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Orthopedics Meets Dentistry

From implantation to chronic inflammation: What slipped through the cracks?

One orthopedic surgeon, one implantologist and one biologist will explore this complex question, using current evidence and knowledge gained from their unique backgrounds and experiences in the disciplines of orthopedics, dentistry, and clinical research.

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The Panelists

Prof. Catherine Van Der Straeten MD

Clinical Research Expert

Sciensano, Belgian National Institute for Health, Ixelles, Belgium

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Prof. Alister Hart FRCS (Orth), MD

Orthopedic Surgeon

Royal National Orthopedic Hospital, London, UK

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Prof. Ralf Smeets MD

Oral and Maxillofacial Surgeon

University Medical Center Hamburg-Eppendorf, Germany

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Dr. Niklas Keller, Moderator

Simply Rational, Berlin, Germany

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Orthopedics Meets Dentistry brings together the disciplines of orthopedics and dentistry again in 2023 to rise to the challenge of sustained chronic low-grade inflammation around medical implants.

A ‘which came first the chicken or the egg?’ question: By weakening the immune system, does chronic inflammation predispose, cause, or exacerbate a disorder? Or does the disorder trigger an onslaught of (chronic) inflammation? Or are both true, and fueling a vicious circle of inflammation?  

The damaging consequences of chronic inflammation to the overall health of a patient generally and to the survival of implants specifically are common to both disciplines. Our experts will illustrate why inflammation is more prevalent in some patients and explain the role of implant material in limiting — or exacerbating —, as the case may be, inflammation and ultimately implant survival. 

Under discussion are the risk factors for persistent chronic inflammation, the complexity of early detection and the degree of awareness by both orthopedic surgeons and implantologists for non-acute sterile inflammatory processes. The relative differences and similarities between the two disciplines will guide the answers to these challenging questions on the common ground of implantology. 

Orthopedics Meets Dentistry provides a valuable open discussion space for debate and consideration between the distinctly different disciplines that share in the challenges of medical implantation.

The Panelists - Biographies

Prof. Alister Hart FRCS (Orth), MD

Orthopedic Surgeon

Royal National Orthopedic Hospital, London, UK

Consultant Orthopedic Surgeon and Professor of Orthopedic Surgery, specializing in hip problems at the Royal National Orthopedic Hospital NHS Trust (RNOH) and Cleveland Clinic London. He is director of implant science at the RNOH, where he is part of a multidisciplinary team that reviews 500 patients per year with complex joint replacement problems. He is the co-founder and director of the London Implant Retrieval Center, the world’s largest centre for analysing failed hip replacements. His research has featured in the media and in 2009 he was nicknamed the “hospital hip detective” by the BBC for his work on treating painful hip replacements.

Prof. Ralf Smeets MD

Oral and Maxillofacial Surgeon

University Medical Center, Hamburg-Eppendorf, Germany

The Vice Head of the Department of Oral and Maxillofacial Surgery and the Head of the Division of 'Regenerative Orofacial Medicine’ at the University Medical Center Hamburg-Eppendorf, Germany. He studied medicine and dentistry in Aachen where he specialized in oral and maxillofacial surgery. In addition to his medical studies, he also studied economics at the University of Hagen.

Prof. Catherine Van Der Straeten MD

Clinical Research Expert

Sciensano, Belgian National Institute for Health, Ixelles, Belgium

Former Head of the Institute for Health Research and Innovation at Ghent University Hospital, Belgium, where she was also a Hospital Clinical Professor, and is now continuing to share her expertise as a consultant in health research and innovation. She is a rheumatologist and clinical scientist by training and for more than 30 years, has coordinated and conducted international orthopaedic surgery research on bone and tissue regeneration focusing on research and development of implants and the clinical results of joint arthroplasty interventions.

Dr. Niklas Keller, Moderator

Simply Rational, Berlin, Germany

A research associate at the Clinic for Anesthesiology and Intensive Care Medicine at the Charité University Medicine, Berlin, and an associated scientist at the Max Planck Institute for Human Development, Berlin, as well as the ‘Decision Engineering and Decision Sciences’ lab at the Michigan Technological University. He is a co-founder of the Max-Planck Institute spin-off Simply Rational which supports organizations to measurably improve decision or advice on topics related to improving decisions or help you to make better decisions.

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A virtual panel discussion which brings together experts from the fields of orthopedics and dentistry to answer key questions related to implantation.

You can register using the registration link on this page, an email will be sent to your address confirming your registration.

Yes, Orthopedics Meets Dentistry is a live virtual event. A recording will be available on our YouTube channel after the event.

Yes, during Orthopedics Meets Dentistry viewers are encouraged to send questions to our panelists and interact with the event via our online voting portal.

Join us at 7pm (CET) November 16, 2023

Yes, our virtual event is available to registered guests. A recording will be available on our YouTube channel after the event.

Yes, Orthopedics Meets Dentistry will be available on all devices. We recommend watching on a tablet or larger screen for optimum viewing.

Our panelists are Prof. Alister Hart MD, Prof. Ralf Smeets MD and Prof. Catherine Van Der Straeten MD. Details of their expertise are available here.

Orthopedics Meets Dentistry - Virtual Panel Discussions

Orthopedics Meets Dentistry 2022

What drives medical decision making:

Evidence or Intuition?

“If risks are known, good decisions require logic and statistical thinking. If some risks are unknown, good decisions also require intuition and smart rules of thumb”(Gigerenzer, 2014).

The question of how to select the best treatment option for a patient in the age of evidence-based medicine can often mean medical professionals find themselves trapped between two conflicting systems. From one side, new evidence is being generated at an increasing rate, covering many situations, with studies and data to back medical decision-making.

From the other side, despite all this available evidence, clinical decision-making continues to be beset by a myriad of unexpected uncertainties, both positive and negative. In such situations, clinical intuition seems to play a necessary and important part in medical decision-making.

Join our live virtual discussion ‘Orthopedics Meets Dentistry’ and dive in together with our panelists to investigate the role of evidence, intuition, risk assessment and perceived safety in decision making in orthopedics and dental implantology. 

The Panelists

 

Prof. Rihard Trebše MD

Service for Bone Infections at Valdoltra Orthopaedic Hospital, Slovenia

 

Miguel Stanley DDS

White Clinic, Lisbon, Portugal

 

Dirk Stengel MD, PhD, MSc

BG Kliniken - Klinikverbund der gesetzlichen Unfallversicherung gGmbH

 

Moderator: Dr. Niklas Keller

Simply Rational, Berlin, Germany

 

Watch the replay of the 2022 live session on our YouTube Channel here...

Watch the 2022 live session 


Orthopedics Meets Dentistry 2021

Combating Infection: The Role of Implant Materials

Implant infection is a devastating complication with severe health and socioeconomic implications. Approximately 1-2% of all patients undergoing joint replacement develop a periprosthetic joint infection (PJI) following surgery. In dental implantology, peri-implantitis is also a challenge with a prevalence around 20% and if not treated properly ending with bone or even implant loss. Physicians, implantologists and researchers from both disciplines are exploring multiple directions to understand why implants get infected and what role the implant materials play.

Dr. Dominik Pförringer has asked the interdisciplinary faculty Prof. Javad Parvizi, Prof. Lia Rimondini and Prof. Georgios Romanos their view on this topic. Watch below their answers to some of the questions.

 

*The presented authors’ views and opinions are solely those of the authors of these publications.

The Panelists

Prof. Javad Parvizi

Rothman Orthopaedic Institute at Thomas Jefferson University in Philadelphia, PA.

Prof. Lia Rimondini

Department of Health Sciences, Università del Piemonte Orientale “A. Avogadro”, Novara, Italy.

Prof. Georgios E. Romanos

Stony Brook University, School of Dental Medicine in Stony Brook, New York, NY. 

“(…) We have just completed another large series of our patients and the evaluation revealed that the use of ceramic femoral head was an independent factor for reducing the rate of periprosthetic joint infection. So, ceramic on polyethylene definitely has a lower incidence of infection than cobalt chromium on polyethylene.”

Do you see a difference between the patients treated for an infection based on the bearing material they received in the primary?

Where do you see the potential of ceramic?

Could the choice of implant material play a decisive role in reducing the risk of peri-implantitis?

Watch the replay of the 2021 live session on our YouTube Channel here...

Watch the 2021 live session 

 


Orthopedics Meets Dentistry 2020

Is a world free of metal implants in orthopedics and dentistry conceivable? Dr. Dominik Pförringer's asked the interdisciplinary faculty Prof. Justin Cobb, Prof. Corrado Piconi and Prof. Jens Fischer their view on this topic. Watch below their answers to some of the questions.

*The presented authors’ views and opinions are solely those of the authors of these publications.

Recording from November 2020

„Would you say that patients are more satisfied with a ceramic implant?"

Prof. Justin Cobb, Professor of orthopedic surgery at the Imperial College in London and head of the MSk Lab.

Recording from November 2020

„Do you see that all doctors, being orthopedics, implantologists or dentists, are they ready for ceramics yet?"

Prof. Corrado Piconi, Professor for biomaterials for orthopedic and dental. Ortho­pedics, Faculty of Medicine of the Catholic University, and Senior Associate in (ISTEC-CNR), Faenza.
 

Recording from November 2020

„How do you explain all the new trends and the fascination towards ceramic?“

Prof. Jens Fischer, Professor for materials science and engineering for reconstructive dentistry and temporomandibular disorders; University Hospital of Dental Medicine, University of Basel.
 

Watch the replay of the 2020 live session on our YouTube Channel here...

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