Dentaltown April 2018 - 90

stumble; they need to be trained in home care technique, and
that training often needs to be checked and retaught. But
even with the best technique, it's often not the patient's fault.
Toothbrushes, rinses and floss often don't get deep enough
into the periodontal pocket where bacteria proliferate. This
is a biofilm problem.

Beating biofilm
The human mouth is the perfect environment for biofilm
growth-it's moist and warm, with an ample food supply
and various concentrations of oxygen. In one study, biofilm
colonized sterile carriers placed into 5-6mm pockets within
48 hours.4 The potential to form colonies is clearly strong in
this environment.
The regular removal of biofilms from periodontal pockets
via periodontal therapy is a benefit to treatment of this chronic
disease, but the communities often just repopulate. This is why
mechanical intervention has temporary benefits and dental
professionals want adjunctive treatment options to supplement
the mechanical removal.5
Chlorine-based products and peroxides have potential to
help. Unlike antibiotics, they cut through the slime matrix
that covers and protects bacterial communities. And unlike
antibiotics, bacteria are not known to develop resistances to
these antimicrobials.
* Chlorhexidine disrupts bacterial cell walls and is widely
used to treat gingivitis and as an antimicrobial irrigant. Its
long-term uses in home care have been limited by staining.
* Clorastan, a stabilized chlorine dioxide and SnF2 , is
used to treat dental-unit water lines and remove biofilm; it is

FREE FACTS, circle 22 on card

dentaltown.com \\ APRIL 2018

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Table of Contents for the Digital Edition of Dentaltown April 2018

Dentaltown April 2018 - Intro
Dentaltown April 2018 - Cover1
Dentaltown April 2018 - Cover2
Dentaltown April 2018 - 1
Dentaltown April 2018 - 2
Dentaltown April 2018 - 3
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Dentaltown April 2018 - Cover3
Dentaltown April 2018 - Cover4
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http://www.nxtbook.com/farran/dentaltown/2012december
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