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hygiene tribune Dental Tribune Middle East & Africa Edition | November-December 20144B < Page 2B Hygiene safety for your dental practice ous hygiene effects: effective re- suction stops, for example, pre- vent contamination of the inside of the tools and thereby support hygiene safety The Plasmatec coating of the tools not only of- fers excellent gripping proper- ties but is also easy to clean. For decades, KaVo tools and turbines are thermally disinfective and sterilisable. Minimal gap dimen- sions also make hygiene safer and more efficient. With the QUATTROcare Plus, KaVo is offering an excellent tool for a validated, RKI-com- pliant and cost-efficient interior cleaning and the maintenance of instruments. Because: to ef- fectively prevent infections, den- tal transfer elements must be cleaned and disinfected inside and out. Due to its many years of ex- perience with dental practice hygiene, the proven and coor- dinated hygiene system (360° competence) with proven effec- tiveness and excellent stability of the materials used, KaVo is your top choice as partner when it comes to hygiene safety, also for instruments. By KaVo I nfection control is becoming more and more of a prior- ity due to stricter laws and guidelines. For many years, KaVo has appealed to its cus- tomers with a comprehensive, efficient hygiene approach with validated hygiene systems in the treatment units and a (360°) RKI-compliant KaVo hygiene workflow for tools. As a leading dental com- pany, KaVo is offering comprehensive, all-inclu- sive infection protection and more security for the patient and dental practice team All KaVo units have an automatic ongoing and intensive sterilisation function which ensures the continuous germ re- duction of the systems which convey water and prevents the formation of microorganisms in peri- ods of stagnation. In addition, the dental in- strument rinsing function en- sures that the tools are rinsed before beginning treatment and after each patient treatment au- tomatically and in a RKI-compli- ant manner. Of course, handles, instrument shelves, spittoon bowls and suction cannulas can be removed easily and without difficulty for cleaning and disin- fection. The smooth, closed and hy- giene-friendly surfaces of the dental units also play a role in reducing the infection risk. The KaVo ESTETICA E70 and E80 dental units also have with OXYmat and DEKAmat a fully automatic hygiene system: the manual, time-consuming mix- ture or refilling sterilisation and disinfectants are thereby a thing of the past. In the KaVo ESTET- ICA E50, the optionally avail- able CENTRAmat takes over the central supply of the unit with DEKASEPTOL gel which ensures high-efficient cleaning and disinfection of the suction or drainage system which is sub- ject to contamination. With OXYGENAL 6, KaVo also offers an environmentally friendly water-based sterilizer based on hydrogen peroxide which has proven its effective- ness, material compatibility and user-friendliness in daily prac- tice. In addition to the treatment units, the tool portfolio of KaVo is also appealing due to numer- For more information visit: www.kavo.com/MEA Or email us: info.mea@kavo.com Contact Information Quattrocare Plus Dekaseptol Gel Oxygenal 6 The story of oral probiotics gets better! This way of biofilm man- agement is not the wave of the future any longer. Recommending oral probiot- ics with natural strains from healthy mouths may be the tick- et for patients who cannot or will not remove their own biofilm to dental hygienist standards. When giving brush ‘n’ floss di- rections, we end up focusing only on the teeth, and we miss the elephant in the room -- the tongue. Tongue coating is not in- nocuous, nor is it only a cosmetic concern. Biofilm on the tongue releases planktonic bacteria in what’s called a planktonic storm. A coated tongue sends new bio- film to the rest of the mouth. So it’s time for the tongue to be included in discussions about bi- ofilm management and prophy- laxis and it is here that probiotics plays a very important role due to their activity in all oral bio- film. Gum and Tooth Health If harmful, disease-causing bac- teria are allowed to colonize in the periodontal pocket, the result is advanced periodon- tal disease. To address this, it is increasingly more common as well as very painful to have den- tists clean teeth below the gum line. Research has revealed that even after the aggressive pro- cess of scaling to clean out the periodontal pockets, the future oral health of the patient is de- termined by the type of bacteria that colonizes first in the base of that clean pocket. If the harmful bacteria are first to colonize, the disease condition will quickly return. Ifthebeneficialbacteriaarefirst, then good oral health will be es- tablished and the dental office procedure will have been suc- cessful (Socransky and Hafajee, 1992, J. Perio, p. 322). Oral probiotics can provide a deep impact by rebalancing the oral flora in a simple, painless, non-invasive daily routine. No other consumer product impacts oral health below the gum line to get to the root of the problem. In clinical trials, twice-daily ad- ministration of Streptococcus rattus JH145™, S. oralis KJ3™ and S. uberis KJ2™ substantially affected the levels of harmful bacteria in the mouth. The stud- ies found that simply by using these oral probiotics, the levels of harmful bacteria were re- duced in plaque samples taken from below the gum line, at the bottom of the periodontal pock- et. Existing mouthwashes and toothpastes that typically con- tain an antibacterial agent are able to only affect those areas of the mouth that the rinse is able to directly contact, which lim- its their effectiveness to contact with plaque above the gum line. Furthermore, the antibacterial agent is quickly washed from the mouth while the Probiotic bacteria have high substantivity; i.e., they have a prolonged dura- tion of contact with disease-sus- ceptible surfaces in the mouth and thus a prolonged beneficial activity. Oral care products and foods developed using this probiotic approach can safely maintain and promote oral health by nor- malizing the balance of the in- digenous flora in favor of micro- organisms associated with both healthy teeth and periodontal or gum tissues. Fresher Breath In general, amino acids are the main substrate for the produc- tion of oral malodorous com- pounds. As freshly secreted hu- man saliva contains low levels of free amino acids, halitosis oc- curs as a result of bacterial pu- trefaction by several anaerobic species found in the oral cavity. The most widely used strategies in the treatment of halitosis are comprehensive oral hygiene, including tongue scraping and brushing, as well as the use of mouth rinses containing an- tibacterial agents. Antibacte- rial mouthwashes and breath fresheners promote killing up to 99.9% of bacteria and germs in the mouth. These products in- discriminately wipe out both the essential, good bacteria along with the harmful bacteria. Within several hours after using an antibacterial mouthwash or breath freshener, the surviving .1% of the bacteria remaining in the mouth will repopulate the full level of harmful bacteria that was present in the mouth before the product was used. This indiscriminate destruction of bacteria creates ongoing im- balances in the microflora that naturally inhabit the oral cavity. Antibacterial mouthwashes and breath fresheners simply mask the malodor and can never ef- fectively address the issue on the causal level. Oral probiotics are natural an- tagonists to the malodor-cre- ating bacteria, quickly coloniz- ing to create a healthy balance of micro flora and resulting in longer lasting, truly fresher breath . The use of benign, com- mensal probiotics could there- fore offer a complementary and more long-term treatment strat- egy to combat bad breath. Whiter Teeth A natural by-product of oral pro- biotics is a low-dose of hydrogen peroxide. As this good bacteria is replenished daily, it creates a gradual teeth whitening effect with the full benefits of long con- tact times, delivering 24 hour per day coverage of balancing and brightening. Yellowing, surface discoloration or staining are all results of life- style choices: tobacco use, cof- fee, tea, beets, etc. Anything that stains will affect the color of the teeth. Tooth enamel is porous, filled with microscopic cracks and pores that hold onto stain- ing products. Commercial tooth whiteners employ extremely high levels of harsh, chemical hydrogen peroxide which can actually damage the tooth and create a roughness on the tooth’s surface. This increases the film that builds up on the tooth sur- faces and in the micro cracks and is available to hold on to stains much better. S. oralis KJ3 binds to the surface of the teeth, crowding out harm- ful bacteria by competing for the same nutrients and surface spaces. In laboratory studies, the low-dose hydrogen perox- ide produced by the S. oralis KJ3 created a continuous whitening benefit that did not plateau over the duration of the study. With daily use, the colonization of S. oralis KJ3 provides a constant and expanding population for gradual and continual whiten- ing effects. The hydrogen peroxide metabo- lites of S. oralis KJ3 also con- tribute to the breath-freshening features of oral probiotics by inhibiting the growth of harm- ful bacteria. The decrease in these harmful bacteria results in a substantial reduction in the volatile sulfur compounds asso- ciated with bad breath. Unlike other whitening prod- ucts, oral probiotics are com- pletely safe for veneers, caps and dentures. Reexamination Now ask yourself -- if you cannot motivate someone to achieve to- tal dental biofilm removal with a toothbrush, can you get them to incorporate one single probiotic tablet a day into their routine? Using these tools addresses the forgotten reality of how much room a biofilm needs, the com- plexity of a mature biofilm, and the size of human cells. Stop wearing the badge of “Floss Nag” with pride. Serve yourself and your patients better by of- fering scientifically proven oral health-promoting products like oral probiotics. References 1. Dr JJ Smith, (B.CH.D ) Dental Expert and founder of Cleani- tion Oral Care 2. John Nosti, DMD, FAGD , FACE: Cosmetic case protection and oral health - Dental Town Dec 2010 3. Shirley Gutkowski, RDH, BSDH, FACE: An in-depth view of oral probiotics - Dentistry IQ 4. Am. J Clin. Nut. r 2000:71 5. www.oragenics.com

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