guide-xerostomia-en.pdf
-
Upload
yuttapol-pimpison -
Category
Documents
-
view
4 -
download
1
Transcript of guide-xerostomia-en.pdf
-
02/14 - XP-XEROSTOMIA-CLINICALGUIDE-EN
DENTAL MANAGEMENT OF MEDICALLYCOMPROMISED PATIENTS
PRODUCTSBASED ONPATIENTS
NEEDS
PROTOCOLSBASED ONPATIENTS
NEEDS
TEAMEDUCATION
CLINICALTIPS
PATIENTEDUCATION
ORAL SCIENCE CREATES SYNERGY, SUCCESS AND DIFFERENTIATION
REFRACTORY TOOTHHYPERSENSITIVITY
XEROSTOMIA &SJGRENS SYNDROME HIGH RISK CARIES
ORAL LESIONS BUCCAL LUPUSERYTHEMATOSUS
-
MEDICAL TREATMENT(ex.: Oncology Treatment)
DISEASES(ex.: Sjogrens Syndrome, Diabetes)
DRUGS
MUCOSITIS ORAL LESIONS ORAL CANDIDA RAMPANT CARIES GUM DISEASE
(500 & more)
HALITOSIS
XEROSTOMIA / DRY MOUTH
INCREASE OF PATHOGENIC BACTERIA IN A PATHOGENIC BIOFILM
Decrease of the pH(acidic)
Increase ofpathogenic bacteria
P. 2
-
THE INCREASE OF A PATHOGENIC BIOFILM
BIOFILMDental plaque
TARTARSolidified dental plaque
GINGIVITISInflammatory diseaseof the gums caused
by dental plaque
TOOTH DECAY
TOOTH LOSS
BONE LOSS
PERIODONTALDISEASE
STROKE
IMMUNE DEFICIENCY
PERIODONTITISBAD BREATH
HEART ATTACK
HALITOSIS
INFLAMMATORYDISEASES
P. 3
-
WHAT IS XEROSTOMIA? 1
Xerostomia is an abnormal dryness of the mouth resulting from decreased secretion of saliva. This condition can be found in approximately 20% of patients, but more often amongst:
Women Elderly
1. ARPIN, S., KANDELMAN, D., LALONDE, B. La xrostomie chez les personnes ges. Journal dentaire du Qubec, Volume 42, Juillet / Aot 2005, p. 263-271.
P. 4
-
1. ARPIN, S., KANDELMAN, D., LALONDE, B. La xrostomie chez les personnes ges. Journal dentaire du Qubec, Volume 42, Juillet / Aot 2005, p. 263-271.
7 ESSENTIAL FUNCTIONS OF AN OPTIMAL SALIVARY FLOW 1
FUNCTION WHY IS IT ESSENTIAL?
1 - LUBRICATION The high concentration in water of saliva contributes to: The formation of the bolus, chewin, gulp, speech and cleaning of oral tissues
2 - DIGESTION Mechanical Function: Saliva dissolves food & TASTE Chemical Function: Salivary amylase eases digestion of food rich in starch
3 - TISSUE Tissue growth REPARATION Tissue reparation
4 - MAINTAIN OF Saliva contains antibacterial agents that: MICROBIAL FLORA Balances the oral flora Inhibits colonisation of oral tissues by bacteria
5 - DEFENSE & Presence of proteins, immunoglobulins A, cytokines, hormones & mucins IMMUNITY that positively impact the immune system
6 - BUFFERING Carbonates & phosphates that: EFFECT Ensure an optimal oral pH Reduce the risk of developing cavities Protect the oesophagus during acid reflux
7 - REMINERALIZATION Protects teeth Helps remineralization by producing calcium & phosphate
P. 5
-
DENTAL MANAGEMENT OF MEDICALLY COMPROMISED PATIENTS
OPTIMALORAL
HEALTH
1. Increasequality of saliva& salivary flow
2. Disturb everyday thepathogenic biofilm
3. Increase protection & remineralization of teeth surface
P. 6
-
OPTIMALORAL
HEALTH
1. Increasequality of saliva& salivary flow
2. Disturb everyday thepathogenic biofilm
3. Increase protection & remineralization of teeth surface
DENTAL MANAGEMENTOF MEDICALLY
COMPROMISED PATIENTSA DENTAL MANAGEMENT
PLAN ON 3 LEVELS
P. 7
-
DENTAL MANAGEMENT OF MEDICALLYCOMPROMISED PATIENTS
IDENTIFY BIOFILM BUILDUP & EDUCATE PATIENTSCuraprox Biofilm Finder
DETERMINE THE SIZE OF THE INTERDENTAL SPACESCuraprox Interdental Charting System
DETERMINE PATIENTS ORAL PHpH paper test
P. 8
-
IDENTIFY BIOFILM BUILDUP & EDUCATE PATIENTS CURAPROX BIOFILM FINDER
IDENTIFY OLD & NEW PLAQUE
Directions for UseEvery two weeks
A. Chew one tablet.
B. Wipe teeth with tongue.
C. Rinse mouth. Spit out saliva.
D. Stains old plaque purple. Stains new plaque pink.
E. Brush and floss teeth thoroughly to remove all staining.
Old biofilm (purple) New biofilm (pink)
Does not contain erythrosine, a potentially harmful compound.
2. Disturb everyday thepathogenic biofilm
P. 9
-
CPS 06
CPS 07
CPS 08
CPS 09
CPS 011
1. Determine the size of the interdental space between each tooth The last visible colour on the IAP sensor shown yellow here shows the optimum brush size.
2. Choose the corresponding CPS prime brushes The interdental space is easily and precisely measured using the patented IAP sensor.
3. Reminder Instruction for each interdental space The IAC instruction provides patients with precise instruction on where to clean with the appropriate size of interdental brushes.
IAPSensor
DETERMINE THE SIZE OF THE INTERDENTAL SPACES CURAPROX INTERDENTAL CHARTING SYSTEM
2. Disturb everyday thepathogenic biofilm
P. 10
-
DETERMINE THE PATIENTS ORAL PH PH PAPER TEST
1. Increasequality of saliva& salivary flow
PLAQUE pH
Hours
pH
7.0
Eats an Apple
5.0
8:00 9:00 10:00 11:00 12:00 1:00 2:00
6.0
7.0
0
5.5
6.5 pH SCALE COMPARISONS Pure water has a neutral pH of 7.00
A pH of 6.00 is 10x more acidic
A pH of 5.00 is 100x more acidic
A pH of 4.00 is 1000x more acidic
A pH of 3.00 is 10000x more acidic
A pH of 2.00 is 100000x more acidic
P. 11
-
DENTAL MANAGEMENT OF MEDICALLYCOMPROMISED PATIENTS
PROVIDE THE MOST EFFECTIVE IN-OFFICE FLUORIDE TREATMENT(AT LEAST EVERY 3 MONTHS)
X-PUR 5% NaF White Varnish
EDUCATE THE PATIENT ON THE OPTIMAL TECHNIQUE TO REMOVE EFFICIENTLY& ATRAUMATICALLY BIOFILM IN THE INTERDENTAL SPACES & IN THE SULCUS
P. 12
-
3. Increase protection & remineralization of teeth surface
MEDICINAL INGREDIENTS 5% Neutral Sodium Fluoride (22,600 ppm F) Xylitol
INDICATIONAnti-caries
CLINICAL USES Geriatrics Orthodontics High risk caries Pediatrics Hypersensitivity Xerostomia Head & neck radiation and oncology treatments
DIRECTIONS FOR USE1. Thoroughly mix the varnish with the brush until completely uniform (approx. 20 sec.)
2. Paint on a thin layer evenly to the areas being treated. Do not saturate the brush with varnish to avoid varnish dripping.
3. Have the patients pass their tongue over their teeth and instruct them to avoid oral hygiene for 3 to 6 hours.
CONTRAINDICATIONSUlcerative gingivitis and stomatitis.
GOLD STANDARDFLUORIDE VARNISH!
BENEFITS Approved by Health Canada for In-Office Anti-Caries Treatment More Flowable & Easier to Apply
Releases Up to 4 Times More Fluoride than First Generation Varnishes Xylitol Sweetened
CLASSIFICATIONNPN 80008837
FORMATS 100 X 0.50 ml - Adults 100 x 0.25 ml - Children 50 x 0.50 ml + 50 x 0.25 ml
After - HomogeneousBefore - Not Homogeneous
Optimal thin layerof varnish
Saturated brushwith varnish
DIRECTIONSFOR USE
STEP 1
STEP 2
PROVIDE THE MOST EFFECTIVE IN-OFFICE FLUORIDE TREATMENT X-PUR 5% NAF WHITE VARNISH
AT LEAST EVERY 3 MONTHS
P. 13
-
3. Increase protection & remineralization of teeth surface
PROVIDE THE MOST EFFECTIVE IN-OFFICE FLUORIDE TREATMENT X-PUR 5% NAF WHITE VARNISH
AT LEAST EVERY 3 MONTHS
Congratulations! Your dental specialist has selected to apply the X-PUR 5% Neutral Sodium Fluoride White Varnish on the surface of your teeth. These varnishes are recognized by North American public health services as the choice of treatment for the prevention of caries. For an optimal result, we recom-mend to follow the below after treatment instructions.
For the next 3 to 6 hours or preferably until the next morning in order not to remove the varnish: Do not brush or floss. Choose a softer food diet, avoid hot drinks and products containing alcohol.
After your application, X-PUR NaF White Varnish may leave your teeth feeling waxy or with a white streaky appearance. A thorough brushing and flossing after the treatment period will remove any remaining varnish.
YOUR GOLD STANDARD SOLUTION FOR OPTIMAL ORAL HEALTH
1 888 442.7070 www.oralscience.com
NaF White Varnish FOLLOW-UP CARE
P. 14
-
2. Disturb everyday thepathogenic biofilm
EDUCATE THE PATIENT ON THE OPTIMAL TECHNIQUETO REMOVE EFFICIENTLY & ATRAUMATICALLY BIOFILM
IN THE INTERDENTAL SPACES
Place your brush at the edge of the interproximal space. Search the ideal angle which allows a forceless entry.
Without inserting the brush any further, change angulation to horizontal.
Continue the insertion until the brush reaches the other side of the arch. Move it once back and forth.
P. 15
-
2. Disturb everyday thepathogenic biofilm
EDUCATE THE PATIENT ON THE OPTIMAL TECHNIQUETO REMOVE EFFICIENTLY & ATRAUMATICALLY BIOFILM
IN THE SULCUS
Hold the toothbrush at an angle (approx. 45 degrees) to the gum. One half of the brush area covers the gum while the other half rests on the surfaces of the teeth.
Clean the inner surfaces of the teeth. The Curaprox toothbrushes wide head is parti-cularly suited to cleaning areas that are difficult to reach.
The benefits of the wide brush are parti-cularly apparent when clea- ning the rear surfaces of the molars.
The narrow areas of the lower jaw can also be cleaned perfectly with the special brush head of the toothbrushes.
With fine, circular movements and little pressure, the brush is slowly drawn along the row of teeth until it reaches the very back.
Clean the other outer half of the lower jaw.
P. 16
-
DENTAL MANAGEMENT OF MEDICALLYCOMPROMISED PATIENTS
INCREASE SALIVARY FLOW During the day: X-PUR 100% Xylitol Gum & Pastilles
While sleeping & during the day: Xylimelts
IDENTIFY BIOFILM BUILDUP TO IMPROVE MECHANICAL REMOVALCuraprox Biofilm Finder
REMOVE EFFICIENTLY & ATRAUMATICALLY BIOFILM IN THE INTERDENTAL SPACESCuraprox Interdental Brushes
USE AN ANTIMICROBIAL & REMINERALIZING TOOTHPASTEReplace regular toothpaste by X-PUR Remin
INCREASE FLUORIDE UPTAKEX-PUR Opti-Rinse 0.2% every day
USE TRAYS IF NEEDEDX-PUR 1.1% NaF Gel
REMOVE EFFICIENTLY & ATRAUMATICALLY BIOFILM IN THE SULCUSCuraprox CS 5460 or CS Surgical or ATA toothbrushes
P. 17
-
1. Increasequality of saliva& salivary flow
*
STIMULATESSALIVATION
PREVENTSCAVITIES
WITHOUT
GMOXylitol
Glucose
11
100
2.4
3.75
Sucrose 64 4
SWEETENER GLYCEMIC INDEX CALORIES
GLUTEN &SUGAR FREE
BENEFICIALFOR
DIABETICS
SWEET EFFECT REFRESHING EFFECT
100100
36.626.5
4.14
100
60
80
0
20
40
60
XYLITOL SORBITOL SUCROSE
Stimulus
pH increase &production ofsaliva with its
protectivequalities
Xylitol sweettaste
+Cool &
refreshing eect
Nervous System
Carbohydrates
XylitolNO lactic acid Base of
healthier biofilm
Lactic acid
Polysaccharides
Base of pathogenic
biofilm
NO polysaccharides
Constant acidattack on enameland dentin
No acid attack on enamel and dentin
Tooth decay-causingbacteria
(Streptococcusmutans)
INCREASE SALIVARY FLOW WITH XYLITOLS INNOVATIONS
P. 18
-
1. Increasequality of saliva& salivary flow
INCREASE SALIVARY FLOW DURING THE DAY
MEDICINAL INGREDIENT 1,06g Xylitol / gum 1g Xylitol / 2 pastilles INDICATIONS Stimulates saliva production to relieve dryness of the mouth Helps reduce the incidence of cavities CLINICAL USESEvery patients with xerostomia from: Diseases: diabetes, Sjogrens syndrome Drugs drying the mouth (more than 500) Head & neck radiation and oncology treatmentsGeriatricsHigh risk cariesPediatrics
CLASSIFICATIONGum: NPN 80036707Pastilles: NPN 80036382
FORMATS (peppermint or fruit flavor)Small Bottles: 50 gum / 130 pastillesBig Bottles: 180 gum / 400 pastillesTins: 20 gum / 60 pastillesBags: 500 gum / 1000 pastilles
DIRECTIONS FOR USEGumAdults1 or 2 gum(s) 3 to 5 times per day.
Children (6 years and older)1 gum 3 to 5 times per day.
PastillesAdults2 to 4 pastilles 3 to 5 times per day.
Children (6 years and older)2 to 4 pastilles 3 to 4 times per day. PRECAUTIONA gradual introduction to Xylitol is recommended since it could havea mild laxative effect in the case of excessive consumption.
100% XYLITOL GUM& PASTILLES TOSTIMULATE SALIVATION!
APPROVED BY HEALTH CANADATO HELP STIMULATE SALIVATION*
SIMPLE EFFECTIVE
OPTIMAL SOLUTIONAGAINST DRY MOUTH
CONSUMERSAMPLESAVAILABLE!
P. 19
-
1. Increasequality of saliva& salivary flow
INCREASE SALIVARY FLOW DURING THE DAY & SLEEP
CLASSIFICATIONNPN 80042491
FORMAT40 pastilles
PATENT PENDING
APPROVED BY HEALTHCANADA TO HELP
STIMULATE SALIVATION*
DISCREET,CONVENIENT & SAFE
DURING SLEEP
DR. GORDONCHRISTENSEN REPORTOUTSTANDING PRODUCT
USE WHILESLEEPING & DAYTIME
XYLITOL IN-TIMERELEASE
MILD-MINTFLAVOR
100% NATURAL& GMO FREE
MEDICINAL INGREDIENT0.5g Xylitol
INDICATIONS Stimulates saliva production to relieve dryness of the mouth Helps reduce the incidence of cavities
DIRECTIONS FOR USE Place tan adhesive side to the outside of a molar and/or adjoining gums, upper or lower, white side touching cheek.AdultsBefore bedtime: Use 2 pastilles while sleeping, one on each side of the mouth or as needed. Lasts 4 to 6 hours.During the day: Use 1 or 2 pastille(s) as needed (3-7 times a day). Lasts 1 to 3 hours.
PRECAUTIONS Do not adhere to roof of mouth to enhance comfort. A gradual introduction to Xylitol is recommended since it could have a mild laxative effect in the case of excessive consumption.
CLINICAL USES Every patients with xerostomia from: CPAP machines (continuous positive airway pressure) Diseases: diabetes, Sjogrens syndrome Drugs drying the mouth (more than 500) Head & neck radiation and oncology treatmentsHigh risk caries
XYLITOL IN TIME-RELEASEADHERING PASTILLES TOSTIMULATE SALIVATION!
CONSUMERSAMPLESAVAILABLE!
P. 20
-
IDENTIFY BIOFILM BUILDUP TO IMPROVE MECHANICAL REMOVAL CURAPROX BIOFILM FINDER
2. Disturb everyday thepathogenic biofilm
IDENTIFY OLD & NEW PLAQUE
Directions for UseEvery two weeks
A. Chew one tablet.
B. Wipe teeth with tongue.
C. Rinse mouth. Spit out saliva.
D. Stains old plaque purple. Stains new plaque pink.
E. Brush and floss teeth thoroughly to remove all staining.
Old biofilm (purple) New biofilm (pink)
Does not contain erythrosine, a potentially harmful compound.
P. 21
-
2. Disturb everyday thepathogenic biofilm
Regular Interdental BrushesDental Floss
INTERDENTAL SPACE IS NOT REACHEDPROBLEM #1
Programmed Failure: Either dental floss or interdental brushes with too short bristles do not succeed in fillingcompletely the interdental space. The task is fulfilled only very poorly or not at all. Gingivitis can then take its course.
REMOVE EFFICIENTLY & ATRAUMATICALLY BIOFILMIN THE INTERDENTAL SPACES
P. 22
-
REMOVE EFFICIENTLY & ATRAUMATICALLY BIOFILMIN THE INTERDENTAL SPACES
CPS prime Products Line
CPS 06 CPS 07 CPS 08 CPS 09 CPS 11
0.6 mm 0.7 mm 0.8 mm 0.9 mm 1.1 mm
2.2 mm 2.5 mm 3.2 mm 4.0 mm 5.0 mm
Effectiveness
Mobility
INTERDENTAL SPACE IS NOT REACHEDTHE SOLUTION TO:
Success guaranteed: Interdental brushes CPS prime fills the space between the teeth completely and removes plaque from all critical niches and at the gum line carefully, effectively and without pain.
2. Disturb everyday thepathogenic biofilm
P. 23
-
0.6 mm2.2 mm
0.7 mm2.5 mm
0.8 mm3.2 mm
0.9 mm4.0 mm
1.1 mm5.0 mm Effectiveness
diameter offilaments
Insertiondiameter ofsurgical wire
CPS 06 CPS 07 CPS 08 CPS 09 CPS 11
SWISS PREMIUM QUALITY Lasts 5 times longer than any other interdental brush Ultra-fine & stiff surgical wire
IN-OFFICE BRUSHES SIZE IDENTIFICATION Unique interdental probe with color codes associated to the corresponding brush
THE SMALLEST WITH THE GREATEST EFFECT
Reach every interdental space
Reach even the tightest spaces
Ultra-fine filaments with umbrella effect
More effective than the leading brand and dental floss
REMOVE EFFICIENTLY & ATRAUMATICALLY BIOFILMIN THE INTERDENTAL SPACES
2. Disturb everyday thepathogenic biofilm
P. 24
-
DIRECTIONS FOR USEAdults & childrenUse twice a day (morning & evening)1. Place about 1 to 1.5 cm of X-PUR Remin on an ultra soft toothbrush and brush meticulously for 3 minutes.
2. Expectorate. For best results, do not eat, drink or rinse for 30 minutes after brushing.
INGREDIENTS 10% Nano Medical Hydroxyapatite Sodium-N-lauroyl-L-glutamate -glycyrrhetinic acid Flavor 10% Xylitol
IDEAL FOR PATIENTS WHO CANNOT USE TRADITIONALTOOTHPASTES Diabetics Head & neck radiation and oncology treatments Implant maintenance Periodontics Orthodontics Ulcerations Pediatrics Xerostomia
IDEAL NEUTRAL PH LOW ABRASIVITY 7.51 60
INDICATIONRefractory Tooth Hypersensitivity Treatment
WITHOUT SLS *& TRICOSLAN
NATURALLYSWEETENED FOR
A REFRESHING TASTE
LIGHT-MINTFLAVOR
TM
TREATS REFRACTORYTOOTH HYPERSENSITIVTY
& FILLS SURFACEMICROFISSURES
IMPROVES WHITENESS& GLOSS
NOTHING COMPARESTO X-PUR REMINPREMIUM TOOTHPASTE!
CONSUMERSAMPLESAVAILABLE!
USE AN ANTIMICROBIAL & REMINERALIZING TOOTHPASTE REPLACE REGULAR TOOTHPASTE BY X-PUR REMIN
3. Increase protection & remineralization of teeth surface
* Sodium Lauryl Sulfate
1. Increasequality of saliva& salivary flow
+
P. 25
-
USE AN ANTIMICROBIAL & REMINERALIZING TOOTHPASTE REPLACE REGULAR TOOTHPASTE BY X-PUR REMIN
3. Increase protection & remineralization of teeth surface
REMINERALIZATION & PROTECTION AGAINST CARIES1 Causes remineralization comparable to a fluoride toothpaste, inhibited caries development, thus suggesting that an toothpaste can be an effective alternative to fluoride toothpaste.
2 Remineralizes subsurface demineralized areas of tooth enamel.
3 Remineralizes tooth enamel more effectively than saliva and just as effectively as fluoride compounds. (Note: Fluoride promotes remineralization by saliva, where as itself remineralizes the teeth.)
4 Fills and repairs minute surface deficits on tooth enamel, restoring damaged enamel to its original smoothness.
5 Adheres to and helps remove bacteria and plaque protecting against tooth decay.
6 Removes white spots and incipient caries and restores enamel almost to its original form.
7 Protects against plaque attachment and stains by reducing the crevices that harbor them.
ANTIMICROBIAL PROPERTIES8 Absorbs periodontal and opportunistic pathogens such as P. gingivalis and Candida, helping reduce the risk of oral soft tissue infection.
9 Shows superior bacterial absorption compared to other forms of hydroxyapatite.
10 Shows strong selectivity for cariogenic mutans streptococci bacteria.
TOOTH SENSITIVITY TREATMENT11 Coats and fills exposed dentin and dentinal tubules protecting against dentinal hypersensitivity.
WHITENING & GLOSS12 Improves tooth whiteness and gloss, which can be correlated with an increase in surface minerals and smoothness.
NANO MEDICAL HYDROXYAPATITE - SCIENTIFICALLY PROVEN BENEFITSSummary of 33 years of research
For the complete references & articles, visit www.oralscience.com/en/education/mhap.htmlTM
P. 26
-
3. Increase protection & remineralization of teeth surface
DIRECTIONS FOR USE1. Use after brushing.
2. Swish approximately 10 mL vigorously in the mouth and between the teeth for about 1 minute and then expectorate.
3. Do not eat, drink or rinse with water for 30 minutes after use. Instruct children under 12 years of age in the use of the product and in good brushing and rinsing habits to minimize swallowing.
0.2% SODIUM FLUORIDEOPTI RINSE
Anti-Cavities Helps to Remineralize Tooth Enamel 10% Xylitol Alcohol Free Neutral PH
1 TIME PER DAY UNTIL COMPLETE USE OF THE BOTTLE
INCREASE FLUORIDE UPTAKE X-PUR OPTI-RINSE 0.2% EVERY DAY
P. 27
-
3. Increase protection & remineralization of teeth surface
USE TRAYS IF NEEDED X-PUR 1.1% NAF GEL
MEDICINAL INGREDIENTS 1.1% Sodium Fluoride (5000 ppm F) 10% Xylitol
INDICATIONS Anti-caries Helps to remineralize tooth enamel
CLINICAL USES Geriatrics Orthodontics Pregnant women High risk caries Pediatrics Tooth sensitivity Head & neck radiation and oncology treatments Xerostomia
CONTRAINDICATIONS Keep out of reach of children. Do not use in patients under 6 years of age unless recommended by a dentist. Do not use in patients with dysphagia.
BENEFITS Sodium Lauryl Sulfate Free (SLS) Xylitol Gives a Delightful Refreshing Taste
CLASSIFICATIONNPN 80024248
FORMATSBottle - 120 mlBottle - 475 ml
ONLY HIGH STRENGTHSODIUM FLUORIDE GELWITH 10% XYLITOL!
DIRECTIONS FOR USEAdults and children 6 years of age and olderOnce daily
Brushing1. Brush with the gel for 1 minute.2. Expectorate. Do not eat, drink or rinse for 30 minutes. Patients age 6-16: Expectorate after use and rinse mouth thoroughly.
Tray Use1. Fill the grooves of the trays 1/3 full of gel. 2. Wear for 5 minutes3. Expectorate. Do not eat, drink or rinse for 30 minutes.
P. 28
-
PLAQUE IN THE SULCUSPROBLEM #2
REGULAR BRISTLES
500 to 800 bristles only (small amount) Hard and thick bristles Absorb water
ABRASION CAUSED BY HARD PRESSURE Gingival recessioncausing sensitivity(for approximately80% of your patients)
2. Disturb everyday thepathogenic biofilm
REMOVE EFFICIENTLY & ATRAUMATICALLY BIOFILMIN THE SULCUS
P. 29
-
PLAQUE IN THE SULCUSTHE SOLUTION TO:
CURAPROX ULTRA SOFT BRISTLES
Up to 20 x more Curen bristles: - CS 5460: 5,460 bristles - CS Surgical: 12,000 bristles - ATA: 4,060 bristles
Ultra soft Dense Do not absorb water: maintain their firmness
Healthy gum NO ABRASION
2. Disturb everyday thepathogenic biofilm
REMOVE EFFICIENTLY & ATRAUMATICALLY BIOFILMIN THE SULCUS
P. 30
-
2. Disturb everyday thepathogenic biofilm
REMOVE EFFICIENTLY & ATRAUMATICALLY BIOFILMIN THE SULCUS
CS SURGICAL MEGA SOFT ATA
12,000 CUREN bristles 4,060 CUREN bristles
For: Operations, inflammation & radiation therapy
For: Kids & difficult access areas
4 rings permit a finger gripfor controlled and carefulcleaning without any pressure.
Made of polyester: do not absorb water and maintain their firmness.
Made of polyester: do not absorb water and maintain their firmness.
Developed in cooperation withProf. N. P. Lang, Dental Clinicsat the University of Berne.
The most bristles for themost gentle care.
Anti-Pressure.
A finger grip and a reversed brushhead: the easy and revolutionaryway to put and end to pressureand harmful cleaning.
The smaller the head, the moreprecise the cleaning, tooth aftertooth. And the more careful thebrush movements, the smallerthe danger of exerting too much pressure.
CS 5460 ULTRA SOFT
5,460 CUREN bristles
For: Adults or refractory tooth hypersensitivity
The small and compact head reaches every area of thetooth sector.
The octagonal handle is ideally suited to holding the brush at a 45 angle.
Bendable necks allow individual angulation for individual preferences.
Made of polyester: do not absorb water and maintain their firmness.
Up to 10 x more bristles! Optimal removal of plaque Atraumatic Accepted by patients
P. 31
-
P. 32
INDIVIDUALLY TAUGHT ORAL PROPHYLAXISACCORDING TO DR. JIRI SEDELMAYERAccepted - Effective - Atraumatic
BECOME THE PERSONAL ORAL HEALTH COACH OF YOUR PATIENTS
DIFFERENTIATE YOUR DENTAL OFFICE BY INTEGRATING THE PREMIUM ORAL HEALTH TEACHING PROGRAM ALREADY IMPLEMENTED IN 56 COUNTRIES!
:
THEORETICAL COURSE + HANDS-ON COURSE ( )
It is easy to summarize this great conference: An hygiene program easy to integrate in our office Sharing our professional experiences was really rewarding I discovered the most effective oral hygiene product
I learned new effectiveways to remove biofilm.This course brings us backto the main objective ofour wonderful profession:prevention!
A new highly motivatingteaching philosophy for myteam and our patients!
COMMENTS FROM ITOP PARTICIPANTS
-
1 888 442.7070 www.oralscience.com
-
DENTAL MANAGEMENT OF MEDICALLYCOMPROMISED PATIENTS