BYE,BYE BIOFILM! - PowerPoint Presentation

BYE,BYE BIOFILM!
BYE,BYE BIOFILM!

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MAINE DENTAL HYGIENISTS ASSOCIATION Senator Hotel and Spa April 8 2016 Augusta Maine   Understand the role biofilm plays in dental disease   Connect the role of air polishing to successful biofilm ID: 512612 Download Presentation

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min biofilm subgingival removal biofilm min removal subgingival polishing air ultrasonic instrumentation hand amp glycine powder class effective 2016

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Slide1

BYE,BYE BIOFILM!

MAINE DENTAL HYGIENISTS’ ASSOCIATION

Senator Hotel and Spa April 8, 2016

Augusta, MaineSlide2

 

Understand the role biofilm plays in dental disease 

Connect the role of air polishing to successful biofilm

managementDifferentiate between supragingival and subgingival biofilm removal technology

Review of power scaler instrumentation for hard deposit removalWater and plume control via high speed evacuation techniquesDiscover the “return on investment” potential for your practice

ObjectivesSlide3

CURRENT: ANTI-INFECTIVE AND BOOST HOST IMMUNITY

Periodontal debridement/biofilm removal

Goal: tissue response

, removal of all irritants

Hand instruments, micro-ultrasonics, chemicals/ medicaments, AirFlowTherapySlide4

6mm pocket for bacteria put in human terms Slide5

A FULL MOUTH PERIODONTAL INFECTION…..

Compares in size to an open wound covering the entire palm of your hand………

Jill

Rethman

RDH BA ACCESS 3-2016Slide6

AIR POLISHING – AN EVOLVING THERAPY

Traditional Approach - Esthetic

Stain removal

Supragingival useNew Approach – Therapeutic

Biofilm removal Supra and Subgingival use Perio and Implant MaintenanceSlide7

Effective

– Efficient – Safe

Product

Effective

EfficientSafe

Prophy Paste Coarse

Medium Prophy Paste

Fine

Prophy Paste

Sodium Bicarbonate

Air

polishGlycineAir polish

Unless followed by med, then fine

Unless followed by fine

Enamel only

f

ollowed by glycineSlide8

BIOFILM

Clinical studies show Air Flow Therapy is as effective as ultrasonic instrumentation in pocket resolution

Air Flow Therapy takes less time to be effective

More effective than hand instrumentationSlide9

After 1 minute 15 seconds

After 35 secondsSlide10

Grain size relates to comfort

NaHCO3 ~65 µm

Jagged particles

CaCO3 ~45 µmRounded particlesGlycine ~25 µm

Powder Selection

Kosher Salt

CornstarchSlide11

#21-795 Autoclavable

Widemouth Adaptors

$12/25

Vented HVE tips

#21-75

~~~~~~~~~~~~~~

3” vented HVE tips

Young Vento-VacSlide12

Mohs Hardness

Powder

Mohs Hardness

Particle Size

Glycine

< 2

~ 20-25

µm

Sodium

Bicarbonate

2.5

~ 40-120

µm

Calcium Bicarbonate (Pearls)

3

~ 55

µm

Aluminum

Trihydroxide (Jet Fresh)

3.5 – 4

~ 80-325

µm

Calcium

Sodium Phosphosilicate (Sylc)

4.8 – 6

~ 50

µm

Pumice

6 – 7

~ 81-120

µm

Structure

Mohs Hardness

Enamel

4 – 5

Dentin

3 – 4

Cementum

2 – 4 Slide13

Subgingival glycine-based air polishing is safe for the oral

environmentEqual subgingival biofilm removal to

ultrasonics

Considerably faster subgingival biofilm removal than curettes & ultrasonicsCan be more comfortable than hand & ultrasonic instrumentation

Summary of Clinical Evidence Slide14

Application

based on Power Dispersion

#3 Front and Back SurfacesSlide15

Tip Geometry

PL3

A

PS

1000

100Slide16

SCALING IMPLANTS

Damage from scratching studies done in vitro not in vivo-inconclusive

“No existing evidence that scratched abutments lead to increased inflammation or aggravate peri-implantitis. Removing as much biofilm and calculus as possible to decrease perio bone loss is more important than scratching a surface.”

Dr. Timothy Hempton Former Director of Post-Grad Periodontology at Tufts University 2016Slide17

3 CATEGORIES OF MAINTENANCE

Class I-no access to titanium abutment

Class II-exposure of titanium abutment

Class III-exposure of the implant itselfSlide18

Would you love to have 10-12 extra minutes per patient?Slide19

Traditional

Hygiene Appointment for

Biofilm Management (Prophylaxis/PM)

Screening/Data

CollectionCommunication/Treatment Enrollment

Biofilm/Calculus Removal with Hand and

Ultrasonic

Instruments

33 min.Rubber Cup Polishing 5 min.

ExaminationHand Off & Disinfect Room

60 min.

38 minSlide20

Biofilm Management With Glycine Powder Air Polishing (Prophylaxis / PM)

Screening/Data

Collection

Communication/Treatment

Enrollment

Coronal

and Subgingival Biofilm Removal w/ Air Polishing Using a Low Abrasive Powder

10 min.

Calculus/Stain

Removal with Hand and Ultrasonic Instruments 16 min.Examination

Hand Off & Disinfect Room60 min.

-12 minSlide21

Typical Hygiene Supply BudgetSlide22

QUESTIONS

?

njmillerdh@aol.com

© 2015 Hu-Friedy Mfg. Co., L.L.C. All rights reserved.

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