Also inside… - User-friendly Resin Cement - Temporary ... - Dentsply

Dynamics Sep 08 20/8/08 09:02 Page 9Oraqix ® 25/25 mg/g periodontal gel (lidocaine, prilocaine)Air polishingNeed aquick LA fix?Use Oraqix!Like many hygienists, with some fear and trepidation at the time, I participatedin further training to be able to administer local infiltration anaesthesia in 1991and inferior dental blocks in 2002. With clinical experience under my belt, I amglad to say I’m confident and competent in both techniques and now use themregularly in my daily practice.However, I still encounter patients who refuse local infiltrations and blockinjections. Why? For many, memories of bad experiences still present in theirminds, stating that they would rather put up with a little discomfort of thetreatment than have an injection.In the past, I have tried applying topical anaesthetic gel to the surface of thegingiva as a solution to the problem. To date, I have had nothing more to offerthe patient than verbal encouragement and careful patient management!So where does Oraqix (25/25mg per g periodontal gel, lidocaine, prilocaine) fit in?For DCPs trained in administering local anaesthesia, Oraqix is a lidocaine 2.5%prilocaine 2.5% topical anaesthetic liquid. Oraqix gives effective localised gingivalanaesthesia for scaling and tooth surface debridement. It can be easily applieddirectly into the periodontal pocket with the specially designed Oraqix Dispenser,which is sterilised in between patients. The anaesthetic cartridges of Oraqix andblunt-tip applicator are disposable.Alison GrantAlison Grant qualified as a Dental Hygienist from BristolDental Hospital in 1987. She has gained a wide variety ofexperience in NHS & private practice and worked as a staffhygienist in the hospital setting treating patients with specialneeds and advanced periodontal disease. Alison currentlyworks in specialist periodontal practice, is a tutor for theHygiene/Therapy diploma at Bristol Dental Hospital andregularly lectures with the South West Dental PostgraduateDepartment providing continuing professional developmentfor members of the Dental Team.As a Dental Hygienist who qualified 21 years ago, I have always endeavoured and viewed it as mypriority, as a dental professional, to keep up to date and train in new techniques and skills to improvemy patient care.I have found there are many benefits to using Oraqix in a variety of clinicalsituations, which include:• The liquid easily flows into the contours of the periodontal pocketand then converts into a gel to stay in situ• The gel can be re-applied if longer treatment is required, with amaximum dose of five cartridges• The metal blunt-tipped applicator can be bent to improve access inposterior sites. I start with the tip straight for anterior periodontalpockets and then adjust for the posterior teeth• Oraqix is time-saving as it is effective in 30 seconds after application,allowing more time for treatment. There is minimal post-proceduralnumbness as the duration is about 20 minutes• Patients have commented on how quickly it wears off after theappointment has finished, so there is no prolonged anaesthesiadiscomfort for them to endure• Ideal for periodontal pocket charting for patients with sensitive teethand gingivae• Ideal for patients who present with one tooth in each quadrant thatrequires deep scaling where it would be inappropriate to inject on bothsides of the mouth using traditional anaesthetic injections• Relieves the anxiety of those patients who dislike traditional injections• Improves the flexibility of management of treatment during anappointment. Oraqix’s speedy effectiveness has really been a hugebenefit to me as I can spend more time treating my patients.Thanks to the use of Oraqix, the needs of these patients are now met.No injections, but effective anaesthesia to provide detailed scaling andprobing in comfort. They are now happy and relaxed to return, relieved toknow that previous discomfort is all in the past.Widen your treatment options today!Air Polishing…One of the tips to building the aesthetic side of your dental practiceAir Polishing Equipment and Prophy PowdersAir polishing is a great alternative to standard rubber cup polishing. It is quicker, more effectiveand particularly liked by patients; meaning patients are prepared to pay a little extra for this “special”service. Bal Chana, Deputy Principal Hygiene and Therapy Tutor at Bart’s & The London, loves theair polishing feature in the Cavitron Jet Plus.Air polishing is not only indicated for use on heavy stains but can be used for a wide range ofapplications making it a cost effective and efficient piece of equipment. Bal says that due to thecombined feature of air polisher with the scaler in the Cavitron Jet Plus, it is quick and easy toswitch from one system to the other. Moreover, her patients prefer air polishing to traditionalstain removal methods because the result and the feel is so much better.IndicationsAir polishing uses a mild polishing agent, water and air through a mixing nozzle to remove stainand debris, allowing polishing of the tooth enamel. (Please note that air polishing is different toair abrasion, which uses an aluminium dioxide abrasive to remove tooth structure prior to thereplacement of restorations). Air polishing can be used:• For extrinsic stain removal• As a post-scale polish• During implant maintenance• Prior to placement of sealants and bonds• Prior to orthodontic band placement and prophylaxis of orthodontic patients• During periodontal surgeryTo find out more about how you can offer air polishing to build aesthetic dentistry in your practice,please call +44 (0) 800 072 3313.NOW AVAILABLEJET-Fresh (aluminium trihydroxide based) and PROPHY-Jet(sodium bicarbonate based) can be used in air polishing CavitronJet Plus unit which has a wireless foot pedal! PROPHY-Jet is awater-soluble powder with a mint flavour and allows excellent stainremoval. A clinical report stated that it is no more abrasive on theenamel than a rubber/prophy cup and pumice. JET-Fresh gives afresher, non-salty taste to the patients and can be used on patientswith a sodium-restricted diet. Because of the ingredients, the ‘clogging’possibilities are reduced compared to other powders.Citanest 3% with Octapressin• Standard and Self-Aspirating 1.8ml Cartridges(that fit the 2.2ml syringes); adaptors suppliedwhere necessary• Latex-free• Adrenaline-free• 40% less toxic than lignocaine 2Citanest ® 3% with Octapressin DENTAL Injection (prilocainehydrochloride and octapressin corresponding to felypressin) isavailable in 1.8ml, self-aspirating cartridges.It avoids thecardiovascular effects of adrenaline 1 .www.dentsply.com, www.dentsply.co.uk. Adverse events shouldbe reported to DENTSPLY Ltd or the MHRA. More informationcan be found at: www.yellowcard.gov.uk1Crankshaw, D & Bajurnow, T. 2005The Guide to Local Anaesthetics in Dentistry (5th edition)Dentsply Australia, MelbourneImportant tips and maintenance of equipment1. The most important thing is to avoid the gingivae whenair polishing2. Maintenance of the unit and the insert is important.3. The powder bowl should be emptied at the end ofeach day, which will reduce moisture absorption andminimise clogging4. Cavitron prophy powders should be used in the Cavitronair polishing systems; other materials should not be usedas they may clog the system5. Prophy powders should be stored at a temperatureless than 95°F/35°C ensuring that there is no contactwith moisture6. Prophy powder bottle should be shaken to createan even consistency7. With the Cavitron air polishing system OFF, unscrew thepowder bowl cap, verifying the bowl is empty. Turn thesystem ON for 15 seconds to eliminate residual moisturein the lines. Turn the system OFF8. Residual prophy powder from the cap and bowl threadsshould be removed using a soft brush9. Use of an air dryer on the compressor line supplying thesystem will prevent condensation from forming in theairline, which in turn may cause ‘caking’ of the systemHow to market ‘Air Polishing’ to your patients1. Before and After pictures should be displayed in thereception area (for example on a digital photo frame)2. Advertise it as a ‘special service’ for weddings, gifts,interviews and other special occasions3. Involve the reception staff to discuss this service withthe patients4. Promote alongside other aesthetic dentistry, for examplefor Illumine teeth whitening, as a pre-bleach prophylaxisand with composites such as Esthet.XORAQIX 25/25 mg per g periodontal gel: Lidocaine, Prilocaine.PRESENTATION: Clear, colourless gel with 1g containing 25mg lidocaine and 25mg prilocaine. USES: Indicated in adults for localised anaesthesia in periodontal pockets for diagnostic and treatment procedures such as probing, scaling and/orroot planing in adults. DOSAGE AND ADMINISTRATION: For adults one cartridge (1.7 g) or less is sufficient for one quadrant of dentition. Maximum recommended dose is five cartridges (8.5 g gel). Oraqix has not been studied in paediatricpatients. Apply with metric dental syringe or Oraqix Dispenser. Fill the periodontal pockets with Oraqix until the gel becomes visible at the gingival margin. Wait 30 sec before starting treatment. CONTRAINDICATIONS, PRECAUTIONS,WARNINGS ETC: Contraindications: Hypersensitivity to lidocaine, prilocaine, amide-type local anaesthetics or any excipients. Congenital or idiopathic methaemoglobinaemia, recurrent porphyria. Precautions: Oraqix must not be injected. Use withcaution in patients with severe impairment of renal function, hepatic function, impulse initiation and conduction of the heart, patients in remission from porphyria or asymptomatic carriers of mutated genes responsible for porphyria. Patients withglucose-6-phosphate dehydrogenase deficiency are more susceptible to drug-induced methaemoglobinaemia. Do not apply to ulcerative lesions or during acute infections of oral cavity. Side-effects: Headache, local pain, soreness, numbness, ulcer,irritation, redness, reaction, taste perversion, dizziness, pulsation, vesicles, oedema, burning, nausea. Allergic reactions. Methaemoglobinaemia, consider giving slow i.v. injection of methylene blue. Pregnancy: Avoid use in pregnancy. Interactions:With sulphonamides. Observe caution in combination with other local anaesthetics or agents structurally related to amide-type local anaesthetics. PRECAUTIONS: Do not freeze. PACKAGE QUANTITIES: Box of 20 cartridges and 20 dentalapplicators. LEGAL CATEGORY: POM. PRODUCT LICENCE NUMBER: 18344 DATE OF PREPARATION: April 2007 FOR FURTHER INFORMATION CONTACT THE PRODUCT LICENCE HOLDER: DENTSPLY Ltd Building 1, Aviator Park, StationRoad, Addlestone, Weybridge, Surrey KT15 2PG Adverse events should be reported to DENTSPLY Ltd or the MHRA. More information can be found at: www.yellowcard.gov.uk08 DENTSPLY Dynamics | September - December 2008CITANEST ® 3% WITH OCTAPRESSIN ® DENTAL: Prilocaine Hydrochloride, Octapressin (felypressin). PRESENTATION: Sterile clear aqueoussolution containing prilocaine hydrochloride 30mg/ml and Octapressin (felypressin) 0.03 i.u./ml. USES: Dental infiltration anaesthesia and all dentalnerve block techniques. DOSAGE & ADMINISTRATION: Usual adult dose is 1–5ml. Children under 10 years 1–2ml. A dose of 10ml (5 cartridges)should not be exceeded. Elderly or debilitated patients require smaller doses. CONTRA-INDICATIONS, PRECAUTIONS, WARNINGS ETC: Contraindications:Hypersensitivity to amide anaesthetics or any other of the solution’s components. Anaemia, congenital or acquiredmethaemoglobinaemia. Precautions: Caution must be taken to avoid accidental i.v. injection as it may give rise to rapid onset of toxicity. Usecautiously in the elderly, patients with epilepsy, severe or untreated hypertension, severe heart disease, impaired cardiac conduction or respiratoryfunction, liver or kidney damage or poor health, if high blood levels are anticipated. Avoid injection if site is inflamed. Facilities for resuscitation shouldbe available. SIDE EFFECTS: Extremely rare in dental practice and usually the result of excessive blood concentrations. Nervousness, dizziness,blurred vision, tremors, drowsiness, convulsions, unconsciousness, hypotension, myocardial depression, bradycardia and possibly respiratory orcardiac arrest. Allergic reactions. Methaemoglobinaemia; consider giving 1% methylene blue i.v. 1mg/kg over 5 minutes. Pregnancy: Use in cautionduring early pregnancy. Prilocaine enters mothers milk with no general risk at recommended doses. Interactions: With sulphonamides e.g.cotrimoxazole. Vasopressor properties of Octapressin should be considered. Observe caution when concomitant use with other amide-type localanaesthetics. PHARMACEUTICAL PRECAUTIONS: Store below 25ºC. PACKAGE QUANTITIES: Box of 100 cartridges £20.99. LEGAL CATEGORY:POM. PRODUCT LICENCE NUMBER: 04690/0028. FOR FURTHER INFORMATION CONTACT THE PRODUCT LICENCE HOLDER: DENTSPLYLimited, Building 1, Aviator Park, Station Road, Addlestone, Weybridge, Surrey KT15 2PGBeforeAfterwww.dentsply.co.uk09