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Dental Tribune Middle East & Africa Edition No. 5, 2015

14 Dental Tribune Middle East & Africa Edition | September-October 2015oral health > Page 16 Cleanic® The one step Prophy Paste PATENTED PERLITE TECHNOLOGY Featuring integrated abrasion variability A NEW tantalizing taste for an outstanding prophy result Berry Burst with fluoride prevention.KerrDental.eu ALL IN ONE Universal prophy paste guarantees outstanding results SCIENTIFICALLY PROVEN Maximum cleaning & polishing with low abrasion of enamel and dentine TIME SAVING From cleaning to polishing in one step An Optimum Set of Materials for Professional Paediatric Oral Hygiene By Dr. Olga Melinkova, Russia P rofessional oral hygiene for children is one of the sim- plest procedures in terms of the child’s comfort and one of the most difficult in terms of parental motivation. This article discusses materials for improv- ing the quality of teeth-cleaning by dentists, reducing the time taken and level of trauma, as well as the psychological aspects of cleaning from the point of view of the parents and child. Main problems in professional cleaning in children Professional teeth cleaning for children in the dentist’s chair is a procedure which needs a spe- cial approach. It must include not only mechanical removal of plaque from dental surfaces, but is also an important step in adapting the child to later visits to the dentist, preparation for or- thodontic and restorative treat- ment, as well as forming a gen- eral culture of children going to the dentist. What problems can be en- countered by paediatric den- tists in this apparently simple procedure? - Foremost is categorical refusal of the parents and the need to progress directly to treatment because of lack of understand- ing of the importance of the pro- cedure. - Unwillingness of the parents because of the apparent dispari- ty between the cost of the service and the dentist’s efforts. - Refusal of the child to accept the procedure because of un- pleasant sensations during the process or the duration of the procedure. - Unsatisfactory results due to low effectiveness of the equip- ment and materials used. - Patients’ lack of motivation to undergo the procedure regu- larly. The professional teeth-clean- ing procedure Successful resolution of these issues was sought by question- ing patients at different stages of teeth-cleaning and assessing the results using a variety of professional hygiene materials. The procedure was performed step-by-step, with detailed ex- planations of each stage to the parents and child. The first step was to provided a visual dem- onstration of plaque using a dis- closing agent (Fig. 1) not only to the child but also to the parents, explaining the consequences of lack of high-quality oral hygiene at home and the need for profes- sional teeth-cleaning, as well as educating the child and parents. At this stage, the dental hygiene materials currently used at home are analyzed, with sug- gestions about changing them if necessary. The second step consists of ex- plaining to the child how to follow the correct procedure for oral care at home, demon- strating this with a mirror. At this stage, parental dissatisfac- tion can be formulated as: “You have cleaned his/her teeth but we cannot see how we can do it ourselves,” so it is important to give the child the opportunity to repeat all the movements dem- onstrated and, where necessary, correct them, giving additional explanations. The third step consists of actually cleaning the teeth. The process of professional hy- giene in children must be as comfortable as possible. The aims of the procedure are not only to provide mechanical re- moval of plaque, but also to develop a positive experience when visiting the dentist. When questioning parents afterwards, we have had the following nega- tive comments: - the child does not like the taste of the paste; - the child is allergic to the paste; - the parents failed to see the fundamental difference be- tween the paste and brush used during the procedure and those they use at home; - the cost of the procedure seems unreasonably high; - the gums bleed after cleaning by the dentist even though the cleaning was gentle; - the procedure took a long time and was unpleasant, and the child refused to come to the den- tist again. Thus, the materials and accesso- ries of performing professional hygiene must not only produce high-quality and visible clean- ing results, but the procedure must also be as comfortable as possible for the patient and den- tist. Considering all these points, there is particular interest in Cleanic® professional dental cleaning and polishing paste produced by Kerr. The perlite particles in this paste alter the abrasiveness of the paste dur- ing cleaning; most cleaning of plaque from the tooth surface occurs during the first seven seconds, after which the teeth are polished to a shine. There is no need to use a different paste, which significantly reduces the duration of the procedure, a par- ticularly important aspect when working with children. The product retains its high cleaning potential even in difficult cases of Priestley plaque. The paste is gentle in relation to dental structure because of its low RDA - only 27. In addition, the paste has a pleasant taste and the child has a choice - mint or green ap- ple. There is also a solution for children unable to tolerate any taste or tendencies to allergy - Cleanic Light, which has no fla- “... parents become more confident in the dentist as a professional working with children and caring not only for the short-term results, but also the long-term outcome.”

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