have to keep
- 12:53paddling and you just keep moving.
- 12:55That's the only balance you can find.
- 12:57Yeah.
- 12:57Yeah.
- 12:57Goerge: You mentioned Joseph Kan.
- 12:59Was he one of your mentors then?
- 13:01Yes.
- 13:01That you would really consider also being very influential on, on your progression?
- 13:04Jeanette: That's right.
- 13:05That's right.
- 13:06Very much because he's a prosthodontist.
- 13:08Surgically very well trained and I was in the perio department and obviously perio
- 13:13soft tissue and implants in those days completely different path of treatment
- 13:19methodology as well as thinking process.
- 13:21So there was a lot of that drove me into immediacy.
- 13:25Goerge: Yeah.
- 13:25Jeanette: And what I saw in Loma Linda was pushing the envelope,
- 13:28knowing where the limits are.
- 13:30Finding new ways to solve problems, and that's what we need to be inspired to.
- 13:35I think a lot of people nowadays tend to get into a zone where
- 13:39you are in a comfort zone.
- 13:40You want to practice all safely going at scientifically proven, but
- 13:44sometimes science takes 20 years to prove exactly certain things.
- 13:47So we do need to take the leap of faith.
- 13:50But the bottom line that I tell the younger ones is that.
- 13:55Do know perio as much as possible.
- 13:58Please do know perio.
- 14:00Don't think you are super human being or a superhero that you can
- 14:03do everything that's not possible.
- 14:05Yeah.
- 14:05And don't
- 14:06Goerge: experiment on the patients, yes,
- 14:07Jeanette: that's right.
- 14:08Yeah.
- 14:08Goerge: Particularly in, in the younger let's say the early days of a career,
- 14:12we often depend on good mentors.
- 14:14Yes.
- 14:15What would you consider the best advice that you ever got?
- 14:19And by whom?
- 14:20Jeanette: Okay.
- 14:21This was given by Professor Max Krieger and Professor Jan
- 14:26Berg, who has now passed both.
- 14:31When I got into the perio department, the first session
- 14:35that we got, it's like onboarding.
- 14:37There was both of them sitting down there and Professor Max Krieger said,
- 14:42if you think you're coming in here the next three years to find
- 14:47all the answers you want about periodontology, you are so wrong.
- 14:52You are not going to find all the answers at the end of three years, which
- 14:56means you're gonna be serving here for the next three years and you're still
- 14:59not gonna find any of the answers.
- 15:00And I'm thinking to myself, why am I here?
- 15:03And the next sentence he said was.
- 15:08This next three years is where it's gonna open up your mind to ensure
- 15:13that you ask the right questions and push yourself and find new ways
- 15:17to do things, and find new methods to improve this world of dentistry.
- 15:23And also.
- 15:26Secondly, he said, one more thing.
- 15:28We train you for the next three years.
- 15:30It's not for your selfish being to be able to do well in your
- 15:34work, but for you to also be able to share it with your colleagues.
- 15:38And I think that has set in me deeply.
- 15:43To this day, which is why we do so much in art.
- 15:46And Kora in Per, yeah.
- 15:48'cause it is a responsibility that he has put on our shoulders that we are
- 15:53training you the next three years.
- 15:54And the reason why we train you is because we don't know all the answers.
- 15:58And if we don't know all the answers, we depend on you to make sure that you ask
- 16:01the right questions at the right time.
- 16:03Do as much as you can and pass it on.
- 16:05And I think that is one of the best legacy that they have ever left for me.
- 16:11And I hope to be able to pass it on too.
- 16:13Yeah.
- 16:14Goerge: That's a beautiful story and it also explains your passion for education.
- 16:18Yes.
- 16:18Certainly partially yes.
- 16:19And obviously it has been set very early on to very inspirational starting
- 16:22point of this three years of education.
- 16:24Yeah.
- 16:24Yeah.
- 16:24I
- 16:24Jeanette: think I'm super blessed to have met people like Max Krieger, John Berg, as
- 16:30well as professor Joseph Kan, who have all inspired me to move towards excellence.
- 16:36And that's one of the hardest things.
- 16:38And I think there's a big difference between excellence and perfection.
- 16:41'cause what we see nowadays is often about perfection.
- 16:44On the lecture rooms.
- 16:45And people show the best of the very best in all scenarios.
- 16:49In life.
- 16:50It's not like that inpractice, it's in real world.
- 16:53It's not like that.
- 16:54Yeah.
- 16:55And I
- 16:55Goerge: think how can other people learn if you're not open to us or show your
- 16:58failures and show how you treated it.
- 17:01Failures personally.
- 17:02Yes.
- 17:02So that you can actually talk about it.
- 17:04I greatly admire those people that actually can talk about their steps.
- 17:09I think every learning individual has sometimes because it's I believe it's
- 17:12the greatest opportunity to also learn.
- 17:14Chris: Yeah.
- 17:15I, this is one of the example of Joseph Kuhn, right?
- 17:17He published exactly immediate aesthetics.
- 17:21In century incisor.
- 17:22Yes.
- 17:24He was going yeah.
- 17:24Year one.
- 17:25He was going year two.
- 17:26He was going well until he got the call from the patient, and then he was humble
- 17:30enough to rewrite an article to say everything I said in the past was wrong.
- 17:35Don't believe in that one.
- 17:37Now we have ways to make it better.
- 17:39Yes.
- 17:39It was so humble and so honest.
- 17:40Yes.
- 17:41I think
- 17:41Jeanette: that's what we are trained to do in that environment.
- 17:45And if we are all trained in our medical field to do that, I think
- 17:49progression of medicine will be so much faster, even in dentistry as well.
- 17:53Very often we hide, what we don't want others to know.
- 17:57In actual fact, there are big learning lessons that even if you can't solve,
- 18:00somebody else will be able to take that lesson and find new solutions for it.
- 18:04And that's what I think they were imparting on me as well.
- 18:08Yeah.
- 18:08And anterior implant aesthetics, to be fair, I look at my cases now.
- 18:1315 years ago, 10 years ago, 20 years ago, to now very different materials, products,
- 18:21methods, things that are available.
- 18:23You can't blame the people who have placed implants 30 years ago
- 18:27that they don't look ecstatically.
- 18:28Correct.
- 18:29Because in those days.
- 18:31That was, yeah.
- 18:32That was the norm.
- 18:33Goerge: How it was done.
- 18:33Yeah.
- 18:34Yes.
- 18:35How do you see the onset, actually, of social media?
- 18:37Because it, you are also very digital.
- 18:39And maybe we talk about the digital lab aspect and Yes.
- 18:41Digital dentistry later, a lot of the things that before, took years
- 18:47to actually come to the practice.
- 18:50Nowadays it takes much shorter Yes.
- 18:53Because digital basically accelerated everything.
- 18:56Now there is also less peer reviewed research.
- 18:59Because a lot of people, they don't even, read articles anymore.
- 19:02That's how do you see the onset of social media and this faster
- 19:05progression in digital in terms of.
- 19:08When it comes to, does it do good to the patient or is it even more so
- 19:13showing the nice cases and less the ones that did not turn out that well?
- 19:18Jeanette: So what happens with social media?
- 19:20We are all human beings.
- 19:21We all want to look good.
- 19:23So it's not going to have ugly things on the social media and.
- 19:27Gives a lot of misleading information to patients.
- 19:30So we have patients that come asking for laser therapy that's gonna
- 19:33treat everything, which is, hello.
- 19:35Laser doesn't treat, I want to look like this picture.
- 19:39So that's the unfortunate thing about social media.
- 19:42However, this is meant to happen in the sense of progression without this.
- 19:48Human being cannot progress because patients were never demanding before.
- 19:52Because they knew so little.
- 19:54And now with social media, the good news is they become and became more demanding.
- 19:59Which means they will ask the right questions and the smarter
- 20:02ones are gonna get to the right people and get the right treatment.
- 20:06You're gonna see a glut of all of that coming out, be it good
- 20:09or bad, before the true good.
- 20:12And I always believed in that, in all competition, where you see implant
- 20:16companies too, 20 years ago there were hundreds of companies that came out and
- 20:21everyone was just as good or even better.
- 20:23Even better than the rest.
- 20:25That's right.
- 20:25Everyone.
- 20:26And it was a big confusion for.
- 20:27From dentist, but eventually things will fall apart and it will show which are the
- 20:33good ones and which are the bad ones, and which are the ones that are gonna stay
- 20:36and which are the ones that are gonna stay with you and with the patients.
- 20:40And I think a responsible, ethical company would grow with.
- 20:45The fact that you take responsibility for what happens and we are continuing
- 20:49to research and go forward and move on to better and better products.
- 20:53Same goes with the dentist career path.
- 20:55I may have done something 20 years ago, I would not do now
- 20:58because that's what I know.
- 20:59But the patients need to understand that technology at that point and knowledge
- 21:03and scientific articles didn't come out at that point to show this direction.
- 21:07And thus, we now know this is a different way to practice.
- 21:10You can't fault what has happened because it's.
- 21:14Very simple analogy that I tell patients.
- 21:18If you're buying a car, you don't expect a car to last your whole
- 21:22lifespan in implant dentistry, you expect the implants to last, last,
- 21:27your whole lifespan, be it 60 years.
- 21:29And that's hard to have to accomplish.
- 21:32Yeah.
- 21:32And yes, we do have cars that last for 60 years, but they will not look the same.
- 21:36They do not.
- 21:37The same for sure.
- 21:38Or function the same.
- 21:39Yeah.
- 21:39Or function the same.
- 21:40And you have to accept that it doesn't look the same and it's
- 21:44not gonna be the same as long as what is most important to you.
- 21:48If aesthetics is most important to you, then we gotta deal with it differently.
- 21:52If function is most important to you and it doesn't affect your life, let.
- 21:57Make do with what we have now because it has served you 60 years, let's say.
- 22:01And yeah, I think we have to be practical and if you are able to
- 22:05communicate to patients and the public in the correct way, and I think it
- 22:09take companies like Straumann to be able to create public awareness of
- 22:13what's good and what's not so good.
- 22:15Or we don't need to say that, but we just need to say that, hey, there are certain
- 22:18criteria and you should look for certain things when you're getting an implant.
- 22:22I think.
- 22:23Those are what the industry would benefit from not just from a dentist, also from
- 22:30a product and company point of view.
- 22:32So I think that will come and I'm very sure why you're doing this.
- 22:36It's also part of that we're working on it, so we're trying
- 22:38Goerge: to do our best.
- 22:40So while you can learn.
- 22:42In terms of treatment choices for, the next patient to come.
- 22:45Some of the life choices you just made, you can make them once.
- 22:48And as you mentioned before you are a family, so this
- 22:52family is important to you.
- 22:53And what was, what would very much interest me and also listeners is, how
- 22:57do you balance actually professional and private, and maybe to extent this.
- 23:02What would you recommend to a younger self with what you know today?
- 23:09Jeanette: So I used to be very harsh on myself and because of my training
- 23:15previously that we have to be always on our toes and do the best that we
- 23:20can for our patients and be always be there and do excellent work.
- 23:25It came to a point that I realized and one of one of a mentor life
- 23:29mentor who talked to me and said, you have to realize Jeanette.
- 23:34Like you say in the bicycle, life is a journey.
- 23:36At certain point of time, you have to slow down and the slowing down is because of
- 23:40other priorities coming into your life.
- 23:42So I tell the younger ones that you can't do all at one goal.
- 23:46You wanna set up a family, you wanna have the best career, you wanna specialize,
- 23:50you wanna do everything you wanna go.
- 23:51That's not possible.
- 23:52There's only 24 hours in a day, so you need to make certain decisions at certain
- 23:57point of life and realize that hey, maybe at this period, this is what I need to do.
- 24:01The next period is what I need to do.
- 24:02And, but you're still working towards the goal of where you want to be.
- 24:05And I think where you want to be is what you set yourself to.
- 24:08Some people are happy just being a GP and they can be a super GP too, and they do.
- 24:13Far better and you have a better life.
- 24:15There's nothing right or wrong about that.
- 24:18So it is that period of time where I was breastfeeding my kids for two years,
- 24:23every one of them as much as possible.
- 24:25I slow down that first two years of my kids' life.
- 24:28I slow down, I don't lecture, I do less work, and I see less patients.
- 24:33And of course I have patients that were upset with me and left us, they
- 24:37came back, some of them came up.
- 24:39But that's part of life.
- 24:40And I. I don't regret it now.
- 24:43I was very harsh on myself at that time.
- 24:45I would've told myself, Hey, this is part of the journey.
- 24:48There's gonna be more and more better stuff that comes down the line and
- 24:51you'll need to find that balance.
- 24:54And I think that's what I would've told my younger self.
- 24:56And I told a lot of younger ones that always look at me
- 24:58and ask me, how do you do this?
- 25:01You only have 24 hours.
- 25:02Why do you do so much?
- 25:03I say there is certain point of time that you do everything and.
- 25:09The Life Mentor told me one thing.
- 25:10When you're in the clinic, make sure the support system at home is all there and
- 25:15everything is safe and everything is good.
- 25:17That when you're in the clinic, all your attention is to work and to the
- 25:21patient and to what you need to do best.
- 25:24The minute you settle everything, you walk off, go back into your house the minute
- 25:28you sat into your house, everything.
- 25:31Back to the kids, at that period of time, once the kids are settled,
- 25:34they have just gone to sleep.
- 25:36Okay, now you can do your own stuff.
- 25:37Goerge: Yeah.
- 25:38Sorry.
- 25:39So the second half of the day starts.
- 25:40Yeah, that's right.
- 25:42Jeanette: That's when you start doing stuff.
- 25:43Goerge: Yeah.
- 25:43That's very inspirational.
- 25:44And I hope that this gives also energy to a lot of very gifted young dentists.
- 25:50In the community because obviously it can be done.
- 25:53Yes.
- 25:53And don't be too harsh on yourself.
- 25:55It's possible to actually be successful obviously on professional and private.
- 25:59Jeanette: And this applies to males too, because nowadays fa it's so important
- 26:03for the father to spend as much time with the kids and if they need to rush back
- 26:07and go back to the kids, it's also hard for them to dedicate the rest of their
- 26:12time to try and push and, do as much.
- 26:15Yeah.
- 26:15It is one of those things in life, we all have to find a balance.
- 26:19Chris: Jeanette is speaking of work life balance and quest for excellence,
- 26:24in this journey I see here, you've been in Melbourne, Singapore, california.
- 26:29You're doing some puncture activities in edinburgh.
- 26:31Huh?
- 26:32That they say, home is where our heart is.
- 26:34Where is home for you and where can we expect to live up next?
- 26:40Jeanette: That was a very good question.
- 26:41Thank you Christian.
- 26:42I. I have been so blessed to be living in all these countries and
- 26:47different parts of the world now.
- 26:49At the moment, home is Malaysia, Kuala Lump because that's where your family is.
- 26:53And I always tell people that where your family is where home
- 26:57is for what it is to come in the future is where it really depends.
- 27:02Nowadays, I think that if the kids, wherever they're going to go, it is still
- 27:05home to the earth because we are now.
- 27:09Global citizens and every country has its pros and its cons of where you live
- 27:15and what career path leads you to, gives you the opportunity to do the best work.
- 27:20Why not?
- 27:21Yeah.
- 27:23Goerge: So you would be open to different occasions.
- 27:25Let's see.
- 27:25Okay, so this is good.
- 27:26Chris: Roll the drums.
- 27:27Yeah, the
- 27:27Goerge: drum.
- 27:28No, no regulation yet.
- 27:31Okay.
- 27:31Next episode.
- 27:32Chris: Next episode.
- 27:33Jeanette, I'd like to shift gears a little bit and talk about immediate
- 27:37implants and also public advocacy.
- 27:39I know you're very strong about this, and you've done quite some significant work
- 27:43with immediate implant placement and also immediate temporization in aesthetic area.
- 27:49Can you share some of your decision making process in this particular indication?
- 27:54Jeanette: Okay.
- 27:55It is important to realize that science has moved so much now that we
- 28:01have so many consensus statements and beautiful people and groups that have
- 28:05done articles, that have published on immediacy, that have set out many
- 28:10keys and criteria to do excellent.
- 28:12Immediacy work, and I think for anterior implant aesthetics, there is
- 28:16Morton, there's Levine, there's Kan. In total, when I read the articles,
- 28:20there are like 26 key factors to ensure that you get immediacy, right?
- 28:26For anterior acid aesthetics.
- 28:27I don't know whether you realize that.
- 28:29I've calculated all of that.
- 28:30Wow,
- 28:30Goerge: that's a lot.
- 28:32Chris: I imagine airplanes.
- 28:33Goerge: Maybe Christian knows, but
- 28:35Jeanette: it is.
- 28:35It is.
- 28:36When I look at the list, I. Remember in those days that we didn't have this
- 28:42list, but the instinct was regeneration.
- 28:45Do no harm.
- 28:47Bring it back to nature.
- 28:48And that's what you want to do.
- 28:50So if you understand science, what you do and what happens is going to maintain.
- 28:57Grow or regenerate and allow a better aesthetics or better
- 29:00outcome, that's gonna be the way.
- 29:02So the decision process remains mainly on two main factors, the
- 29:06site itself and the patient.
- 29:09And the site includes the neighboring teeth.
- 29:12So in aesthetic zone, you have to realize you are affecting a patient's smile and.
- 29:18Be it a low smile line, your white aesthetic still has to be
- 29:21there and be a high smile line.
- 29:24Then you really have to make sure the 26 key factors are there,
- 29:28to make sure you get it right.
- 29:30So if the low smile line.
- 29:33And if patients are willing to accept certain imperfection, I would call
- 29:39it imperfection, but still excellent work and that, it's gonna stay
- 29:44and survive and maintain at that point for the next 15, 20 years.
- 29:48Because I think that's about the bare minimum we are looking at nowadays.
- 29:52The three years, five years kind of thing.
- 29:55If we are able to do that, then I think that's most important to ensure
- 30:00you can do the immediate implant gain, primary stability before
- 30:03you decide on provisionalization.
- 30:05So those are the two main factors.
- 30:08All the other key factors, more than happy to give a whole full day lecture on it.
- 30:14Chris: And how, and how do you think the industry has helped you in that way?
- 30:17For example, we were just discussing about Joe Khan and.
- 30:21In the beginning of immediate implant placement and aesthetic zone.
- 30:24Implant was perceived to be a cork, right?
- 30:26Yes.
- 30:26You have to plug that socket.
- 30:28Now we talk less is more.
- 30:30Yes.
- 30:30So we were also developing better alloy different diameters to
- 30:33enable less metal, more biology.
- 30:36How do you see the whole industry evolving to enabling this path?
- 30:40Jeanette: The industry, Straumann is one of one of those that really
- 30:43make a big shift in order to make sure that we moved on with time
- 30:47with what Immediacy was doing.
- 30:49We, you, all companies have developed, a lot of companies have always tried to
- 30:54look for ways to make immediacy easier.
- 30:57Firstly, it's not an easy.
- 30:59Technique or process.
- 31:01And you do need some experience to be able to get it right and the products
- 31:05nowadays allows better stability, high top values to ensure you can actually
- 31:11gain good stability quite easily.
- 31:14Then the provisionalization, as well as digitization,
- 31:18allows you to do pre-planning.
- 31:20Do.
- 31:21Pre-preparation of temporaries, all of that has made life so
- 31:25much easier to our industry.
- 31:27Our profession.
- 31:28I used to have to sit three hours.
- 31:30Preparing a temporary, right?
- 31:32Yeah.
- 31:33The surgery might take 15 minutes, but
- 31:35Goerge: then, yeah,
- 31:36Jeanette: then you are down there, trying to get that perfect tam to
- 31:38get the right emergence profile and a submergence, whatever lines and
- 31:42everything else, and then get the right occlusion and get the right fit.
- 31:45That takes so much time nowadays.
- 31:48It's so different for us.
- 31:49Know with digital, and that's why we moved on to digital very early on.
- 31:52It was because if I could cut down this amount of time, I would,
- 31:56because we would plan it, pre-plan it, get everything ready, and having
- 32:00the treat D printer, the milling.
- 32:01Everything all done pre hand.
- 32:03Goerge: And maybe the patient needs to come for one visit less.
- 32:06Yes.
- 32:06And I think then it has also a big impact on That's right.
- 32:10That's right.
- 32:10The patient's happiness, yes.
- 32:11Jeanette: Yes.
- 32:12Patient happiness.
- 32:13That patient happiness goal, we don't have enough publication on that.
- 32:19Goerge: What makes patients happier?
- 32:20Jeanette: Yes.
- 32:20And I often lecture in immediacy that it is still in the very end, the decision
- 32:25making process is the patient to together.
- 32:28With you, understanding what's possible, what's not possible in this scenario.
- 32:32Is it a good thing and what your expectations are?
- 32:34And I think patient happiness, would they want to gain 0.5 millimeter
- 32:39more soft tissue and ensure.
- 32:42Zero recession and end up with three surgeries, or would they want one
- 32:47surgery and accept that there may be a 0.5 millimeter recession or one
- 32:52millimeter recession in time to come.
- 32:54And I think that's something that is, it's it's been drummed up a lot
- 32:59and we all as profession in dentist we want it perfect, but what is.
- 33:05Excellent.
- 33:06Goerge: What's good for the patient is maybe a different
- 33:08story and it's, that's right.
- 33:09It's very individual.
- 33:10Depending on, in what situation in at what age you are.
- 33:13And That's right.
- 33:14And you know how a static the case is.
- 33:15Yes.
- 33:15It's such a big difference.
- 33:16And yes.
- 33:17I think you can do magic.
- 33:19Yes.
- 33:19But.
- 33:20The patient doesn't always want the magic, so maybe that's true, but
- 33:24Jeanette: that does not mean you should do sloppy work as well.
- 33:27No, that's not what I mean.
- 33:29Yeah.
- 33:29That's always hard.
- 33:30It's a very different line.
- 33:31I get very scared sometimes because when we say this, then somebody might
- 33:34just turn it around and say, oh, now I can, no, I can do everything.
- 33:38Oh my God.
- 33:40Chris: Yeah.
- 33:40Any immediate treatment solutions have been.
- 33:43Very well describing fundamental yes.
- 33:47Yet there could be some pitfalls that we should watch out for.
- 33:51What do you do consider the most common pitfalls clinicians fall into.
- 33:56The two extremes.
- 33:57Jeanette: Ooh, yeah.
- 33:58They are.
- 33:59The two extremes.
- 34:00The two extremes of immediacy is when you want perfect perfection and you're trying
- 34:04to get the angulation of the implant to be in the perfect position, not realizing
- 34:11that you're probably not gonna end up with primary stability, or you're gonna
- 34:14do something quite crazy to destroy.
- 34:17The bone and everything else.
- 34:19Okay.
- 34:20So that's the perfection extreme.
- 34:23That's the common pitfall, which I see a lot of dentists tend to
- 34:27do because they're trained to I've gotta put it in this angle.
- 34:29The implant position is good to come out at a cing and not all the time
- 34:34immediacy, you're gonna have implants coming out at the single limb because
- 34:37you don't have bone that's this wide.
- 34:39So I think that's one.
- 34:41The other is.
- 34:43The finer temporization all when they try to gain primary stability too much,
- 34:50where they start angulating implants into way of physicians and you end
- 34:56up causing recession and awful things that we should not be doing, then
- 35:01when they temporize, because that's the part, if they don't spend enough
- 35:06time in ensuring that's a good fit.
- 35:09That you are out of eccentric contact.
- 35:12No matter how beautiful your implant is or what you've done, it's still gonna fail.
- 35:18Yeah.
- 35:19Yeah.
- 35:19That's because of occlusion.
- 35:23Chris: Check, check.
- 35:25Jeannette, I'd like to shift gears a little bit towards education and
- 35:29treatment, education philosophy.
- 35:31You're an ITI fellow?
- 35:33Jeanette: Yep.
- 35:33Chris: Section chair.
- 35:35Jeanette: Very blessed.
- 35:35Chris: And very engaged with the speaking globally and educational activities.
- 35:41How has the ITI and this international network helped
- 35:45you shaped, help you shape your.
- 35:47Clinical decisions, but also your educational philosophy.
- 35:50Yeah,
- 35:51Jeanette: I think ITI is one of the strongest, it's probably the strongest
- 35:55at this moment of time when it comes to implant education and this
- 35:59community is definitely necessary for us to progress in implantology.
- 36:05So when I get to meet people around the world and see what everyone is doing in
- 36:10education, that gives you inspiration and energy to continue what we do
- 36:13in our small little section or small little corner in Malaysia education
- 36:19is going to be forever there because we don't graduate from dental school.
- 36:25Knowing everything.
- 36:26That's a fact of life that five years or six years or eight years that you
- 36:31do in dental school will not give you
- 36:34Goerge: everything.
- 36:34Jeanette: Everything.
- 36:35Goerge: That's clear.
- 36:35Jeanette: Everything.
- 36:35That's Especially implants.
- 36:36Yes, especially in implants because it's not even in the undergrad
- 36:40curriculum in a lot of schools.
- 36:42So continuing education is one main path that will ensure your
- 36:47dentist even in a practice like Earth, where is multidisciplinary?
- 36:52We have gps, we have other disciplines.
- 36:56They still need to understand implants even if they don't do it.
- 37:00And I always tell my younger ones, they, you really need to understand, I don't
- 37:04care whether you like it or you don't like it, but you need to understand
- 37:08because if you don't understand, you can't do proper treatment planning.
- 37:11You don't give patients the right options as well for what is possible for them.
- 37:16And this.
- 37:18Is more so now seeing that it's, I thought it was just Asia, that
- 37:23we are a bit, we don't get as much education, which is why we started.
- 37:27That's global in those.
- 37:29Yes.
- 37:29But now meeting everyone around the world it, I realize that it's
- 37:33a common mission we all have to do.
- 37:35And seeing everyone doing that part as far as especially ITI and Straumann doing
- 37:40so much is just inspirational and it just allows me to continue doing this.
- 37:45Yeah.
- 37:46As well.
- 37:47Goerge: Yeah.
- 37:47And that's a perfect segue to talk a little bit about ancora Empower.
- 37:50Can you tell our listers a bit more, what was the guiding principles?
- 37:53Why did you build it, and what do you try to achieve with it?
- 37:57Jeanette: Ancora Imparo means I'm still learning.
- 38:00And why I built it together with the artist group, with my previous my
- 38:05current partners and all, it was because I. We knew that in order to bring the
- 38:11younger ones up to a certain level and ourselves to continue to learn we need
- 38:15to bring the best of the very best from around the world to Asia and make it
- 38:18available for as many people as possible.
- 38:21And that was the philosophy of what Anura Empower was.
- 38:25We will never stop learning.
- 38:26Technology is moving so fast, and we knew at that time, in 2015,
- 38:30we need to invest in digital.
- 38:31We need to move on with the digital lab.
- 38:33We need to move on and to understand what's going on.
- 38:36To go on dentistry is making a fundamental and a very critical transitional
- 38:43change that we probably would not have, in centuries here, foreseen.
- 38:47Yes.
- 38:47Yes.
- 38:47Because of digital.
- 38:49Exactly.
- 38:49Yeah.
- 38:49Yeah.
- 38:50So this is a critical, moment for the industry, and we need
- 38:54to either do the right thing or we are all gonna be left behind.
- 38:58And even if you decide not to change and not catch up with digital,
- 39:02you're gonna soon realize that you can't practice properly anymore.
- 39:06And then that's the reason why we started on core.
- 39:09And there's no point of only educating yourself.
- 39:13You need to educate.
- 39:15Your peers, people around you, they're referring network and
- 39:19and the entire country would benefit if everybody moves ops.
- 39:25Goerge: Yeah.
- 39:25So you start with the mind of actually educating your own clinicians first.
- 39:30And also with the very digital mindset from the get go.
- 39:32Yes.
- 39:32So in, in 15 you start your 2015.
- 39:35Yeah.
- 39:35Your education journey.
- 39:36Yes.
- 39:37At which point in time is it today?
- 39:39Can you tell a bit more about the facilities and maybe the
- 39:42platforms that you're offering?
- 39:44Yeah,
- 39:44Jeanette: so I think we have gone on to build two full fledged operating
- 39:47theater because it's really important, especially for surgery to, for people to
- 39:52realize that you need a good environment.
- 39:54For infection control and you need to know how to do surgeries under
- 39:57sedation in a safe environment.
- 39:59And of course that was setting the standards and that would be the best way
- 40:03to be able to train younger ones that they understand surgery is not doing it.
- 40:08Slip slope.
- 40:09And you need to know what you can and what you can't and bring back
- 40:13whatever you can into your practice.
- 40:15And I think that was it.
- 40:16We have we have a training hall as well, a huge training hall for lecture.
- 40:20And we also have envision Training Center together with Dr. Nazari that we have.
- 40:25Microscopes and we have phantom hates to ensure we train under the
- 40:30microscope and then the phantom hates to practice as much of what we can do.
- 40:34Yeah.
- 40:35So we have built on in terms of facilities, but the
- 40:38main philosophy is having.
- 40:41The facility and environment to be able to do practical and real work.
- 40:46And I think that's important.
- 40:47Hands-on are ex extremely important.
- 40:50And then watching life surgeries are extremely important.
- 40:53Being guided to see what things, how things move, is also extremely important.
- 40:58Goerge: So you also offer mentoring?
- 40:59Jeanette: Yes.
- 40:59Goerge: For people coming there, doing a residency?
- 41:01Jeanette: Yes.
- 41:02Yes, we do as well for implant dentistry.
- 41:05And that's together with the ITI curriculum.
- 41:07Goerge: Very good.
- 41:07Yeah.
- 41:07Jeanette: Yeah.
- 41:08Goerge: So for everyone who is interested please make sure you check out thank you.
- 41:11Jeanette's education portal and also the possibility to
- 41:14maybe take courses with you.
- 41:15Jeanette: Yeah.
- 41:16And we organize every two years a tree master's program.
- 41:19And this is coming up next year, in February in Malaysia.
- 41:22I hope the both of you that we can invite you both Okay.
- 41:26Into Malaysia.
- 41:26Goerge: That would be great.
- 41:27Jeanette: That would be great.
- 41:28Goerge: So let's talk a little bit about the future of dentistry.
- 41:31Okay.
- 41:31Because we now heard that you have a digital lab.
- 41:33You very early on actually has have foreseen how important it is
- 41:38and what this digital transition is going to bring for dentistry.
- 41:42And it has even accelerated with ai.
- 41:44So there is so many new tools that actually we need to understand what
- 41:47it can do, where the limits are.
- 41:50What's your vision of dentistry in 10 years from now?
- 41:52How will we do let's say implantology in a decade?
- 41:56Jeanette: I think that's the magic bold question.
- 41:57Exactly.
- 41:58Chris: Now we're rolling the task.
- 41:59Jeanette: Now we are rolling.
- 42:02When I graduated, we never thought digital was gonna go this crazy and this fast.
- 42:07Goerge: No one thought about this, no one could foresee this.
- 42:09Jeanette: How would you even imagine the robots are gonna do surgery for you?
- 42:12We are seeing that now and it's gonna move so fast.
- 42:17With robotic surgery with ai, that it will happen probably within the next 10 years.
- 42:24Not even.
- 42:25I thought I was just gonna retire and not be able to, don't need to deal with
- 42:29computers and AI and robots, but nope, it's coming faster than we taught and
- 42:34I think all of us need to get into it in order to be able to practice safely.
- 42:38If not, I. What happens with dentistry when the robots take
- 42:42over, it still needs a human being.
- 42:44And you need to understand and have enough experience to understand how to
- 42:48make sure the robots do the right thing.
- 42:50So it still comes down to diagnosis, treatment, planning, all of that
- 42:55basic stuff that we need to have.
- 42:57So I see dentistry or implantology changing towards being more automated.
- 43:03But we are still going to need people to be able to, or companies that are
- 43:08gonna build us tools to ensure that the right things are being executed.
- 43:12Yeah.
- 43:12Yeah.
- 43:13That's the hardest part.
- 43:14Goerge: Wow.
- 43:14Yeah.
- 43:15So robotics as as a reality in 10 years from now in dentistry,
- 43:19Jeanette: I see the big groups.
- 43:20We are driven commercially, unfortunately, in this world.
- 43:24So it's a marketing tool as well.
- 43:28Can you imagine patients say, Ooh, if the robots are gonna be more accurate
- 43:31than the humans or the humans, why not?
- 43:34Goerge: I want this.
- 43:34Yeah.
- 43:35Jeanette: Yeah.
- 43:35Why not?
- 43:36Yeah.
- 43:37And if it's gonna be faster and safer, why not?
- 43:41Yeah, we are gonna end up with that.
- 43:42They might not be able to suture at this point of time or
- 43:44raise a flap, but that's okay.
- 43:47That's the human part.
- 43:49But placing the implants come, let's have that.
- 43:52Yeah.
- 43:52Going on.
- 43:53And I think it will come on.
- 43:54The cost is probably gonna be very high at the beginning, but I think
- 43:58the bigger groups of dental groups, insurance companies might tend
- 44:01to be the ones that go into it.
- 44:03First and human beings are so smart, and we develop things.
- 44:08The first few things might, the first few versions might be super
- 44:11and expensive, but it will get cheaper and cheaper as it goes.
- 44:14Goerge: Yeah.
- 44:14It's what we see already.
- 44:16So it has made tremendous let's say progress.
- 44:18And I'm very fascinated by how quickly also Asia moves into this field.
- 44:24Especially China.
- 44:25China, yes, there is, yes.
- 44:26Especially China.
- 44:27There is a lot of companies that are moving in that direction and probably
- 44:30it's also a bit natural in medicine.
- 44:32So if you look at other areas like neurosurgery or
- 44:35ophthalmology, that's right.
- 44:37It's already there.
- 44:37Yeah.
- 44:38So it's more about, what problems can we solve with robotics and how
- 44:42does this I would chop sharing.
- 44:44Yes.
- 44:45Between a certain, machine that helps you to do certain steps.
- 44:49Yes.
- 44:50And the dentist work.
- 44:51So I see it more as a augmentation of skills and not a substitution of skills.
- 44:56Yes.
- 44:56And
- 44:56Jeanette: that's correct.
- 44:57Goerge: Yeah.
- 44:57Jeanette: Yeah.
- 44:58That's so important.
- 44:58That's why we call it intelligent medicine.
- 45:01Because the twos are not there to help you, not think, but it's.
- 45:06There for you to ensure that you do the, and make the right decision for
- 45:10the robots to perform it correctly.
- 45:12Yeah.
- 45:12So it is still down to human beings and the experience.
- 45:16Yeah.
- 45:16Goerge: Wow.
- 45:16That's a very good discussion to have.
- 45:18But it already brings us a little bit to the end of of our ProTalk.
- 45:21We make it habitats also our guests can ask questions to, to us, and, I think you
- 45:26have a question also for Christian, right?
- 45:28Yes.
- 45:29Jeanette: Ah yeah.
- 45:29Ah yeah.
- 45:30Ah yeah.
- 45:32No, I think Christian, what's, what made you decide to leave clinical dentistry
- 45:36and work for a company like Straumann?
- 45:38Yeah.
- 45:38Yeah.
- 45:39Chris: That is a million dollar question now.
- 45:41I'm kidding.
- 45:42I graduated in 2005.
- 45:44And in 2005 I was already in a dental implant residency.
- 45:47So I dedicated my entire professional life with dental implants.
- 45:50Yes.
- 45:51And already further ahead involved with good mentors.
- 45:56Yes.
- 45:57That brought me to their institutions and became faculty in two schools.
- 46:01One of the schools was also I lapel, as we already know, and as you may know,
- 46:05in Brazil, we are groomed already.
- 46:07Immediate.
- 46:08Yes.
- 46:08Immediate solutions already part of Brazilian dental implement education.
- 46:13Over time when I did decided to enroll the masters, master's in perio
- 46:18and later the PhD as well, there was tons of fast forward, right?
- 46:22Mastering PhD is not a week long.
- 46:24We know very well, but over this period of time there was a whole
- 46:28bunch of animal studies, fatigue tests, Uhhuh and tons of the backend
- 46:35of what I was doing to patients that it was equally fascinating to me.
- 46:39Yes.
- 46:40Not just to see the outcome, but how those things.
- 46:43We're being affected and bringing to life what that could potentially be.
- 46:48And that sparked in me this huge interest to what if I joined the industry and
- 46:54have for once the opportunity to have a fingerprint also closing the loop.
- 46:59Jeanette: That's the altruistic part of him.
- 47:01Yes.
- 47:02Chris: And help close the loop.
- 47:03So maybe my naive philosophy or mindset was like, maybe I can help the
- 47:09industry to help my peers to help their patients, and it feels like this healthy
- 47:13Jeanette: and I have a Christian Jerry, Dr. Christian Jerry implant.
- 47:16Chris: A healthy loop, and then I could not find a better place than
- 47:20Straumann because we're, we have the most powerful brains in this building.
- 47:27From engineers, from product management, from.
- 47:30You name it and.
- 47:32It paid off.
- 47:33Yes.
- 47:33Because exactly as I expected, I was able to participate in core teams
- 47:37that could bring products to life.
- 47:39Also, animal studies, test prototypes, and have a tactile feeling to
- 47:44give a little bit of a north star to the engineers, for example.
- 47:47This is a lead the right direction.
- 47:49Of course, we have to validate outside.
- 47:52Yes.
- 47:52'cause when opinion doesn't matter.
- 47:53Yeah.
- 47:53But at least, it matters, but don't get me wrong, one opinion is one
- 47:56opinion, but just to give the north stars to engineers so they can hit
- 48:00the ground running and continue what they're doing and then later see this
- 48:04blooming out and see users like that's how we met, for example, with the BLX.
- 48:09Correct?
- 48:10Jeanette: That's right.
- 48:10We met because of BLX.
- 48:11Chris: Yes, exactly.
- 48:12Casebook right.
- 48:14There's nothing more rewarding.
- 48:16Yeah, and that's exactly why I don't regret it.
- 48:18Of course, we have some clinical activities still.
- 48:20Some of the clinical early validations, but it's not my daily core work, but I'm
- 48:25still very happy with what we do today.
- 48:28Jeanette: No, but it's just amazing.
- 48:29I don't think enough people realize what you guys do and how important
- 48:34it is for people like you, Dr. Jerry, and as well as yourself, Dr. George,
- 48:38to dedicate this amount of time.
- 48:41To provide us with products that can withstand be it
- 48:4550, 60 years if we have to.
- 48:47And I think that's so important.
- 48:49I've seen it in my first year where I saw, one of the story
- 48:53was, if you don't mind me sharing.
- 48:55Goerge: Sure.
- 48:55Go ahead.
- 48:56Jeanette: One of the story was how I wanted to quit dentistry was I have,
- 48:59I was struggling with this patient for six hours and it was the first year out
- 49:03of dentist school, and of course I had implantology training by my ex boss.
- 49:08It's usually happens on the Saturday afternoon.
- 49:11This German guy comes in with a loose crown in the patients, I
- 49:16mean in his mouth, that he knew he had the implant done in Taiwan.
- 49:20And he goes, I need this out.
- 49:21It's irritating me.
- 49:22It's hurting me, and I can't pull it out.
- 49:25I can't do anything with it.
- 49:27And there we go.
- 49:28In those days, it's, oh, let's just drill and get the accessor and try and talk
- 49:32it out, or turn it off and turn it out.
- 49:35And
- 49:35Goerge: it turned out not to be so easy.
- 49:36So
- 49:37Jeanette: Yes, for the next six hours we were struggling
- 49:40together with the best technician.
- 49:42In Singapore at that time together with me, and we could
- 49:44not find the screwdrivers.
- 49:45Guess what happened when we called the screwdriver?
- 49:47Yes.
- 49:48We couldn't get the thing off when I called, when he finally got on the
- 49:51line with the dentist that placed the implants, guess what the dentist said.
- 49:55Oh, the implant company has collapsed.
- 49:58Goerge: Yes.
- 49:59It's not, there is no screw driver anymore.
- 50:02There is no, yeah, exactly.
- 50:04Jeanette: Yes.
- 50:04And I think Straumann has stood true to what it wanted to do, and it is really
- 50:10important to ensure the longevity and how the company grows to ensure products.
- 50:15You are putting products into patient's life and they may be
- 50:18there for a long time and yeah.
- 50:21That's where I tell the younger ones, it's important to stick to a good
- 50:25company and place good implants.
- 50:27Yeah.
- 50:27As well.
- 50:28Yeah.
- 50:29And there
- 50:29Goerge: need to be replacement ports also for Yes.
- 50:31For other let's say implants, we feel quite responsible also
- 50:34for, what's in, in patients.
- 50:36There is such a big portion of medical devices that are from companies that
- 50:42maybe 10 years, 20 years ago, yes.
- 50:44They were thriving, but they don't exist anymore.
- 50:47And just, identification of what product is, it is not easy.
- 50:51Yes.
- 50:51And then let alone finding replacement port, that's which is very difficult.
- 50:55Yeah.
- 50:55And
- 50:55Jeanette: that's right.
- 50:56Especially when it's fully also integrated.
- 50:58No bone loss.
- 50:59And then you can find a part and that's so sad.
- 51:01We have to take out risk.
- 51:02That's very bad.
- 51:02Yeah.
- 51:03That's
- 51:03Goerge: so sad.
- 51:03With all digital technology.
- 51:04We should be able to do better.
- 51:07Chris: George, we're coming to.
- 51:09A wrap.
- 51:10And we had, we covered quite some really good insights with
- 51:13Jeanette, and I was curious, between everything that we talked, there's
- 51:17purpose, there's community, but I would like to know from you what
- 51:20stood out on today's conversation.
- 51:22So I,
- 51:22Goerge: I really liked the conversation, Jeanette.
- 51:24Thanks a lot.
- 51:24Thank you.
- 51:25It was very inspiring and I think two things stood out for me particularly.
- 51:29So first of all, your humbleness to talk about your own career
- 51:34path, maybe your failures to let others also learn from this.
- 51:38I admire this because it's so important, we're not perfect and we're all work
- 51:43in progress and being able to talk about this to let others be part of
- 51:47your learning journey and then even, building your own educational network.
- 51:52Yes.
- 51:52And built this basically for the community that stood out big time.
- 51:56Yeah.
- 51:56Thank you.
- 51:56And the second topic that really resonated with me is how you reflected
- 52:01on these different phases of life.
- 52:03So that.
- 52:04It's not only work, it's also, I think if you're in a good social environment
- 52:08and you have family, I believe you can achieve even greater things.
- 52:12And in, in your case you managed this very proactively.
- 52:15You had to take very difficult decisions.
- 52:17And also this that really stood out for me.
- 52:19Thank you.
- 52:20Thanks a lot for sharing it.
- 52:21Jeanette: No, thank you.
- 52:22Thank you for inviting me.
- 52:24It was very Oh, you're welcome.
- 52:25Yes.
- 52:26Goerge: As you said Chris, so this brings us to the end of this episode of ProTalk.
- 52:30I hope you enjoyed it.
- 52:31To our listeners, please also look at our social media channels
- 52:36Straumann Instagram account.
- 52:37Jeanette, again, a very warm thank you to you for taking the time.
- 52:40Jeanette: Thank you too.
- 52:41Goerge: And we hope that you actually have a lot of interest to stay tuned.
- 52:46And with this, I would also hand over back to you because you
- 52:49have to make an announcement for the ProTalk channel Christian.
- 52:51Chris: With pleasure.
- 52:53With the success of Straumann ProTalk, we have decided to bloom it into a
- 52:57new stream that's gonna be called Straumann ProTalk Clinical and Science.
- 53:01With the ProTalk Clinical and Science, we're gonna bring the
- 53:04top professionals to discuss.
- 53:06Tips and tricks, do's and don'ts and pitfalls that we should watch
- 53:11out for in clinical outcomes.
- 53:13And as well the scientific part.
- 53:15We're gonna discuss and bring the authors of the most relevant articles
- 53:19and dissect it, discuss them in a fun way with a clear purpose.
- 53:25Do you know what that is?
- 53:26Yes.
- 53:27How will the findings help your decision making process
- 53:30the very next Monday morning.
- 53:32Ah, can't wait to share this all with them.
- 53:34Jeanette: Beautiful.
- 53:35Chris: Excellent.
- 53:35That sounds great.
- 53:36Jeanette: Congratulations.
- 53:37Goerge: Chris.
- 53:37So we're looking forward and please to everyone, stay tuned.
- 53:40So there will be even more content, hopefully very interesting content
- 53:44coming your way and with this.
- 53:45Thanks a lot for tuning in and see you in the next episode.