Hygiene Tribune U.S. No. 2, 2015
Reflecting on oral-health’s good old iodine days / Industry News
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[1] =>
HYGIENE TRIBUNE
The World’s Dental Hygiene Newspaper · U.S. Edition
February 2015 — Vol. 8, No. 2
www.dental-tribune.com
Oral Health America’s ‘Gala & Benefit’
celebrates 60th and 25th anniversaries
Tickets on sale for Feb. 25 event in Chicago, with chance to win an Audi A3 Cabriolet
The Oral Health America Gala
& Benefit precedes the Chicago
Midwinter Meeting. Photo/
Provided by Oral Health America
ning also features live music and live and silent auctions. The
Tickets and sponsorships are available for Oral Health
Chicago
2015 raffle, sponsored by Aspen Dental, is offering an opporAmerica’s 25th Annual Gala & Benefit, which is taking place
BOOTH
tunity to win a 2015 Audi A3 Cabriolet. Raffle tickets can be
Wednesday, Feb. 25, at the Hilton Chicago.
NO. 521
purchased now for $100 each, with winners not needing to
In addition to being a major fundraiser for OHA’s programs
be present to win.
that connect communities with resources to drive access to
Presenting sponsor of the gala is Kavo Kerr Group; technoloral health care, the Gala & Benefit serves as a premier networkogy sponsors are Ivoclar Vivadent and Patterson Dental; diamond
ing event for the dental industry. The gala averages almost 1,000 attendees each year, representing hundreds of companies, dentists and sponsors are Colgate Palmolive, DentaQuest Foundation, DENTSPLY
International, Henry Schein, Philips Sonicare, SciCan and Septodont;
industry professionals.
platinum sponsors are Darby Dental, DentalEZ and Midmark; and
‘Smiles Under Silver Stars’
gold sponsors are Belmont Publications, Bisco, Burkhart, DentaPure,
The year’s theme, ‘Smiles Under Silver Stars,’ celebrates the 25th anni- Unilever and Planmeca.
To purchase tickets, raffle tickets, sponsorships or for additional
versary of the gala and the 60th anniversary of OHA, which started in
1955 as the American Foundation for Dental Education to expand the information, you can visit www.oralhealthamerica.org/participate/
pool of qualified dental educators. OHA’s history will be celebrated at gala, or send an email to Brad McLaughlin at brad.mclaughlin@oral
healthamerica.org, or call him at (312) 836-9900.
a reception before the gala and with a presentation during the event.
The evening will begin with a cocktail hour, followed by a culinary
(Source: Oral Health America)
feast that organizers describe as being fit for the celebration. The eve-
Commentary
Reflecting on oral-health’s good old iodine days
By Patricia Walsh, RDH,
Hygiene Tribune Editor in Chief
W
hile anxiously waiting for
the “Downton Abbey” television series to start up
again, I got my English history fix by reading the history of Wentworth Castle. The book covered the trials
and tribulations of an aristocratic family
in a home three times the size of Buckingham Palace. I was taken by surprise when
the author mentioned the cause of death
of a high-ranking nobleman as “quinsy
throat.”
In modern times, with the arrival of antibiotics, you wouldn’t hear of this — at
least not in a developed nation. The more I
thought about it, I don’t think I had heard
the term “quinsy sore throat”for a very
long time. Around here, if your throat
is starting to close off, you’ve probably
gotten yourself to an emergency room
“pronto.” It is an abscess in the peritonsillar area that often needs drainage.
While tonsillitis is more common in
children, both kids and adults are susceptible to quinsy. One can only assume
that if the breathing restrictions don’t kill
you, the resulting septicemia might later.
A quinsy sore throat can infect both the
blood supply and individual organs.
I can recall having my tonsils painted
with iodine by the school nurse when I
was starting to “come down with some-
thing.” A tall canister of extra long cotton
swabs were one of the staples of her office.
I can’t say whether there’s any scientific proof that tonsil painting reduced
cases of severe tonsillitis. But I do know
that some homeopathic remedies call for
gargling with a watered down Betadine
solution even today. I’ve also heard that
eating three or four marshmallows helps
to soothe a sore throat. Apparently it has
something to do with the gelatin. I suppose if you’re not eating at all, any caloric
intake will do, so it might as well be fun!
Washington's epiglottitis
George Washington’s physician mentions
his quinsy sore throat prior to his death
at age 63. He was thought to have suffered
from a quinsy sore throat that quickly
turned into epiglottitis — most likely his
cause of death. The swelling of his epiglottis cut off his air supply. He also suffered
from malaria, TB and smallpox during his
lifetime. How sad that it may have been a
very bad sore throat that got him in the
end. The blood-letting technique that was
used at the time probably hindered his recovery as well.
When I was a dental hygiene student, we
were occasionally brought to a local city
clinic to do checkups on grammar school
children. These children were the poorest
of the poor and were seen on old WWII
wooden field chairs. There was no money
in the budget for fancy things like “disclosing tablets.” Instead, we used iodine
on long cotton swabs to paint the teeth
and disclose the plaque. Our instructor
kept the large bottle of iodine. The iodine
that a physician uses is water-based as opposed to the alcohol-based type available
for home use. We used eye droppers to fill
up our little green-glass dappen dishes
for each patient. I would think the taste
alone would put children off dentistry
for some time to come. We rinsed their
mouths with a rubber ball syringe, and
they expectorated into a kidney basin.
Considering the number of patients I currently see with known iodine allergies, it’s
amazing we never heard of any children
having a reaction. Then again, people are
now more “allergy aware” then they once
were. There is probably an equal number
of children with red-dye allergies who
would have done no better with the modern disclosing tablets.
In spite of iodine’s unpleasant taste, I
have been known to recommend subgingival irrigation with a Betadine solution
(brand name for povidone-iodine). The
key to this is the dosage. I tell the patient
that if the water turns brown, they’ve
added too much. There is a huge temptation to use too much because most drug
stores sell only very large bottles. But between the bad taste and the potential for
staining, it’s easy to see why less is more.
Iodine kills the gram negative bacteria
that live in the darker recesses of a deep
perio pocket.
There is another clinical application for
iodine in dentistry. An iodine staining
test used to assist in discerning attached
gingiva as mentioned in “Periodontics
Revisited” by Shalu Bathla, MD. The clinician can: “paint the gingiva and oral mucosa with Lugols solution (iodine,water
and potassium iodide). The aveolar mucosa takes on a brown color owing to its
glycogen content while the glycogen-free
attached gingiva remains unstained.
Measure the total width at the unstained
gingiva and subtract the sulcus/pocket
depth from it to determine the width of
the attached gingiva.”
In the Chernobyl disaster, some Lugols
solution was used as an emergency source
of iodide to block radiation iodine uptake,
simply because it was widely available
as a drinking water decontaminant, and
pure potassium iodide without iodine
(the preferred agent) was not available.
Mama don't take my Mecurochrome
away
Mecurochrome and merthiolate were
also very popular in my childhood. We
proudly wore our hot pink tinctures over
scraped knees like playground battle
scars. When it was determined that mercury was detrimental to one’s overall
health, Mecurochrome was banned from
general use. The U.S. Food and Drug Administration put very strict limitations
on the sale of Mercurochrome in 1998 and
” See IODINE, page B2
[2] =>
B2
◊ IODINE, page B1
stated that it was no longer considered to
be a GRAS (generally recognized as safe)
over-the-counter product. Merthiolate
was another commonly found antiseptic
and antifungal agent that was banned because of its mercury content.
Iodine was determined by the U.S. Justice Department to have a roll in the production of methamphetamine and is now
a restricted purchase. I wouldn’t recommend bringing back anything more than
4 fl. oz. of tincture of iodine from your
next Mexican vacation. Scrape your feet
on a coral reef, and you might find yourself detained at customs for questioning about your toiletry kit. While iodine
crystals are the form of choice for illegal
drug labs, some smaller manufacturers
are known to combine tincture of iodine
with hydrogen peroxide. Some businesses have removed iodine from the shelves,
while others are simply restricting large
Ad
FROM PAGE ONE
quantity sales — i.e., more than $100
worth. When I asked my local pharmacist
about Walgreen’s policy, he pointed to the
surveillance cameras above the tincture
of iodine shelf. Legitimate medical laboratories that do gram staining now have
additional paperwork due to the restrictions on iodine strengths and quantities.
store shelves the way Sudafed did most
recently. Home brewers take heart, these
pharmacists just require that you sign a
poison-control statement and list the reason for your purchase. For those of you
who still buy your beer in the traditional
manner, iodine is often used as a test for
starch conversion in the mash.
Iodine getting harder to find
The old-time iodine bottle with the skull
and crossbones sitting in the medicine
cabinet has come and gone. In this new
age of communication and entertainment, I wonder if a child would even be
put off by the sight of a poison label. Children are exposed to cartoon pirates at
such an early age. In the mid 19th century,
cobalt blue bottles or raised glass lettering were used to help in the identification
of poison.
While there is no federal mandate for
small quantities, iodine has disappeared
from a few pharmacies and department
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.
Hygiene Tribune U.S. Edition | February 2015
HYGIENE TRIBUNE
Publisher & Chairman
Torsten Oemus t.oemus@dental-tribune.com
President & Chief Executive Officer
Eric Seid e.seid@dental-tribune.com
Group Editor
Kristine Colker k.colker@dental-tribune.com
Editor in Chief Dental Tribune
Dr. David L. Hoexter feedback@dental-tribune.com
Editor in Chief Hygiene Tribune
Patricia Walsh, RDH feedback@dental-tribune.com
Managing Editor
Robert Selleck r.selleck@dental-tribune.com
Managing Editor
Fred Michmershuizen
f.michmershuizen@dental-tribune.com
Managing Editor
Sierra Rendon s.rendon@dental-tribune.com
Product/Account Manager
Humberto Estrada h.estrada@dental-tribune.com
Product/Account Manager
Will Kenyon w.kenyon@dental-tribune.com
Product/Account Manager
Maria Kaiser m.kaiser@dental-tribune.com
Marketing Director
Anna Kataoka-Wlodarczyk
a.wlodarczyk@dental-tribune.com
EDUCATION Director
Christiane Ferret c.ferret@dtstudyclub.com
Accounting Coordinator
Nirmala Singh n.singh@dental-tribune.com
Tribune America, LLC
116 West 23rd Street, Suite 500
New York, NY 10011
Phone (212) 244-7181
Published by Tribune America
© 2015 Tribune America, LLC
All rights reserved.
Tribune America strives to maintain the utmost accuracy in its news and clinical reports. If you find a
factual error or content that requires clarification,
please contact Managing Editor Robert Selleck at
r.selleck@dental-tribune.com.
Tribune America cannot assume responsibility for
the validity of product claims or for typographical
errors. The publisher also does not assume responsibility for product names or statements made by
advertisers. Opinions expressed by authors are their
own and may not reflect those of Tribune America.
Editorial Board
Dr. Joel Berg
Dr. L. Stephen Buchanan
Dr. Arnaldo Castellucci
Dr. Gorden Christensen
Dr. Rella Christensen
Dr. William Dickerson
Hugh Doherty
Dr. James Doundoulakis
Dr. David Garber
Dr. Fay Goldstep
Dr. Howard Glazer
Dr. Harold Heymann
Dr. Karl Leinfelder
Dr. Roger Levin
Dr. Carl E. Misch
Dr. Dan Nathanson
Dr. Chester Redhead
Dr. Irwin Smigel
Dr. Jon Suzuki
Dr. Dennis Tartakow
Dr. Dan Ward
Tell us what you think!
Do you have general comments or criticism
you would like to share? Is there a particular
topic you would like to see articles about in
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[3] =>
Dental Tribune U.S. Edition | February 2015
INDUSTRY NEWS
B3
See the ‘Visible Difference’
Designs for Vision is excited to be presenting several new products at the 2015
Chicago Dental Society Midwinter Meeting.
“Designs for Vision was started by my
father, Dr. William Feinbloom, as an optical company, and during the 1970s our
magnification and illumination products
found applications in operating rooms
and in operatories,” said company President Richard Feinbloom. “The [Midwinter Meeting] has always provided that
comfortable space where industry and
professional can interact and exchange
ideas This year we are featuring our ULTRA Mini 2.5x Telescopes, Nike® Retro and
DVI Sport frames, and the NanoCamHD™
loupe-mounted video camera. This is a
unique opportunity to reach an important target market to introduce a major
optical innovation,” Feinbloom said.
A pair of ULTRA Mini Telescopes weigh
as little as 34 grams (1.2 ounces) and are 40
percent smaller than regular telescopes,
thus allowing for easier peripheral vision.
“The ULTRA Mini Telescopes,” Feinbloom said, “like our world renowned
Dental Telescopes, provide 2.5x magnification that is fully customized to the individual user, providing ergonomic advantages to our customers. Designs for Vision
matches the focal length of each telescope
to the ideal working distance of our customers. This way the depth of focus surrounds their ideal working distance, instead of adapting to a pre-set focal length.
“We have been working with dentists
and hygienists who required true 2.5x
magnification, but desired a lighter,
smaller device for all-day use. Designs for
Vision wanted to design and engineer a
full feature system that offered all of the
features our customers expect of a Designs for Vision product. The lens system
uses the same precision-coated optics as
our traditional magnification systems. We
can also accommodate eyeglass prescriptions into the ULTRA Mini Telescopes.”
The Nike Retro frames are exclusive to
Designs for Vision. Available in tortoise
shell, black and translucent gray, the Nike
Retro has a classic look. The DVI Sport
frames can be used for all magnifications
and can incorporate eyeglass prescriptions — providing the protective wrap
without any distortion.
Designs for Vision’s new NanoCamHD
records digitally at 1080 high-definition
resolution. The NanoCamHD records
magnified HD images from the user’s perspective. The complete system includes
2.5x, 3.5x and 4.5x lens systems to match
the typical magnifications, providing a
true user’s point of view.
As an added feature, still photographs
can be taken from live video feed or during playback mode. The video or still images can be uploaded into a patient file,
included in a presentation or course, or
shared with a colleague or laboratory for
collaborative consultations.
The NanoCamHD complete system includes a color corrected ULTRA Mini LED
DayLite® headlight. The combination
headlight/NanoCamHD can be attached
to loupes or can be worn on a lightweight
headband.
The system also includes a foot pedal to
enable hands-free operation of the NanoCamHD. Record/pause, mute/unmute
and still photography are controlled
by the operator hands-free via the
pedal.
Chicago
For best results, combine the
BOOTHs
NanoCamHD with Designs
2008, 4021
for Vision’s dental telescopes.
Matching true magnification
levels of 2.5x, 3.5x or 4.5x can produce realistic simulation from the user’s
perspective. The NanoCam can also be
attached to the new Nike Retro frames or
the new DVI Sport frames.
Visit Designs for Vision at the Chicago
Midwinter Dental Meeting at booths
2008 or 4021 to See the Visible Difference® yourself.
This year at the Chicago
Dental Society Midwinter
Meeting, Designs for
Vision is featuring its
ULTRA Mini 2.5x telescopes, Nike Retro and
DVI Sport frames and the
NanoCamHD loupemounted video camera.
Photo/Provided by
Designs for Vision
(Source: Designs for Vision)
Ad
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