{"id":16205,"date":"2023-02-07T09:57:42","date_gmt":"2023-02-07T08:57:42","guid":{"rendered":"http:\/\/wordpress.p631399.webspaceconfig.de\/dginet\/?page_id=16205"},"modified":"2023-11-07T13:28:04","modified_gmt":"2023-11-07T12:28:04","slug":"laufzettel","status":"publish","type":"page","link":"https:\/\/www.dginet.de\/laufzettel\/","title":{"rendered":"Laufzettel Biophosphonate"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"16205\" class=\"elementor elementor-16205\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-99c42df elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"99c42df\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[{&quot;jet_parallax_layout_image&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;_id&quot;:&quot;0ad9a0d&quot;,&quot;jet_parallax_layout_image_tablet&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_mobile&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_speed&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:50,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_type&quot;:&quot;scroll&quot;,&quot;jet_parallax_layout_direction&quot;:null,&quot;jet_parallax_layout_fx_direction&quot;:null,&quot;jet_parallax_layout_z_index&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x&quot;:50,&quot;jet_parallax_layout_bg_x_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y&quot;:50,&quot;jet_parallax_layout_bg_y_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size&quot;:&quot;auto&quot;,&quot;jet_parallax_layout_bg_size_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_animation_prop&quot;:&quot;transform&quot;,&quot;jet_parallax_layout_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;]}],&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-c4972b2\" data-id=\"c4972b2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2cc82ee elementor-widget elementor-widget-heading\" data-id=\"2cc82ee\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.17.0 - 01-11-2023 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h1 class=\"elementor-heading-title elementor-size-default\">Laufzettel Biophosphonate<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-790b8b2 elementor-widget elementor-widget-heading\" data-id=\"790b8b2\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Risiko-Evaluation bei antiresorptiver Therapie vor Implantation<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-692b437 elementor-widget elementor-widget-image\" data-id=\"692b437\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.17.0 - 01-11-2023 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" loading=\"lazy\" width=\"600\" height=\"338\" src=\"https:\/\/www.dginet.de\/wp-content\/uploads\/sites\/4\/2023\/03\/Laufzettel-Bisphosphonate-dgi.webp\" class=\"attachment-large size-large wp-image-17976\" alt=\"\" srcset=\"https:\/\/www.dginet.de\/wp-content\/uploads\/sites\/4\/2023\/03\/Laufzettel-Bisphosphonate-dgi.webp 600w, https:\/\/www.dginet.de\/wp-content\/uploads\/sites\/4\/2023\/03\/Laufzettel-Bisphosphonate-dgi-300x169.webp 300w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8c8d8db elementor-widget elementor-widget-text-editor\" data-id=\"8c8d8db\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.17.0 - 01-11-2023 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p>F\u00fcr die Indikationsfindung einer Implantation bei Patienten mit antiresorptiver Therapie (Bisphosphonat (BP)- oder Denosumab-Medikation) hat das Risiko einer Kiefernekrose (ONJ) eine gro\u00dfe Relevanz. Deshalb soll der \u201eDGI-Laufzettel&#8221; die Evaluation des individuellen ONJ-Risikos erleichtern. Autoren sind Prof. Dr. Dr. Knut A. Gr\u00f6tz, Wiesbaden und Prof. Dr. Dr. Bilal Al-Nawas, Mainz.<br \/><br \/><strong>Risiken differenziert betrachten.<\/strong>\u00a0Wichtig ist, dass eine \u201eeindimensionale&#8221; Risikoeinteilung allein in die Kollektive Tumor- und Osteoporose-Patient oder allein nach BP-Applikation (intraven\u00f6s versus oral) zu kurz greift und die medizinische Wirklichkeit nicht korrekt abbildet. So erhalten Patienten mit Mamma- oder Prostata-Karzinom nicht selten eine Hormontherapie ihres Tumorleidens, aus der sich eine sekund\u00e4re Osteoporose entwickeln kann, welche bei der Anamneseerhebung als BP-Indikation angegeben wird, so dass die Gefahr besteht, das ONJ-Risikoprofil zu niedrig einzusch\u00e4tzen. Andererseits gibt es Patienten mit prim\u00e4rer Osteoporose, die eine intraven\u00f6se BP-Medikation erhalten und damit Gefahr laufen, f\u00e4lschlicherweise einem zu hohen ONJ-Risikoprofil zugeordnet zu werden. Und sogar innerhalb des onkologischen Patientenkollektives mit i.-v.-BP-Medikation finden sich relevante Unterschiede zwischen der prophylaktischen BP-Gabe ohne oss\u00e4re Metastasierung gegen\u00fcber therapeutischer BP-Gabe bei manifesten Metastasen bez\u00fcglich der BP-Dosis und Applikationsintervalle und somit auch bez\u00fcglich des ONJ-Risikos.<br \/><br \/><strong>Anamese im Laufzettel.\u00a0<\/strong>ONJ-Ereignisrate und ONJ-Risiko werden somit durch eine Vielzahl von Faktoren beeinflusst. Deshalb werden im DGI-Laufzettel chronologisch die Grunderkrankung, die Medikation selbst und weitere Risikofaktoren erhoben und \u2013 zur Kennzeichnung des Risikogrades \u2013 farblich bzw. durch * markierte (gr\u00fcn bzw. * = niedriges, gelb bzw. ** = mittleres, rot bzw. *** = hohes ONJ-Risiko). Neben diesen drei systemischen Anamneseinhalten kann die individuelle Kompromittierung der Knochenneubildungsrate und des bone remodeling anhand lokaler radiologischer (persistierende Alveole) und klinischer (scharfe Knochenkanten) Befunde erhoben werden, die ebenfalls im DGI-Laufzettel aufgenommen sind.<br \/><br \/><strong>Zus\u00e4tzliche Risiken beachten.<\/strong>\u00a0Bewusst unber\u00fccksichtigt bleiben im DGI-Laufzettel enorale ONJ-Risikofaktoren, die zum Zeitpunkt der Implantation entweder saniert sind (Parodontitis, sekund\u00e4r heilende Extraktionsalveolen), oder durch die Implantation vermieden werden (Prothesendruckstellen). Ebenfalls unber\u00fccksichtigt bleiben allgemeine Risikofaktoren wie Nikotinabusus, Diabetes etc. Schlie\u00dflich sei der Hinweis erlaubt, dass f\u00fcr den Empfehlungsgrad einer Implantation weitere wesentliche Inhalte relevant sind (Notwendigkeit und Dimension einer Augmentation, ONJ-Risikominderung durch Implantat-bedingte Vermeidung von Druckstellen etc.), die ebenfalls im DGI-Laufzettel nicht erhoben werden, aber an einschl\u00e4giger Stelle publiziert sind (Gr\u00f6tz et al. 2010).<br \/><br \/><strong>Baustein einer komplexen Diagnostik.\u00a0<\/strong>Insofern versteht sich der Laufzettel als ein Baustein in der komplexen pr\u00e4implantologischen Diagnostik zur Evaluation des ONJ-Risikos. Schlie\u00dflich sei f\u00fcr weitergehende Informationen auf die\u00a0<a href=\"https:\/\/www.awmf.org\/leitlinien\/detail\/ll\/007-091.html\">S3-LL<\/a>\u00a0und den\u00a0<a href=\"http:\/\/www.onkosupport.de\/asors\/content\/e4126\/e1743\/e1861\/e1862\">ASORS-Laufzettel\u00a0<\/a>verwiesen.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-34bea98\" data-id=\"34bea98\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0286737 elementor-widget elementor-widget-heading\" data-id=\"0286737\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Kontakt<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-de7f2bd elementor-widget elementor-widget-raven-divider\" data-id=\"de7f2bd\" data-element_type=\"widget\" data-widget_type=\"raven-divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"raven-widget-wrapper\">\n\t\t\t<div class=\"raven-divider\">\n\t\t\t\t<span class=\"raven-divider-line raven-divider-solid\"><\/span>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d41c937 elementor-widget elementor-widget-jet-listing-grid\" data-id=\"d41c937\" data-element_type=\"widget\" data-settings=\"{&quot;columns&quot;:&quot;1&quot;}\" data-widget_type=\"jet-listing-grid.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"jet-listing-grid jet-listing\"><div class=\"jet-listing-grid__items grid-col-desk-1 grid-col-tablet-1 grid-col-mobile-1 jet-listing-grid--13977\"  data-nav=\"{&quot;enabled&quot;:false,&quot;type&quot;:null,&quot;more_el&quot;:null,&quot;query&quot;:[],&quot;widget_settings&quot;:{&quot;lisitng_id&quot;:13977,&quot;posts_num&quot;:1,&quot;columns&quot;:1,&quot;columns_tablet&quot;:1,&quot;columns_mobile&quot;:1,&quot;is_archive_template&quot;:&quot;&quot;,&quot;post_status&quot;:[&quot;publish&quot;],&quot;use_random_posts_num&quot;:&quot;&quot;,&quot;max_posts_num&quot;:9,&quot;not_found_message&quot;:&quot;No data was found&quot;,&quot;is_masonry&quot;:false,&quot;equal_columns_height&quot;:&quot;&quot;,&quot;use_load_more&quot;:&quot;&quot;,&quot;load_more_id&quot;:&quot;&quot;,&quot;load_more_type&quot;:&quot;click&quot;,&quot;load_more_offset&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:0,&quot;sizes&quot;:[]},&quot;use_custom_post_types&quot;:&quot;&quot;,&quot;custom_post_types&quot;:[],&quot;hide_widget_if&quot;:&quot;&quot;,&quot;carousel_enabled&quot;:&quot;&quot;,&quot;slides_to_scroll&quot;:&quot;1&quot;,&quot;arrows&quot;:&quot;true&quot;,&quot;arrow_icon&quot;:&quot;fa fa-angle-left&quot;,&quot;dots&quot;:&quot;&quot;,&quot;autoplay&quot;:&quot;true&quot;,&quot;autoplay_speed&quot;:5000,&quot;infinite&quot;:&quot;true&quot;,&quot;center_mode&quot;:&quot;&quot;,&quot;effect&quot;:&quot;slide&quot;,&quot;speed&quot;:500,&quot;inject_alternative_items&quot;:&quot;&quot;,&quot;injection_items&quot;:[],&quot;scroll_slider_enabled&quot;:&quot;&quot;,&quot;scroll_slider_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;],&quot;custom_query&quot;:false,&quot;custom_query_id&quot;:&quot;&quot;,&quot;_element_id&quot;:&quot;&quot;}}\" data-page=\"1\" data-pages=\"1\" data-listing-source=\"terms\" data-listing-id=\"13977\" data-query-id=\"\"><div class=\"jet-listing-grid__item jet-listing-dynamic-post-596\" data-post-id=\"596\" >\t\t<div data-elementor-type=\"jet-listing-items\" data-elementor-id=\"13977\" class=\"elementor elementor-13977\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-277a049 elementor-section-height-min-height elementor-section-items-top elementor-hidden-mobile elementor-section-boxed elementor-section-height-default\" data-id=\"277a049\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[],&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-817f90f\" data-id=\"817f90f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5bf1252 elementor-widget elementor-widget-image\" data-id=\"5bf1252\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" loading=\"lazy\" width=\"150\" height=\"150\" src=\"https:\/\/www.dginet.de\/wp-content\/uploads\/sites\/4\/2023\/01\/daniela-winke-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail wp-image-12832\" alt=\"\" srcset=\"https:\/\/www.dginet.de\/wp-content\/uploads\/sites\/4\/2023\/01\/daniela-winke-150x150.jpg 150w, https:\/\/www.dginet.de\/wp-content\/uploads\/sites\/4\/2023\/01\/daniela-winke-500x500.jpg 500w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-7a2ff77 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7a2ff77\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-f5a4133\" data-id=\"f5a4133\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ef6477b elementor-widget__width-auto elementor-widget elementor-widget-jet-listing-dynamic-field\" data-id=\"ef6477b\" data-element_type=\"widget\" data-widget_type=\"jet-listing-dynamic-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"jet-listing jet-listing-dynamic-field display-inline\"><div class=\"jet-listing-dynamic-field__inline-wrap\"><h3 class=\"jet-listing-dynamic-field__content\">Daniela<\/h3><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5202132 elementor-widget__width-auto elementor-widget elementor-widget-jet-listing-dynamic-field\" data-id=\"5202132\" data-element_type=\"widget\" data-widget_type=\"jet-listing-dynamic-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"jet-listing jet-listing-dynamic-field display-inline\"><div class=\"jet-listing-dynamic-field__inline-wrap\"><h3 class=\"jet-listing-dynamic-field__content\">Winke<\/h3><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8c5b55d elementor-widget elementor-widget-jet-listing-dynamic-field\" data-id=\"8c5b55d\" data-element_type=\"widget\" data-widget_type=\"jet-listing-dynamic-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"jet-listing jet-listing-dynamic-field display-inline\"><div class=\"jet-listing-dynamic-field__inline-wrap\"><p class=\"jet-listing-dynamic-field__content\">Mitgliederbetreuung<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-d605ef6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d605ef6\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-7311dda\" data-id=\"7311dda\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c740926 elementor-widget elementor-widget-jet-listing-dynamic-field\" data-id=\"c740926\" data-element_type=\"widget\" data-widget_type=\"jet-listing-dynamic-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"jet-listing jet-listing-dynamic-field display-inline\"><div class=\"jet-listing-dynamic-field__inline-wrap\"><p class=\"jet-listing-dynamic-field__content\">DGI e. V.<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-95483b5 elementor-widget elementor-widget-jet-listing-dynamic-field\" data-id=\"95483b5\" data-element_type=\"widget\" data-widget_type=\"jet-listing-dynamic-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"jet-listing jet-listing-dynamic-field display-inline\"><div class=\"jet-listing-dynamic-field__inline-wrap\"><p class=\"jet-listing-dynamic-field__content\">Rischkamp 37 F<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-41cc2a6 elementor-widget__width-auto elementor-widget elementor-widget-jet-listing-dynamic-field\" data-id=\"41cc2a6\" data-element_type=\"widget\" data-widget_type=\"jet-listing-dynamic-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"jet-listing jet-listing-dynamic-field display-inline\"><div class=\"jet-listing-dynamic-field__inline-wrap\"><p class=\"jet-listing-dynamic-field__content\">30659<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f4ca874 elementor-widget__width-auto elementor-widget elementor-widget-jet-listing-dynamic-field\" data-id=\"f4ca874\" data-element_type=\"widget\" data-widget_type=\"jet-listing-dynamic-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"jet-listing jet-listing-dynamic-field display-inline\"><div class=\"jet-listing-dynamic-field__inline-wrap\"><p class=\"jet-listing-dynamic-field__content\">Hannover<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-05b6095 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"05b6095\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-4975dc7\" data-id=\"4975dc7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-353390f elementor-widget__width-auto jedv-enabled--yes elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"353390f\" data-element_type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<i aria-hidden=\"true\" class=\"fas fa-phone-square-alt\"><\/i>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-debc334 elementor-widget__width-auto elementor-widget elementor-widget-jet-listing-dynamic-field\" data-id=\"debc334\" data-element_type=\"widget\" data-widget_type=\"jet-listing-dynamic-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"jet-listing jet-listing-dynamic-field display-inline\"><div class=\"jet-listing-dynamic-field__inline-wrap\"><p class=\"jet-listing-dynamic-field__content\">+49 511 537825<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-14c6a3f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"14c6a3f\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-7fdbb56\" data-id=\"7fdbb56\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8144a1d elementor-widget__width-auto jedv-enabled--yes elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"8144a1d\" data-element_type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<i aria-hidden=\"true\" class=\"far fa-envelope\"><\/i>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-154389d elementor-widget__width-auto elementor-widget elementor-widget-jet-listing-dynamic-field\" data-id=\"154389d\" data-element_type=\"widget\" data-widget_type=\"jet-listing-dynamic-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"jet-listing jet-listing-dynamic-field display-inline\"><div class=\"jet-listing-dynamic-field__inline-wrap\"><p class=\"jet-listing-dynamic-field__content\"><a href=\"mailto:daniela.winke@dgi-ev.de\">daniela.winke@dgi-ev.de<\/a><\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-38d0584 elementor-section-height-min-height elementor-hidden-desktop elementor-hidden-tablet elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"38d0584\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[{&quot;jet_parallax_layout_image&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;_id&quot;:&quot;9febe37&quot;,&quot;jet_parallax_layout_image_tablet&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_mobile&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_speed&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:50,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_type&quot;:&quot;scroll&quot;,&quot;jet_parallax_layout_direction&quot;:null,&quot;jet_parallax_layout_fx_direction&quot;:null,&quot;jet_parallax_layout_z_index&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x&quot;:50,&quot;jet_parallax_layout_bg_x_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y&quot;:50,&quot;jet_parallax_layout_bg_y_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size&quot;:&quot;auto&quot;,&quot;jet_parallax_layout_bg_size_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_animation_prop&quot;:&quot;transform&quot;,&quot;jet_parallax_layout_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;]}],&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"raven-column-link elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-6bb031e\" data-raven-link=\"https:\/\/www.dginet.de\/personen\/daniela-winke\/\" data-raven-link-target=\"_self\" data-id=\"6bb031e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-15e7eaf elementor-widget__width-auto elementor-widget elementor-widget-jet-listing-dynamic-field\" data-id=\"15e7eaf\" data-element_type=\"widget\" data-widget_type=\"jet-listing-dynamic-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"jet-listing jet-listing-dynamic-field display-inline\"><div class=\"jet-listing-dynamic-field__inline-wrap\"><h3 class=\"jet-listing-dynamic-field__content\">Daniela<\/h3><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-aebb417 elementor-widget__width-auto elementor-widget elementor-widget-jet-listing-dynamic-field\" data-id=\"aebb417\" data-element_type=\"widget\" data-widget_type=\"jet-listing-dynamic-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"jet-listing jet-listing-dynamic-field display-inline\"><div class=\"jet-listing-dynamic-field__inline-wrap\"><h3 class=\"jet-listing-dynamic-field__content\">Winke<\/h3><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-36dcb22 elementor-widget elementor-widget-jet-listing-dynamic-field\" data-id=\"36dcb22\" data-element_type=\"widget\" data-widget_type=\"jet-listing-dynamic-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"jet-listing jet-listing-dynamic-field display-inline\"><div class=\"jet-listing-dynamic-field__inline-wrap\"><p class=\"jet-listing-dynamic-field__content\">Mitgliederbetreuung<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-962aec5 elementor-widget-mobile__width-inherit elementor-widget elementor-widget-jet-listing-dynamic-field\" data-id=\"962aec5\" data-element_type=\"widget\" data-widget_type=\"jet-listing-dynamic-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"jet-listing jet-listing-dynamic-field display-inline\"><div class=\"jet-listing-dynamic-field__inline-wrap\"><p class=\"jet-listing-dynamic-field__content\">DGI e. V.<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2e0b6d6 elementor-widget-mobile__width-auto elementor-widget elementor-widget-jet-listing-dynamic-field\" data-id=\"2e0b6d6\" data-element_type=\"widget\" data-widget_type=\"jet-listing-dynamic-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"jet-listing jet-listing-dynamic-field display-inline\"><div class=\"jet-listing-dynamic-field__inline-wrap\"><p class=\"jet-listing-dynamic-field__content\">Rischkamp 37 F<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dd6bc89 elementor-widget-mobile__width-auto elementor-widget elementor-widget-jet-listing-dynamic-field\" data-id=\"dd6bc89\" data-element_type=\"widget\" data-widget_type=\"jet-listing-dynamic-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"jet-listing jet-listing-dynamic-field display-inline\"><div class=\"jet-listing-dynamic-field__inline-wrap\"><p class=\"jet-listing-dynamic-field__content\">  \u00b7  30659<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a5c81e5 elementor-widget-mobile__width-auto elementor-widget elementor-widget-jet-listing-dynamic-field\" data-id=\"a5c81e5\" data-element_type=\"widget\" data-widget_type=\"jet-listing-dynamic-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"jet-listing jet-listing-dynamic-field display-inline\"><div class=\"jet-listing-dynamic-field__inline-wrap\"><p class=\"jet-listing-dynamic-field__content\">  Hannover<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-b5e6372 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b5e6372\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-2d78854\" data-id=\"2d78854\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6519f5f elementor-widget__width-auto jedv-enabled--yes elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"6519f5f\" data-element_type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<i aria-hidden=\"true\" class=\"fas fa-phone-square-alt\"><\/i>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-71a6207 elementor-widget__width-auto elementor-widget elementor-widget-jet-listing-dynamic-field\" data-id=\"71a6207\" data-element_type=\"widget\" data-widget_type=\"jet-listing-dynamic-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"jet-listing jet-listing-dynamic-field display-inline\"><div class=\"jet-listing-dynamic-field__inline-wrap\"><p class=\"jet-listing-dynamic-field__content\">+49 511 537825<\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-e14245e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e14245e\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-d5e907b\" data-id=\"d5e907b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-92b56d4 elementor-widget__width-auto jedv-enabled--yes elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"92b56d4\" data-element_type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<i aria-hidden=\"true\" class=\"far fa-envelope\"><\/i>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7426c66 elementor-widget__width-auto elementor-widget elementor-widget-jet-listing-dynamic-field\" data-id=\"7426c66\" data-element_type=\"widget\" data-widget_type=\"jet-listing-dynamic-field.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"jet-listing jet-listing-dynamic-field display-inline\"><div class=\"jet-listing-dynamic-field__inline-wrap\"><p class=\"jet-listing-dynamic-field__content\"><a href=\"mailto:daniela.winke@dgi-ev.de\">daniela.winke@dgi-ev.de<\/a><\/p><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"raven-column-link elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-1c54b97\" data-raven-link=\"https:\/\/www.dginet.de\/personen\/daniela-winke\/\" data-raven-link-target=\"_self\" data-id=\"1c54b97\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1261273 elementor-widget elementor-widget-image\" data-id=\"1261273\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" loading=\"lazy\" width=\"150\" height=\"150\" src=\"https:\/\/www.dginet.de\/wp-content\/uploads\/sites\/4\/2023\/01\/daniela-winke-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail wp-image-12832\" alt=\"\" srcset=\"https:\/\/www.dginet.de\/wp-content\/uploads\/sites\/4\/2023\/01\/daniela-winke-150x150.jpg 150w, https:\/\/www.dginet.de\/wp-content\/uploads\/sites\/4\/2023\/01\/daniela-winke-500x500.jpg 500w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div><\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>F\u00fcr die Indikationsfindung einer Implantation bei Patienten mit antiresorptiver Therapie (Bisphosphonat (BP)- oder Denosumab-Medikation) hat das Risiko einer Kiefernekrose (ONJ) eine gro\u00dfe Relevanz.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"full-width.php","meta":{"footnotes":""},"veranstalter":[],"personen":[],"acf":[],"_links":{"self":[{"href":"https:\/\/www.dginet.de\/wp-json\/wp\/v2\/pages\/16205"}],"collection":[{"href":"https:\/\/www.dginet.de\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.dginet.de\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.dginet.de\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.dginet.de\/wp-json\/wp\/v2\/comments?post=16205"}],"version-history":[{"count":5,"href":"https:\/\/www.dginet.de\/wp-json\/wp\/v2\/pages\/16205\/revisions"}],"predecessor-version":[{"id":17979,"href":"https:\/\/www.dginet.de\/wp-json\/wp\/v2\/pages\/16205\/revisions\/17979"}],"wp:attachment":[{"href":"https:\/\/www.dginet.de\/wp-json\/wp\/v2\/media?parent=16205"}],"wp:term":[{"taxonomy":"veranstalter","embeddable":true,"href":"https:\/\/www.dginet.de\/wp-json\/wp\/v2\/veranstalter?post=16205"},{"taxonomy":"personen","embeddable":true,"href":"https:\/\/www.dginet.de\/wp-json\/wp\/v2\/personen?post=16205"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}