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.

APRIL 2018 // dentaltown.com

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8

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