Ongoing Education is a Key
Start cleaning BETWEEN
your teeth. Periodontal disease begins between the
teeth. The area between the teeth are more prone to
infection than facial or tongue gum tissue surfaces simply by
anatomy. This tissue is not keratinized like tissue found
on the facial and tongue surfaces. Non-keratinized tissue
is more susceptible to breakdown. It is also a very
protected area, NOT reached by brushing or rinsing.
Since the disease starts between
the teeth, it makes sense to start cleaning in between the teeth
and than brush. You can clean this area with
interdental brushes, picks, flos,
sticks, oral irrigation, and
automatic flossers. remember
this disease needs to be treated both in the office and at
toothbrushes have been shown to remove an average of less than
50% of the plaque from the smooth area of the tooth
and less from the areas between your teeth.*A Rota-dent
is a site-specific instrument who's microfilaments are less abrasive
than traditional bristle brushes. It has the ability to clean
under the gum tissue and apply medications to the diseased
oral care products are more superior to a manual brushes in removing
Rotadent toothbrush needs to charge for a full 24 hrs. before 1stuse.
a full charge unplug the charger from your Rotadent before you use it.
you begin to notice a loss of power in the toothbrush (usually in about
2-4 weeks), you will need to recharge your Rotadent over night or for
about 24 hours.
will need to replace your brush head tips every three months.
may purchase both brush head tips through our office. Please call Rotadent
company hotline: 1-800-752-2564 if you
experience any problems with your Rotadent or need service for your
teeth with Rotadent & toothpaste for 2 minutes.
important to remove the bacterial plaque.
a small amount of chlorhexidine into the cup. Dip the cup like tip of the
Rotadent into the chlorhexidine. Apply this at the gum line of every tooth.
Use it on the cheek side and tongue side for 2 minutes. Do this twice a
day (after breakfast and supper). You use
this product regularly in order to inhibit bacteria growth. DO NOT RINSE with
the chlorhexidine, this will cause staining of your teeth.
a pea size amount of fluoride gel on rounded tip of the Rotadent. Apply
to all of the tooth surfaces: cheek side, tongue side & biting
surface, of every tooth. Do not shallow the fluoride gel.
Do this before you go to bed.
Do not eat or drink for 30 minutes after using the fluoride
WARNING: Chlorhexidine and fluoride gel
are prescription strength for pt.
use only. Keep away for
small children & pets.
you have periodontal disease it is advised that you disinfect or
change your toothbrush head between brushing to prevent self
infection from periodontal germs that remain on your toothbrush
for 4 hours or more after use.~
insure successful results following periodontal treatments, patient
cooperation in maintaining excellent oral hygiene is essential.
your Rotadent with you to every periodontal appointment with us. This
allows us to go over your home care techniques & any improvements
that presence research has not found useful in helping to
prevent or heal periodontal disease:
peroxide and baking soda.
recommended that you receive the daily minimum requirement for
Vitamin C, calcium and an overall multivitamin supplement.
It has been found that people who do not consume adequate
amounts of these nutrients have a higher rate of periodontal
disease.# A healthy immune system is essential to controlling
Based on evidence from a recent study, it can
be concluded there is a significant relationship between
dietary vitamin C intake and periodontal disease Therefore,
individuals with periodontal disease may benefit from a dietary
analysis and, when appropriate, from daily vitamin C
supplementation. Journal of Contemporary
Dental Practice Vol. 5, No. 2, Page 1-13 6/04
Taking a Vit B complex
one capsule a day of either Vit-B (50 mg of the following:
thiamine HCl, riboflavin, niacinamide, d-calcium pantothenate,
and pyridoxine HCl; 50 µg each of d-biotin and cyanocobalamin;
and 400 mcg of folate) may help
healing after root planing and scaling and periodontal
surgery because studies have shown that
vitamin-B complex (Vit-B),
can positively influence wound healing processes.
CoQ-10 seems to affect the disease by affecting
the immune response to the bacterial antigen.
Vitamin B-complex supplement in combination
periodontal surgery resulted in statistically significant
superior CAL gains when
compared to placebo. J Periodontol 2005;76:1084-1091Effects
of Vitamin-B Complex Supplementation on Periodontal Wound
Healing - Dr. Rodrigo F. Neiva et al.Journal of Periodontology
2005, Vol. 76, No. 7, Pages 1084-1091
Effect of Vitamin D and Calcium on Periodontitis
The anthropological record indicates that we
are exposed to considerably less ultraviolet radiation (required
for the synthesis of vitamin D) and consume considerably less
calcium than did our early ancestors. Most U.S. citizens have
calcium intakes and serum levels of vitamin D far below
recommended values. Numerous articles indicate that
vitamin D and calcium deficiencies result in bone loss and
increased inflammation, which are well recognized symptoms of
periodontal disease. For more than 40 years, investigators have
suggested that calcium intake may be associated with alveolar
bone resorption, and more recently there have been a number of
studies in which investigators have suggested that calcium
and vitamin D may benefit periodontal health, and it has
been suggested that calcium deficiency may be a risk factor for
periodontal disease. There has not, however, been a
vitamin-D-calcium-periodontitis clinical trial in which
randomization and masking were carefully controlled, the
periodontal disease status of patients known, periodontal
disease measures were the primary outcomes, and levels of intake
optimized to produce maximal effects. Such research might
demonstrate that calcium and
vitamin D are important adjuncts to standard treatments for
preventing and treating periodontal disease.
J Periodontol 2005;76:1576-1587.Dr. Charles F. Hildebolt Journal
of Periodontology 2005, Vol. 76, No. 9, Pages 1576-1587
fluoridated rinse daily:
The fluoride rinse shows a significant inhibition
of plaque regrowth. Although the effect on plaque regrowth
showed Chlorhexidine rinsing was superior to that with fluoride,
the fluoride rinse was not associated with side effects.
Fluoride rinse may represent an effective alternative to
Chlorhexidine rinse as an adjunct to oral hygiene.
Mouthrinse on Supragingival Plaque
Regrowth Giuseppe Pizzo, Rosario Guiglia, Monica La Cara,
Giovanna Giuliana, and Matteo D'Angelo regrowth. J Periodontol
alcohol based mouthrinses,
Alcohol actually makes periodontal disease WORSE.
Fluoride enhancement of chlorhexidine uptake by
hydroxyapatite and enamel powders.
The purpose of the present study was to examine
the in vitro adsorption of chlorhexidine and fluoride to
hydroxyapatite and tooth enamel powders. Samples of
hydroxyapatite or enamel powder were suspended in aqueous
solutions of chlorhexidine gluconate 2.0; chlorhexidine acetate
1.5%; sodium fluoride of various concentrations (0.2%, 1%, 2%)
and mixtures of sodium fluoride and chlorhexidine. The data
obtained in the study show that chlorhexidine and fluoride
adsorb to hydroxyapatite and tooth enamel in vitro. Furthermore,
the amount of fluoride adsorbed to hydroxyapatite is reduced in
the presence of chlorhexidine in the solution. A probable
explanation for this effect may be that there is a competitive
adsorption of fluoride and chlorhexidine on to the same binding
sites on the hydroxyapatite. Additionally, the presence of
fluoride dramatically increases the affinity of chlorhexidine
for hydroxyapatite. The fact that
fluoride strongly enhanced the adsorption of chlorhexidine to
hydroxyapatite and enamel, indicates that fluoride may be of
clinical interest beyond the prevention of caries and gum
1: J Oral Rehabil. 1984 Jan;11(1):65-70. Related
Articles, Links Ben-Yaakov D, Friedman M, Hirschfeld Z, Gedalia
PMID: 6583372 [PubMed - indexed for MEDLINE]
jets are wonderful at reducing periodontal pathogens in pockets
up to six millimeters and reducing bleeding and inflammation.
For perio purposes, the motion of the water pulsing across the
opening of the sulcus/pocket creates a suction that virtually
sucks out the free-floating bacteria from under the gingival
crest. This action dramatically decreases the number of
pathogens in the pocket. Instructions -The tip of the water
jet should be pointing directly between the teeth from the
outside to the inside, apical to the contact - not directly at
the pocket - for flushing.
February 06, 2008
++Five Tips to Share
with Patients, Ms. O'Hehir, Dental Equipment & Materials, pg
80-81 May/June 2004
of toothpaste on the residual microbial contamination of
toothbrushes". Warren, Goldschmidt, Thompson,
Storthz, Keene, JADA Vol 132 pg 1241-1245 Sept 2001.
* Prevention: The Key to Successful Nonsurgical Periodontal
Treatment, Dr Gottehrer, Dr. Light,Dentistry, pg 82-87;
Today January 2002.
+WebMed on Periodontal Disease.
#ADA, Periodontal Health Important to Consumers. Sept. 2001.
( Gum ) Disease Index