Because there will be a moment in the future that things may not go the right way.

Yes, but you have to understand we have now the data that we have 15 to 25% infections.

So that means the reality shows it doesn't work if we don't regulate it.

That means and that is the danger because this is bad for those patients who are affected.

They suffer.

And you know how difficult it is to treat peri-implantitis.

And what are they doing? They most often take the rough surface off.

I refer it as a starting point.

Because there will be a moment in the future that things may not go the right way.

Yes, but you have to understand we have now the data that we have 15 to 25% infections.

So that means the reality shows it doesn't work if we don't regulate it.

That means and that is the danger because this is bad for those patients who are affected.

They suffer.

And you know how difficult it is to treat peri-implantitis.

And what are they doing? They most often take the rough surface off.

I refer it as a starting point.

Can you explain this concept clinically and show us examples how this actually develops? Next slide, please.

Yeah.

So, when you summarize the paper, we have a couple of conclusions.

When you press, then we say the causative factor number one, next please, is the exposed micro-rough implant surface.

We all know, you see, when you put an implant in, many of the implants are placed today in sites with peri-implant bone defects.

And then many clinicians make mistakes to choose the bone augmentation technique to predictably regenerate this defect.

You have published one on immediate implants with Raoujo, and you could show that when the gap size between the exposed surface in immediate implants to the inner surface of the bony wall, when this is less than two millimeters, the predictability drops dramatically because the tissue cannot heal it, you see.

What lessons have we learned over the past four decades that have led us to this hybrid design, and how can it possibly help reduce the risk of peri-implantitis? Next slide, please.