Dentaltown April 2018 - 93

Fig. 3a

Figs. 3a-c: Images taken two months after
scaling and prescription trays started. Rx trays
are used daily to manage biofilm.
Fig. 4a: Healthier tissue ready to support
an implant.
Fig. 4b: Shade matching.

Fig. 3b

Fig. 3c

Fig. 4a

Fig. 4b

loads by managing the microenvironment
of the periodontal pocket helps address the
bacterial causes, deep in periodontal pockets.
This helps solve a problem in treatment that
clinicians and patients have faced for decades.
The solution is an old and affordable drug.
It just has a new and comfortable delivery
that is easy for patients to use.
Case courtesy of Dr. James W.W. McCreight and Jessica
Berthelson, RDH, from McCreight Progressive Dentistry,
Steamboat Springs, Colorado

Endnotes
1
Schaudinn et al. Periodontitis: An Archetypical Biofilm Disease.
Jour Am Dent Asso. 2009; 140(8):978-86. Sauer K, Thatcher
E. et al. Neutral super-oxidised solutions are effective in killing
P. aeruginosa biofilms. Biofouling 2009;25(1):45-54.
2
Fluent et al Considerations for responsible antibiotic use in
dentistry. Jour Am Dent Asso. 147;8:683 - 686. Dental antibiotic prescribing rates are likely underestimated. Stewardship
programs should address dental prescribing and alert dentists
to CDI subsequent to antibiotics prescribed for dental procedures. Maria Bye, Tory Whitten, Stacy Holzbauer; Antibiotic
Prescribing for Dental Procedures in Community-Associated Clostridium difficile cases, Minnesota, 2009-2015, Open
Forum Infectious Diseases, Volume 4, Issue suppl_1, 1 October
2017, Pages S1, https://doi.org/10.1093/ofid/ofx162.001.
3
Eke PI, Dye B, Wei L, Thornton-Evans G, Genco R. Prevalence of Periodontitis in Adults in the United States: 2009 and
2010. J Dent Res. Published online 30 August 2012:1-7.
4
SEM Results of Periopathogenic Control with the Perio Protect
Method, Keller et al. J Dent Res 86(A): 1186, 2007. Poster
presentation at IADR/AADR/CADR (March 21-24, 2007),
New Orleans.
5
A flowcell for the study of plaque removal and regrowth. Palmer RJ and Caldwell DE. J Micro Methods 1995;24(2):171-82.
Smiley et al. Evidence-based clinical practice guideline on the
nonsurgical treatment of chronic periodontitis by means of
scaling and root planing with our without adjuncts. JADA.
2015(146)7:525-35.

92

APRIL 2018 // dentaltown.com

6

7
8

9

10

11

12
13

Van Dyke, T. Infl ammation and Periodontal Diseases: A
Reappraisal. J Periodontol. 2008 Aug;79(8s):1501-02.
Watamoto T. et al. Clinical evaluation of chlorine
dioxide for disinfection of dental instruments. Int J
Prosthodont. 2013 Nov-Dec;26(6):541-4.
Sellers K and DiGangi P. Matching rinses to
individuals. RDH 2014 March;34(3).
Marshall MV, Cancro LP, Fischman
SL. Hydrogen peroxide: a review of its
use in dentistry. J Periodontol. 1995
Sep;66(9):786-96.
Keller DC and Buechel M. Direct medication delivery modifi es the periodontal
biofi lm. Oral Biol Dent. 2017; 5:1. http://
dx.doi.org/10.7243/2053-5775-5-1.
Putt M, Mallatt M, Messmann L, and
Proskin H. A 6-month clinical investigation of
custom tray application of peroxide gel with or
without doxycycline as adjuncts to scaling and root
planning for treatment of periodontitis. Am J Dent.
2014;27:273-284. Putt M and Proskin H. Custom
Tray Application of Peroxide Gel as an Adjunct to
Scaling and Root Planing in the Treatment of Periodontitis:
Results of a Randomized, Controlled Trial after 6 months. J
Clin Dent. 2013;24:100-107. Putt M and Proskin H. Custom
Tray Application of Peroxide Gel as an adjunct to Scaling and
Root Planing in the Treatment of Periodontitis: A Randomized, Controlled Three-Month Clinical Trial. J Clin Dent.
2012;23(2):48-56.
Cochrane RB and Sindelar B. Case Series Report of 66
Refractory Maintenance Patients Evaluating the Eff ectiveness
of Topical Oxidizing Agents. The Journal of Clinical Dentistry
2015;26:109-114.
Dunlap T. Prescribing Hydrogen Peroxide in the Treatment of
Periodontal Disease. Oral Health 2016;Dec:64-68.
Keller and Buechel. Dunlap T, Keller D, Marshall M,
Costerton J, Schaudinn C, Sindelar B, and Cotton J.
Subgingival Delivery of Oral Debriding Agents: A Proof
of Concept. Th e Journal of Clinical Dentistry. 2011
Nov;XXII(5):149-158. Marx, RE, Johnson RP. Problem
wounds in oral and maxillofacial surgery: Th e role of hyperbaric oxygen. In: Davis JC, Hunt TK, editors. Problem
Wounds - the role of oxygen. New York: Elsevier, 1988;
65-123. Knighton DR, Halliday B, Hunt TK. Oxygen as
an antibiotic. Th e eff ect of inspired oxygen on infection.
Arch Surg 1984; 119(2): 199-204.


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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
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