PUBLISHED IN DUBAI www.dental-tribune.me September-October | No. 5, Vol. 8 Brushing your teeth just got social Oral-B launches the Oral-B FunZone, a gamiﬁcation and social experience that makes brushing fun for people of all ages. By Oral-B DUBAI, UAE: Oral-B, the worldwide leader in oral care, has upgraded the Oral-B App to feature the Oral-B Fun- Zone, a unique gamiﬁcation feature that makes each brushing session a more rewarding experience for users of all ages. The perfect solution for health-con- scious people seeking a fun, enjoy- able and dentist approved brushing experience, the Oral-B FunZone is an interactive in-app technology. The function simulates features from popular social sharing platforms, to encourage users to achieve their brushing goals through a fun-ﬁlled scoring system that unlocks unique photo ﬁlters. “We know that people tend to ac- complish their health goals when they can gauge their progress through an exciting social media or wearable experience,” says Dr. Ash- had Kazi - Professional & Scientiﬁc Relations Manager – P&G Oral Care, “With this in mind, we’ve upgraded our current mobile app offering to include the Oral-B FunZone, a fea- ture that allows users to track and ac- tively share their brushing journeys, encouraging proper brushing habits for all in a unique way.” The Oral-B FunZone helps improve users’ oral care habits with a fun- ﬁlled social media sharing and re- ward system, making each brushing session the ultimate oral care experi- ence. Oral-B FunZone: An Easy Way to Make Brushing Enjoyable With the Oral-B FunZone, users gain points during each brushing session to unlock new FunZone themes: Jun- gle, Anime, Cats and Haunted House. The app comes pre-loaded with the Jungle theme, and the three addi- tional themes can be unlocked by acquiring points for improved oral care habits such as brushing for the dentist recommended time of two minutes or a pressure free session. Oral-B FunZone: How it Works • Users access the Oral-B FunZone in the Oral-B App and unlock new themes as they brush correctly. There are four themes to unlock, starting with Jungle • Users select one of the unlocked themes, and the app will automati- cally capture their ﬁltered brushing session, generating a “selﬁe” gif • Users share FunZone experience with friends on social media with a specially curated “selﬁe” The Oral-B App experience paired with Oral-B GENIUS offers consum- ers a truly personalized oral care ex- perience, so they can brush like their dentist recommends – and have fun! The Oral-B App 5.0 is available on iTunes and Google Play. For more information about the Oral-B App and Oral-B prod- ucts, please visit https://oralb.com/en-us Interview: “Prevention is not just for children and young people” By DTI Three years ago, Professor of Cariol- ogy and Endodontology Ivo Krejci from the University of Geneva, Swit- zerland, published an article in which he made the case that professional motivation, instruction and check- ups, as well as precise, non-invasive therapies, should be the core compe- tence of a practice team in order to maintain oral health. Dental Tribune International spoke with him about his assertions. Prof. Krejci, what is your main message when it comes to modern caries prophylaxis? The aim of modern dentistry is not the temporary repair of heavy clini- cal symptoms in the form of large decaying lesions and deep periodon- Prof. Ivo Krejci recommends an approach to caries prevention that is focused on lifelong dental coaching. (Photograph: Ivo Krejci) tal pockets, but rather the lifelong dental health of the population, which I deﬁne as the absence of clini- cal symptoms. My article focused on one aspect of this concept, namely the causes, symptoms and treat- ment of caries, a chronic lifelong infection of the bioﬁlm, the clinical symptoms of which, in the form of decaying lesions, are still some of the most common reasons for extrac- tions. I am aware that I am speak- ing against the common teaching opinion, which treats caries and peri- odontitis as non-communicable dis- eases, but it would be too much for this interview to explain the reasons for this stance in detail. Besides increasingly criticised ﬂuori- dation, bioavailable calcium, acid neutralisation and harmless sugar substitutes can be identiﬁed as im- portant factors in preventing caries symptoms in so far as the patient doesn’t want to curb excess sugar consumption. Three further meas- ures are at least just as important: ﬁrstly, early diagnosis of the initial caries; secondly, the lifelong, periodi- cal professional motivation, instruc- tion and monitoring of an efﬁcient, atraumatic home dental care routine in the sense of primary prevention; and thirdly, the use of non-invasive adhesive composite restoration to stop or at least delay subclinical car- ies symptoms in the sense of second- ary prophylaxis. Direct and indirect minimally invasive composite resto- rations complement this philosophy in patients entering into this concept with existing large decaying lesions or with existing restorations. Why do we still separate peri- odontitis prophylaxis and caries prophylaxis? It’s difﬁcult to say, as both problems have to do with immunology and a ÿPage 2
2 ◊Page 1 HYGIENE TRIBUNE Dental Tribune Middle East & Africa Edition | 5/2018 pathogenic bioﬁlm. This separation makes no sense at all. We should al- ways speak of simultaneous caries and periodontitis prophylaxis, not of separate problems. Depending on the individual patient’s situation, the focus may be more on caries and/or periodontitis prophylaxis, but it shouldn’t be forgotten that a lifelong prevention-orientated con- cept should take not just caries and periodontitis into account, but also erosion, abrasion, trauma, dental misalignment and infraction. You mentioned pathogenic bioﬁlm. What do you recom- mend: completely remove or disrupt the bioﬁlm? The bioﬁlm actually protects our teeth, so is vital for survival. Its per- manent removal from the mouth would therefore be counter-pro- ductive. Through its currently un- preventable infection with bacteria that cause caries and periodontitis, it becomes potentially pathogenic. This pathogenicity can only develop if two conditions are present: ﬁrstly, the bioﬁlm must be sufﬁciently structured, which requires around 24 to 48 hours after its formation, and secondly, certain parameters must be present. An example of this is the repeated excess of sugar in the caries process. These deductions form the basis of the preventative concept: we accept the infected and potentially patho- genic bioﬁlm and do not remove it permanently from the mouth. We acknowledge that a change in the conditions—for example, through a drastic reduction in sugar consump- tion—would be very welcome, but difﬁcult to implement in the long term in practice. We therefore ap- proach the structure of the bioﬁlm and prevent its pathogenicity from developing. The solution is simple: we just have to regularly, that is every 24 hours, disrupt the struc- ture of the bioﬁlm intensively on all surfaces of the tooth. Chemicals and medications don’t help a great deal, as the bioﬁlm has very potent de- fence mechanisms. In your article, you spoke about lifelong dental coaching. What do you mean by that? Prevention is not just for children and young people. As caries and per- iodontitis are lifelong infections and decaying lesions, periodontal pock- ets, erosion, abrasions, trauma and dental infractions can arise at any age, lifelong prophylaxis is unavoid- able. This lifelong dental coaching is based on the preventative measures already mentioned, complemented by regular professional monitoring with high-tech diagnostics to catch symptoms in the subclinical stage, thereby allowing non-invasive ther- apy where needed. Therapy, diagnostics, preven- tion—what are your concrete recommendations? We cannot predict reliably enough how much of a risk a patient has of developing symptoms in the form of decaying lesions or periodontal pockets. It is even more difﬁcult to do this for speciﬁc areas of the tooth. And even if we could, things can change at any time. The risk of too little or too much prevention on the wrong tooth surface is there- fore very high. This applies to ero- sion, abrasions and infractions in the same way. That’s why it is more efﬁcient in today’s dentistry to wait for symptoms to develop, providing site-speciﬁc risk information. How- ever, if we wait long enough for the symptoms to be clinically visible, it’s already too late and we fall back on dentistry from the nineteenth cen- tury. If one has the diagnostic oppor- tunity to recognise symptoms long before their clinical manifestation, such a concept suddenly becomes very interesting. We know that it takes years for clini- cally evident symptoms to develop in caries and periodontitis alike. If diagnostics are carried out with suf- ﬁcient reliability and if diagnostic methods are available that catch symptoms in the subclinical stage, one will have enough time to tackle these with non-invasive methods. As dentists, we only tackle the symp- toms of caries with our restorative methods. For technical and practical reasons, we used to only treat symp- toms at a later stage, when the decay- ing lesions had already developed into cavities, because diagnostics weren’t as advanced and restorative therapy was based on macro-me- chanical principles. We needed the hole so that we had something to ﬁll. Today, this concept hasn’t really changed in principle. From a profes- sional perspective, we are still treat- ing symptoms, but we have other diagnostic tools and therapies, so we don’t need macro-retentions for res- toration. This lets us act much earlier and use non-invasive therapies. Should we be concentrating on primary or secondary prophy- laxis? Individual primary prophylaxis is the foundation of everything, but nobody’s perfect. With the primary prophylaxis tools we have today alone, we will not be able to save humanity; despite our best efforts, symptoms will arise. That’s why our concept is not solely based on pri- mary prophylaxis. It also integrates secondary prophylaxis, which aims to halt symptoms non-invasively in the early stages so that they do not become more clinically serious. Non-invasive secondary prevention seems to me the tool of choice, given our current circumstances and the resources we have available today. What role does individual home oral hygiene play in car- ies prophylaxis in your opin- ion? Individual home oral care by the pa- tient is the most important aspect for me. It might sound presumptu- ous, but many people can’t brush and don’t know which tools, prod- ucts and techniques are the best and most efﬁcient for their individual situations. I am convinced that oral care at home can only have a long- term effect when it is overseen by a dental professional. This profes- sional cannot heal the patient, and it wouldn’t make sense for the pro- fessional to perfectly remove the patient’s bioﬁlm each day, as this would require that the patient come to the practice every day. Even if he or she could afford this, it would lead to public transport chaos and would make very little sense. Therefore, it is more sensible to delegate this job to the patient and inform, educate and monitor him or her as needed, as well as correct and motivate when necessary, not just once, but again and again. Manual or electric toothbrush, ﬂoss or interdental brush, toothpaste with or without ﬂuoride—the individual case should stipulate what tools are needed. As dental professionals, we have the knowledge to provide the correct diagnosis and to advise the patient on which tools, products and techniques would be the most effec- tive, quickest and cheapest for his or her individual circumstances. We can still get involved if professional therapy is needed and before clini- cally visible symptoms arise. Finally, how’s your own oral hygiene? Very good. Although I had to live through the dentistry of the 1960s as a child, I still have all my own vi- tal teeth and they’re all doing well. It helps that my wife is a dental hygienist. She’s the best thing that could have happened to me in many respects. Thank you very much for the interview. Editorial note: Prof. Krejci’s article, ti- tled “Lebenslanges ‘DentalCoaching’ anstelle ästhetischer Zahnmedizin” [lifelong dental coaching instead of aesthetic dentistry], was published in the January/February 2015 issue of Bayerisches Zahnärzteblatt. Emirates – Kenya outreach success By EDHC In August 2018, Emirates Dental Hygienists Club (EDHC) and Fair- care, an initiative by Goumbook, partnered to deploy a team of dental professionals and a general volunteer to Aitong in Kenya. The group was led by Rachael England, President of the EDHC. Faircare is a Dubai-based organisation that provides dental care to low income workers for just 10% of the usual cost, ensuring equitable access to quality dental care. England had previously visited Ai- tong in 2015, when she rendered a dental hygienist service and gave oral health lessons, while a team of dentists carried out basic restora- tive treatment and pain relieving extractions. This time, with the sup- port of an amazing team of 11 vol- unteers from four countries, they planned to go a step further and establish an ongoing service. Following one missed ﬂight, two cancelled ﬂights, a brief strug- gle to import 2000 toothbrushes and 2000 tubes of toothpaste and a bone shaking 6-hour bus ride, the team ﬁnally met in Aitong in Kenya, where they set up the mo- bile dental clinic within the village medical centre. Sterilisation and cross-infection can be an issue in developing countries when carrying out humanitarian work, but careful planning by Hi- lary Browne meant the team were well prepared with an entire decon- tamination process and two pres- sure cookers, ensuring both clini- cian and patient safety. A dental hygiene clinic was set up with two portable ultrasonic scalers and oral hygiene aids. Here, Hasna Hafsi, Yasmeen Arafsha, Hanan Abdalla and Dr Shaima Obaid Bin Rabeeha carried out dental screen- ings for the local school children, preventative treatment and proph- ylaxis scaling. Abdalla and Arafsha also held fun and interactive oral health lessons for groups of chil- dren, where they sang and learned about toothbrushing and healthy snacks. Patients often request cleaning to remove the brown Getting up close with elephants on the Maasai Mara stains seen frequently in the Mara, however this discolouration is due to the high levels of ﬂuoride found in the ground water. Despite com- munity efforts, ﬁlters to remove such high concentrations are ex- pensive to maintain and following generations continue to be afﬂicted with severe ﬂuorosis. triaged by dental hygienists Karina Carniato and Stephany Gardner who used their full skills sets to assess and anaesthetise patients ready for dental therapist Mada- lyne Tucker and dentist Dr Jamshed Tairie to carry out basic restorative care and extractions. Dr Tairie’s Back row L-R: Hilary Browne, Hasna Hafsi, Karina Carniato, Dr Jamshed Tairie, Zohra Tairie, Lisa Hicks. Front row L-R: Shaima Obaid bin Rabeeha, Yasmeen Arafsha, Hanan Abdalla, Stephany Gardner, Me (Rachael England), Maddie Tucker, Simi Senegey (local host) In the main surgery, patients were ÿPage 3
Dental Tribune Middle East & Africa Edition | 5/2018 ◊Page 2 HYGIENE TRIBUNE 3 wife, Zohra oversaw the surgery, tracking the treatments that had been carried out and helping with patient care. Outside, the general volunteer Lisa Hicks registered patients and created a basic ﬁling system to ensure future expeditions have patient treatment records. Four lo- cal young men were recruited to assist in translation and clinic or- ganisation, one of whom, Delama, had been both deaf and mute since childhood when he contracted an illness, yet the whole community were able to do sign language with him. The ﬁrst day in clinic went smooth- ly as word spread throughout the community that a dental team was in town. The local host, Simi ensured the welfare of the team and also managed to secure hotel accommodation-an upgrade from the expected campsite. virtually no heart disease! It was not all work and no play for the team. Sunday, Wednesday and Thursday were spent in the Maasai Mara National Park, where they were lucky enough to see elephants, lions, leopards, buffalo and chee- tahs amongst the spectacular scen- ery inhabited by these incredible animals. They were also welcomed by the village elder at a local Man- yatta (Maasai village) with tradi- tional singing and dancing. Maasai are great pastoralists, living semi- nomadic lives that have remained unchanged for hundreds of years. They are easily recognised by their colourful clothes, elaborate beaded jewellery, stretched earlobes and re- moval of the lower central incisors. Their diet mostly consists of milk, meat, vegetables and maize, lead- ing to low rates of dental caries and Monday and Tuesday were long days in the clinic, working from 08:30 to the last light of the day. Although it was school holidays, the local Head Teacher, Mr Ndarasi Dismas had arranged for local chil- dren to return for the day to have a dental screening and any treatment needed. Fortunately, about 150 chil- dren made the trip back, who then in a huge surprise performed songs for the team. Many children live at the school to avoid the perilous walk across the Mara to reach their lessons. Fa- cilities are basic, but clean and safe with wonderful, enthusiastic teach- ers. England and the team will be working with the school in future to ensure more children are able to receive an education that costs $20 per month-insurmountable to some families on the Mara. St. John Paul II School receives no govern- ment funding and relies solely on community support and external donors. Currently 394 children re- side at the school, yet there are ap- proximately 2000 children living in the zone. Rags to Riches UAE are an amazing group of volunteers who recycle bed sheets into reuseable sanitary pads. These pads help reduce the stigma of menstruation, allowing girls to stay in school throughout the year. Rags to Riches UAE gen- erously donated 270 kits that the team distributed during this visit. Clinically, the team experienced many cases of severe crowding that, naturally, the children and their families wanted corrected. Sadly, this was unachievable at this time, carious #6 teeth in very young children and carious #8 teeth in everyone else. Overall, the clinic carried out 77 extractions, 19 ﬁllings, 26 prophylaxes and dozens of oral health lessons. St. John Paul II School received toothbrushes and toothpaste to ensure all children would start the year able to brush twice daily, 270 sanitary packs were distributed and great friendships were forged. The EDHC and Faircare would like to publicly extend their gratitude to their generous sponsors: Oral B, Beverley Hills Formula, Henry Schein and Colgate. The next expedition to Aitong will be in July 2019. For more details and to regis- ter your interest, email: maasaimolar@ gmail.com or rachaelenglandrdh@gmail. com Dr Jamshed works in the background assisted by Karina, Maddie triages a patient with anaesthetic assisted by Stephany Hasna and Shaima carry out dental hygiene treatment, buckets become spittoons! Enaitoti Hotel staff and the team AD 09 Nov 2018 | Preliminary Programme Lisa Hicks registers patients visiting the dental clinic PROF. ANDREA MOMBELLI SWITZERLAND MARY MOWBRAY NEW ZEALAND AMANDA GALLIE DR. PENELOPE JONES UK AUSTRALIA Periodontal Therapy and Care Today. The Essential Points for the Dental Hygienist Management and ICDAS and Caries Risk Prevention of Peri Implant Assessment Disease Sitting is a Health Hazard — How the Dental Team Can Prevent and Recover from the Damage of Poor Sitting Posture ROBYN WATSON DR. NADIA MOHD SALEH SAWSAN JAFFER AUSTRALIA UAE Tools for Periodontal Assessment, Diagnosis and Treatment planning Oro Facial Pain ALTHAQAFI BAHRAIN Dental Assisting Course, Establishing Vocational Health Programs in the GCC Region InterContinental Hotel Dubai Festival City DUBAI, UAE Part of 10th Dental Facial Cosmetic Conference & Exhibition ORGANISED BY IN PARTNERSHIP WITH www.cappmea.com/dhs Emirates Dental Hygienist's Club Dr Jamshed and Zohra meet the Maasai Chief and his son
4 HYGIENE TRIBUNE Dental Tribune Middle East & Africa Edition | 5/2018 Evaluation of an ex vivo porcine model to investigate the effect of low abrasive airpolishing Glycine (1) Erythritol (1) Ultrasonics (2) Hand Instrumentation (3) Control By Gregor Petersilka, Ralph Heckel, Raphael Koch, Benjamin Ehmke, Nicole Arweiler Aim To assess the usability of pig jaws periodontal treatment model for low abrasive air polishing and to histo- logically gauge the effect of various instrumentation techniques. Material and methods - From 120 Pig mandibles, the buccal part of one molar was chosen ran- domly and ﬁxed in a way allowing controlled instrumentation. - Four modes of instrumentation were evaluated. Group A: Low Abrasive airpolishing using glycine of 25 µm (EMS Perio Powder, EMS, Nyon, Switzerland). Group B: Low Abrasive airpolishing using erythritol powder of 14 µm EMS PLUS Powder, EMS, Nyon, Swit- zerland). - EMS Air Flow Master was used with a standard handpiece at a distance of 5mm to the gingival tissue in a con- tinuously sweeping way for 5 s like subgingival bioﬁlm removal Group C: Piezoceramic scaling using Perio Slim PS instrument (EMS) - EMS Piezon Master was used at me- dium power and water setting - The instrument was kept parallel to the root surface at a pressure of ap- prox. 1 N for 10 s Group D: 7/8 Gracey Curette (Dep- peler, Rolle, Switzerland) Clinical Oral Investigations, https://doi.org/10.1007/s00784-018-2536-5 - Five strokes of curette applied with a pressure of approximately 3 N Group E: Untreated biopsy samples served as negative control - Following instrumentation, the soft tissue alongside the tooth was re- moved and graded. 1 - No lesion: undamaged epithelium and connective tissue 2 - Minor lesion: disruption of super- ﬁcial epithelial layers, undamaged basal membrane 3 - Medium lesion: superﬁcial layers of the epithelium removed, basal membrane partially damaged 4 - Severe lesion: epithelium and ba- sal membrane completely removed, connective tissue exposed Results - Hand instrumentation had the most pronounced damage - Hand instrumentation and ultra- sonic scaling caused higher tissue destruction than both airpolishing powders - Ultrasonics was slightly less trau- matic than hand instrumentation with no statistically signiﬁcant dif- ference - Between the low abrasive airpol- ishing powders, glycine showed slightly lesser destruction, however, no statistically signiﬁcant difference was observed between glycine and erythritol - The porcine model is apt for use in histological evaluation Conclusion - Pig jaws could be used to assess the histological effects of different instrumentations on periodontal tissues before conducting studies on humans - Low abrasive airpolishing powders had an overall low potential of soft tissue damage and could be used safely to remove bioﬁlm subgingi- vally. Dr. Fábio Duarte da Costa Aznar Specialist in Endodontics. HRAC (Centrin- ho)/USP/Bauru Master’s in Endodontics SLMandic/Campinas Coordinator of the Program of Specializa- tion in Endodontics FACESC/Chepecó-SC, FAIPE/Goiânia-GO & GOE-Macapá Sitting is a health hazard – an innovative way for the dental team to avoid workplace problems By Dr. Penelope Jones, Australia We have known for years that dental ofﬁces face a general problem. Mil- lions have been spent trying to ad- dress this problem, yet the literature is still full of articles conﬁrming, “Sit- ting for long periods increases your risk of cardiovascular disease, diabe- tes and even cancer.” Inroads have been made by mem- bers of the dental team by increas- ing their ﬁtness levels and making a point of moving around as often as they can during the day. Unfortunately, the basic problem has not been properly addressed. The problem, as expressed by Dr Penelope Jones of the “Working Posture” programme, is how we sit. Jones has been helping people turn this around successfully for over 25 years. Have you ever noticed what hap- pens when you concentrate, need to perform intricate work or even just deal with a stressful situation? You tend to reduce your breathing. You are unaware of it and, as time goes on, your breathing muscles (in- tercostal muscles and diaphragm) become tighter. As you can imagine, doing this every day is eventually going to lead to tighter and tighter muscles and a more rigid chest. Our other unconscious responses to stress are raised shoulders (part of our natural startle reﬂex) and short- ening our torso at the front (also part of the reaction to protect ourselves from emotional stress). At the end Dr Jones has been teaching her unique workshops for almost 30 years, both in Australia and interna- tionally. Her workshop has helped people to prevent and recover from workplace injuries caused by chronic poor sitting at work. Working Posture uses easy gentle movement lessons along with good breathing techniques to allow you to unwind your old muscular tension and learn to align yourself with far better skill. You will learn how to ﬁnd good balance with strength as well as greater ﬂexibility for the ﬁne work of dentistry. It is easier and more enjoy- able than you would imagine and does not involve strenuous exercise. It teaches you how to feel and under- stand good posture from within. Dr Jones has restored many a dental career. She is an international speak- er and has been teaching in the fac- ulty for over 26 years. Dr. Penelope Jones, Australia of the day so many muscles that are not needed to perform our work are chronically tight and we feel “up- tight”. No surprises there. These tight muscles are sabotaging our comfort, and we are completely unaware of how it happens. We rest and do exercises and the tightness relaxes slightly, but in most cases the muscles never completely relax, so it is almost as if we are wearing a neurological strait jacket, even when we sleep. These unconscious tight muscles pull our posture out of alignment and create chronic pain in our backs, necks, shoulders and arms. Posture is not a static thing. Our nervous system controls which mus- cles contract and which ones relax, as well as the timing of this process-it is a continually adjusting mecha- nism. Ideally, when the muscles can continually adjust to the need to dis- sipate energy from our movements, we have good posture. But chroni- cally tight muscles do not allow for this continual adjustment. Great athletes and martial artists have trained themselves to do this con- tinual adjustment. They can strike a fatal blow or a shot with minimum effort as they are very aware of how their bodies function. Dr Jones uses this understanding and the brilliant tool of neuroplastic learning to help you ﬁnd a way to align yourself from the inside. You then very quickly become aware when you are tense and out of align- ment, allowing you to correct your posture. Dr Jones workshops run mainly in Sydney in Australia, but she will be lecturing and running workshops at the CAPPmea con- ference in Dubai on 10 and 11 November 2018. Visit www.workingposture.com.au https://www.youtube.com/ watch?v=xoS7RqcgI8I for more details on Working Posture. Visit https://www.cappmea.com/dhs/ for details on the CAPPmea conference.
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6 HYGIENE TRIBUNE Dental Tribune Middle East & Africa Edition | 5/2018 Interview: “BlueM supports the body’s own healing process” By Franziska Beier, DTI Awareness of the importance of oral care during pregnancy has been in- creasing, and this is also apparent in the dental products available today. Dutch company BlueM, for example, offers an oral care range that is safe for pregnant women and children. Denise Leusink, oral health adviser at BlueM, spoke to Dental Tribune International about the rationale be- hind development of the BlueM line, its effects on oral health and particu- lar concerns for pregnant women re- garding oral care. Ms Leusink, the founding of the BlueM brand was some- what of a coincidence arising from Fokke Jan Middendorp sustaining an injury during a hockey game. Can you elabo- rate a bit on this story? Ha, I love this story! Fokke Jan is a former international hockey player and one day was injured during a game. Dr Peter Blijdorp, a maxillofa- cial surgeon, was watching the game. He came to Fokke Jan and asked him if he could apply a gel on his knee to relieve the pain. It turned out that Pe- ter was determined to achieve a new and different way of practising den- tistry—not one that was unhealthy or aggressiv e, but one that was gen- tle on the body. All he wanted for his patients was minimally invasive sur- gery, meaning a minimal amount of pain and the fastest recovery possi- ble. During his quest, he discovered the power and beneﬁcial effect of oxygen and developed a gel based on active oxygen that accelerated wound healing. Fokke Jan was so en- thusiastic that he wanted to help Pe- ter and together they started BlueM. The ﬁrst product they launched was the oral gel, which is the perfected version of Peter’s oxygen gel. What was it that motivated you and your team to develop the blue m product line? BlueM is different from other oral care brands. Peter wanted to make a difference for his patients and help as many people as possible with body-friendly solutions. The realisa- tion of Peter’s dream is what drives us as the BlueM team. We receive many, many stories from BlueM us- ers from all around the world and we are constantly impressed by the remarkable, almost magical results. It is both exciting and humbling and as a team we feel grateful to con- tinue on the journey started by our founder. What active agents do the products contain and how do they work? The basis of BlueM is sodium perbo- rate, honey, xylitol and lactoferrin. Sodium perborate slowly releases a body-friendly amount of active oxygen. Oxygen plays a key role in wound healing because it acceler- ates the wound healing process. Active oxygen kills anaerobic bac- teria, which are the cause of most oral problems. Honey is a carrier of oxygen and has many antibacterial functions. Xylitol stimulates salivary ﬂow, helps remineralisation and kills Streptococcus mutans. Last but not least is lactoferrin, an immune- boosting protein that stimulates bone regrowth. Photo: Nathan Reinds Does BlueM toothpaste con- tain ﬂuoride? We have two toothpastes: one with- out ﬂuoride and one with 1,000 ppm calcium ﬂuoride. When BlueM started, we focused on patients with implants. Fluoride corrodes the ti- tanium surface layer of implants, which means that one should rather use ﬂuoride-free toothpaste. Since many people without implants are using our products nowadays and dental professionals asked for a ﬂuo- ride toothpaste, we created one. Does the toothpaste contain sugar because of the added honey? The sugar in the biological, cold-ex- tracted honey is converted into wa- ter and oxygen when it comes into contact with liquids. The catalyst in this process is called glucose oxidase. The sugar in honey is completely converted, which means there is no risk of caries. Why is this product suitable for pregnant women? BlueM supports the body’s own heal- ing process. Because of the products’ natural effects, they are suitable for long-term use. Other products, which are mostly chemical, can only be used for a short period. Blue m products are safe for children and pregnant women. Gain a child, lose a tooth— truth or myth? It is true that many women develop caries after their pregnancy. During pregnancy, there are many changes: ﬂuctuating levels of calcium and magnesium, altered nutrition result- ing from consuming more snacks, hormone ﬂuctuations and even less time for oral hygiene. All these exter- nal factors can lead to caries. There- fore, I believe it to be a myth because the development of caries is caused by many factors beyond pregnancy. Periodontitis is associated with systemic diseases such as diabetes and heart disease. What adverse consequences of this correlation might be of particular concern for preg- nant women? Periodontitis causes an increase in the prostaglandin level, which in- duces contractions. Studies show that women with periodontitis have a two to seven times greater chance of preterm birth due to this high level of prostaglandin. It also works the other way around: treatment of periodontitis can reduce the chance of preterm birth. What oral hygiene measures do you recommend to preg- nant women? Make sure that you do not have gin- gival bleeding! So, brush twice a day and use toothpicks or interdental brushes on a daily basis. Especially during the second trimester, preva- lence of gingivitis and anaerobic bac- teria increases. That makes it even more important to work on your oral hygiene. The BlueM products can be a great addition to your routine. That is why it is so important to be aware of the effects of your oral health when you are pregnant. Why is the topic of oral care in pregnant women not as wide- ly discussed as it should be? I think that many midwives are not aware of the risk of poor oral health for the unborn child, as it is not a part of their protocol. Luckily, I see that more and more pregnant women are being referred to dental hygien- ists by their midwives. This is a good thing and I believe that this inter- professional cooperation should become part of the protocol. I truly hope this awareness grows in the future. Does BlueM have a unique position on the dental market because it speciﬁcally offers oral health products for preg- nant women? BlueM products have not been spe- ciﬁcally developed for pregnant women, but it is true that the prod- ucts are safe to use during pregnan- cy, in contrast to many other oral health products. Do you recommend the use of BlueM also for non-pregnant people? BlueM products have a wide range of use. We see that blue m is most commonly used by people with im- plants, periodontal problems or oral wounds. Since it accelerates wound healing, it has many indications. For example, the elderly use our oral foam to take care of their gin- givae and clean their dentures. Our oxygen ﬂuid is often used by cancer patients to support wound healing after chemo- or radiotherapy. What sets BlueM apart from other products? BlueM supports the body’s own healing process. That’s unique in oral care. Where is the product avail- able, and how much does it cost? BlueM is promoted by top dental professionals in more than 40 coun- tries. You can buy it online, in various clinics and in many pharmacies. We have distributors worldwide; for an overview, see our website https:// www.bluemcare.com/international- distribution/. The price ranges from €5.95 for a mouth spray to €24.95 for the oxygen ﬂuid, which is a medical product. Thank you very much for the interview. Photo: Nathan Reinds
A soft appdoach fod tough adeas. Enamel is hadd. Hadded than steel, even. And it should stay that way. Enamel- fdiendly bdushing means: pampeding youd teeth and gums with tended loving cade. Like with the gentle CS 5460 ultda soft. Mmmm, let’s do that again. cudapdox.com