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Univ.-Prof. Dr. med. dent. Bernd Wöstmann
Direktor der Poliklinik für Zahnärztliche Prothetik und Geschäftsführender Direktor des Zentrums für ZMK des Universitätsklinikums Marburg und Gießen - Standort Gießen -
1986 - 1995 Wissenschaftlicher Mitarbeiter, dann Oberarzt an der Poliklinik für Zahnärztliche Prothetik der Westfälischen-Wilhelms Universität
1993 Habilitation und Venia legendi
1995 Hochschuldozentur für Zahnärztliche Prothetik, Justus-Liebig-Universität Gießen
1998 apl. Prof. und Leiter der Forschungsstelle für Gerostomatologie, JLU Gießen
2002 C3-Professur für Klinische Werkstoffkunde und Gerostomatologie
2009 Ruf auf die Professur für Zahnärztliche Prothetik an der Universität Witten-Herdecke, abgelehnt.
2009 Ruf auf den Lehrstuhl für Zahnärztliche Prothetik der Justus-Liebig Universität Gießen
2011 Ruf auf den Lehrstuhl für Zahnärztliche Prothetik an der Charité zu Berlin, abgelehnt.
Beiratsmitglied der DGPro, Mitglied verschiedener Editorial Boards
Veranstaltungen
Curriculum Große Prothetik 2022
Ihre exklusive Workshopreihe 202229. Apr. 2022 — 23. Nov. 2022Seminarzentrum Schwarzheide, Schwarzheide, Deutschland
Referenten: Robert Böttcher, Daniel H.-J. Edelhoff, Claus-Peter Ernst, Tom Friedrichs, Jochen Peters, Peter Pospiech, Bernd Wöstmann
Dentallabor Gürtler
Deutscher Zahnärztetag 2019
8. Nov. 2019 — 9. Nov. 2019Congress Center Messe Frankfurt
Referenten: Karl-Ludwig Ackermann, Sarah Al-Maawi, Kurt Werner Alt, Jassin Arnold, Thomas Attin, Mustafa Ayna, Anna Greta Barbe, Ingo Baresel, Jens Baresel, Tobias Bauer, Ursula Becker, Wilfried Beckmann, Christoph Benz, Lisa Bitterich, Dirk Bleiel, Uwe Blunck, Martin Boost, Andreas Braun, Anne Bredel-Geissler, Wolfgang Buchalla, Egon Burian, Sebastian Bürklein, Iain L. C. Chapple, Wolfgang Christian, Fabian Cieplik, Bettina Dannewitz, Monika Daubländer, Sybille David-Hebgen, Isabel Deckwer, James Deschner, Annika Döding, Christof Dörfer, Heike Dyrna, Norbert Engel, Peter Engel, Susanne Fath, Michael Frank, Roland Frankenberger, Rene Franzen, Cornelia Frese, Tobias Fretwurst, Michael Gahlert, Roland Garve, Werner Geurtsen, Shahram Ghanaati, Christiane Gleissner, Ulrike Gonder, Werner Götz, Dominik Groß, Knut A. Grötz, Martin Guffart, Norbert Gutknecht, Cornelius Haffner, Thorsten Halling, Frederic Hermann, Carlos Herrera-Vizcaino, Tim Hilgenfeld, Jürgen Hoffmann, Martin Hoffmann, Fabian Huettig, Alfons Hugger, Christine Hutschenreuter, Bruno Imhoff, Silke Jacker-Guhr, Søren Jepsen, A. Rainer Jordan, Alexander Jürchott, Bärbel Kahl-Nieke, Peer W. Kämmerer, Philipp Kanzow, Nele Kettler, Christian Kirschneck, Lydia Kogler, Bernd Kordaß, Franz-Josef Kramer, Norbert Krämer, Felix Krause, Matthis Krischel, Joachim Krois, Christina Kühne, Conrad Kühnöl, Bernd Lapatki, Silke Lehmann-Binder M.Sc., Christian Leonhardt, Ivona Leventic, Daniel Lindel, Jörg Alexander Lisson, Ulrike Lübbert, Elmar Ludwig, Anne-Katrin Lührs, Michael Lüpke, Frank Georg Mathers, Wibke Merten, Georg Meyer, Wolfram Misselwitz, Karin Mölling, Mhd Said Mourad, Dietmar Friedrich Müller, Moritz Mutschler, Katja Nickel, Nicole Nicklisch, Ina Nitschke, Olaf Oberhofer, Karina Obreja, Dietmar Oesterreich, Rebecca Otto, Simon Peroz, Peter Pospiech, Florian Probst, Monika Probst, Michael Rädel, Sven Reich, Katharina Reichenmiller, Katharina Reinecke, Daniel R. Reißmann, Bernd Reiss, Stefan Ries, Christiane Rinnen, Katharina Röher, Jerome Rotgans, Uwe Rudol, Michael Rumpf, Heidrun Schaaf, Claudia Schaller, Karina Schick, Ulrich Schiffner, Maximiliane Amelie Schlenz, Alexander Schmidt, Mathias Schmidt, Andrea-Maria Schmidt-Westhausen, Julian Schmoeckel, Wolfgang Schneider, Sigmar Schnutenhaus, Holger Schön, Andreas Schulte, Nelly Schulz-Weidner, Karola Schulze, Ralf Schulze, Falk Schwendicke, Thomas A. Schwenk, Andreas Simka, Ralf Smeets, Önder Solakoglu, David Sonntag, Hansmartin Spatzier, Benedikt Spies, Norbert Staab, Sabine Steding, Angela Stillhart, Marcus Stoetzer, Hendrik Terheyden, Andrea Thumeyer, Marin Vodanovic, Kai Voß, Maximilian Voß, Wolfgang Wahlster, Michael Walter, Sandra Weber, Almut Johanna Weigel, Paul Weigl, Michael Weiss, Hans-Jürgen Wenz, Johannes-Simon Wenzler, Christian Wesemann, Jens Westemeier, Lotta Westphal, Matthias Widbiller, Annette Wiegand, Horst Willeweit, Karl Frederick Wilms, Sandra Windecker, Michael M. Wolf, Anne Wolowski, Bernd Wöstmann, Sylvia Wuttig
Quintessenz Verlags-GmbH
45. Dt. Fortbildungskongress für zahnmedizinische Fachangestellte 2016 & minilu Academy
Zahnersatz heute - ein Update26. Feb. 2016 — 27. Feb. 2016Estrel Convention Center, Berlin, Deutschland
Referenten: Karl-Ludwig Ackermann, Felix Blankenstein, Yvonne Devant, Susanne Fath, Maxi Findeiß, Susanne Graack, Wolfgang B. Hannak, Sönke Harder, Alexander Hassel, Holger Kämpe, Matthias Kern, Christa Maurer, Monika Maxerath, Helen Möhrke, Ingrid Peroz, Heike Rubehn, Bernd Wöstmann
Quintessenz Verlags-GmbH
Zeitschriftenbeiträge dieses Autors
International Journal of Computerized Dentistry, Pre-Print
Aim: Even though today, many fields in dentistry allow digital processes, analogue procedures are still widely used. This cross-sectional pilot study aimed to survey insights on the digitalisation of dental practices using the example of Hesse.
Materials and Methods: Between April and June 2022, 4840 active practicing dentists registered by the State Dental Association of Hesse were invited via e-mail to fill out an online questionnaire regarding their technical requirements in dental practice, dental treatment procedures, and attitude towards digitalisation in dentistry. Demographic questions were asked. Besides descriptive statistics, correlations were analyzed (P < 0.05).
Result: Questionnaires of 937 dentists (279 female, 410 male, four inter/divers, 244 no answer; mean age of 51.4 ± 10.4 years) were examined representing a respond rate of 19.36%. In the area of practice administration and dental radiography, the majority of the dentists surveyed is already working digitally, which is predominantly assessed as a positive development. Already one third of the respondents state that they use an intraoral scanner for dental treatments, but the indication is mainly limited to smaller restorations. However, many dentists rate the use of social media accounts and telemedicine rather negative.
Conclusion: Within the limitation of this pilot study, many processes especially in dental treatments are still analogue. However, 60% of the participants plan digitalisation of their dental practices within the next five years, which indicates a clear shift from analogue to digital dentistry.
Schlagwörter: Analog-Digital Conversion, CAD/CAM, Dental Practice Pattern, Digital Technology, Intraoral Scanner, Organisation and Administration, Real World Data on Dentistry, Surveys and Questionnaires
Objectives: Oral health plays a central role in overall well-being, including in the elderly. The demographic transition and its effects are resulting in a higher proportion of older people, both with and without care requirements. This paper provides an overview of the dental situation of the elderly from the 6th German Oral Health Study (DMS • 6). Method and materials: DMS • 6 is a population-representative oral epidemiologic study that surveys oral health in Germany. Data from 797 younger seniors aged 65 to 74 were collected by calibrated examiners. The methodology remains largely consistent with that of the previous studies. Results: Among the younger seniors (65- to 74-year-olds), edentulism has more than halved to 5.0% compared to the Fifth German Oral Health Study (DMS V) (12.4% in 2014). The mean number of missing teeth (8.6) decreased further, compared to DMS IV (14.1) and DMS V (11.1). At 18.8 teeth, the FST Index (number of filled or sound teeth) has shown improvement compared to the previous studies (DMS IV, 13.6; DMS V, 16.4). The root caries (59.1%) increased compared to DMS IV (28.0%). Caries experience (decayed, missing, filled teeth [DMFT]: 17.6), in contrast, hardly changed from DMS V (17.7). Half of 65- to 74-year-olds were diagnosed with moderate periodontitis (49.4%) and almost a third (30.4%) with severe periodontitis. In younger seniors with care requirements, therapeutic capability was greatly reduced for almost half (47.4%) and oral hygiene ability for one fifth (18.5%). Conclusion: The prevalence of tooth loss and edentulism among younger seniors in Germany continues to decline. Due to further morbidity compression, the challenges of dental treatment lie in the continuous treatment of younger seniors to prepare them for older stages of life.
Schlagwörter: care needs, dental care, dental care for persons with disabilities, dental caries, dentists, DMS 6, epidemiology, geriatric dentistry, oral health
Objectives: The German Oral Health Study (DMS) is a series of consecutive studies designed to assess the oral health status of adults, seniors, and children in Germany. DMS is a major program of the Institute of German Dentists (Institut der Deutschen Zahnärzte) with the aim to produce health statistics for Germany. Tooth loss, edentulism, and prosthetic care have considerable socioeconomic significance; it is the aim of this paper to report findings on these aspects. Method and materials: The survey combines interviews and clinical examinations. Previous DMS studies focused primarily on tooth loss, edentulism, and prosthetic care. In the DMS • 6 survey, the condition of removable dentures and need for adjustments were additionally recorded, as well as necessary repair measures that were grouped according to their complexity (chairside or laboratory). Results: The prevalence of edentulism decreased considerably compared to that in the Fifth German Oral Health Study (DMS V) in 2014. Among younger adults (35- to 44-year-olds), the prevalence of edentulism was negligible, with an average of 26.6 teeth present. The younger senior group (65- to 74-year-olds) had an average of 19.3 teeth; the prevalence of edentulism was 5%, which is a reduction of > 50% compared to 2014 (12.4%). Lower education status was an important prognostic factor for tooth loss. Owing to the low prevalence of edentulism in younger adults, removable dentures were not prevalent in this age group, whereas combined fixed–removable dentures were most frequently used in seniors. Regarding the type of denture, a shift towards fixed as well as implant-supported types was observed. Of the removable dentures, 50% to 60% were in a very good or good clinical condition. Problems were mainly identified with simple acrylic dentures. Nonetheless, participants’ satisfaction with removable dentures was extremely high, and the dentures were used almost continuously. Conclusion: The most important finding in this study is the continued significant decline in the prevalence of complete edentulism among seniors that suggests a further reduction in edentulism in the future with an estimate of around 4% in 2030. The shift observed in primary prosthetic care from removable to fixed prostheses as well as the increasing prevalence of implants placed are positive developments. The data revealed further compression of morbidity compared to DMS V. Complete edentulism declined, and fixed partial dentures, including implant-supported prostheses, were increasingly used. Lower education status was an important predictor for tooth loss.
Schlagwörter: dental care, dental prostheses, dentists, DMS 6, edentulous mouth, epidemiology, tooth loss
Purpose: To update data on the transfer accuracy of digital implant impressions using a coordinate-based analysis, the latest intraoral scanners (IOS) were investigated in an established clinical close model setup. Materials and Methods: An implant master model (IMM) of the maxilla with four implants in the posterior area (maxillary first premolars and first molars) and a reference cube were scanned 10 times each with four different IOS: i700 (i7; Medit), Primescan (PS; Dentsply Sirona), and Trios 4 (T4) and Trios 5 (T5; 3Shape). Datasets were compared to a reference dataset of IMM that was generated with x-ray computed tomography in advance. 3D deviations for the implant-abutment interface points (IAIPs) were calculated. Statistical analysis was performed by multifactorial ANOVA (P < .05). Results: Overall deviations for trueness (mean) ± precision (SD) of the IAIPs ranged from 88 ± 47 μm for PS, 112 ± 57 μm for i7, 121 ± 42 μm for T4, and 124 ± 43 μm for T5 with decreasing accuracy along the scan path. For trueness, a significant difference between the PS and the T4 was detected for one implant position. For precision, no significant differences were noticed. Conclusions: Although the latest IOS showed a significant improvement in transfer accuracy, the accumulating deviation along the scan path is not yet resolved. Considering the Trios system, the innovation seems to be limited because no improvement could be detected between T4 and T5.
Purpose: The aim of this study was to evaluate the marginal quality and wear of bulk-fill composite resins (BFs) for Class-II restorations of primary and permanent molars in comparison to a conventionally layered composite resin (RC) and to compare the results of the two dentitions. Materials and Methods: Eighty (40 primary and 40 permanent) extracted molars received standardized Class-II cavity preparations and were restored with either one of two flowable BFs, one of two high viscous BFs, or a composite resin (RC). Thermomechanical loading (TML; 2,500 cycles +5°C/+55°C; 100,000 cycles, 50N, 1.67Hz) followed. A quantitative marginal analysis using SEM images and a profilometric quantification of two-body wear were carried out using replicas. ANOVA, Kruskal–Wallis, Mann–Whitney U, and Wilcoxon signed-rank tests were used for statistical analysis (P < 0.05). Results: For both dentitions, a significant reduction of perfect margins was observed after TML (P < 0.02). For the primary dentition, the flowable BFs showed significantly less perfect margins than all high viscous materials (P < 0.005). For the permanent dentition, RC showed significantly fewer gaps than the flowable BFs (P < 0.04). Regarding wear, within the dentitions, no significant differences could be computed between groups with regard to the maximum height loss (P < 0.05). Conclusion: All of the investigated bulk-fill composite resins showed satisfactory in-vitro results for both tested parameters in primary and permanent teeth, with a superiority of the high-viscosity materials in terms of marginal quality.
Schlagwörter: bulk-fill composite resins, marginal quality, permanent teeth, primary teeth, restoration materials, wear
The International Journal of Oral & Maxillofacial Implants, 4/2024
DOI: 10.11607/jomi.10612, PubMed-ID: 38381967Seiten: 557-566, Sprache: EnglischZierden, Karina / Reich, Sarah Marie / Vogler, Jonas Helmut Adrian / Wöstmann, Bernd / Rehmann, Peter
Purpose: To assess the survival of double-crown-retained implant-and-tooth-supported removable partial dentures (DCR-ITSRPDs), evaluate abutment survival, and identify first aftercare measures. Materials and Methods: The influence of various factors on the survival of the DCR-ITSRPDs and the abutments were observed in this retrospective and clinical follow-up study using the Kaplan-Meier estimate. In addition, the first-required aftercare measure for each prosthesis was evaluated. Results: In total, 47 DCR-ITSRPDs were investigated (mean observation: 4.3 ± 3.8 years; max: 14.3 years), 3 of which (6.4%) had to be replaced. The survival probability for DCR-ITSRPDs was 100% at 5 years and 75% at 10 years. A total of 297 abutments (120 natural teeth and 177 dental implants) were observed, 22 of which (7.4%; 6 teeth and 16 implants) failed. The survival probability for teeth was 90.2% at the 5- and 10-year mark; for dental implants, it was 90.4% at 5 years and 76.3% at 10 years. Conclusions: DCR-ITSRPDs are a successful and durable treatment option for patients with substantially reduced residual dentitions. Both prostheses and abutments show good survival times after 5 and 10 years in function. The patient-associated factors tested showed no influence on the survival of DCR-ITSRPDs and abutments. Peri-implant infection was the decisive factor for abutment loss; therefore, regular dental prophylaxis and examinations are of major importance.
Schlagwörter: removable dental prosthesis, double crown, dental implants, tooth-implant supported, survival
Seiten: 211-220, Sprache: DeutschMarschner, Felix / Memenga-Nicksch, Sonja / Wegner, Felix / Wegele, Olga / Volland, Patrick / Rombach, Felix / Miu, Constantin / Mekic, Anela / Vogler, Jonas Adrian Helmut / Wöstmann, Bernd / Meyle, Jörg / Walther, Kay-Arne
Diskussionsbeitrag des Masterkurses „Parodontologie und Implantattherapie“ der DG PARO und DIU
Parodontitis ist eine multifaktorielle Erkrankung, welche primär durch organisierte Mikroorganismen des oralen Biofilms verursacht wird und im Zusammenhang mit einer Vielzahl entzündlicher Erkrankungen steht. Der Zusammenhang zwischen Parodontitis und chronischen Lebererkrankungen rückt dabei immer mehr in den Fokus der Forschung. Tierstudien und klinische Studien fanden parodontopathogene Bakterien in der Leber, die über den Gastrointestinaltrakt oder direkt durch die Entzündungsreaktion im Parodont in den Blutkreislauf der Leber gelangt sein könnten. Erkrankungen wie die nichtalkoholische Fettleber, die nichtalkoholische Steatohepatitis, die Leberzirrhose und das hepatozelluläre Karzinom können sich dadurch manifestieren. Nach einer Parodontitistherapie kann es zu einer Remission hepatogener Entzündungsparameter kommen. Ein kausaler Zusammenhang ist bisher noch nicht evident. Im Rahmen des DIU-Masterstudiengangs für Parodontologie und Implantattherapie der DG PARO erfolgte zu diesem Thema eine Literaturrecherche mit dem Fokus auf die nichtalkoholische Fettleber. Die Ergebnisse werden in dem folgenden Diskussionsbeitrag dargestellt, wichtige Studien werden präsentiert sowie kritisch evaluiert und ein Ausblick aufgezeigt.
Schlagwörter: Parodontitis, Lebererkrankung, nichtalkoholische Fettlebererkrankung, nichtalkoholische Steatohepatitis, Oral-Gut-Liver-Axis
Purpose: The aim of this in-vitro study was to evaluate the marginal integrity and wear of eight bulk-fill materials in comparison to a compomer in Class-II cavities in primary molars after thermomechanical loading (TML).
Materials and Methods: Prepared Class-II cavities in 72 extracted primary molars were filled with eight bulk-fill materials. A compomer served as the control group. After water storage (incubator, 28 days, 37°C), samples were subjected to TML (2500 thermal cycles 5°C/55°C; 100,000 load cycles, 50 N, 1.67 Hz). Before and after TML, replicas were made which were used for both SEM analysis of marginal integrity and 3-D wear analysis. Statistical analysis was performed using Kruskal-Wallis and Wilcoxon tests (p < 0.05).
Results: A significant reduction in perfect margins was observed for all groups, while marginal gap formation increased (Wilcoxon test, p < 0.02) for all groups but the compomer. Significant interindividual differences were observed between the tested materials regarding marginal integrity (Kruskal-Wallis test, p < 0.05). Wear analysis revealed no significant differences between groups (Kruskal-Wallis test, p > 0.05).
Conclusion: Some of the bulk-fill materials investigated here achieved better results than the compomer and should be further evaluated clinically.
Schlagwörter: Class-II restoration, composite, marginal analysis in SEM, polyacid modified resin, wear