Brushing your teeth just got social / Interview: “Prevention is not just for children and young people” / Emirates – Kenya outreach success / Evaluation of an ex vivo porcine model to investigate the effect of low abrasive airpolishing / Interview: “BlueM supports the body’s own healing process”
Brushing your teeth just got social
01 - 01 viewInterview: “Prevention is not just for children and young people”
01 - 02 viewEmirates – Kenya outreach success
02 - 03 viewEvaluation of an ex vivo porcine model to investigate the effect of low abrasive airpolishing
04 - 04 viewInterview: “BlueM supports the body’s own healing process”
06 - 06 viewArray
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www.dental-tribune.me
Published in Dubai
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 FunZone, a unique gamification feature
that makes each brushing session a
more rewarding experience for users
of all ages.
The perfect solution for health-conscious people seeking a fun, enjoyable 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 accomplish their health goals when
they can gauge their progress
through an exciting social media or
wearable experience,” says Dr. Ashhad 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 feature that allows users to track and actively 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 reward system, making each brushing
session the ultimate oral care experience.
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: Jungle, Anime, Cats and Haunted House.
The app comes pre-loaded with the
Jungle theme, and the three additional 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 automatically 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 consumers a truly personalized oral care experience, 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 products, please visit https://oralb.com/en-us
Interview: “Prevention is not just for children
and young people”
By DTI
symptoms of which, in the form of
decaying lesions, are still some of the
most common reasons for extractions. I am aware that I am speaking against the common teaching
opinion, which treats caries and periodontitis as non-communicable diseases, but it would be too much for
this interview to explain the reasons
for this stance in detail.
Three years ago, Professor of Cariology and Endodontology Ivo Krejci
from the University of Geneva, Switzerland, published an article in which
he made the case that professional
motivation, instruction and checkups, as well as precise, non-invasive
therapies, should be the core competence 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 clinical 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 clinical symptoms. My article focused on
one aspect of this concept, namely
the causes, symptoms and treatment of caries, a chronic lifelong
infection of the biofilm, the clinical
Besides increasingly criticised fluoridation, bioavailable calcium, acid
neutralisation and harmless sugar
substitutes can be identified as important factors in preventing caries
symptoms in so far as the patient
doesn’t want to curb excess sugar
consumption. Three further measures are at least just as important:
firstly, early diagnosis of the initial
caries; secondly, the lifelong, periodical 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 caries symptoms in the sense of secondary prophylaxis. Direct and indirect
minimally invasive composite restorations complement this philosophy
in patients entering into this concept
with existing large decaying lesions
or with existing restorations.
Why do we still separate periodontitis prophylaxis and
caries prophylaxis?
It’s difficult to say, as both problems
have to do with immunology and a
ÿPage 2
[2] =>
2
hygiene tribune
Dental Tribune Middle East & Africa Edition | 5/2018
◊Page 1
pathogenic biofilm. This separation
makes no sense at all. We should always 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 concept 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 recommend: completely remove or
disrupt the biofilm?
The biofilm actually protects our
teeth, so is vital for survival. Its permanent removal from the mouth
would therefore be counter-productive. Through its currently unpreventable 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 pathogenic 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 consumption—would be very welcome, but
difficult to implement in the long
term in practice. We therefore approach 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 structure 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 defence 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 periodontitis are lifelong infections and
decaying lesions, periodontal pockets, erosion, abrasions, trauma and
dental infractions can arise at any
age, lifelong prophylaxis is unavoidable. 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 therapy where needed.
Therapy, diagnostics, prevention—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 therefore 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. However, 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 century. If one has the diagnostic opportunity to recognise symptoms long
before their clinical manifestation,
such a concept suddenly becomes
very interesting.
We know that it takes years for clinically evident symptoms to develop
in caries and periodontitis alike. If
diagnostics are carried out with sufficient 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 symptoms of caries with our restorative
methods. For technical and practical
reasons, we used to only treat symptoms at a later stage, when the decaying lesions had already developed
into cavities, because diagnostics
weren’t as advanced and restorative
therapy was based on macro-mechanical principles. We needed the
hole so that we had something to
fill. Today, this concept hasn’t really
changed in principle. From a professional perspective, we are still treating symptoms, but we have other
diagnostic tools and therapies, so we
don’t need macro-retentions for restoration. This lets us act much earlier
and use non-invasive therapies.
Should we be concentrating on
primary or secondary prophylaxis?
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 primary 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 caries prophylaxis in your opinion?
Individual home oral care by the patient is the most important aspect
for me. It might sound presumptuous, but many people can’t brush
and don’t know which tools, products and techniques are the best and
most efficient for their individual
situations. I am convinced that oral
care at home can only have a longterm effect when it is overseen by
a dental professional. This professional cannot heal the patient, and
it wouldn’t make sense for the professional 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 effective, quickest and cheapest for his
or her individual circumstances. We
can still get involved if professional
therapy is needed and before clinically 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 vital 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, titled “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 Faircare, 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 Aitong 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 support of an amazing team of 11 volunteers from four countries, they
planned to go a step further and
establish an ongoing service.
Following one missed flight, two
cancelled flights, a brief struggle 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 mobile 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 decontamination process and two pressure cookers, ensuring both clinician 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 screenings for the local school children,
preventative treatment and prophylaxis scaling. Abdalla and Arafsha
also held fun and interactive oral
health lessons for groups of children, 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
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)
stains seen frequently in the Mara,
however this discolouration is due
to the high levels of fluoride found
in the ground water. Despite community efforts, filters to remove
such high concentrations are expensive 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 Madalyne Tucker and dentist Dr Jamshed
Tairie to carry out basic restorative
care and extractions. Dr Tairie’s
In the main surgery, patients were
ÿPage 3
[3] =>
3
hygiene tribune
Dental Tribune Middle East & Africa Edition | 5/2018
◊Page 2
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 local young men were recruited to
assist in translation and clinic organisation, 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 smoothly 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.
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 cheetahs amongst the spectacular scenery inhabited by these incredible
animals. They were also welcomed
by the village elder at a local Manyatta (Maasai village) with traditional singing and dancing. Maasai
are great pastoralists, living seminomadic lives that have remained
unchanged for hundreds of years.
They are easily recognised by their
colourful clothes, elaborate beaded
jewellery, stretched earlobes and removal of the lower central incisors.
Their diet mostly consists of milk,
meat, vegetables and maize, leading to low rates of dental caries and
Dr Jamshed works in the background assisted by Karina, Maddie triages
a patient with anaesthetic assisted by Stephany
virtually no heart disease!
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 children to return for the day to have a
dental screening and any treatment
needed. Fortunately, about 150 children 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. Facilities are basic, but clean and safe
with wonderful, enthusiastic teachers. 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 government funding and relies solely on
community support and external
donors. Currently 394 children reside at the school, yet there are approximately 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 generously 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
Hasna and Shaima carry out dental hygiene treatment, buckets become
spittoons!
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 register your interest, email: maasaimolar@
gmail.com or rachaelenglandrdh@gmail.
com
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
UK
DR. PENELOPE JONES
AUSTRALIA
Periodontal Therapy and
Care Today. The Essential
Points for the Dental
Hygienist
Management and
Prevention of Peri Implant
Disease
ICDAS and Caries Risk
Assessment
Sitting is a Health Hazard
— How the Dental Team
Can Prevent and Recover
from the Damage of Poor
Sitting Posture
ROBYN WATSON
AUSTRALIA
DR. NADIA MOHD SALEH
UAE
Tools for Periodontal
Assessment, Diagnosis
and Treatment planning
Oro Facial Pain
SAWSAN JAFFER
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
Emirates Dental Hygienist's Club
www.cappmea.com/dhs
Dr Jamshed and Zohra meet the Maasai Chief and his son
[4] =>
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
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, Switzerland).
- EMS Air Flow Master was used with
a standard handpiece at a distance of
5mm to the gingival tissue in a continuously 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 medium power and water setting
- The instrument was kept parallel to
the root surface at a pressure of approx. 1 N for 10 s
Group D: 7/8 Gracey Curette (Deppeler, Rolle, Switzerland)
- 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 removed and graded.
Results
Conclusion
- Hand instrumentation had the
most pronounced damage
- Hand instrumentation and ultrasonic scaling caused higher tissue
destruction than both airpolishing
powders
- Ultrasonics was slightly less traumatic than hand instrumentation
with no statistically significant difference
- Between the low abrasive airpolishing 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
- 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 subgingivally.
Aim
To assess the usability of pig jaws
periodontal treatment model for low
abrasive air polishing and to histologically gauge the effect of various
instrumentation techniques.
Material and methods
- From 120 Pig mandibles, the buccal
part of one molar was chosen randomly and fixed in a way allowing
controlled instrumentation.
- Four modes of instrumentation
were evaluated.
Group A: Low Abrasive airpolishing
1 - No lesion: undamaged epithelium
and connective tissue
2 - Minor lesion: disruption of superficial epithelial layers, undamaged
basal membrane
3 - Medium lesion: superficial layers
of the epithelium removed, basal
membrane partially damaged
4 - Severe lesion: epithelium and basal membrane completely removed,
connective tissue exposed
Dr. Fábio Duarte da Costa Aznar
Specialist in Endodontics. HRAC (Centrinho)/USP/Bauru Master’s in Endodontics
SLMandic/Campinas
Coordinator of the Program of Specialization in Endodontics FACESC/Chepecó-SC,
FAIPE/Goiânia-GO & GOE-Macapá
Clinical Oral Investigations, https://doi.org/10.1007/s00784-018-2536-5
Sitting is a health hazard – an innovative way for
the dental team to avoid workplace problems
By Dr. Penelope Jones, Australia
Dr Jones has been teaching her
unique workshops for almost 30
years, both in Australia and internationally. Her workshop has helped
people to prevent and recover from
workplace injuries caused by chronic
poor sitting at work.
We have known for years that dental
offices face a general problem. Millions have been spent trying to address this problem, yet the literature
is still full of articles confirming, “Sitting for long periods increases your
risk of cardiovascular disease, diabetes and even cancer.”
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 enjoyable than you would imagine and
does not involve strenuous exercise.
It teaches you how to feel and understand good posture from within.
Inroads have been made by members of the dental team by increasing 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 happens 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 (intercostal 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 shortening our torso at the front (also part
of the reaction to protect ourselves
from emotional stress). At the end
Dr Jones has restored many a dental
career. She is an international speaker and has been teaching in the faculty 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 “uptight”. 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 muscles contract and which ones relax, as
well as the timing of this process-it
is a continually adjusting mechanism. Ideally, when the muscles can
continually adjust to the need to dissipate energy from our movements,
we have good posture. But chronically tight muscles do not allow for
this continual adjustment. Great
athletes and martial artists have
trained themselves to do this continual 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 alignment, 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 conference 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.
[5] =>
THE GAME CHANGER
TEST GBT IN YOUR OWN
PRACTICE
Do you want a free demonstration with our
newest device following the GBT steps?
Please contact your local
supplier to make an appointment.
UAE
Al Hayat Pharmaceuticals
OMAN
Sala Medical
Bahwan Healthcare Center
BAHRAIN
Gulf Pharmacy
KSA
Al Turki Medical Group
LEBANON
Medetech SARL
JORDAN
Basamat Medical Supplies
KUWAIT
Al Bader Trading Co WLL
QATAR
Accros Trading
IRAN
Apadana Tak
EGYPT
Imeco
SYRIA
Ouzoun Trading Center
:ems-dental.com
MAKE ME SMILE.
[6] =>
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 increasing, 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 behind development of the BlueM line,
its effects on oral health and particular concerns for pregnant women regarding oral care.
Ms Leusink, the founding of
the BlueM brand was somewhat of a coincidence arising
from Fokke Jan Middendorp
sustaining an injury during a
hockey game. Can you elaborate 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 maxillofacial 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 Peter was determined to achieve a new
and different way of practising dentistry—not one that was unhealthy
or aggressiv e, but one that was gentle on the body. All he wanted for his
patients was minimally invasive surgery, meaning a minimal amount of
pain and the fastest recovery possible. 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 enthusiastic that he wanted to help Peter 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 realisation of Peter’s dream is what drives
us as the BlueM team. We receive
many, many stories from BlueM users 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 continue 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 perborate, 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 accelerates the wound healing process.
Active oxygen kills anaerobic bacteria, 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 immuneboosting protein that stimulates
bone regrowth.
Photo: Nathan Reinds
Does BlueM toothpaste contain fluoride?
We have two toothpastes: one without fluoride and one with 1,000
ppm calcium fluoride. When BlueM
started, we focused on patients with
implants. Fluoride corrodes the titanium 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 fluoride toothpaste, we created one.
Does the toothpaste contain
sugar because of the added
honey?
The sugar in the biological, cold-extracted honey is converted into water 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 healing 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.
of this correlation might be of
particular concern for pregnant women?
What oral hygiene measures
do you recommend to pregnant women?
Periodontitis causes an increase in
the prostaglandin level, which induces 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.
Make sure that you do not have gingival bleeding! So, brush twice a day
and use toothpicks or interdental
brushes on a daily basis. Especially
during the second trimester, prevalence of gingivitis and anaerobic bacteria 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.
Does BlueM have a unique
position on the dental market
because it specifically offers
oral health products for pregnant women?
Why is the topic of oral care in
pregnant women not as widely 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 hygienists by their midwives. This is a good
thing and I believe that this interprofessional cooperation should
become part of the protocol. I truly
hope this awareness grows in the
future.
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 resulting from consuming more snacks,
hormone fluctuations and even less
time for oral hygiene. All these external factors can lead to caries. Therefore, 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
Photo: Nathan Reinds
BlueM products have not been specifically developed for pregnant
women, but it is true that the products are safe to use during pregnancy, 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 gingivae 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 available, and how much does it
cost?
BlueM is promoted by top dental
professionals in more than 40 countries. 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/internationaldistribution/. 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.
[7] =>
[8] =>
A soft
approach
for tough areas.
Enamel is hard. Harder than steel, even.
And it should stay that way. Enamelfriendly brushing means: pampering
your teeth and gums with tender loving
care. Like with the gentle CS 5460 ultra
soft. Mmmm, let’s do that again.
curaprox.com
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[page] => 01
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[title] => Emirates – Kenya outreach success
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Table of contents
-
Brushing your teeth just got social
01 - 01
view
-
Interview: “Prevention is not just for children and young people”
01 - 02
view
-
Emirates – Kenya outreach success
02 - 03
view
-
Evaluation of an ex vivo porcine model to investigate the effect of low abrasive airpolishing
04 - 04
view
-
Interview: “BlueM supports the body’s own healing process”
06 - 06
view
[toc_titles] => Brushing your teeth just got social
/ Interview: “Prevention is not just for children and young people”
/ Emirates – Kenya outreach success
/ Evaluation of an ex vivo porcine model to investigate the effect of low abrasive airpolishing
/ Interview: “BlueM supports the body’s own healing process”
[cached] => true
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