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Straumann® ProTalk with Dr. Oscar Gonzalez · Straumann® ProTalk

0:00
Oscar Gonzalez: Because I sold my house, I sold my car, my job and
0:03
my city, I moved to Philadelphia.
0:06
George Raeber: In let's say 10 years from now, what will be the major
0:09
changes that you would foresee?
0:10
Oscar Gonzalez: I think artificial intelligence is going to change
0:14
the way we are treating patients, I'm quite sure about that.
0:17
Andreas Utz: What would you consider the most defining moment in your
0:20
career where you say, look, this is a decision that I took or a moment that
0:24
I had that really changed everything?
0:27
Oscar Gonzalez: I just wanted to prove myself trying to be the
0:31
best dentist that I could be.
0:34
I'm like a stubborn like, if I put something on the focus I try
0:40
to keep myself in this track.
0:43
I think it's very sad when you go to Congress They're an educator.
0:49
He has showing how well things go
0:54
Perfect.
0:55
Oscar Gonzalez: Let me tell you, that's not the truth.
0:58
I have failures every single day.
1:16
Andreas Utz: Welcome to this third episode of the Pulse of the Industry.
1:20
I'm Andreas Utz and together with my colleague and friend, George Reber,
1:24
we are very happy to host this series of inspirational conversations and the
1:30
podcast Parts of Dentistry is about, interviewing remarkable personalities
1:35
in implant dentistry and, to engage them in a conversation around their personal
1:40
development journey, pivotal moments in their life and in their career.
1:44
It's about clinical innovation.
1:46
It's about technology and of course, it's about the future of dentistry.
1:50
And today we have a guest that is having a lot of talents and a lot of
1:55
interests and We are very happy to have Oscar González today with us.
2:00
Oscar, you are very active in academia.
2:04
You are affiliated to two of the most prestigious academic
2:08
institutions worldwide.
2:10
That is the Harvard Dental School and that is Complutense in Madrid.
2:15
Also you serve as the editor in chief of the Journal of Periodontics and
2:22
Restorative Dentistry and I think that reflects very nicely also your,
2:26
let's say, your specialization, which is periodontics and prostodontics.
2:32
And beyond that, you are, let's say, a very well respected implant specialist.
2:37
You are very active in some key associations, I know, very
2:41
active politically as well.
2:42
And Last but not least, you are running a very nice dental clinic,
2:46
private practice clinic in the center of beautiful Madrid in Spain.
2:51
So Oscar, it's really an honor and a pleasure to have you here today.
2:55
Welcome to our podcast.
2:57
Oscar Gonzalez: Thank you very much.
2:58
The pleasure is mine.
2:59
It's my first podcast in my life, so I'm very honored to be here.
3:05
Andreas Utz: Oskar, what we try to do, we try to make it a habit that,
3:08
our guests, they present themselves to our viewers and listeners in one
3:13
minute, because not everybody knows you.
3:15
You are very famous, but not everybody knows you.
3:18
So who is Oskar González in one minute?
3:20
Oscar Gonzalez: Thank God nobody, no, everybody knows me.
3:22
That's a good thing.
3:23
I don't, the way I am, I try to be quite shy and trying to get
3:28
some type of Solid career and whatever is solid career take time.
3:33
Starting from the last thing that you mentioned, I'm a clinician I'm a dentist.
3:37
Of course I enjoy very much treating patients and there is another side
3:42
of my career, which is research and education that I enjoy very much.
3:48
I cannot call myself a researcher.
3:50
I think that's a very huge word for me.
3:52
I try to do my best to, and what I am is a very curious guy.
3:58
I try to answer some clinical questions that I have in my daily practice.
4:03
And this is basically it, but but again I'm a dentist pretty much that I try to
4:09
do my best to take care of my patients.
4:10
Yes.
4:12
George Raeber: Oscar, to reflect on your impressive journey that you have
4:16
behind you, it seems that you have been a very curious person and it's also, I
4:20
think, a motto of your dental practice to be keep learning, keep searching.
4:26
So you combine those two elements very nicely.
4:29
On one hand, you have a very nicely running practice, but on the other hand, I
4:33
still would consider you as a researcher.
4:34
I looked through PubMed and you have a lot of publications.
4:40
So it's a dual track.
4:42
What made you choose this path?
4:47
Oscar Gonzalez: I think it's the enthusiasm.
4:48
That's the word that I think will appear a few times during this podcast because
4:54
if I'm able to do all these things, it was, I enjoy that part of of the career.
5:00
We spend so much time trying to develop a career, a job that I
5:06
decided long ago to enjoy that.
5:08
And as part of that, there is a intellectual activity or an intellectual
5:14
question that came to my mind and I just try from time to answer some of them.
5:20
So to combine both things, it makes me feel.
5:24
Then I'm updated, which is also good for my self confidence, but also for
5:31
the wellness of my patients that I can provide them maybe some solutions that
5:37
if I want, I was not that updated, I would not be able to do that,
5:41
but that's a model for doing that.
5:45
Andreas Utz: Oscar, we, before we started the podcast, we already had a very
5:49
inspiring conversation and we know that your career was anything but not linear.
5:54
And then I think sometimes that's a really good thing to happen.
5:57
What would you consider the most defining moment in your career where
6:00
you say, look, this is a decision.
6:02
that I took or a moment that I had that really changed everything.
6:07
Oscar Gonzalez: That's clear in my case.
6:09
I started as a pediatric dentist.
6:12
I was working for six years in private practice when I
6:15
was in my hometown, Sevilla.
6:17
In the South of Spain, and actually I was working in a very nice office
6:21
over there with very good clinicians, but suddenly when I was 27, 28 years
6:27
old, I felt that I need something else, not because I wanted to be.
6:33
Known dentist or because I wanted to be famous or anything like that.
6:37
No.
6:37
I just wanted to prove myself trying to be the best dentist that I could be.
6:45
And then I heard about it was a funny story, but making the story short,
6:50
I heard about this postgraduate program, dual program in periopros,
6:53
now periopros has become like the goal to be interdisciplinary.
6:58
But at that time, Periproza, it was not
7:01
George Raeber: so known, not so famous.
7:03
Oscar Gonzalez: Yeah, it was very famous in the fifties, in the sixties,
7:06
and then people went to be like a super specialist in something.
7:13
When you become a specialist, you become focused in a small part of the profession.
7:19
And I always remember.
7:22
One person who really changed the way I see dentistry today, which is Dr.
7:27
Morton Amsterdam.
7:28
He will, he created perioplasts program at the University of
7:30
Pennsylvania 80 years ago, and I had the privilege to be trained by him.
7:35
And he always say that, he always say, at the beginning, all the
7:39
dentists were general dentists.
7:42
Then it became the specialist, then the super specialist, and think the
7:49
future is to be a super general dentist.
7:53
It doesn't mean that you have to do everything, but you have to have a
7:57
broad vision of what is dental health or what we can provide to our patients.
8:04
And that of course changed the way I understood, where I still
8:07
understand dentistry, because I sold my house, I sold my car.
8:13
I left my job and my city.
8:15
I moved to Philadelphia, listen, very different to Seville, a lot
8:20
of snow, something like that.
8:22
And and I work hard for four years.
8:25
I have the privilege to be trained for.
8:28
for amazing faculties, but also to have great colleagues studying with me.
8:35
The, to have a good class with you is always very good
8:38
because we push each other.
8:41
And I think that changed my career because I remember perfectly well I,
8:46
I make numbers how much it cost me.
8:50
And how much it cost me to take a nap, which in Spanish is a siesta.
8:56
So I make the calculation.
8:57
I didn't take any.
8:59
I say, I cannot afford to take a nap in these four years.
9:02
It's too much.
9:03
It's too much money to do that.
9:05
No.
9:06
So it was four very worthy years.
9:10
And then it was another moment in my career that after that I was doing
9:14
my third year in Imperial Province at the University of Pennsylvania.
9:20
And I went to Princeton for a lecture of someone called Urs Welser.
9:26
And I sit there, I say,
9:29
I want to learn from this guy.
9:31
I just want to learn from him.
9:33
So in the coffee time, I approach him and I say, how can I learn that?
9:40
And he just told me this, there is this thing is called the ITI scholarship.
9:45
So I decided to apply to push the loan for the bank for another two years,
9:53
and it was like enough to receive that.
9:55
So I moved from Philly to Geneva from English to French.
10:00
My French was so poor that I struggled quite a lot, but but
10:03
it was, there is no question, a very important experience for me.
10:08
Andreas Utz: You've been in practice already, ready to continue your game
10:11
three career and still decided, to not take it the easy way, but, to learn
10:16
all of this and to go to Geneva and to learn in the program before, what kept
10:20
you motivated throughout those times?
10:22
I imagine that was also tough at times but what kept you going?
10:28
Oscar Gonzalez: Oh that's, I have no merit on that.
10:31
That's the way I am.
10:34
If I have a good thing is that I'm like a stubborn, I like , if
10:39
I put something on the focus, I try to keep myself in this track.
10:46
So it was a huge decision for me to leave my family to live my life.
10:52
You have to try to do your best after taking a decision like
10:55
that and stick to your purpose.
10:57
And I think that was the thing.
11:00
Andreas Utz: What gives you energy for everything you do today?
11:03
Because you run your practice, you are lecturing, you are active
11:06
in associations, you do peer reviewing interesting research.
11:11
So that also takes a lot of time.
11:13
What gives you energy?
11:14
Oscar Gonzalez: The, these two words, one I used it before, still enthusiasm.
11:18
I take everything, I enjoy what I'm doing.
11:23
But the second thing is responsibility.
11:26
I think that's the second word that I will use.
11:30
I think we are, we have very beautiful profession but we are
11:34
treating patients human beings.
11:38
So we have to be very.
11:40
Very careful trying to do our best.
11:43
And that's what I try every day.
11:45
And so I take my job with a lot of responsibility and
11:48
that, that's the second word.
11:50
Andreas Utz: Okay.
11:50
Yeah, that's beautiful.
11:52
Oscar, maybe to close on your personal development journey, what
11:57
is the coaching recommendation or tip you wish to have received like
12:03
in the beginning of your career?
12:08
Oscar Gonzalez: That that I don't know.
12:10
If you ask me if I will change anything, I will change nothing with the good
12:17
part and the bad part, and I'm what I am today because I have good things,
12:23
but I have some time in my life that was tough to keep going and But you have
12:29
to wake up in the morning and that's something that I can tell I haven't
12:34
missed one day of job in my life yet.
12:37
I hope I will continue this way.
12:39
That will be a good sign.
12:41
But you can imagine that in life after I'm 48.
12:43
So that means that this year.
12:46
It's 25 years since I finished my career, 30 since I started
12:50
my dental studies, so 30 years.
12:53
Taking care of this business is quite a lot.
12:56
And of course there is some days that you don't feel like waking up that day.
13:01
But you have to wake up.
13:03
Andreas Utz: Yeah.
13:03
But I think it's beautiful if you can look back at your journey like
13:07
this and then summarize it like this.
13:08
Oscar Gonzalez: Yeah.
13:09
Yes.
13:09
It's, I think it's the way it is.
13:11
Yes.
13:13
George Raeber: Now to change gear a bit, I think after that conversation
13:16
that could have lost us quite some more time, we have, because I think
13:20
it's very fascinating your personality and how you actually push forward.
13:23
Let's talk a bit about your clinic.
13:25
So it's called Atelier Dental and I think it very nicely
13:29
combines art with dentistry.
13:34
Also listening to your life story, I believe that there is a big passion
13:37
for on one hand being human and treating your patients as humans,
13:43
but on the other side, you're also very much on the innovation side.
13:46
So you're fascinated, I think, by modern technology and let's start
13:50
to look into this a little bit.
13:54
When we talk about innovation, then it's not often clear in the beginning that
14:00
something will become meaningful and help us to change the way how we work.
14:06
And you seem to be a person that is actually on the leading edge,
14:09
you must have tried things that are not obvious that one day they will
14:13
actually change the way how we work.
14:15
So how do you decide what you take into your clinical practice and, is
14:21
this something that you decide by yourself or is it a team approach
14:26
that you know is looking at the new technology at an innovation and then
14:29
deciding whether this is something actually that fits your practice?
14:34
Oscar Gonzalez: This is a great question and I, there is a lot of
14:37
different sides of the same question.
14:39
You mentioned the team and of course if I'm can be sitting here.
14:44
It's because I have an excellent team.
14:45
We are 18 people working together.
14:48
I have the responsibility to lead that, but they are each of them is
14:54
there for a purpose and they are pushing me up every single day.
14:59
But at the end of the day, if you are the leader, you are the one to take the
15:02
final responsibilities and decisions.
15:05
And I will say that there is three, three things that I always try to do.
15:10
Yeah, three, the first thing is to be prepared before you jump into
15:17
an innovation or before you decide to implement something in, in your
15:22
daily practice, you have to be ready.
15:24
You have to be trained.
15:26
You have to study.
15:29
And study doesn't mean to spend five minutes reading something.
15:32
This has to go in depth into.
15:36
What is the topic?
15:38
The second thing is I will say critical thinking.
15:43
I think you have to be critical.
15:45
You don't need to eat whatever is supposed to be innovation.
15:50
You don't need to eat whatever someone is telling you this is going to work.
15:55
I think you, especially when you are being around for 25, 30 years or 15
16:00
years, or even if you are a beginner.
16:03
You have to listen and of course, when you are a beginner, you have
16:06
less critical thinking and you have to hear more and then the balance started
16:11
to change a little more, a little bit, but with always being critical.
16:16
And the third thing I try always to have is some common sense,
16:22
which is not always so common.
16:25
So I think these three things, be prepared, study.
16:30
You be critical be, study and evaluate the pros and cons of
16:35
every single thing, and then try to apply that in a very common sense.
16:39
It's not every treatment is for everyone.
16:43
Your team has to be ready also for that, has to be trained for that.
16:47
So every time you have to innovate some people or some organizations are trying
16:54
to get an, a new thing in a very fast way.
16:59
It doesn't work in Atelier.
17:01
Every time we have to put something there, I put this very simple example.
17:06
I develop I develop a protocol, I will say four or five years ago, but I was, but
17:16
the project wasn't ready for that project.
17:18
So Atelier was not ready.
17:20
to implement that.
17:22
So the circumstances are coming three, four years after.
17:26
Okay, now we are ready to do that because if you rush too much to
17:30
try to put this into the daily practice, it may be a disaster.
17:35
So things also have the right time to do that.
17:39
So
17:41
George Raeber: I fully agree.
17:42
There is always the timing, I think makes a big difference.
17:46
And, sometimes you have a very innovative idea, but maybe the environment is
17:51
not yet ready that you can do it.
17:54
Is there an example where you actually tried to implement something and
17:58
you learned and then also you had to abandon it again for a while?
18:02
Is there anything that comes to your mind?
18:06
Oscar Gonzalez: I have a very clear example of something that I, it was in
18:10
my mind nine years ago when we opened
18:15
Last year, eight years after the example for is very clear.
18:20
We open a year ago.
18:22
Head and neck rehabilitation center as part of the dental treatment or as
18:27
part of the dental health where we also treat sleep disorders or TNG problems.
18:34
We were not ready before.
18:36
We have to put the basis before we were ready to put the next step.
18:41
And that happened eight years after, but it was in my plan written nine years ago.
18:48
And of course, sometimes I have tried to put something to work and then I
18:52
realize, okay, we are not ready for that.
18:54
Let's wait.
18:55
Let's wait.
18:56
I will not abandon.
18:57
That's something that is is funny.
19:00
Not in your nature.
19:00
No.
19:01
Actually, I'm publishing now a paper with professor Welser
19:06
that I, it was written in 2007
19:12
and it's going to be published next year.
19:15
I re I wrote that at the time.
19:19
It was, I had not even the experience to, to write something
19:24
meaningful at that time.
19:27
Almost 20 years after, I took it back.
19:31
I wrote that again with the same people that was involved, and
19:36
then I sent it to Professor Wells and I say, now it's worth it.
19:40
George Raeber: That's the time.
19:41
That's the time.
19:41
Okay.
19:42
That's the time.
19:43
That's a beautiful story.
19:45
You seem to be a person that is keep searching, keep changing as well.
19:49
And I think for your team that can also be quite demanding because they
19:54
actually, they need to go along with you.
19:56
Reflecting on yourself and on your team, what do you think is more critical?
20:00
Is it like the skillset or the mindset?
20:05
Oscar Gonzalez: That's clear.
20:06
The mindset.
20:08
Yeah, that's for sure.
20:09
But I'm always.
20:10
I'm always changing because I'm still a work in progress.
20:14
I haven't finished myself as a person.
20:16
I think every day I try to be a little better because I'm still not
20:22
good enough in everything in life.
20:24
I still I have my lights and my shadows and everything, everyone else.
20:28
I just try to be a little better every day.
20:31
Not always I achieve that.
20:35
What I ask to my team is, I'm ready to lead, I'm going, and I
20:43
don't need you to be right here, but at least one step behind.
20:48
And everyone has his own speed.
20:51
I don't want anyone to be stopped and looking how I go forth.
20:56
No, you go to your own path, but you have to come with me because for me,
21:02
your loyalties, I know it sounds very.
21:08
But for me it's crucial if you want to be part of of our project of Atelier,
21:13
you have to stay loyal to Atelier.
21:15
And that's for me, it's very crucial.
21:19
And the skills can be learned.
21:23
Almost everything is written.
21:26
So I think it's more.
21:27
A way of being that how good you are with your hands.
21:31
George Raeber: So you're also recruiting for mindset when you extend your team?
21:34
No question.
21:35
Yeah.
21:36
Andreas Utz: And do you do specific events or do you invest specific time for your
21:41
team to take the team with you and to make sure they, that they're following
21:45
you and you create stuff together?
21:46
How do you do
21:47
Oscar Gonzalez: this?
21:47
Sure.
21:47
We, yeah, we do.
21:50
A lot of things at least once or twice a year we do some type of, we go for a
21:56
weekend or together, or we go to sing in the karaoke, whatever, but we do things.
22:02
And then once every two months we close the office for one day,
22:07
actually it's going to be the 19th of December, the next one.
22:10
And we just.
22:13
We are, we move, do a kickoff of what's going to, what are we
22:17
going to try to do next year?
22:19
What is in my mind?
22:20
For some time I have to sit and tell them, listen, this is in my mind.
22:24
And I think this is not going well and we have to improve that.
22:30
I'm very critic with myself.
22:32
I have no issues to tell my team, listen, I have to improve this and that.
22:37
But also to tell the people that they have to improve a few things also it's
22:42
important to be honest always in, in an elegant way, in a nice way, in a gentle
22:48
way, I tried that's something I have tried to polish quite a lot during my life.
22:53
I tried to reduce my excess of energy and try to be more, more
22:59
cautious, try to not hurt anyone, but also to be honest with people.
23:05
George Raeber: Maybe the last question to this this practice blog.
23:08
You're also a very, I would say, thorough educator and you provide a lot of courses.
23:15
So what would you consider, let's say, the three things that When people
23:19
join you can learn that are important?
23:24
Oscar Gonzalez: Oh, what they can learn?
23:30
The most important thing that they can learn from if someone take a course with
23:34
me is that we share all the same issues.
23:39
We all have the same problems.
23:42
We all have failures.
23:45
I think it's very sad when you go to Congress and you have your
23:50
own patients and then you see.
23:54
They're an educator is just showing how well things go.
24:00
Everything's perfect.
24:02
Oscar Gonzalez: Everything's perfect.
24:03
And let me tell you, that's not the truth.
24:06
I have failures every single day.
24:10
And if you share that in a very honest way, if you share with your
24:16
colleagues that we are all together in the same field, which is treating
24:21
the oral health of our patients.
24:24
You fail and you fail every day.
24:26
So what I tried to teach or to share, because I don't like the
24:33
word teaching applying to me, what I tried to share is some key ideas
24:39
about how to make a good diagnosis.
24:43
So you don't fail that many times.
24:47
So instead to fail four, you fail three.
24:51
That's, that course is worthy already.
24:55
Second, if you fail, what you can do to solve it, if there is any,
25:01
anything that you can do to solve it.
25:05
And then I try to,
25:09
to share a vision, an interdisciplinary vision that, that is in my core.
25:16
It's very difficult for me to give a course of implant dentistry
25:19
alone, or periodontology alone, or restorative dentistry alone.
25:24
For me, it's very difficult to do that.
25:26
For me, this interdisciplinary view.
25:30
It's it will be something that you can breathe in my courses, that that if
25:36
you, the American always say, if you have a hammer, everything is a nail.
25:40
No, for me, you can see that you solve patients, you solve problems
25:44
in implants by using orthodontists.
25:49
I may not do that, but my wife is an orthodontist, my brother is an
25:53
orthodontist or you have people in your team who is an orthodontist
25:56
or an endodontist or whatever.
25:57
So that will be, if I achieve, if I can, if whoever make a course.
26:07
That I'm trying to give to someone and after the course, they have
26:12
the feeling that this time here was worth it because I can see I have
26:17
learned few things, but also I can see that that why I felt that day,
26:24
that will be perfect for me.
26:25
That's right.
26:28
Andreas Utz: But it seems really to be you, huh?
26:30
Multidisciplinary, looking on all your specialties that you have collected
26:32
over the years and worked hard on this.
26:35
That's very true.
26:38
I was looking on your website and I have to say it's, your website
26:41
really fascinated me because it, spells out a clear philosophy and, a
26:46
clear direction and it's beautifully designed and very aesthetic.
26:50
And I think that tells already something to the patient.
26:55
And what I would like to do is to speak a little bit also about technology with
26:59
you and there's a statement that I want to read with because I found it fascinating
27:04
how you combine this and the statement on your philosophy is, although we like
27:08
to be at the cutting edge of technology, many tasks are best performed by hand.
27:13
And I think that's very true, at the end.
27:16
And that's the name of your, also of your project.
27:19
It's Atelier Dentale.
27:20
So it's about technology, but a lot is about art and being handcrafted as well.
27:25
I'd like to go a little bit in this, topic to distinguish where do you
27:29
find technology very helpful today?
27:31
And what are the topics where I say, look, this is really where our
27:34
craftsmanship is is leading the way.
27:36
I
27:37
Oscar Gonzalez: have to mention something, that quote that I love it at least Swiss.
27:43
Andreas Utz: Okay.
27:43
Oscar Gonzalez: This is adapted for watches technologies.
27:46
Andreas Utz: Okay.
27:48
Oscar Gonzalez: And it's not exactly the same, but quite similar.
27:51
And and
27:54
technology, of course, has changed the way we are doing dentistry today.
27:58
And I can envision that I have still 20 years of dentistry.
28:03
If everything goes fine, that is still is going to change many things, but
28:07
we cannot forget the human touch.
28:10
I think that's important.
28:12
So if we are able to combine both then this profession is something
28:17
very enjoyable because the good thing about dentistry is that
28:21
you can combine you can combine science with with art, with health.
28:29
With with health providers, with with beauty with human
28:33
touch, with it's amazing.
28:36
But also for those guys who are amazed about innovation and technology,
28:41
today digital dentistry is amazing.
28:43
They can make a life only about that.
28:47
And enjoying with all these machines that when I looked at thing, it's
28:51
wow, who's going to manage that?
28:52
For me, it's okay what was that and how does it work?
28:57
How am I cost?
28:58
So that's the thing that you have to ask yourself but there is no
29:02
question that is there is a lot of new technology that they're going to make
29:08
a revolution in what we're doing today.
29:12
I open.
29:13
Two years ago, I opened what do you call a research center to be honest is,
29:17
I will research center is a big word.
29:22
I will say that this scenario that would have fun because because I'm 48.
29:28
I'm from the analogical time.
29:30
And unfortunately I was seeing the digital running running, and I was
29:34
like, okay, I have two options.
29:37
Either I jump, and I'm not jumping if I'm not trying to leave that,
29:43
or then it's gonna kill me.
29:45
Two years ago, I decided to invest, two years and a half,
29:49
and we open space like this room, small one, with a lot of machines.
29:54
Printers scanners, and I'm just Plain.
29:59
If there is a new material, I want to see what is human, this material.
30:03
And it's better if you treat it this way or this way.
30:06
How much is the thickness of that?
30:08
How can I improve the restorative power of my patient by doing that?
30:12
Also I've been working with with with a company for artificial
30:16
intelligence in dentistry.
30:18
Just trying to learn for that.
30:21
I'm just trying to learn.
30:24
It's too late for me.
30:26
Just, I don't even have the ambitious of leading that part, but at least
30:34
I want to be, I don't want to be the last one on the, on, on the list.
30:38
I want to be there.
30:40
I want to be there.
30:41
I want to know what's going on because it's fascinating.
30:47
George Raeber: I'm absolutely on the same page being fascinated about technology
30:50
and, just going quickly through some of the publications that you have been doing.
30:54
I was, amazed that already in 21, you published about reverse scan bodies.
30:59
I, as a, as someone from industry I'm always fascinated by, clinicians
31:04
that actually try out new things because I believe those people that
31:08
actually try to solve, their own problems are sometimes coming up
31:12
with the most innovative solutions.
31:14
And I just wanted to ask you a bit how you perceive, for example, in, in your, let's
31:21
say, time that you explore new things, how is the cooperation with industry?
31:26
What does work?
31:27
And where would you see actually improvement potential?
31:31
Because I believe The magic happens somewhere in the interface, so we can't do
31:36
it alone, and probably clinicians can't do it alone either, and we need to have this
31:40
interface where, you know we co create.
31:44
Oscar Gonzalez: This is, today we need the companies, we need the industry for that.
31:49
If you want to do something, you put the example of the, I call it
31:54
the inverse scambari, because, I was the first one who thought to do
31:58
that, applying to that particular topic to that particular purpose.
32:04
Then I saw that it was a big thing, the reverse scumbag, and
32:08
basically it's the same idea that now is helping a lot of people.
32:14
If you want to do something to a bigger scale, you need the support because
32:21
being in a private clinic, you have a limited resources your time is limited.
32:27
And and also the cost of any of those innovation or ideas is very high.
32:35
I feel myself.
32:37
privilege because I have an access or I have a very good collaboration with with
32:41
different industries that, you know, and that I cannot be just thankful for that.
32:49
It's true that not every clinician has this possibility, but I
32:54
cannot envision no way of how to really click that in a better way.
32:59
But I'm sure there's amazing ideas out there that unfortunately, are not spread
33:07
because because they remain there.
33:09
And as you mentioned before, at the end, you abandon that or you lose
33:13
the energy to put it out there.
33:16
Also to publish it is not easy.
33:18
One of the,
33:21
one of the most important thing that I'm trying to do, the one I feel more.
33:26
I'm very proud of being a co editor.
33:29
First of all, it has been a learning experience for me because I've
33:33
never been an editor before that.
33:34
Now it's two years since I'm doing that.
33:38
But the most rewarding thing that I'm trying to do is to help people that has
33:44
never published before to get their first publication in a peer reviewed journal.
33:49
It's a process.
33:50
It's a learning process.
33:52
We all have rejected papers in the past because your first paper,
33:57
you're not ready to write that.
33:58
You're not ready to, maybe the idea is very good, but then you
34:02
have to put it in the right words.
34:04
So in the same way that I'm trying to help these people, and if you
34:10
don't have someone to guide you, that ideas are not going to be
34:14
never going to be ever published.
34:15
In the same way, I'm sure there is excellent ideas out there that it
34:20
will be very nice how to explore the way to put all these ideas
34:26
to the service of the community.
34:28
But I don't know how to do that.
34:32
Andreas Utz: Now, Oscar, I know that you are also doing a lot of
34:35
immediacy treatments, if we go a little bit into implant dentistry now.
34:39
Today in your practice when you do implant treatments, how many or what
34:43
percentage of your patients do you do treat with an immediate approach, meaning,
34:48
let's say, an immediate provisioner?
34:50
Oscar Gonzalez: I like to distinguish two things.
34:53
One is an immediate implant, one is an immediate provisioner.
34:55
I do.
34:56
Almost 80 percent of my procedures are immediate implant.
35:00
Actually, next year is going to be 20 years since I did my first
35:03
immediate implant placement.
35:05
Next year, 2005 was my first one.
35:09
I am crazy about immediate implant placement.
35:12
Immediate provisional because I'm, I have some gray hair now.
35:16
I'm getting more conservative.
35:19
I choose.
35:20
Now, very well, those cases where I try to immediately provisionalize or
35:26
load them, because at the end it's a load, whatever you want to call it
35:30
because I want to be very consistent.
35:34
I'm not in the age of.
35:37
Making experiments, I make all the experiments I have to do, as I mentioned
35:42
before, I'm quite critical what I'm doing and also I try to use my common sense.
35:47
So yes, I'm crazy about immediacy, just because you place the implant
35:54
the same day you remove a tooth.
35:56
You're saving time, you're saving surgeries you can manage things in a very
36:01
conservative and minimally invasive way.
36:03
For me, that's a must.
36:06
The second part depends of few factors.
36:11
The primary stability, the occlusion of the patient which type of patient you are
36:15
trying to do is a full mouth, which you have a few implants that you can load or
36:20
is a single tooth, different situations.
36:24
That that I have to evaluate very well before going to
36:27
immediate provisional restoration.
36:30
Andreas Utz: And if you look now you said you did your first
36:32
immediate case 20 years ago.
36:34
Yes.
36:35
So next year you can celebrate an anniversary.
36:37
Absolutely.
36:38
As well.
36:39
As well, hopefully.
36:40
If you look into the last 10 years, what has been the major technological
36:44
breakthrough for you to support you in successful immediacy treatments?
36:50
Oscar Gonzalez: There is few of them.
36:51
Of course, everything related Planning that's crucial to do today to make
36:57
today an immediate implant without a proper CVCT or right analysis.
37:04
I think that is just buying tickets for failure and or not, maybe not in the
37:11
short term, but maybe in the long term.
37:13
So of course, CVCT has been there.
37:17
Already for few years more than that, but in the last 10 years, the
37:21
technology has evolved and then you have a lot of beautiful tools, you can
37:24
plan where the implant is going to go, even you go to guided surgery or not,
37:28
but you plan that's the first thing.
37:32
The second thing there is no question, the change on the design of the implants.
37:37
You cannot think in placing an immediate implant or immediate implant with
37:42
immediate provisional restoration without a proper anatomy of the implant or
37:47
microgeometry of the implant or proper features to have a successful result.
37:53
If I think in that first implant that I placed 20 years ago,
37:58
wow, I took a lot of risks.
38:01
Actually, it's a funny story because it was an immediate implant
38:04
placement in a central incisor, in a lady, highest my line, and I did
38:11
immediate implant placement and immediate provisional restoration.
38:16
After I finished the procedure the faculty told me, okay, now you should know that
38:21
was the first immediately implied media provisional in this university ever.
38:26
I was like, okay, thank you for letting me know, thank you.
38:30
I very much appreciate it.
38:31
Actually I still.
38:33
Show that case today, I still show that case today because, it was
38:39
something that was my first speeding with that, with all the shaking and
38:43
all the lack of knowledge at that time.
38:47
If you take a look today in the implant itself, I don't know even how
38:51
I achieved that primary stability.
38:53
I don't even know how that survived to that story.
38:56
And I think that will be my two main features or main advantage
39:01
in the last 10 years, Flumidecine.
39:04
And now that
39:04
Andreas Utz: you speak with us what would be your, what would
39:06
be your wish to to the industry?
39:08
Does it look, if you really want to improve this over the next 10 years, this
39:11
is guys really what you have to look into.
39:15
Oscar Gonzalez: I will not look that much in the surgical part,
39:18
but in the restorative part.
39:21
I was,
39:25
implant companies have sell implants,
39:30
that's what it is, but
39:36
unfortunately they forgot about the restorative part.
39:40
We have been very, I'm restoring my own cases.
39:43
I sometimes feel myself limited, limited with the, what this company is providing
39:50
me to restore this particular implant.
39:53
I don't have the tools to do that.
39:56
I believe now is is a very interesting change.
39:59
Now I see that the companies have realized that, yeah, it the implant itself, if
40:05
you take a look it's there, it's close.
40:09
I don't see many changes in the last few years.
40:13
However, we have still a lot to implement in the restorative and of
40:17
course, coming to the digital too.
40:20
So I think the restorative part will be something that will be
40:24
evolving in the next few years.
40:27
New materials, new design new trasmucosa, new emergence profiles new things
40:32
that is at the end of the day, is that what the patient is looking for.
40:36
They're not looking for an implant, they're looking for
40:38
what is supporting the implant.
40:40
So I think we have to start focusing there.
40:44
George Raeber: That already brings us quite close to the end of our
40:48
podcast, which I really enjoyed so far.
40:51
It was great.
40:54
We have a routine that we want to ask you just two questions that I
40:57
know we ask everyone and the first one is a very visionary question.
41:00
So how do you envision dentistry in, let's say, 10 years from now and what will be
41:06
the major changes that you would foresee?
41:10
Oscar Gonzalez: I don't know what is going to happen.
41:12
I, this is a wish.
41:14
This is a wish.
41:16
I wish dentistry is evolving to a more broad view of the patient, more
41:24
interdisciplinary view of where the patient receive also more expand
41:31
treatment, more complete treatment.
41:34
I think we're in the good lead for that.
41:37
And that's a wish.
41:39
But also I think the big change is more, not so philosophical,
41:44
but more into the reality.
41:46
I think artificial intelligence is going to change the way
41:51
we are treating patients.
41:52
I'm quite sure about that.
41:55
I don't know if it's going to be in 10, in five years, but it's going to happen.
42:00
And there is also one extra thing that I believe we have
42:05
to improve, which is materials.
42:10
We don't have the perfect material yet.
42:13
We don't have the perfect material to, to restore a case.
42:18
They are not perfect.
42:20
If it's too soft, it's not holding the forces.
42:23
If it's too strong, it fracture.
42:26
If it's fracture, it's catastrophic.
42:28
It's, what, where, what
42:31
George Raeber: is the best?
42:32
It's a big trade off.
42:33
Why?
42:34
Oscar Gonzalez: Even implants.
42:35
We have titanium, we have zirconia, but when the bacteria runs there,
42:39
listen, you start suffering.
42:43
And we're improving there.
42:44
But still, I think we are missing especially in the restorative part,
42:50
better materials to help us to give a better treatment for patients.
42:53
George Raeber: So still a lot of work to do.
42:55
That's good to hear.
42:57
Now on a more personal note, Oskar, so if you could invite any person that
43:04
you could think of for a evening long fireside chat, who would that be and why?
43:11
Oscar Gonzalez: I have to invite three.
43:13
I'm sorry.
43:16
Go for it.
43:16
Oscar Gonzalez: I have to invite three and we're not, one of them is not possible
43:20
anymore because he's not here anymore, but I have it will be three people that
43:25
has have an impact in my career as a mentors for different reasons in different
43:30
time of my life, which it will be Morton Amsterdam when I spoke before about him,
43:36
of course it will be Professor Belser.
43:38
And it will be Professor Mariano Sanz.
43:41
I will sit with three of them.
43:43
I will just say thanks to them.
43:46
I will just sit and listen what they have to say.
43:51
It will be a beautiful, it will be a beautiful chat between three of them
43:55
and I just will sit there and keep learning from them as I did or try to do.
44:01
I still with some of them every day.
44:05
Andreas Utz: Okay, Oscar.
44:05
That sounds like a very nice evening.
44:07
I could imagine you open a good bottle of Spanish red wine with it.
44:11
Yes.
44:12
And that's going to be a very inspiring evening.
44:14
I could imagine.
44:15
I would love to be part of this.
44:16
Yeah, this really brings us to the end of this podcast.
44:19
Thanks a lot, Oskar, for your sincere insights into who you are and your
44:24
journey and how you see dentistry.
44:26
That was very inspiring.
44:28
We also want our listeners to be able to answer, to ask questions.
44:34
If you want to do please write us a direct message just on
44:37
Instagram, either directly to me.
44:39
or to George, if you wish, or to the Stromann channel.
44:43
And yes, look forward to the next episodes of the Price of the Industry.
44:47
And with this, Oskar, many thanks.
44:49
And George, thanks for hosting this exercise.
44:53
Thanks a lot.
44:53
Thanks a lot, Oskar.
44:54
Oscar Gonzalez: Thank you.
44:55
Thank you so much.