Hygiene Tribune Middle East & Africa No. 6, 2015
New Philips Sonicare AirFloss Ultra improves periodontal health in just four weeks / Oral Probiotics - it is Time to add Friendly Bacteria to the Mix
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hygiene tribune 1D
Dental Tribune Middle East & Africa Edition | November-December 2015
New Philips Sonicare AirFloss Ultra
improves periodontal health in just four weeks
By Philips
C
OLOGNE,
Germany: Dutch healthcare
manufacturer
Philips
presented its latest innovations in oral healthcare at the
Philips media breakfast on
10 March at the International
Dental Show (IDS) in Cologne.
One of the main innovations is
the new interdental cleaning
device, Philips Sonicare AirFloss Ultra. Study results show
this device is able to improve
periodontal health in just four
weeks. The product is now
available in the UAE
Among other products, Philips presents the next generation Philips Sonicare FlexCare Platinum with a new
AdaptiveClean brush head and the new Air Floss Ultra. (Photograph: Claudia Duschek, DTI)
Oral Probiotics - it is Time to add
Friendly Bacteria to the Mix
By Dr. Jaco Smith, UK
B
rush more, floss more,
use automated toothbrushes, a water pik,
or place sulcular antibiotics?
What regimens are you currently recommending in your
office for your patients’ oral
hygiene maintenance and prevention? What if I told you that
mechanical removal of bad
bacteria might not be enough
to ensure optimal oral health in
all of your patients? After all, if
simple removal of bacteria was
beneficial then mouth washes
would rein supreme chemical adjunct to mechanical removal. The problem is that this
chemical warfare kills all types
of oral bacteria, including the
good!
The potential issue is that problems can become worse because good bacteria are targeted and reduced and numbers
can decline to levels that allow
bad bacteria to take over. What
if the war on bad bacteria could
be won with target warfare by
out numbering them! It is time
to consider adding friendly bacteria to the mix.
There is an entire category of
products that is underutilized
in the dental profession — oral
probiotics. In fact, they are a
category unto themselves.
Oral probiotics have the potential to make a significant impact on the oral health of our
patients, and systemic health
by extension. While not yet a
therapeutic modality that we
could include in a periodontal
patient’s active phase of treatment, oral probiotics are among
the best options we can use for
patients in differing states of
disease or health.
various pathogenic bacteria for
binding sites. The sites on the
teeth and gums occupied by the
probiotic bacteria reduce the
surface area available for disease-causing bacterial colonization. Furthermore, they also
compete for nutrients.
According to the current adopted definition by the World
Health Organization, probiotics are: “Live microorganisms
which when administered
in adequate amounts confer
a health benefit on the host.”
Lactic acid bacteria (lactobacillus), Streptococcus and Bifidobacteria are the most common
types of microbes used as probiotics and have been widely
accepted in the medical profession. Some benefits of probiotics are decreased hypertension,
managing lactose intolerance,
lowering cholesterol, overall GI
health and soon to be added is
improved oral health and caries prevention.
Use of oral probiotics
Caries As dentists we advise
patients to avoid sugar to prevent caries. Have you ever wondered why some patients’ diets
are loaded with sugar, and yet
they are relatively caries free,
while others partake in a diet
only light with sugar (substrate) and they are highly caries active? How do you respond
to this patient amongst team
members? “They are drinking
more soda then they are telling
us” or “eating more sugar-filled
snacks then they let on.” Here is
the truth when it comes to caries: It isn’t the sugar that causes
cavities but how streptococcus
bacteria use sugar and produce
lactic acid that causes decay.
The ecological plaque hypothesis states that caries and periodontitis, the 2 most common
biofilm- associated diseases
in the world, originate from a
disturbance in the balance and
diversity in the biofilm. Contributing causes may be inadequate oral hygiene, incorrect
diet, stress and/or other factors
which determine the microecology. Caries is caused by the
presence of acidogenic and aci-
The beauty of oral probiotics
are the simple, commonsense
manner in which it works.
All oral probiotics are naturally occurring live bacteria,
freeze-dried and delivered to
the mouth in different ways,
i.e. mouthwash and lozenges.
These products contain different species of oral probiotics,
which are natural colonizers
of a healthy mouth, rather than
genetically engineered. The
patient dissolves one mint in
the mouth per day. The bacteria
are released and compete with
> Page 4D
Sinead Kwant, Category Leader for Philips Oral Healthcare,
said: “We’re very excited to
present the latest solutions
from the Philips Oral Healthcare range at IDS, particularly
as we’re seeing consumers
show an increasing interest in
the role that oral health care
has on people’s overall health
and wellness.”
Philips introduced a wide
range of innovative products
and solutions at this year’s IDS,
such as new electric tooth-
> Page 2D
[2] =>
2D hygiene tribune
Dental Tribune Middle East & Africa Edition | November-December 2015
< Page 1D: “New Philips Sonicare AirFloss Ultra improves periodontal health in just four weeks”
Ultra, an innovative product
designed to provide an easy
and effective way to clean inbetween teeth and achieve
healthy gingiva. The device
features Philips Sonicare’s
proprietary technology, which
has been combined with a new
Triple Burst function that delivers three powerful blasts of
liquid (mouthwash or water)
and air to remove plaque and
unwanted bacteria more effectively and efficiently than previous models.
Vistors could test the new Air Floss on site
brushes, interdental cleaning
devices, apps which monitor
and encourage superior oral
hygiene routines, as well as innovative professional whitening products. The company’s
focus is on solutions that encourage holistic health improvements.
A lot of novel products come
from Philips’ Sonicare product line, for example, the new
Sonicare for Kids Connected, a
Bluetooth electric toothbrush
that works together with an
app specifically designed to
encourage children to develop
healthy oral-care habits.
The centre of attention was
the Philips Sonicare AirFloss
“Based on feedback from dental practitioners, we focused on
upgrading the existing model
with new specifications designed to improve interproximal plaque removal and make
interdental cleaning even easier,” Kwant said. “In laboratory
studies, our improved proprietary ‘Microburst’ technology
removed up to 99.9 per cent of
plaque from treated areas, although results will vary from
Bernd Laudahn, head of the Consumer Lifestyle section at Philips DACH,
opened the event
patient to patient.”
A recent clinical study of the
Philips Sonicare AirFloss Ultra
reported up to 97 per cent of
users had improved periodontal health in just four weeks.
While the Philips Sonicare
AirFloss Ultra has not been designed to replace dental floss
for those people who already
floss consistently, it is clinically proven to be as effective as
string floss for improved periodontal health — when used in
conjunction with an anti-microbial rinse in patients with
mild to moderate gingivitis.
“Magical Minutes” Gained with
Air Polishing – What’s the Return
on Investment?
Fig.1: EMS Air-Flow spray
By Karen Davis, Texas
D
ental Hygienist around
the world share a common habit… monitoring
the clock. How can we increase
efficiency without sacrificing
clinical effectiveness? Biofilm
management with air polishing devices and low-abrasive
powder has been shown to be
significantly more efficient and
more comfortable than biofilm
removal with hand and ultrasonic instruments. Let’s take a
closer look at the benefits.
Biofilm covers the surfaces of the
teeth and all of the tight, narrow
periodontal pockets. It is sticky
and adherent and requires mechanical disruption to remove it.
While power ultrasonic tips and
site-specific hand instruments
are ideal to remove calcified deposits, removal of sticky biofilm
requires numerous overlapping
and repetitive strokes. But by
using air polishing devices that
combine the synergy of air, water, and fine powder, biofilm can
be lifted off with just 5 seconds
of exposure. It is kind to the tissue, enamel and root surfaces,
porcelain and composite restorations, and even implants and
implant abutments.
Multiple studies have found that
while hand instrumentation of
subgingival biofilm removal in
deep pockets can take between
30-64 seconds, air polishing
with glycine powder has repeatedly been found to take only 5
seconds1,2. Comparable clinical
results were achieved in these
studies, but patients consistently favored air polishing from
a comfort standpoint. And, seriously… biofilm removal in 5
seconds per pocket! This is exactly what I have experienced
clinically since shifting to this
technology.
Since not all air polishing devices on the market are suited
for low-abrasive powders, clinicians desiring to efficiently manage biofilm with subgingival
air polishing would likely find
themselves investing in devices
that give clinicians freedom
to use low-abrasive powders
such as the E.M.S. AIR-FLOW®
handy or the AIR-FLOW Master
Piezon® (Fig. 1).
While it would be compelling
to reference a double-blind,
placebo-controlled study confirming a specific dollar amount
as a return-on-investment that
study does not exist. So instead,
I will share real-world experiences. First, let’s appreciate
that biofilm management with
low-abrasive powder requires
a different approach. Since lowabrasive powders and air polishing devices are so efficient
in biofilm removal, clinicians
can begin with use of that technology, finishing up with use of
power and hand instruments to
remove calcified deposits and
remaining stains. Rubber cup
polishing is not required. This
simple transition of going after
the biofilm first with the most
efficient technology saves about
10 minutes of instrumentation
time per patient.
The most obvious use of those
magical minutes could easily be
to couple them together to see
one more patient per day, per
dental hygienist, but I have experienced and observed a very
different return-on-investment.
Within the allotted time per patient on the schedule, having an
extra 8 to 12 minutes due to efficient biofilm management with
air polishing gives the clinician
freedom to be more comprehensive in his or her services.
For example, how many dental
hygienists have intra-oral technology that goes unused due
to time constraints? When is
the last time you sat the patient
upright and performed a shade
guide analysis to discuss the options of veneers versus whitening or Invisalign? What percent-
age of your adult patients today
have comprehensive periodontal charts that have been updated within the past 12 months including recession, bleeding and
furcation involvements? What if
you had time to walk a patient
with pending treatment through
the benefits of not waiting until
symptoms manifest? What if you
had time to take impressions for
whitening, or collect comprehensive periodontal data leading to early diagnosis and treatment of periodontal disease, or
play an educational video explaining the benefits of implants
for missing teeth, or provide
varnish, sealants and desensitizers to better manage caries risk?
These and many other comprehensive and billable services
can be provided, per patient,
without running behind when
you start your appointment by
managing biofilm first with air
polishing devices. What is this
real return-on-investment?
• Happy patients because the
process is more comfortable
and more efficient.
• Happy clinicians because they
finally have more T-I-M-E per
visit to perform services that
have been elusive
• Increased profitability as a result of increased services and
treatment enrollment by the
dental hygienist
Sounds too good to be true?
Try it yourself, and experience
the return-on-investment possibilities with your own magical
minutes.
References
1. Wenstrom JL, Dahlen G, Ramberg P. Subgingival debridement
of periodontal pockets by air
polishing in comparison with ul-
trasonic instrumentation during
maintenance therapy. Journal
of Clinical Periodontology 2011;
38:820-827.
2. Moene R, Decaillet F, Andersen E, Mombelli A. Subgingival
plaque removal using a new air
polishing device. Journal of Periodontology 2010; 81:79-88.
About the Author
Karen Davis is a practicing
dental hygienist in Dallas,
Texas and is owner of Cutting
Edge Concepts, a continuing
education company. She is an
accomplished speaker on topics related to practicing comprehensively. Throughout her
career as a dental hygienist and
consultant she has served on
numerous advisory boards and
councils. Many corporations
within the industry consider
Karen a Key Opinion Leader,
and Dentistry Today has recognized her as a “Top Clinician in
Continuing Education”.
Contact Information
For any questions, please contact: karen@karendavis.net
[3] =>
[4] =>
4D hygiene tribune
Dental Tribune Middle East & Africa Edition | November-December 2015
< Page 1D
duric bacteria (mainly mutans
streptococci) metabolizing dietary sugars to create a low local pH environment which can
de-mineralize enamel. Thus
patients whose bacteria war
is being won by the bad bacteria will have more decay than
those where the bad bacteria
is kept at lower levels. How can
we help?
Oral probiotics are able to naturally alter the oral ph levels and
because they are early biofilm
colonizers and non-aciduric,
they build a much smaller biofilm.
Streptococcus rattus JH145 is
a unique strain of streptococcus that does not produce lactic acid, and has been shown
to successfully compete for
nutrients and space on tooth
surfaces with the native strain
of streptococcus that produces
lactic acid. The result is a reduction in decay despite the potential presence of sugar (substrate) in the oral environment.
ets, the future oral health of the
patient is determined 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. If
the beneficial bacteria are first,
then good oral health will be
established and the dental office procedure will have been
successful (Socransky and
Hafajee, 1992, J. Perio, p. 322).
Pathogenic biofilm has a couple
of requisites, and one is a low
pH. So a biofilm with early colonizers that doesn’t make acid
has a harder time harboring
the bacteria that we associate
with dental disease. Harnessing this pH characteristic of
biofilm goes right up into the
face of traditional methods -
Gum and Tooth Health
What do you make of patients
who brush and floss, their
plaque indices are down, and
yet their periodontal health
continues to slump? Can the
same be true of these patients?
Despite their commitment to
mechanically remove bacteria, chemically the bad is still
winning the war.Research has
revealed that even after the aggressive process of scaling to
clean out the periodontal pock-
PRINT
L
DIGITA N
TIO
EDUCA
EVENTS
.
The DTI publishing group is composed of the world’s leading
dental trade publishers that reach more than 650,000 dentists
in more than 90 countries.
brush ‘n’ floss. Adjusting the pH
allows your patients a way to
manage their biofilm without
having the dexterity and laserfocused education of a dental
hygienist.
When giving brush ‘n’ floss
directions, we end up focusing only on the teeth, and we
miss the elephant in the room
- the tongue. Tongue coating
is not innocuous, 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 biofilm to the
rest of the mouth.
So it’s time for the tongue to be
included in discussions about
biofilm management and prophylaxis and it is here that pro-
biotics plays a very important
role due to their activity in all
oral biofilm.
Probiotic bacteria like Streptococcus oralis KJ3, and Streptococcus uberis KJ2 colonise supra- and sub gingival sites and
produce hydrogen peroxide,
which aids in inhibition of periodontal pathogens. The ability
to reduce these types of harmful bacteria in return results in
a reduction of pathogenic biofilm on the teeth because they
can only cause disease when
they are in direct contact with
the gingival epithelium. If they
are in contact with the tooth
or surfaces other than the gingival epithelium, or if they are
freely floating in the mouth,
they cannot cause periodontal
disease.The patients who suffer from refractory periodontal
disease, or who have poor results from traditional periodontal treatment now have a new
conservative approach which
might provide them results
they were previously unable
to achieve with contemporary
treatments alone. The story of
oral probiotics gets better! This
way of biofilm management is
not the wave of the future any
longer. Recommending oral
probiotics with natural strains
from healthy mouths may be
the ticket for patients who cannot or will not remove their
own biofilm to dental hygienist
standards.
Antimicrobial agents — including therapeutic doses of
systemic and locally applied
antibiotics, mouthwashes, subgingival irrigants, etc. — will
kill probiotic bacteria. This is
why they are not used during
active periodontal therapy. One
of the ideal situations in which
oral probiotics are used is immediately following successful
periodontal treatment. Reducing the repopulation of cariescausing and periodontal bacteria gives the patient a fighting
chance to remain healthy. Probiotics are also ideally used in
periodontally healthy patients,
especially those with a family
history of periodontal disease.
The optimal time to take the
probiotic mint is in the evening,
following the use of all biofilmcontrol devices.
Fresher Breath
In general, amino acids are the
main substrate for the production of oral malodorous compounds. As freshly secreted human saliva contains low levels
of free amino acids, halitosis
occurs as a result of bacterial
putrefaction 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 antibacterial agents.
Antibacterial
mouthwashes
and breath fresheners promote
killing up to 99.9% of bacteria
and germs in the mouth. These
products indiscriminately wipe
out both the essential, good
> Page 6D
[5] =>
[6] =>
6D hygiene tribune
Dental Tribune Middle East & Africa Edition | November-December 2015
< Page 4D
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 imbalances in the microflora that
naturally inhabit the oral cavity. Antibacterial mouthwashes
and breath fresheners simply
mask the malodor and can never effectively address the issue
on the causal level. Oral probiotics are natural antagonists to
the malodor-creating bacteria,
quickly colonizing to create a
healthy balance of micro flora
and resulting in longer lasting,
truly fresher breath .
The use of benign, commensal
probiotics could therefore offer a complementary and more
long-term treatment strategy to
combat bad breath.
Whiter Teeth
A natural by-product of oral
probiotics 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 contact times, delivering
24 hour per day coverage of balancing and brightening.
Yellowing, surface discoloration
or staining are all results of
lifestyle choices: tobacco use,
coffee, 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
staining 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 surfaces and in the
micro cracks and is available
to hold on to stains much better.
Streptococcus oralis KJ3
binds to the surface of the teeth,
crowding out harmful bacteria by competing for the same
nutrients and surface spaces.
In laboratory studies, the lowdose hydrogen peroxide produced by the Streptococcus
oralis KJ3 created a continuous
whitening benefit that did not
plateau over the duration of the
study. With daily use, the colonization of Streptococcus oralis
KJ3 provides a constant and
expanding population for gradual and continual whitening
effects. The hydrogen peroxide metabolites of Streptococcus oralis KJ3 also contribute to
the breath-freshening features
of oral probiotics by inhibiting
the growth of harmful bacteria.
The decrease in these harmful
bacteria results in a substantial
reduction in the volatile sulfur
compounds associated with
bad breath. Unlike other whitening products, oral probiotics
are completely safe for veneers,
caps and dentures.
Systemic link
The patient’s health and family
history are sources of considerable impactful information. A
patient with a strong family history of diseases and conditions
such as cardiovascular disease,
diabetes, periodontal disease,
high blood pressure, and rheumatoid arthritis, among many
others, has a potentially heightened risk for these diseases as
well. A large body of research
has demonstrated several different mechanisms of oral-systemic associations. One is the
effect of the chronic inflammatory properties of periodontal disease on various diseases
and conditions. Another is the
effect of the periodontal pathogens on cardiovascular diseases and events, independent
of periodontal disease. There
is also the increase in insulin
resistance from the inflammatory and infectious components
of periodontal disease. Insulin
resistance is the biggest root
cause of atherosclerosis, which
is the initiating event for heart
attacks and strokes. Reducing
the number of pathogenic bacteria, along with the oral contribution to the total inflammatory burden in the body,
by consistently and effectively
controlling periodontal disease
can only result in better patient
health.
As clinicians, it is important to
take these risk elements into
account when evaluating a
patient and developing a treatment plan for periodontal disease. The maintenance phase
of periodontal therapy, along
with the effectiveness of the patient’s home care, determines
how long a perio patient will remain healed. Using all the tools
at our disposal, including oral
probiotics, will help to optimize
our patients’ oral and general
health.
Patients who have been susceptible to health breakdown
due to age related or medically
induced changes can now have
conservative treatment to help
reverse these issues. Patients
who undergo extensive dental
treatment such as implants,
veneers, full mouth rehabilitations, or even are currently undergoing orthodontic therapy
now have a simple treatment
to aid in the protection of their
dental investment. The science and research on probiotic
therapy for overall health and
wellbeing is constantly advancing in new areas and uncovering new benefits. The probiotic
benefits for oral health are an
exciting and newly expanding area of this type of therapy.
The obvious patient demand
for fresher breath is apparent.
How about introducing them to
a mint that not only tastes good
and freshens breath, but allows
for reduction in caries and periodontal disease?
References
• Dr J. J. Smith, (B.CH.D ) Dental Expert and founder of Cleanition Oral Care
• John Nosti, DMD, FAGD,
FACE: Cosmetic case protection
and oral health - Dental Town
Dec 2010
• Shirley Gutkowski, RDH,
BSDH, FACE: An in-depth view
of oral probiotics- Dentistry IQ
• Am. J. Clin. Nut.r 2000:71
Seeing teeth everywhere (while trying not to)
By Patricia Walsh, USA
I
can always tell when I’m in
great need of a vacation: I
start to dream about teeth.
There are more subtle signs
that often escape me. The first
of which is the emergence of
the robotic hygienist. She lurks
inside of me and, fortunately
for all those involved, doesn’t
rear her ugly head too often.
The other is the OCD hygienist.
The one who doesn’t enjoy the
human variety of her coworkers and sees them only through
OSHA-colored glasses.
To survive the reality of a dental office for decades, one has
to care for both the body and
the mind. They say, “Dentistry
maims its survivors.” This can
be true of both mental and
physical well being if we don’t
take an adequate amount of
time off.
I’ve been labeled a C.E. junkie
in the past. But this vacation
week, I wanted nothing to
do with teeth. Big teeth, little
teeth, interestingly odd teeth or
perfect teeth: They were not on
the vacation agenda.
But I was wrong.
I took a cab from my hotel in the
French Quarter of New Orleans
to the cruise ship terminal. My
taxi driver, Dimitri, told me
he was from Croatia. “That’s
different,” I thought. Not that
I expected him to look like
Satchmo, but I was unaware
of NOLO being the melting pot
that it is. It reminded me of the
time I was on the banks of the
Thames in London. It was the
day of the Lord Mayor’s parade.
A beautiful majestic spectacle
full of all the pomp the Brits do
so well. What surprised me was
the music. It was one Dixieland
jazz band after another. Who
knew the English were so fond
of traditional American music?
And this was long before London had a mayor born on U.S.
soil.
While my cab was at a stoplight
on Bourbon Street, a young
man crossed the road in front of
us. The only thing odd I noticed
about him was his plaid undergarments hiked up to his waist.
His jeans seemed to sit, precariously balanced, farther south.
I thought that style had come
and gone. “Look at him,” Dimitri said with his heavy Eastern
European accent. Dimitri held
his hand up and dramatically
waved it around a bit. “Just look
at him. All his tattoos, probably cost $400 a piece, and yet
he is missing a front tooth.
Just stupid. He cannot fix his
front tooth?” I wanted to say,
“You’re preaching to the choir.”
But instead I uttered my newly
learned Southern expression,
“Um- Hmm,” with a big emphasis on the “Hmm.”
A few days on the cruise ship
and I was starting to feel like
my old self again. I eagerly
awaited climbing Mayan pyramids in Belize with my newfound zest for life. Halfway up
a hill to the Xunantunich ruins,
my guide stopped to pull a leaf
off a tree and asked, “Anybody
know what this is? Here, taste
and see if you can tell me.” It
was allspice, but nobody in
the group had guessed it. The
Mayans used this leaf to cure
toothaches. They tucked it between the gum and the tooth
to relieve pain. Hmmm. While
I wasn’t so sure about the pain
part, it certainly may have had
some antiseptic qualities to it.
On we went to the pyramids.
During the excavation, remains
had been found entombed midway up, in the front of the structure. What the archeologists
were surprised to discover was
that the deceased were Guatemalan. According to my guide,
this was established by analyzing the teeth. Dead slaves or
prisoners perhaps? The Guatemalans had a diet that consisted of different grains than
those commonly used in Belize. The guide speculated that
it was the wear and tear on the
teeth that distinguished them
as Guatemalan. Hmmm again.
I had a vague recollection of ar-
cheologists doing an analysis of
a sacrifice victim’s calculus at
a Mayan site. It enabled them
to determine the origin of the
remains based on diet. Part of
me wanted to raise my hand
and say, “’Scuse me, ’scuse me,”
like that annoying apple polisher we all once sat next to in
grammar school. But I was on
vacation. And I wondered, “Was
there no escape from teeth for
me this week?”
When I returned home, I decided to write about my exciting
trip and all of its dental anecdotes. Just as I started, I noticed
a ladybug land on my keyboard.
I remembered my grandmother telling me it was good luck to
have a ladybug land on you (in
spite of the fact that the bug’s
house was on fire and her children all gone). I looked up the
origin of the children’s rhyme.
I found out more than I wanted to know. And what I found
made me wince and smile at
the same time. Ground up ladybugs were once used to cure
toothaches. They were placed
inside the cavity. Seems I don’t
know everything there is to
know about teeth after all. And
there is no escaping the wonderful joy of our odd little niche
of knowledge.
Ready for a recharge by escaping all things
dental, Hygiene Tribune Editor in Chief Patricia Walsh, RDH, keeps encountering teeth
throughout her vacation, even while exploring Mayan ruins in Belize. Photo/Patricia
Walsh
About the Author
Patricia Walsh, RDH, BS, has
been a clinical dental hygienist for more than 20 years.
She is a graduate of the Fones
School of Dental Hygiene,
University of Bridgeport in
Connecticut. She has an extensive history in international volunteer work in oral
health, including being instrumental in the creation of
The Thailand Dental Project,
a volunteer program focused
on providing educational,
preventive and restorative
dental care to children in a
tsunami-affected region of
Thailand. Contact her at pwalshrdh@uberhygienist.com.
[7] =>
Ultra-low abrasion for your patients who need
sensitivity relief and seek gentle whitening
Clinically proven relief from the pain
of sensitivity*1-4
Gently lifts stains and help prevent
new stains from forming5-7
Ultra-low abrasive formulation
appropriate for your patients
with exposed dentine8
Recommend Sensodyne – specialist expertise
for patients with dentine hypersensitivity
*With twice-daily brushing
References.. 1. Jeandot J et al. Clinc (French) 2007; 28: 379–384. 2. Nagata T et al. J Clin Periodontol 1994; 21(3): 217–221. 3. GSK data on
file. DOF Z2860473. 4. Leight RS et al. J Clin Dent 2008 19(4) 147-153. 5. Schemehorn BR et al. J Clin Dent 2011 22(1) 11-18. 6. Shellis RP
et al. J Dent 2005 33(4) 313-324. 7. GSK data on file. DOF Z2860415. 8. GSK data on file. DOF Z2860435.
Arenco Tower, Media City, Dubai, U.A.E.
Tel: +971 4 3769555, Fax: +971 3928549 P.O.Box 23816.
For full information about the product, please refer to the product pack.
For further information please contact your doctor/healthcare professional.
For reporting any adverse event/side effect related to GSK product,
Please contact us on contactus-me@gsk.com
Prepared: July 2014, CHSAU/CHSENO/0034/14
We value your feedback
Saudi Arabia: 8008447012
All Gulf and Near East countries: +973 16500404
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