Oral Hygiene Product Catalog

THE INTERVENTIONALPATIENT HYGIENE COMPANY

20300M © Sage Products Inc. 2010

3909 Three Oaks Road Cary, Illinois 60013www.sageproducts.com www.shopsageproducts.com

800-323-2220

Sage’s unique site provides FREE informationthat can help your facility improve care—including Performance Improvement Plans,Evidence-Based Protocols, Clinical Studies,Customizable Posters and more!

Visit our FREE Clinical Education Website!www.sageproducts.com/education

Customizable Programs For:� Reducing HAP/VAP Risk Factors� Reducing Threats to Skin Integrity� Preventing Incontinence-Associated Dermatitis (IAD)� Preventing Heel Pressure Ulcers� Reducing an SSI Risk Factor

Born from a core belief in prevention, Interventional Patient Hygieneis a nursing action plan focused on fortifying patients’ host defenseswith evidence-based care.

By promoting a return to the basics of nursing care, our advancedpatient hygiene products and programs help healthcare facilitiesimprove clinical outcomes by reducing the risk of hospital-acquiredinfection and skin breakdown.

ORAL HYGIENEPRODUCT CATALOG

Simple Interventions. Extraordinary Outcomes.

Hospital-acquired pneumonias (HAPs), including

ventilator-associated pneumonia (VAP), often start in

the oral cavity.1,2 Bacteria, including dental plaque,

can colonize in the oropharyngeal area,3 and these

pathogens can be aspirated into the lungs, causing

infection.4 VAP is the most common infectious

complication among ICU patients and accounts for

over 47% of all infections.5 Non-vent patients with

conditions including dysphagia, stroke, COPD and

malignancy are also at risk for HAP.6,7

THE IMPORTANCE OFORAL CARE IN ADDRESSINGHAP AND VAP RISK FACTORS

BIOFILM FORMING OVERA 24-HOUR PERIOD

Photos courtesy of Center for Medical BiofilmResearch, University of Southern California.

Bacteria beginning to form.

REFERENCES: 1. Schleder B, et al., J Advocate Health Care. 2002 Spr/Sum; 4(1): 27-30. 2. Tablan OC, et al., Guidelines for preventing health-care-associated pneumonia, 2003,Recommendations of CDC and Healthcare Infection Control Practices Advisory Committee (HICPAC), 2003. 3. Scannapieco FA, J Periodontology. 1999 Jul; 70(7): 793-802.4. Fourrier F, et al., Crit Care Med. 1998; 26: 301-8. 5. Cason, CL, et al., Am J Crit Care. 2007 Jan; 16 (1): 28-38. 6. Marik PE, N Eng J Med. 2001;344(9):665-71. 7. KozlowJH, et al., Crit Care Med. 2003;31(7): 1930-7.

1 www.sageproducts.com

Biofilms are a thin, usually resistant layer of

microorganisms (as bacteria) that form on and coat

various surfaces.1 Biofilms have been found to be

involved in up to 80% of infections.2 Dental plaque is

one of the most common biofilms and is responsible

for various periodontal diseases, including gingivitis.3

More and more bacteria adhere, andexisting bacteria begin to multiplyforming a microcolony.

Bacteria spread in all directions becominga macrocolony; bacteria begin to grow inmultiple layers.

Bacteria macrocolonies spread andoverlap, resulting in full biofilm.

REFERENCES: 1. Merriam-Webster's Medical Dictionary. Retrieved July 3, 2007, from http://dictionary.reference.com/browse/biofilm. 2. Immunology of Biofilms. Immunology and Immunotherapy Program, Center for Integrative Biology and InfectiousDiseases, Natl. Institute of Dental and Craniofacial Research, NIH, Bethesda, MD, 2004. 3. Kuramitsu, H. "Oral Microbial Communities: Genetic Analysis of Oral Biofilms." Strict and Facultative Anaerobes: Medical and Environmental Aspects. Ed. Nakano,M. Horizon Bioscience, 2004. 109-111. 4. Chastre J, Fagon JY, Am J Respir Crit Care Med. Vol 165. pp 867-903, 2002. 5. Kollef MH, et al., Chest. 2005;128(6): 3854-62. 6. Rello J, et al., Chest. 2002 Dec; 122 (6): 2115-21. 7. Schleder B, et al., J AdvocateHealth Care. 2002 Spr/Sum; 4(1): 27-30. 8. Professor John G. Thomas, MS, PhD., HCLD, Department of Pathology, West Virginia University, School of Medicine.

BIOFILMS: A RISK FACTORFOR PNEUMONIA

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Dental plaque biofilm: Normal oral floraand their glue-like properties attach exogenouspathogens to the surface of the teeth, forming amulti-organism biofilm. This biofilm can fragmentand travel in oral secretions. If aspirated, it maylead to infection (pneumonia).8

VAP CONSEQUENCES� Mortality rate of up to 76%.4

� Mean hospital costs can reach $150,000 per episode.5

� Mean length of stay can reach 23 days.5

� 9.6 additional days on the vent, 6.1 extra days in theICU and 11.5 more days in the hospital.6

COMPREHENSIVE ORAL HYGIENEADDRESSES THREE KEY VAP RISK FACTORS:7

� Bacterial colonization of the oropharyngeal area.� Aspiration of subglottic secretions.*� Colonization of dental plaque with respiratory pathogens.* Routine suctioning minimizes oral secretions which can migrate to the subglottic area.

In addition to increased infection risk, the biofilmgrows thicker and calcifies in the alveolus, renderinggases exchange ineffective. Subsequently, undermechanical ventilation, the biofilm can potentiallyattach and accumulate in the endotrach lumen, increasingairway resistance and Work of Breathing (WOB).8

Toothette® Oral Care addresses key VAP risk factors

with a comprehensive approach based on cleaning,

debriding, suctioning and moisturizing the entire

oral cavity. Toothette incorporates 24-hour systems,

innovative tools and effective solutions, all while

facilitating compliance to your oral care protocol.

91% of the oral care market is trusted to Toothette

brand oral care.1

REFERENCES: 1. GHX Trend Report (Dollars), 4th Quarter, 2009 Hospital; Annualized markets based on last 4 quarters data. 2. Campbell DL, Ecklund MM. Development ofa research-based oral care procedure for patients with artificial airways. NTI News (a publication of AACN's National Teaching Institute). 7 May 2002. 3. Oral Health CareDrug Products for Over-the-Counter Human Use; Antigingivitis/Antiplaque Drug Products; Establishment of a Monograph; Federal Register, 68(103):32232-87. 4. Oral HealthCare Drug Products for Over-the-Counter Human Use; Tentative Final Monograph; Federal Register, 53(17): 2436-61.

BEATING THE BIOFILMS

“If oral care is not started uponadmission, the mouth couldbecome colonized with harmfulbacteria within the first 48hours. Plaque on the teeth canprovide a breeding ground forthis growth of bacteria…Themost effective way to removeplaque is to use a brush.”2

CLEANBrushing and suctioning with anantiseptic agent kills3 and mechanicallyremoves bacterial biofilms (dentalplaque) from teeth and oral tissues.

DEBRIDESwabbing and suctioning with Perox-A-Mint® solution helps remove dead,loosened biofilms.4

MOISTURIZEWater-based formula soothes andmoisturizes oral tissues.

BEATING BIOFILMS WITHCOMPREHENSIVE ORAL CARE


AACN PROCEDURE MANUAL FOR CRITICAL CARE—ORAL CARE INTERVENTIONS, 20052*

“Assess oral cavity and lips every 8hours, and perform oral care every2 to 4 hours and as needed.† Withoral care, assess for buildup ofplaque on teeth or potentialinfection related to oral abscess.”

“Perform oral hygiene, usingpediatric or adult (soft) toothbrush,at least twice a day. Gently brushpatient’s teeth to clean and removeplaque from teeth.”†

“In addition to brushing twice daily,use oral swabs with a 1.5%hydrogen peroxide solution to clean

mouth every 2 to 4 hours.”†

“With each cleansing, apply amouth moisturizer to the oralmucosa and lips to keep tissuemoist.”†

“Suction oral cavity/pharynxfrequently.”††

*In addition to other interventions.

†Level IV: Limited clinical studies to supportrecommendations.

††Continuous suctioning: Level II: Theory based, noresearch data to support recommendations;recommendations from expert consensus group mayexist. Intermittent suctioning: Level IV: Limited clinicalstudies to support recommendations.

REFERENCES: 1. Tablan OC, et al., Guidelines for preventing health-care--associated pneumonia, 2003, Recommendationsof CDC and Healthcare Infection Control Practices Advisory Committee (HICPAC), 2003. 2. Scott JM, Vollman KM,Endotracheal tube and oral care. In DJ Lynn-McHale Wiegand and KK Carlson (Eds.) AACN Procedure Manual for CriticalCare, Fifth Ed., pp. 28-33., Elsevier Saunders, St. Louis, MO. 3. APIC 2009 Guide to the Elimination of Ventilator-Associated Pneumonia, pp. 38, 40. 4. SHEA, Oct 2008,Vol. 29, Supplement 1, S31. 5. Garcia R. Reducing Ventilator-Associated Pneumonia Through Advanced Oral-Dental Care: A 48 Month Study. AJCC, July 2009, Doi: 10.4037. 6. LipkeB, Carman V, Sustained Reduction in Ventilator-Associated Pneumonia (VAP) Using a Two-Hospital MultidisciplinaryApproach that Includes Oral Care and Regular Staff Education. Poster presented at 2008 APIC Annual Conference: June 15-19, 2008. 7. Schleder B, et al., J Advocate Health Care. 2002 Spr/Sum; 4(1): 27-30. 8. Vollman K, Garcia R, Miller L, AACNNews. 2005;22(8):122-3,15-6. 9. Yoneyama T, et al., J Am Geriatrics Society. 2002;50(3):434-8. 10. Orr Jean C, Mitchell M.Prevention of Hospital-Associated Pneumonia Using a Comprehensive Oral Hygiene Protocol. Poster presented at 2008APIC Annual Conference: June 15-19, 2008. 11. Sherman Hospital saves $1.6 million on VAP-related costs. Case study,2005 (available at http://www.sageproducts.com/company/media2.asp?ArticleID=51).

SOCIETY FOR HEALTHCARE EPIDEMIOLOGY OFAMERICA (SHEA)4

A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals

Strategies to Prevent Ventilator-Associated Pneumoniain Acute Care Hospitals“Perform regular antiseptic oral care in accordance with product guidelines”*†

*Among other interventions

†Category IA: Strongly recommended for implementation and strongly supported by well-designed experimental,clinical, or epidemiologic studies.

APIC 2009 GUIDE TO THE ELIMINATION OFVENTILATOR-ASSOCIATED PNEUMONIA3

Key prevention strategies:� Perform routine antiseptic mouth care

Example mouth care and documentationform includes the following:� Brush teeth q12°� Provide oral care every 2 to 4 hours with antiseptic� Apply mouth moisturizer to oral mucosa and lips� Suction orally as necessary

CDC GUIDELINES FOR PREVENTINGHEALTHCARE-ASSOCIATED PNEUMONIA1*

“…Develop and implement a comprehensive oral-hygiene program(that might include use of an antiseptic agent) for patients in acute-caresettings or residents in long-term care facilties who are at risk forhealth-care--associated pneumonia (II).”*In addition to other interventions

Reducing VAP� One recently published 4-year study using anoral care protocol including Toothette® Oral CareSystems saw a 33% reduction in VAP, plus fewervent days, shorter length of stay and decreasedmortality rates.5

� One facility had a VAP rate of zero forthree straight years after implementing anoral care protocol that included ToothetteQ•Care® Systems.6

� Another study saw a 60% reduction in VAP afterimplementing comprehensive oral care withToothette products.7

� A 4-year study found Toothette Oral Care helpedachieve a statistically significant 42.1% VAPreduction – avoiding $722,975 in costs.8

Reducing HAP� A 2-year study at 11 nursing homes foundpneumonia risk was significantly reduced inpatients receiving oral care. In fact, mortality due topneumonia was about half that of patients notreceiving oral care.9

� The use of a comprehensive oral hygiene protocolincluding Q•Care Systems was effective in reducingone facility’s HAP rates by 46%.10

Cost Avoidance� In 17 months, one 350-bed hospital reduced VAPover 75%, avoiding $1.6 million in costs. Alongwith a ventilator bundle and head-of-bed elevation,they upgraded from swabs only to Q•Carecleansing and suctioning every 2 to 4 hours.11

PROVEN CLINICALOUTCOMES

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PROFESSIONAL GUIDELINESProfessional organizations are now recognizingcomprehensive oral care as key to addressing VAP and HAP.

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REFERENCES: 1. DeWalt EM, Nurse Res. 1975 Mar-Apr;24(2): 104-8. 2. Pearson LS, Hutton JL, J Adv Nurs. 2002 Sep;39(5):480-9. 3. Scannapieco FA, Stewart EM, MylotteJM, Crit Care Med. Jun 1992;20(6):740-5. 4. Scannapieco FA, J Periodontology. 1999 Jul; 70(7): 793-802. 5. Fourrier F, et al., Crit Care Med. 1998; 26: 301-8. 6. Sole ML, etal., Am J Crit Care. 2002 Mar; 11(2): 141-9. 7. Schleder B, et al., J Advocate Health Care. 2002 Spr/Sum; 4(1): 27-30. 8. Schleder BJ, Nursing Mgmt. 2003 Aug; 34(8):27-33.* Based on an independent study of 24 subjects comparing the plaque removal efficacy of toothbrushes

Covered Yankauer� Helps remove debris and secretions.� Exclusive sleeve addresses infection control issuesby helping contain oral secretions and protectingYankauer from environmental debris.

� Soft tip gentle on fragile oral tissues.� User-friendly, one-piece design.

INNOVATIVE TOOLS:Connect directly to standard suction lines

Toothette® Suction Swabs� Helps remove debris and oral secretions whilestimulating oral tissues1,7,8 between brushings.

� Perpendicular ridges clean between teeth.� Available with sodium bicarbonate tomechanically cleanse.

� Soft foam heads gentle on delicate oral tissues.� User-friendly thumb port provides easysuction control.

� Non-suction swabs available.

Oropharyngeal Suction Catheter� Helps remove secretions from the oropharyngealarea above the vocal cords.

� Longer, flexible design allows for suctioning of areasCovered Yankauer may not be able to reach.

TOOLS AND SOLUTIONSPROVEN EFFECTIVE AGAINSTVAP & HAP RISK FACTORS


Toothette® Suction Toothbrush� Helps remove dental plaque,1,2 debris andoral secretions, all known to harbor potentialrespiratory pathogens.3,4,5,6

� Available with sodium bicarbonate tomechanically cleanse.

� 40 times more contact points and 34% moreeffective in plaque removal* than representativecompetitors’ molded plastic bristle toothbrushes.

� Swab on back of brush helps delivercleansing solution.

� User-friendly thumb port provides easysuction control.

� Three suction ports to avoid clogging.Keeps open path for debris.

REFERENCES: 1. Nisengard RJ, Dept of Periodontics & Endodontics, Sch of Dent Med, SUNY Buffalo, 2000 Dec. 2. Candida albicans, Streptococcus mutans and Actinomyces viscosus. 3. See complete package insert on page 10. 4. Oral Health Care Drug Products forOver-the-Counter Human Use; Tentative Final Monograph; Federal Register, 53(17):2436-61 5. Oral Health Care Drug Products for Over-the-Counter Human Use; Establishment of a Monograph; Federal Register, 47(101):22760-930 6. Oral Health Care Drug Productsfor Over-the-Counter Human Use; Tentative Final Monograph for Oral Antiseptic Drug Products; Federal Register, 59(27):6084-124 7. Oral Health Care Drug Products for Over-the-Counter Human Use; Antigingivitis/Antiplaque Drug Products; Establishment of aMonograph; Federal Register, 68(103):32232-87

0.12% Chlorhexidine Gluconate (CHG) Oral Rinse� Helps treat gingivitis.� Single-unit dose is ready to use – no product wastedue to measuring and mixing.

� Prescription grade requires documentation on MARand promotes better oral care compliance.

Perox-A-Mint® Solution� Mechanically cleans and debrides with 1.5%hydrogen peroxide.

Antiseptic Oral Rinse� Helps reduce chance of infection in minor oral irritationwith 0.05% cetylpyridinium chloride (CPC).

� Promotes healing by reducing bacteria known to causemost oral dysfunction.1,2

Antiplaque Solution� Helps remove and prevent plaque that leads to gingivitiswith 0.05% cetylpyridinium chloride.

� Alcohol-free and non-irritating, with pleasant mint flavor.

Alcohol-Free Mouthwash� Cleans and refreshes oral cavity with pleasant mint flavor.

Mouth Moisturizer� Soothes and moisturizes with vitamin E and coconut oil.� Water-based formula can be used inside mouth.

EFFECTIVE CLEANSING SOLUTIONS:

INDICATIONS AND PHARMACOLOGY OF CLEANSING SOLUTIONS:PRODUCT (ACTIVE INGREDIENT) INDICATIONS CLINICAL PHARMACOLOGY

0.12% Chlorhexidine Gluconate (CHG)Oral Rinse

CHG Oral Rinse is indicated for use between dental visits as partof a professional program for the treatment of gingivitis ascharacterized by redness and swelling of the gingivae, includinggingival bleeding upon probing. CHG Oral Rinse has not beentested among patients with acute necrotizing ulcerative gingivitis(ANUG). For patients having coexisting gingivitis and periodontitis,see PRECAUTIONS.3

CHG Oral Rinse provides antimicrobial activity during oral rinsing. Theclinical significance of CHG Oral Rinse’s antimicrobial activities is notclear. Microbiological sampling of plaque has shown a generalreduction of counts of certain assayed bacteria, both aerobic andanaerobic, ranging from 54-97% through six months use.3

FUNCTION/CLAIM HOW ACTIVE INGREDIENT WORKS

Perox-A-Mint® Solution(1.5% hydrogen peroxide)

Oral Debriding Agent—aids in the removal of phlegm, mucus, orother secretions associated with occasional sore mouth.4

Mechanical Action—The release of bubbles of oxygen by enzymaticaction when peroxide comes into contact with the tissues.5

Antiseptic Oral Rinse(0.05% cetylpyridinium chloride)

Oral Antiseptic—helps reduce the chance of infection in minor oralirritation.6

Chemical Action—The positive charge on the chemical reacts with thenegative charge of the bacterial cell to cause cell death.7

Antiplaque Solution(0.05% cetylpyridinium chloride)

Antiplaque/Antigingivitis—helps remove plaque that leadsto gingivitis.7

Chemical Action—The positive charge on the chemical reacts with thenegative charge of the bacterial cell to cause cell death.7

Alcohol-Free Mouthwash Cleans and refreshes. N/A

EASY BURST POUCHESDISPENSE SOLUTIONIN SECONDS!

� Ready to use, no waste in productor nursing time due to mixingown solutions. Premoistens swabsright in the package.

Before opening, place thumbs onburst pouch. Squeeze to release fluid.

6800-323-2220

Antiseptic Oral Rinse, Antiplaque Solution and

Perox-A-Mint are FDA-regulated OTC drugs. We

maintain strict adherence to all applicable FDA

standards and Good Manufacturing Practices. While

such compliance is required to manufacture medical

drugs and devices, we voluntarily apply the same

high standards to all of our products, including those

classified as cosmetics. This commitment helps

ensure the level of quality vital for patients at high

risk for developing nosocomial infections.

SUPERIOR SAGE QUALITY

Sage Products is the true pioneerof clinical oral care. That’s whywe’re trusted with more than91% of the market. Our historyof oral care innovation hashelped set the standard nowrecognized in professionalguidelines. Incorporatingcomprehensive 24-hour systemsthat have user-friendly tools withthe ability to be taken bedside,our products have increasedcompliance to reduce VAP andHAP risk. We control quality byproudly manufacturing allproducts in our own facility inthe USA!

2001Sage develops the firstcomprehensive oral care kit,called “Complete Care.”With the help of Bonnie Schleder,MS, RN, CCRN, a comprehensiveOral Care protocol is developed.Her study results are published inJournal of Advocate Healthcare.

First 24-hour Q•Care®

Cleansing andSuctioning System withSuction Handle tools.New space-saving designand bedside bracket helpimprove compliance.

2003CDC recognizesand cites BonnieSchleder’s studyin its Guidelines forPreventing Healthcare-Associated Pneumonia.

2002Early study prototype leads to the

development of sequential packagingthat became Q•Care® Systems.

2006Q•Care® Systemswith user-friendlyThumb Port tools.One-piece design makescompliance even easier.

2007Q•Care® Rx with 0.12%Chlorhexidine Gluconate(CHG) Oral Rinse. The firstand only comprehensive kitwith single unit dose oralCHG. This prescription drugcan be added to the MAR,further increasing compliance.

2005AACN adds

comprehensive oral careto its procedure manual

for critical care.

A HISTORY OFINNOVATION 2009

Toothette® Oral Care productsnow available to consumersfor use during home recovery atwww.shopsageproducts.com


petite size

standard size

Q•Care® Petite–specially designedfor smaller patients

Coming in 2010Q•Care® Systems with neweasy-grab packaging forenhanced compliance and asmaller, more maneuverablesuction toothbrush.

APIC releases Guideto the Elimination ofVentilator-Associated

Pneumonia

2008SHEA releases A

Compendium of Strategiesto Prevent Healthcare-Associated Infections inAcute Care Hospitals

91% of theoral care market istrusted to Toothette.

REFERENCES: 1. Cason, CL, et al., Am J Crit Care. 2007 Jan;16(1):28-38. 2. Hutchins K, Karras G. A Comprehensive Oral Care Program Reduced Ventilator Associated Pneumonia in ICU Patients. Mercy Medical Center, SpringfieldMA. Poster presented at 2008 APIC Conference. 3. Garcia R. Reducing Ventilator-Associated Pneumonia Through Advanced Oral-Dental Care: A 48 Month Study. AJCC, July 2009, Doi: 10.4037.

Compliance to an oral care protocol isessential to reducing risk factors for HAPand VAP. Still, one study finds:

� Evidence-based practices as recommended by theCDC guidelines for the prevention of VAP are notconsistently and uniformly implemented.1

� 56% of critical care nurses who care formechanically ventilated patients reported theirhospital had a written protocol for oral care.1

� 32% of those nurses knew their unit’s VAP rate.1

PROTOCOL COMPLIANCEThe Key to a Successful Oral Hygiene Program

TOOTHETTE ORAL CARE PROVIDESUNMATCHED RESOURCES INCLUDING:

� Comprehensive protocols andprotocol support tools

� Performance improvement plans� Personal in-service training� Compliance programs� Cost justification tool� Much, much more!

BOOST COMPLIANCEWITH ORAL CHECK

This visual reminder available on selectQ•Care Systems is one more way ToothetteOral Care helps boost compliance to yourprotocol. This barcode system allowsfacilities to scan each product anddocument each oral care cleansing step.

Barcode is printedon back of package.

SEE THESE CLINICALOUTCOMES AND OTHERS AT:sageproducts.com/education/vapindex.asp

8800-323-2220

Toothette® Oral Care goes beyondcomprehensive systems, tools and cleansingsolutions by providing effective, evidence-based protocols for oral care.

Our products and protocols are shown to beeffective in improving compliance.

� In addition to a nearly 90% drop in VAP rates, onefacility saw compliance rates increase from 57% toalmost 70% after implementing an oral care protocolusing Toothette Oral Care Q•Care® Systems.2

� Compliance at another facility rose to more than80% after implementing an oral care protocol usingQ•Care Systems.3

COMPLIANCE ALLIANCE

The Compliance Alliance Program can help your facilitycomply with recommended best practice guidelinesand an evidence-based protocol.

THE PROGRAM WILL:

� Empower nurse champions for leadership opportunities� Provide a quarterly review for protocol adherence� Enhance communication to staff regarding program success� Provide regular oral care education� Celebrate success!

24-HOUR SUCTION SYSTEMSQ·Care® Rx with 0.12% ChlorhexidineGluconate (CHG) Oral Rinse with Thumb PortFor patients who cannot expectorate and cannot performtheir own oral care

Take a comprehensive approach to oral hygiene and

facilitate compliance to your protocol with Q•Care

Rx Oral Cleansing and Suctioning Systems with

0.12% Chlorhexidine Gluconate (CHG) Oral Rinse.

� The only comprehensive oralcare kit with 0.12% CHG OralRinse in a single-unit dose.

� Prescription drug meansdocumentation on the MARand better compliance to oralcare protocol.

� Oral Check™ barcode onselect systems allowsscanning of each package,documenting each step andfurther enhancing protocolcompliance.

� No mixing and no messassociated with mixingcleansing solutions.

� Convenient q2° or q4°packaging laying outeach step.

� Minimal setup—less timeopening packaging and moretime for oral care.

� One-piece tools attach directlyto suction lines for quicker oral care.

Length of Stay (LOS) YankauerHolder provides easy access.


Thumb port provides easysuction control.

Space-saving Bedside Bracket helpsincrease compliance to protocol.

q2° Rx ORAL CLEANSING AND SUCTIONING SYSTEM WITH CHG AND THUMB PORT TOOLS 10 systems/case Reorder #6912(Cleansing and suctioning tools connect directly to standard suction lines)

1 CoveredYankauer with Y-Connector2 Packages of 1 Untreated Suction Toothbrush withApplicator Swab2 Unit dose containers of 0.12% CHG Oral Rinse4 Packages of 1 Suction Oral Swab with sodium bicarbonate, Perox-A-Mint® Solution,Mouth Moisturizer andApplicator Swab6 Packages of 1 Suction Oral Swab with sodium bicarbonate,Alcohol-Free Mouthwash,Mouth Moisturizer andApplicator Swab4 Packages of 1 Oropharyngeal Suction Catheter

q4° Rx ORAL CLEANSING AND SUCTIONING SYSTEM 20 systems/case Reorder #6904(Cleansing and suctioning tools connect to Suction Handle)

1 Y-Connector, 1 Suction Handle, and 1 CoveredYankauer2 Packages of 1 Suction Toothbrush with 0.12% CHG Oral Rinse, andApplicator Swab4 Packages of 1 Suction Swab with sodium bicarbonate, Perox-A-Mint® Solution,Mouth Moisturizer, andApplicator Swab2 Packages of 1 Oropharyngeal Suction Catheter

q4° Rx ORAL CLEANSING AND SUCTIONING SYSTEM WITH CHG AND THUMB PORT TOOLS 20 systems/case Reorder #6914(Cleansing and suctioning tools connect directly to standard suction lines)

1 CoveredYankauer with Y-Connector2 Packages of 1 Untreated Suction Toothbrush andApplicator Swab2 Unit dose containers of 0.12% CHG Oral Rinse4 Packages of 1 Suction Oral Swab with sodium bicarbonate, Perox-A-Mint® Solution,Mouth Moisturizer, andApplicator Swab2 Packages of 1 Oropharyngeal Suction Catheter

BEDSIDE BRACKETBracket with Removable Adhesive Strip

for wall-mounting near the bedside

25 brackets/case Reorder #6697

PRODUCT DETAILS:

SYSTEMS:

LENGTH OF STAY (LOS) YANKAUER HOLDERBracket with Removable Adhesive Strip

for mounting near the bedside

4 bags of 25 100/case Reorder #6696

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OVERDOSAGE: Ingestion of 1 or 2 ounces of CHG Oral Rinse by a small child (~10kg body weight) might result ingastric distress, including nausea, or signs of alcohol intoxication. Medical attention should be sought if more than 4ounces of CHG Oral Rinse is ingested by a small child or if signs of alcohol intoxication develop.

DOSAGEANDADMINISTRATION: CHG Oral Rinse therapy should be initiated directly following a dental prophylaxis.Patients using CHG Oral Rinse should be reevaluated and given a thorough prophylaxis at intervals no longer than sixmonths.

Recommended use is twice daily oral rinsing for 30 seconds, morning and evening after toothbrushing. Usual dosageis 15 ml of undiluted CHG Oral Rinse. Patients should be instructed to not rinse with water, or other mouthwashes,brush teeth, or eat immediately after using CHG Oral Rinse. CHG Oral Rinse is not intended for ingestion and shouldbe expectorated after rinsing.

HOW SUPPLIED: CHG Oral Rinse is supplied as a blue liquid in single dose amber plastic bottles with child-resistantdispensing closures. Store above freezing (32°F).

Caution: Federal law prohibits dispensing without prescription.

DIRECTIONS FOR USE: Swish in mouth undiluted for 30 seconds, then spit out. Use after breakfast and beforebedtime, or use as prescribed.

NOTE: To minimize medicinal taste, do not rinse with water immediately after use.

To open, press tab down while turning cap.

WHAT TO EXPECTWHEN USING CHG ORAL RINSEYour dentist has prescribed CHG Oral Rinse to treat your gingivitis, to help reduce the redness, and swelling of yourgums, and also to help you control any gum bleeding. Use CHG Oral Rinse regularly, as directed by your dentist, inaddition to daily brushing. Spit out after use. CHG Oral Rinse should not be swallowed.

CHG Oral Rinse may cause some tooth discoloration, or increase intartar (calculus) formation, particularly in areas where stain and tartar usually form. It is important to see your dentistfor removal of any stain or tartar at least every six months or more frequently if your dentist advises.

• Both stain and tartar can be removed by your dentist or hygienist. CHG Oral Rinse may cause permanentdiscoloration of some front-tooth fillings.

• To minimize discoloration, you should brush and floss daily, emphasizing areas which begin to discolor.

• Local hypersensitivity and sometimes generalized allergic reactions have also been reported. CHG Oral Rinseshould not be used by persons who have a sensitivity to it or its components.

• CHG Oral Rinse may taste bitter to some patients and can affecthow foods and beverages taste. This will become less noticeable in most cases with continued use of CHG OralRinse.

• To avoid taste interference, rinse with CHG Oral Rinse after meals.

Do not rinse with water or other mouthwashes immediately after rinsing with CHG Oral Rinse.

If you have any questions or comments about CHG Oral Rinse, contact your dentist or pharmacist.

STORE ABOVE FREEZING (32°F or 0°C)

Manufactured for: Sage Products, Inc. Cary, IL 60013

1-800-323-2220

Revised March, 2008

tongue. Not all patients will experience a visually significant increase in tooth staining. In clinical testing, 56% of CHGOral Rinse users exhibited a measurable increase in facial anterior stain, compared to 35% of control users after sixmonths; 15% of CHG Oral Rinse users developed what was judged to be heavy stain, compared to 1% of controlusers after six months. Stain will be more pronounced in patients who have heavier accumulations of unremovedplaque. Stain resulting from use of CHGOral Rinse does not adversely affect health of the gingivae or other oral tissues.Stain can be removed from most tooth surfaces by conventional professional prophylactic techniques.Additional timemay be required to complete the prophylaxis. Discretion should be used when prescribing to patients with anteriorfacial restorations with rough surfaces or margins. If natural stain cannot be removed from these surfaces by a dentalprophylaxis, patients should be excluded from CHG Oral Rinse treatment if permanent discoloration is unacceptable.Stain in these areas may be difficult to remove by dental prophylaxis and on rare occasions may necessitatereplacement of these restorations.3. Some patients may experience an alteration in taste perception while undergoing treatment with CHG Oral Rinse.Rare instances of permanent taste alteration following CHG Oral Rinse use have been reported via post-marketingproduct surveillance.

PREGNANCY:TERATOGENIC EFFECTS Pregnancy Category B. Reproduction studies have been performed in rats andrabbits at chlorhexidine gluconate doses up to 300mg/kg/day and 40mg/kg/day respectively, and have not revealedevidence of harm to fetus. However, adequate and well-controlled studies in pregnant women have not been done.Because animal reproduction studies are not always predictive of human response, this drug should be used duringpregnancy only if clearly needed.

NURSINGMOTHERS: It is not known whether this drug is excreted in human milk. Because many drugs are excretedin human milk, caution should be exercised when CHG Oral Rinse is administered to nursing women.

In parturition and lactation studies with rats, no evidence of impaired parturition or of toxic effects to suckling pupswas observed when chlorhexidine gluconate was administered to dams at doses that were over 100 times greaterthan that which would result from a person’s ingesting 30ml of CHG Oral Rinse per day.

PEDIATRIC USE: Clinical effectiveness and safety of CHG Oral Rinse have not been established in children under theage of 18.

CARCINOGENESIS,MUTAGENESIS,AND IMPAIRMENT OF FERTILITY: In a drinking water study in rats, carcinogeniceffects were not observed at doses up to 38mg/kg/day. Mutagenic effects were not observed in two mammalian invivo mutagenesis studies with chlorhexidine gluconate.The highest doses of chlorhexidine used in a mouse dominant-lethal assay and a hamster cytogenetics test were 1000mg/kg/day and 250mg/kg/day, respectively. No evidence ofimpaired fertility was observed in rats at doses up to 100mg/kg/day.

ADVERSE REACTIONS: The most common side effects associated with chlorhexidine gluconate oral rinses are: 1) anincrease in staining of teeth and other oral surfaces; 2) an increase in calculus formation; and 3) an alteration in tasteperception; see WARNINGS and PRECAUTIONS. Oral irritation and local allergy-type symptoms have beenspontaneously reported as side effects associatedwith use of chlorhexidine gluconate rinse.The following oral mucosalside effects were reported during placebo-controlled adult clinical trials: aphthous ulcer, grossly obvious gingivitis,trauma, ulceration, erythema, desquamation, coated tongue, keratinization, geographic tongue, mucocele, and shortfrenum. Each occurred at a frequency of less than 1.0%.

Among post marketing reports, the most frequently reported oral mucosal symptoms associated with CHG Oral Rinseare stomatitis, gingivitis, glossitis, ulcer, dry mouth, hypesthesia, glossal edema, and paresthesia.

Minor irritation and superficial desquamation of the oral mucosa have been noted in patients using CHG Oral Rinse.There have been cases of parotid gland swelling and inflammation of the salivary glands (sialadenitis) reported inpatients using CHG Oral Rinse.

DESCRIPTION: CHG is an oral rinse containing 0.12% chlorhexidine gluconate (1,11-hexamethylene bis[5-(p-chlorophenyl) biguanide] di-D-gluconate) in a base containing water, 11.6% alcohol, glycerin, PEG-40 sorbitandiisostearate, flavor, sodium saccharin, and FD&C Blue No.1. Chlorhexidine gluconate is a near-neutral solution (pHrange 5-7). Chlorhexidine gluconate is a salt of chlorhexidine and gluconic acid. Its chemical structure is:

CLINICAL PHARMACOLOGY: CHG Oral Rinse provides antimicrobial activity during oral rinsing. The clinicalsignificance of CHG Oral Rinse’s antimicrobial activities is not clear. Microbiological sampling of plaque has shown ageneral reduction of counts of certain assayed bacteria, both aerobic and anaerobic, ranging from 54-97% throughsix months use.

Use of CHG Oral Rinse in a six month clinical study did not result in any significant changes in bacterial resistance,overgrowth of potentially opportunistic organisms or other adverse changes in the oral microbial ecosystem. Threemonths after CHG Oral Rinse use was discontinued, the number of bacteria in plaque had returned to baseline levelsand resistance of plaque bacteria to chlorhexidine gluconate was equal to that at baseline.

PHARMACOKINETICS: Pharmacokinetic studies with CHG Oral Rinse indicate approximately 30% of the activeingredient, chlorhexidine gluconate, is retained in the oral cavity following rinsing.This retained drug is slowly releasedin the oral fluids.

Studies conducted on human subjects and animals demonstrate chlorhexidine gluconate is poorly absorbed from thegastrointestinal tract. The mean plasma level of chlorhexidine gluconate reached a peak of 0.206 µg/g in humans 30minutes after they ingested a 300mg dose of the drug. Detectable levels of chlorhexidine gluconate were not presentin the plasma of these subjects 12 hours after the compound was administered. Excretion of chlorhexidine gluconateoccurred primarily through the feces (~90%). Less than 1% of the chlorhexidine gluconate ingested by these subjectswas excreted in the urine.

INDICATION: CHG Oral Rinse is indicated for use between dental visits as part of a professional program for thetreatment of gingivitis as characterized by redness and swelling of the gingivae, including gingival bleeding uponprobing. CHG Oral Rinse has not been tested among patients with acute necrotizing ulcerative gingivitis (ANUG). Forpatients having coexisting gingivitis and periodontitis, see PRECAUTIONS.

CONTRAINDICATIONS: CHG Oral Rinse should not be used by persons who are known to be hypersensitive tochlorhexidine gluconate or other formula ingredients.

WARNINGS: The effect of CHG Oral Rinse on periodontitis has not been determined. An increase in supragingivalcalculus was noted in clinical testing in CHG Oral Rinse users compared with control users. It is not known if CHG OralRinse use results in an increase in subgingival calculus. Calculus deposits should be removed by a dental prophylaxisat intervals not greater than six months. Hypersensitivity and generalized allergic reactions have occurred. SEECONTRAINDICATIONS.

PRECAUTIONS:GENERAL:1. For patients having coexisting gingivitis and periodontitis, the presence or absence of gingival inflammationfollowing treatment with CHG Oral Rinse should not be used as a major indicator of underlying periodontitis.2. CHG Oral Rinse can cause staining of oral surfaces, such as tooth surfaces, restorations, and the dorsum of the

CHLORHEXIDINE GLUCONATE (0.12%)ORAL RINSE

INGREDIENTS: 0.12% chlorhexidine gluconate in a base containing water, 11.6% alcohol, glycerin, PEG-40sorbitan diisostearate, flavor, sodium saccharin, and FD&C Blue No.1.

CAUTION: FEDERAL LAW PROHIBITS DISPENSINGWITHOUT PRESCRIPTION.

KEEP OUT OF REACH OF CHILDREN

10800-323-2220

24-HOUR SUCTION SYSTEMSQCare® with Thumb Port ToolsFor patients who cannot expectorate and cannotperform their own oral care

Q•Care Oral Cleansing and Suctioning Systems

make it easy for you to provide comprehensive

24-hour oral care while facilitating compliance to

your oral care protocol. Each system contains

superior components and cleansing solutions.

� Easy-to-use, sequential q2° or q4°packaging lays out each step.

� Minimal setup – less timeopening packaging and moretime for oral care.

� One-piece tools attach directly tosuction lines for quicker oral care.

� Oral Check™ barcode on selectsystems allows scanning of eachproduct package, documentingeach step and further enhancingprotocol compliance.

� Petite size system available(view description on next page).


Length of Stay (LOS) YankauerHolder provides easy access.

Thumb port provides easysuction control.

Space-saving Bedside Bracket helpsincrease compliance to protocol.

q2° ORAL CLEANSING AND SUCTIONING SYSTEM WITH THUMB PORT TOOLS 10 systems/case Reorder #6402(Cleansing and suctioning tools connect directly to standard suction lines)

1 CoveredYankauer with Y-Connector2 Packages of 1 Suction Toothbrush with sodium bicarbonate,Antiplaque Solution, Mouth Moisturizer, and Applicator Swab4 Packages of 1 Suction Swab with sodium bicarbonate,Antiseptic Oral Rinse, Mouth Moisturizer, and Applicator Swab6 Packages of 1 Suction Swab with sodium bicarbonate,Alcohol-Free Mouthwash, Mouth Moisturizer, and Applicator Swab

OROPHARYNGEAL SUCTION CATHETER WITH THUMB PORT(Connects directly to standard suction lines)

1 Oropharyngeal Suction Catheter

100 packages/case Reorder #6435

COVERED YANKAUER(Connects directly to standard suction lines)

1 Covered Yankauer

40 packages/case Reorder #6429


1 CoveredYankauer with Y-Connector2 Packages of 1 Suction Toothbrush with sodium bicarbonate,Antiplaque Solution, Mouth Moisturizer, and Applicator Swab4 Packages of 1 Suction Swab with sodium bicarbonate,Antiseptic Oral Rinse, Mouth Moisturizer, and Applicator Swab6 Packages of 1 Suction Swab with sodium bicarbonate,Alcohol-Free Mouthwash, Mouth Moisturizer, and Applicator Swab4 Packages of 1 Oropharyngeal Suction Catheter


1 CoveredYankauer with Y-Connector2 Packages of 1 Suction Toothbrush with sodium bicarbonate,Antiplaque Solution, Mouth Moisturizer, and Applicator Swab4 Packages of 1 Suction Swab with sodium bicarbonate,Antiseptic Oral Rinse, Mouth Moisturizer, and Applicator Swab2 Packages of 1 Oropharyngeal Suction Catheter


1 CoveredYankauer with Y-Connector2 Packages of 1 Suction Toothbrush with sodium bicarbonate,Antiplaque Solution, Mouth Moisturizer, and Applicator Swab4 Packages of 1 Suction Swab with sodium bicarbonate, Perox-A-Mint® Solution, Mouth Moisturizer and Applicator Swab2 Packages of 1 Oropharyngeal Suction Catheter

BEDSIDE BRACKETBracket with Removable Adhesive Strip

for wall-mounting near the bedside

25 brackets/case Reorder #6697

PRODUCT DETAILS:

SYSTEMS:

LENGTH OF STAY (LOS) YANKAUER HOLDERBracket with Removable Adhesive Strip

for mounting near the bedside

4 bags of 25 100/case Reorder #6696

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ORAL CLEANSING AND SUCTIONING SYSTEM 15 systems/case Reorder #6704(Cleansing and suctioning tools connect to Suction Handle)

1 Y-Connector, Suction Handle and CoveredYankauer (Standard Size)2 Packages of 1 Suction Toothbrush with sodium bicarbonate,Antiseptic Oral Rinse, Mouth Moisturizer and Applicator Swab4 Packages of 2 Suction Swabs with sodium bicarbonate,Antiseptic Oral Rinse, Mouth Moisturizer and Applicator Swab2 Packages of 1 Oropharyngeal Suction Catheter - 8FR

12800-323-2220

petite size

standard size


1 CoveredYankauer with Y-Connector2 Packages of 1 Suction Toothbrush with sodium bicarbonate,Antiplaque Solution, Mouth Moisturizer, and Applicator Swab6 Packages of 1 Suction Swab with Alcohol-Free Mouthwash, Mouth Moisturizer, and Applicator Swab4 Packages of 1 Suction Swab with Perox-A-Mint® Solution, Mouth Moisturizer, and Applicator Swab4 Packages of 1 Oropharyngeal Suction Catheter

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .PETITE SIZE

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SUCTION SYSTEMSAddress hospital-acquired pneumonia (HAP)risk for non-ventilated patients

Non-ventilated patients with conditions including

dysphagia, stroke, COPD, malignancy and many

more are at risk for aspiration pneumonia.1,2

HAP consequences3

� 18.8% mortality rate

� Mean length of stay: 15.2 days

� Mean hospital charges: $65,292

REFERENCES: 1. Marik PE, N Eng J Med. 2001;344(9):665-71. 2. Kozlow JH, et al., Crit Care Med. 2003;31(7): 1930-7. 3. Kollef MH, et al., Chest. 2005;128(6): 3854-62.

Our comprehensive 24-hour suction cleansing and

suctioning systems, and our other suction systems

and products easily connect to standard suction

lines and help remove plaque, debris and oral

secretions. User-friendly thumb port tools provide

easy suction control, quick tool changes and connect

to standard suction lines.

“Any condition that increases the volume of

bacterial burden of oropharyngeal secretions in a

person with impaired defense mechanisms may

lead to aspiration pneumonia.”1


PRODUCT DETAILS:

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SUCTION SWAB SYSTEM WITH PEROX-A-MINT® SOLUTION 50 systems/case Reorder #6550(Cleansing and suctioning tools connect directly to standard suction lines)

6 Packages of 2 Suction Swabs with sodium bicarbonate and Perox-A-Mint® Solution1 .5 oz. Tube of Mouth Moisturizer10 Applicator Swabs

SUCTION SWAB AND SUCTION TOOTHBRUSH SYSTEM WITH PEROX-A-MINT® SOLUTION 25 systems/case Reorder #6552(Cleansing and suctioning tools connect directly to standard suction lines)

6 Packages of 2 Suction Swabs with sodium bicarbonate and Perox-A-Mint® Solution1 .5 oz. Tube of Mouth Moisturizer10 Applicator Swabs2 Packages of 1 Suction Toothbrush with sodium bicarbonate and Perox-A-Mint® Solution


1 CoveredYankauer with Y-Connector2 Packages of 1 Suction Toothbrush with sodium bicarbonate,Antiplaque Solution, Mouth Moisturizer, and Applicator Swab4 Packages of 1 Suction Swab with sodium bicarbonate,Antiseptic Oral Rinse, Mouth Moisturizer, and Applicator Swab


1 CoveredYankauer with Y-Connector2 Packages of 1 Suction Toothbrush with sodium bicarbonate,Antiplaque Solution, Mouth Moisturizer, and Applicator Swab4 Packages of 1 Suction Swab with sodium bicarbonate, Perox-A-Mint® Solution, Mouth Moisturizer, and Applicator Swab

SYSTEMS:

SINGLE USE SUCTION TOOTHBRUSHSYSTEM WITH PEROX-A-MINT® SOLUTION(Cleansing and suctioning tools connect directly to standard

suction lines)

1 Suction Toothbrush with sodium bicarbonate and Perox-A-Mint® Solution,Mouth Moisturizer andApplicator Swab

SINGLE USE SUCTION TOOTHBRUSH SYSTEM WITHCHOICE OF CLEANSING SOLUTION(Cleansing and suctioning tools connect directly to standard

suction lines)

2 Suction Toothbrushes with sodium bicarbonate andCleansing Solution

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .SINGLE USE SUCTION SWAB SYSTEM WITHCHOICE OF CLEANSING SOLUTION(Cleansing and suctioning tools connect directly to standardsuction lines)

2 Suction Swabs with sodium bicarbonate, Cleansing Solutionand Mouth Moisturizer

UNTREATED SUCTION TOOTHBRUSH,SUCTION SWAB AND APPLICATOR SWAB

Compatible for use with 0.12% Chlorhexidine Gluconate(CHG) Oral Rinse*(Cleansing and suctioning tools connect directly to standardsuction lines)

1 Suction Toothbrush, Suction Swab and Applicator Swab

* Tested for use up to five minutes.

100 systems/case Reorder #6576

100 systems/case Reorder #6512with Perox-A-Mint® Solutionwithout Mouth Moisturizer

100 systems/case Reorder #6115withAntiseptic Oral Rinse

100 systems/case Reorder #6513with Perox-A-Mint® Solution

100 systems/case Reorder #6572

100 systems/case Reorder #6571without Mouth Moisturizer andApplicator Swab

100 systems/case Reorder #6173withAntiseptic Oral Rinse and Mouth Moisturizer

100 systems/case Reorder #6570with Perox-A-Mint® Solution

14800-323-2220

NON-SUCTION SYSTEMSProducts and tools for patients in units includingMed/Surg and Oncology

Toothette® Oral Care non-suction systems

are available in single use, short-term and

extended-term configurations. Perfect for

patients who may or may not be able to

perform their own oral care.

Now available – Toothette® Advanced OralMoisturizer Spray

� Unique spray conveniently and naturally hydrates,lubricates, attracts and seals in moisture withHyaluronic Acid. This naturally-occurring substanceis found in saliva and is known for its ability to bindand retain water.

� A wide mist coats the entire oral cavity so there’sno need for an oral applicator swab.

� Comes in three great tasting flavors – Spearmint,Mandarin Orange and Cinnamon.

ADVANCED ORALMOISTURIZER SPRAY

SPEARMINT

.93 fl. oz./27.5ml

30 bottles/caseReorder #5210


CINNAMON

.93 fl. oz./27.5ml



MANDARIN ORANGE

.93 fl. oz./27.5ml



VARIETY PACK10 of each flavor

.93 fl. oz./27.5ml


PRODUCT DETAILS:


EXTENDED-TERM SWAB SYSTEM WITH PEROX-A-MINT® SOLUTION 25 systems/case Reorder #6055

20 Swabs with sodium bicarbonate1 Ultra-Soft Toothbrush1 1 oz. Tube of Sodium Bicarbonate Mouthpaste1 8 oz. Bottle of Perox-A-Mint® Solution1 .5 oz. Tube of Mouth Moisturizer

PRODUCT DETAILS:

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SINGLE USE SWAB SYSTEM WITH PEROX-A-MINT® SOLUTION

2 Swabs with sodium bicarbonate, Perox-A-Mint® Solution

SINGLE USE SWAB SYSTEM WITH ANTISEPTIC ORAL RINSE 100 systems/case Reorder #6113

2 Swabs with sodium bicarbonate,Antiseptic Oral Rinse and Mouth Moisturizer

SHORT-TERM SWAB SYSTEM WITH PEROX-A-MINT® SOLUTION 50 systems/case Reorder #6000

20 Swabs with sodium bicarbonate1 1.5 oz. Bottle of Perox-A-Mint® Solution1 .5 oz. Tube of Mouth Moisturizer

SHORT-TERM SWAB SYSTEM WITH ANTISEPTIC ORAL RINSE 50 systems/case Reorder #6100

20 Swabs with sodium bicarbonate1 1.5 oz. Bottle of Antiseptic Oral Rinse1 .5 oz. Tube of Mouth Moisturizer

DAILY ORAL CLEANSING SYSTEM WITH ANTISEPTIC ORAL RINSE 50 systems/case Reorder #6006

10 Petite Size Untreated Swabs1 1.5 oz. Bottle of Antiseptic Oral Rinse1 .5 oz. Tube of Mouth Moisturizer

SHORT-TERM SWAB SYSTEM WITH PEROX-A-MINT® SOLUTION 50 systems/case Reorder #6001

20 Swabs with sodium bicarbonate1 Ultra-Soft Toothbrush1 .33 oz Tube of Sodium Bicarbonate Mouthpaste1 1.5 oz. of Perox-A-Mint® Solution1 .5 oz. Tube of Mouth Moisturizer

100 systems/case Reorder #6012without Mouth Moisturizer

100 systems/case Reorder #6013with Mouth Moisturizer

16800-323-2220

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petite size

standard size

PETITE SIZE

COMPONENTS

Our quality components allow you to tailor oral

hygiene to meet the exact needs of your patients.

Components come in multiple packaging

configurations, and include multiple swabs,

cleansing solutions and Mouth Moisturizer.

� Treated or untreated swabs contain soft foamheads to gently clean the teeth and oral cavity.

� Refreshing, great tasting cleansing solutions includePerox-A-Mint® Solution and Antiseptic Oral Rinse.

� Our Mouth Moisturizer soothes and moisturizes lips andoral tissue with vitamin E and coconut oil.


PRODUCT DETAILS:

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TOOTHETTE® PLUS SWABS UNTREATED IndividuallyWrapped 800/case Reorder #607050 bags of 20 1000/case Reorder #6071100 bags of 10 1000/case Reorder #6072

TOOTHETTE® PLUS SWABS WITH SODIUM BICARBONATE IndividuallyWrapped 800/case Reorder #607550 bags of 20 1000/case Reorder #6076100 bags of 10 1000/case Reorder #6077

TOOTHETTE® SWABS WITH DENTIFRICE 50 bags of 20 1000/case Reorder #5601100 bags of 10 1000/case Reorder #5603

TOOTHETTE® SWABS WITH DENTIFRICE IndividuallyWrapped with inner carton 1000/case Reorder #5602Bulk Packed 1000/case Reorder #5699

TOOTHETTE® SWABS UNTREATED IndividuallyWrapped 1000/case Reorder #5602UT

PEROX-A-MINT® SOLUTION1.5% hydrogen peroxide

8 oz. Bottle12/case Reorder #6060

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1.5 oz. Bottle100/case Reorder #6065

ANTISEPTIC ORAL RINSE0.05% cetylpyridinium chloride solution

1.5 oz. Bottle100/case Reorder #6122

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

MOUTH MOISTURIZER.5 oz. Tube144/case Reorder #6083

SODIUM BICARBONATE MOUTHPASTE.33 oz. Tube144/case Reorder #6080

ULTRA-SOFT TOOTHBRUSHIndividually Wrapped72/case Reorder #6082

ADULT BITE BLOCKIndividually Wrapped144/case Reorder #4000

18800-323-2220

TOOTHETTE® PLUS SWABS UNTREATED 800 packages/case Reorder #6005

800 Petite Size Untreated Swabs

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

TOOTHETTE® PLUS SWABS WITH ALCOHOL-FREE MOUTHWASH 100 systems/case Reorder #6120

2 Premoistened Swabs

PETITE SIZE

Oral Hygiene Product Catalog

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