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cultivated from healthy people. No foods contain these strains. They do not come from the lower intestinal tract. The mission of these strains is to create an oral ecology that favors health. The bacteria in the ProBiora3 are Streptococcus oralis KJ3™, Strepto- coccus uberis KJ2™ and Streptococcus rattus JH145™. The strep genuses are the usual ini- tiators of the biofilm. If the strep are mutans, or sobrinus, for instance, any amount of sugar will start the produc- tion of acid and slime. By crowding out that bunch with bacteria that don’t exhibit those attributes, the plaque biofilm grows much slower above and below the gingival crest. The probiotic blend manages the biofilm. Oral probiotics, such as ProBiora3, are freeze-dried. The process is to freeze the bacteria then quickly move from the solid or ice stage to the vapor stage by sublimation. So by applying pressure to the frozen product, the liquid vaporizes. In the case of probiotics the water is vapor- ized out of the bacteria, leaving the entire bacteria intact. Their size also allows them to reanimate in the pres- ence of moisture, such as saliva. Probiotics for children are the easiest way to start a person on the way to oral health. The child between the ages of 3 to 10 years, once a day simply dissolves the lozenge of compressed freeze- dried ProBiora3 in their mouth. There are fewer bacteria in the lozenge dosed for children. The adult tablet is dis- solved in the mouth twice a day until the acclamation phase of 10 days pass; then once a day is all that’s needed to maintain the new ecology. The Evora- Pro and Heraeus Kulzer Venus tablets for adults are intended to be dispensed by the dental office and there are suffi- cient numbers in the bottle to offer the patient 90 days of coverage. Because probiotics are so well re- ceived by the general public, it makes sense to start offering them from the office. Patients who are trying every- thing to manage their oral health and not succeeding are the best candidates to start with. Contraindications Because probiotics are live bacteria, there is only one type of patient that will present to you who will not be a candidate for any probiotics: a patient who is immunocompromised, such as a person undergoing chemotherapy or presenting with HIV AIDS. There are other conditions that drive down the immune system, and pa- tients with such conditions also are not good candidates. Xylitol products are a better option for patients with compro- mised immune systems who need oral biofilm management. When looking at labels of probiotic mints, learn to be discerning. What sweetener is used? What type of fla- voring agent is used? Where are the of- fered bacteria from? How is it admin- istered? Certainly, swallowing a tablet won’t do as much for the oral ecology as letting it dissolve in the mouth. With medications altering the hu- man physiology, and environmental and dietary stresses also contributing to oral changes, the time is right for oral probiotics to support oral health. ˙ References 1. Am J Clin Nutr 2000;71. 2. www.customprobiotics.com/yogurt_start er.htm Accessed March 14, 2012. 3. www.oragenics.com/?q=probiotics Accessed March 14, 2012. Keystone Industries Gelato ProphylaxisPaste gently removes stains When considering probiotics, be discerning. Study labels for the type of sweetners added, form of bacteria used and if the tablets are swallowed or dissolved in the mouth. INDUSTRY NEWS Hygiene Tribune U.S. Edition | November 2012D2 Publisher & Chairman Torsten Oemus t.oemus@dental-tribune.com Chief OPerating OffiCer Eric Seid e.seid@dental-tribune.com grOuP editOr & designer Robin Goodman r.goodman@dental-tribune.com editOr in Chief dental tribune Dr. David L. Hoexter feedback@dental-tribune.com editOr in Chief hygiene tribune Patricia Walsh, RDH feedback@dental-tribune.com managing editOr Robert Selleck r.selleck@dental-tribune.com managing editOr shOw dailies Kristine Colker k.colker@dental-tribune.com managing editOr Fred Michmershuizen f.michmershuizen@dental-tribune.com managing editOr Sierra Rendon s.rendon@dental-tribune.com PrOduCt/aCCOunt manager Mara Zimmerman m.zimmerman@dental-tribune.com PrOduCt/aCCOunt manager Charles Serra c.serra@dental-tribune.com marketing direCtOr Anna Kataoka-Wlodarczyk a.wlodarczyk@dental-tribune.com C.e. direCtOr Christiane Ferret c.ferret@dtstudyclub.com aCCOunting COOrdinatOr Nirmala Singh n.singh@dental-tribune.com Tribune America, LLC 116 West 23rd Street, Suite 500 New York, NY 10011 Phone (212) 244-7181 Published by Tribune America © 2012 Tribune America, LLC All rights reserved. Tribune America strives to maintain the utmost ac- curacy in its news and clinical reports. If you find a factual error or content that requires clarification, please contact Managing Editor Robert Selleck at r.selleck@dental-tribune.com. Tribune America cannot assume responsibility for the validity of product claims or for typographical errors. The publisher also does not assume respon- sibility for product names or statements made by advertisers. Opinions expressed by authors are their own and may not reflect those of Tribune America. editOrial bOard Dr. Joel Berg Dr. L. Stephen Buchanan Dr. Arnaldo Castellucci Dr. Gorden Christensen Dr. Rella Christensen Dr. William Dickerson Hugh Doherty Dr. James Doundoulakis Dr. David Garber Dr. Fay Goldstep Dr. Howard Glazer Dr. Harold Heymann Dr. Karl Leinfelder Dr. Roger Levin Dr. Carl E. Misch Dr. Dan Nathanson Dr. Chester Redhead Dr. Irwin Smigel Dr. Jon Suzuki Dr. Dennis Tartakow Dr. Dan Ward Tell us what you think! Do you have general comments or criticism you would like to share? Is there a particular topic you would like to see articles about in Hygiene Tribune? Let us know by e-mailing feedback@dental-tribune.com. We look forward to hearing from you! If you would like to make any change to your subscription (name, address or to opt out) please send us an e-mail at database@dental- tribune.com and be sure to include which publication you are referring to. Also, please note that subscription changes can take up to six weeks to process. Keystone Industries Gelato Prophy- laxis paste provides everything dental professionals and patients are looking for. With smooth, pliable and splatter- free application, the 1.23 percent fluo- ride ion Gelato Paste is perfect for high luster polishing and stain remover. However, it still remains gentle enough on the enamel with minimal enamel loss while leaving a clean and shiny smile. Gelato Prophy Paste is highly regard- ed for its variety of flavor options that are enjoyed by patients. The paste has a creamy consistency that is easy to pick up with the prophy cup and smoothly spread on the teeth without splatter. The long library of flavors includes unique flavors such as pina colada and orange sherbet. The paste line also has mint, cherry, bubble gum and raspber- ry. These flavors are sure to satisfy even the pickiest of patients. The paste comes in three different grits (fine, medium and coarse) for vari- ous stain removal needs. Typically, hy- gienists use the fine grit for routine use and the medium grit gives a little more stain removal power. The coarse paste is required for removing moderate to heavy stains. According to the company, Prophy paste makes shining difference no matter the job, Gelato Prophy Paste provides exactly what dental profes- sionals need. Packaged in one-dose cups, the labels are easy to read and come in boxes of 200 individual disposable cups for con- venient use. The disposable cups also eliminate cross contamination and include a prophy ring for ease of appli- cation on the patient’s teeth. For more options, the paste comes in 6-ounce and 12-ounce jars. Also, dye-free and x- coarse varieties are available. Gelato Prophy Pastes has set the bar high with such a shining product. Not only is the application process easy, but the patients will leave the dentist chair with the cleanest smile possible. For more information on Gelato Pro- phylaxis Paste or any Keystone prod- ucts, contact Keystone Industries at (800) 333-3131, or fax (856) 663-0381, or visit www.keystoneind.com. (Source: Keystone Industries) Keystone Industries Gelato Prophylaxis paste comes in three different grits (fine, medium and coarse) for various stain removal needs. And there are more than a few flavor choices, too, including: pina colada, orange sherbet, mint, cherry, bubble gum and raspberry. Photo/Provided by Ketstone Industries ◊ PROBIOTICS, page D1 INDUSTRY NEWS