Dentaltown April 2018 - 92
Fig. 2a
traditional maintenance.11
The key to successful
reduction and modification in biofilm by hydrogen
peroxide can be ascribed
to the precise seal of the
prescription tray. This tray
allows oxygen released from the
peroxide gel to penetrate deep into
periodontal pockets over 10 minutes,
and the exposed surface layer of the biofilm is
debrided.12 Repeat applications of 10-15 minutes remove
additional layers and also expose the periodontal pocket
to oxygen as peroxide activates. The change in the
microenvironment of the periodontal pocket, through
the release of oxygen, creates a hostile environment for
anaerobes and a favorable environment for healthier
bacterial regrowth.13
The benefits of this approach can be seen in a case
study featuring a patient who wanted an implant.
The patient presented requesting the implant, but
the dental team explained that the infected tissues
likely would not support the implant (Fig. 1), and
refused to provide the implant without periodontal
therapy fi rst.
The patient left the office but later returned to ask
for more information. He consented to periodontal
therapy, which consisted of scaling and prescription
tray delivery of 1.7 percent hydrogen peroxide gel
(Perio Tray and Perio Gel, respectively). Within
weeks of starting treatment, there was a 77 percent
decrease in bleeding, less plaque, and much healthier
gum tis sue tone and color (Fig. 2). The healthier
tissue should support the implant long into the
future (Figs. 3 and 4).
This case illustrates points proven in clinical trials-
that the regular delivery of a low concentration of peroxide
via a sealed prescription tray as an adjunctive therapy
offers significant patient benefit. Managing the bacterial
Fig. 2b
Figs. 2a-b: Images for patient two weeks after
first scaling procedure and prescription trays
were started.
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Table of Contents for the Digital Edition of Dentaltown April 2018
Dentaltown April 2018 - Intro
Dentaltown April 2018 - Cover1
Dentaltown April 2018 - Cover2
Dentaltown April 2018 - 1
Dentaltown April 2018 - 2
Dentaltown April 2018 - 3
Dentaltown April 2018 - 4
Dentaltown April 2018 - 5
Dentaltown April 2018 - 6
Dentaltown April 2018 - 7
Dentaltown April 2018 - 8
Dentaltown April 2018 - 9
Dentaltown April 2018 - 10
Dentaltown April 2018 - 11
Dentaltown April 2018 - 12
Dentaltown April 2018 - 13
Dentaltown April 2018 - 14
Dentaltown April 2018 - 15
Dentaltown April 2018 - 16
Dentaltown April 2018 - 17
Dentaltown April 2018 - 18
Dentaltown April 2018 - 19
Dentaltown April 2018 - 20
Dentaltown April 2018 - 21
Dentaltown April 2018 - 22
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Dentaltown April 2018 - 26
Dentaltown April 2018 - 27
Dentaltown April 2018 - 28
Dentaltown April 2018 - 29
Dentaltown April 2018 - 30
Dentaltown April 2018 - 31
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Dentaltown April 2018 - 100
Dentaltown April 2018 - 101
Dentaltown April 2018 - Cover3
Dentaltown April 2018 - Cover4
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