Archive for the ‘How-to’ Category

LUMIBRITE Professional Chairside Whitening

Posted on: April 15th, 2011 by Sheree Wertz, RDH, BS No Comments

 

How To Use LUMIBRITE Professional Chairside Whitening

 

What is Lumbrite?

 

Lumbrite Professional Chairside Whitening system is designed to comfortably and quickly whiten patients’ teeth.

 

 Why use it?

The combination of LUMIBRITE Desensitizing Enhancer and LUMIBRITE Whitening Gel reduces chair time required for effective whitening compared to traditional chairside bleaching treatments, and contains fluoride as an added benefit.

  

* This kit contains enough material to whiten both the upper and lower arches of one patient.

 

INSTRUCTIONS FOR USE:

 

1.Remove the LUMIBRITE Whitening Gel syringe from the refrigerator and allow it to come to room temperature for about 30 minutes before it is used.

 

2. Prophy teeth to remove calculus and extrinsic stains before beginning the whitening treatment.

  

3. Take “before” photographs and record tooth color using a shade guide in bleaching kit or dental shade guide.

 

4. Insert cheek retractors. Have the patient bite down and rest tongue on a tongue block.

 

5. Isolate teeth with 2×2, apply Lip Moisturizer provided in the kit to the lips and mucosa, applying well beyond the vermillion border.

 

6. Air-dry the gingival tissue and teeth.

 

7. Using the dispensing tip, apply Paint-On Dental Dam(a denmat product) to the gingiva to isolate gums around the selected teeth.

 

    Overlap the dental dam onto the gingival tissue of adjacent teeth about 0.5 mm and light-cure for 1–2 seconds with a curing light or a Sapphire Supreme Plasma Arc Curing (PAC) light.

 

8. Once the Paint-On Dental Dam is cured, apply LUMIBRITE Desensitizing Enhancer in a very thin (about 0.2 mm) layer on the labial surface of the teeth. Distribute the gel evenly using the brush applicator provided in the kit and allow to sit for one minute.

 

9. Wipe off any excess.

 

10. Remove the tip from the LUMIBRITE Whitening Gel syringe and apply a 1–1.5 mm layer directly onto the labial surface of the teeth. Use the brush applicator to distribute the gel evenly over the teeth treated paint-on-dam.

 

11. Install the Sapphire Whitening Crystal in place of the curing tip on the end of the Sapphire® Supreme Plasma Arc Curing (PAC) Light PAC Light.

 

12. Position the Sapphire Whitening Crystal close to and directly in front of the teeth, using a combination of the articulating arm and chair adjustments.

 

13. Center the Sapphire Whitening Crystal 1/4 to 1/2 inch from the teeth within the cheek retractor with the outer edges touching (if possible).

 

14. Press the Optional button on the Sapphire Supreme PAC Light keypad, then press 2 to select bleaching mode.

      

      The letters bL (bleach) will appear in the Program window, the number 60 will appear in the seconds window and 60 minutes will appear          on the pistol handle.

 

15. Press the Start or pistol activator button to start the bleaching process.

 

The number 60 (minutes) appears in the Program window on and seconds begin to count down in the window.

 

When the Sapphire Supreme PAC Light beeps, fifteen (15) minutes have elapsed. Check on the comfort of the patient, re-apply gel if necessary.

 

16. After the second beep, 30 minutes, move the Sapphire Whitening Crystal away from the teeth.

 

17. Leave the Paint-On Dental Dam in place and vacuum gel from the teeth.

 

18. Wipe with gauze and rinse the teeth while suctioning. Avoid splatter.

 

19. Remove Cheek retractors and bite block. Suction out the patients mouth.

 

20. Rinse patient mouth again.

 

21. Optional Apply Mi paste to remineralize and desensitize. Leave on for one minute and advise patient nothing by mouth for 30 minutes.

 

Some patients with heavy discoloration or areas of unseen hypo calcification may need another 30-minute session to achieve desired whitening results. Evaluate the results with the patient, if possible.

 

Note: In some cases you may have attained acceptable whitening in the first 30-minute session. If so, a second session is not indicated.

 

If another 30-minute session is desired, reapply both Desensitizing Enhancer and Whitening Gel following instructions beginning with Paint-On Dental Dam.

 

Note: Be sure to inspect the Paint-On Dental Dam for any cracking or lifting before re-applying the Desensitizing Enhancer and Whitening Gel. If the seal has broken from the tissue, it is recommended to remove and replace the Paint-On Dental Dam.

 

At the end of the second 30-minute session, vacuum gel from the teeth, wipe away with gauze and rinse the teeth while suctioning. Avoid splatter.

 

Use a shade guide arranged in bleaching order to compare the color of the whitened teeth to the original shade recorded in Step 2 and take “after” photographs.

 

STORAGE

 

Store the LUMIBRITE Whitening Gel syringes under refrigeration.

 

Bring to room temperature before use.

 

 Beaching Without the Sapphire Supreme Pac Light

Whitening will occur to a lesser extent, Use the same instructions without the use of the Sapphire Whitening Crystal, maintain gel on teeth as described. However, for maximum results the Sapphire Supreme PAC light with Whitening crystal is recommended.

 

Available in 16%,22%,32% in mint and fruit.

 

For more information:

http://www.denmat.com/whitening/lumibrite-chairside/

DIAGNOdent

Posted on: April 15th, 2011 by Sheree Wertz, RDH, BS No Comments

 

How to use the DIAGNOdent

  

What is DIAGNOdent?

 

DIAGNOdent is electronic device that aids in accurate and reliable caries detection.

 

More and more patients place value on healthy and attractive teeth. DIAGNOdent aids in the detections of caries.

 

Even very small lesions are detected at the earliest stage, enabling you to protect and preserve the tooth substance.

 

Within the decay model, the accuracy of diagnosing “hidden” occlusal caries is recognized to be a challenge.

 

Your visual and radiographic evaluation can be significantly more accurate with the use of KaVo’s DIAGNOdent caries detection aid.

  

Why use it?

 

• High level of patient acceptance and satisfaction.

 

• Proven to be over 90% accurate.

 

Ideal adjunct to minimally invasive techniques (air abrasion, micro rotary instrumentation, etc.).

 

• Allows monitoring of caries progression. Small portable device which is simple to operate.

 

• Ideal device for both hygienist and doctor.

 

• Practice building, revenue enhancing

 

 

How to use?

  

Insert Tip by screwing on

 

Turn on by pressing sides of handle.

 

Make sure tip and machine match in this case both are A

 

Then calibrate machine before starting press calibrate wait for the numbers to come up.

 

Put tip to the side of the machine.

 

When numbers match the machine is calibrated.

 

Squeeze again record base line peak using a virgin tooth with no decay, no restorations.

 

Dry tooth off before starting.

 

Make sure no prophy paste is present on the tooth before starting, it may give a false reading.

 

Activate by squeezing sides again

 

If testing a tooth with a restoration present, the reading will be higher and not accurate.

 

Record your findings

 

Dentist will usually recommend filling if reading is greater than 30

 

Wipe tip off and put in metal try to sterilize.

 

For more information go to:

 

http://www.kavousa.com

Prophy Jet Air Polishing Technique

Posted on: April 15th, 2011 by Sheree Wertz, RDH, BS No Comments

 

Prophy Jet Air Polishing Technique

 

What is Air Polishing?

 

Air polishing is another important tool in our armamentarium. It also helps minimize hand, wrist, neck and eye fatigue like a cavitron tip, by helping to remove stain quicker than scaling and polishing the conventional way.

 

Air polishing uses a water soluble sodium bicarbonate mixture to help in the removal of stain and plaque during a routine hygiene appointment.

  

Air polishing is great to help in the removal of stain due to Smoking, coffee, tea, peridex and other extrinsic factors.

 

Aluminum Trihydroxide is an alternative solution to the sodium bicarbonate for patients the are sodium restricted and have heavily stained enamel. Avoid use on dentin, cementum and restorative restorations it can compromise marginal integrity.

 

The use a face shield, mask and eye protection for both operator and patient is highly recommended.

Do not confuse Air polishing with air abrasion. Air abrasion is a procedure that removes or roughens the enamel surfaces for restorative procedures.

 

Technique

1. Check and fill the powder chamber before starting on each patient. Making sure you are using the correct powder. Over the counter sodium bicarbonate will clog your equipment.

 

2. Turn unit on and adjust the flow of the powder using the dot in the middle of the powder flow cap.

          L – for light stain.

          H-  for heavy stain removal.

 

3. Wet the o-ring and gently push the jet insert into the handpiece with a twisting motion until fully seated.

 

4. Lightly coat the patients lips with petroleum jelly to protect them from any aerosol.

 

5. Center the nozzle tip on the middle one third of the tooth 3-4mm away from the enamel surface while using a continuous circular motion. The closer the tip to the tooth surface the more back spray directed at you.

 

6. Use a folded paper towel between the patients lip and your hand to contain the aerosol spray and maintain proper angulations to remove stain and plaque without causing trauma to the soft tissues.

 

Universal angulation’s Recommended for air polishing are:

Anterior 60 degrees with the tip aimed at the middle third of the tooth surface.

 

Posterior 80 degrees with the tip aim slighly distally.

 

Occlusal 90 degrees

 

Do not direct nozzle directly at soft tissue. If any trauma does occur show and tell the patient the location and that it should heal quickly after 24 hours.

 

Persons fitted with cardiac pacemakers should keep handpiece and cables 9 inches away from pacemaker during use.

  

Taking X-rays on Gaggers

Posted on: April 15th, 2011 by Sheree Wertz, RDH, BS No Comments

 

Getting X-rays on Gaggers

 

Patients that have a sensitive gag reflex are very common in the dental office. This can be very challenging when you are trying to perform dental procedures.

 

What causes gagging?

Gagging can be due to psychological factors, or physiological factors, or both.

 

Psychological factors can include fear of loss of control or vomiting and/or past traumatic experiences.

 

Physiological factors can include the patient feeling like they are choking or can not breath.

 

What you can do?

 

If you have a patient that has a gag reflex that is preventing you from doing your job,  getting good films or placing sealants.

 

Do not get upset,  first talk softly and calmly and explain what you are going to do step by step.

 

For many people, there is a sense of loss of control in a dental chair, during treatment and the tendency to gag stems from that.

 

To gain their trust,  find something that gives them their sense of control back, it can make all the difference.

 

These two techniques can make the difference between getting a good x-ray and not getting a x-ray at all for some patients.

 

You can place a little topical anesthetic on the lateral sides of their tongue with a q-tip then retry the procedure.

 

Let the patient choose the flavor. Place the topical, or help place the film.

 

If the patient is still having gagging issues you can also put a little on the soft palate using a q-tip, go slowly so you will not gag them.

 

We have found this technique works on 99 % of the patients we have used it on.

 

For young children: if you can not get the x-rays, maybe reschedule for another time, you do not want to be their bad memory or experience.

 

Other suggestions:

Try a throat spray with numbing action, like Vicks Ultra Chloraseptic Throat Spray, it can give relieve to not only a gag reflex but also help people with a persistant cough or dry throat feeling.

                          Dosage: 2 or 3 sprays right before treatment. Repeat if necessary.

 

We have had patients with a bad gag reflex suggest that using a nasal decongestant before their appointments is very helpful in keeping the nasal passageways open to promote breathing through the nose and help prevent gagging.

 

Another tip for handling gaggers is the use of table salt on the tip of the tongue or under the tongue.

 

Have the patient to dip their moist finger into a dampen dish of salt and dab it onto the tip of their tongue or just under on the frenum attachment.

 

You can also try a saline rinse for a have them swish 1-2 minutes Normasol is a (0.9% saline solution)

 

For references and more information:

 

http://www.dentalfearcentral.org/gagging_dentist.html

Sharpening Instruments

Posted on: April 11th, 2011 by Sheree Wertz, RDH, BS No Comments

 

Techniques for Sharpening Instruments

 

Why sharpen?

 

Sharp instruments are essential to effective and efficient patient care. They increase tactile sensitivity, lessen the pressure needed to scale, and reduce the chances of burnishing calculus deposits.

 

The objective of sharpening is to produce a sharp cutting edge without changing the original design of the instrument. The cutting edge of the instrument is the junction of the face of the blade with the lateral surface.

 

Sharpness can be evaluated both visually and tactilely.

 

Dull instruments have a rounded cutting edge that reflects light back at you; this appears as a white line on the cutting edge of the instrument.

 

You can test the sharpness with light pressure against your thumbnail or use an autoclavable plastic stick. If the instrument grabs the surface, it is sharp.

 

There are several sharpening techniques and methods used that will produce a sharp instrument with out altering its original design. We will demonstrate on an unmounted flat stone with both curets and sickles.

 

Principals of sharpening:

• Choose a stone appropriate for the instrument that needs to be sharpened.

• Use a sterilized stone if you are sharpening during patient treatment.

• Use the proper angle between the stone and the blade of the instrument.

• Maintain a firm grasp of both the stone and the instrument keeping the entire surface of the blade even with the stone to produce a proper cutting edge.

• Use up and down strokes finishing with a down stroke toward the cutting edge.

• The angle between the face of the blade and the lateral surface of any curet is 70-80 degrees for the most effective calculus removal.

 

How to Sharpen your instruments:

 

Sharpening Universal Curets:

• Lay the lateral surface of the curet on the stone at a 90 degree angle.

• Open the angle by rotating the instrument 10-20 degrees, laterally.

 The angle between the stone and the face of the blade is now 100-110 degrees and perpendicular to the floor.

• Start at the shank of the cutting edge and work toward the toe, using a consistent light pressure in an up and down motion and maintaining the correct angle, a metal sludge should appear on the face of the blade.

• Test sharpness on a plastic stick. Once that end is sharp, the opposite can be sharpened the same way.

 

Sharpening Gracey Curets:

• Unlike a universal curet which has a straight cutting edge, Gracey curets are curved when viewed above the face of the blade.

• Use the same technique as above with a few modifications.

• Hold the face of the blade parallel to the floor; the Gracey curet has an offset blade.

• The same angles apply, as above, now turn the instrument from shank to toe as you sharpen with up and down strokes, as not to flatten the blade and to keep the original rounded curvature of the blade.

 

Sharpening Sickles:

• Some sickles have entirely flat later surfaces the angle between the face of the blade and the stone will automatically be 100-110 degrees.

• Sharpen with short up-down stokes using a consistent light pressure keeping the stone in contact with the blade.

• Look for the sludge check the sharpness.

 

There are many different ways to sharpen instruments use what works for you. Sharp instrumentsare not only a part of patient treatment they are a very important part of ergonomics and longevity in your career.

 

For video using Sidekick Sharpener go to: http://www.friendsofhu-friedy.com/SidekickSharpener.asp

Using a Periodontal Probe

Posted on: April 11th, 2011 by Sheree Wertz, RDH, BS No Comments

 

Techniques for Using a Periodontal Probe

 

What is a Periodontal Probe?

 

A periodontal probe is the most reliable instrument used to consistently determine the depth of periodontal pockets.

 

Periodontal probes vary in design and are distinguished by the millimeter markings that appear at varying intervals to determine pocket depth measurement.

  

Types of Periodontal Probes:

 

A Williams Probe was designed to minimize the need to estimate the millimeter readings between markings at 1,2,3,5,7,8,9,and 10.

 

The Marquee Denver probe readings are alternated color coded into 3 mm measurements; 3,6,9,12.

 

Plastic Implant Probe have red and green markings; green indicates perio health, red indicates possible disease. Available in both readings: 3,6,9,12 and 3,5,7,10.

 

How to use a Periodontal Probe:

 

To properly measure a periodontal pocket, insert a probe under the gingival margin into the sulcus until tissue resistance is felt at the junctional epithelium.

 

Establish a fulcrum (finger rest) on the working arch to help control and stabilize your hand position lessening the chance to cause injury to the gingival tissue.

 

Slowly and gently insert the tip of the probe just under the gingival margin.

 

Avoid pushing down too hard or fast because the tip of the probe can puncture the attachment and cause patient pain and inaccurate measurement.

 

Always keep the tip of the probe as parallel as possible to the long end of the tooth.

 

You might find the probe is obstructed by a ledge calculus. If so, move the probe towards the tissue wall and proceed a little deeper into the pocket, around the calculus.

 

If the probe will not move, use gentle pressure to reach the bottom of the pocket. When you feel a soft rubber band resistance, you have reached the bottom of the pocket and that is the measurement that you will record.

 

Measurements are recorded at six places on each tooth:

 

Three from the buccal and three from the lingual.

 

 After inserting the probe and recording the disto-buccal measurement, you will keep the probe in the sulcus and gently walk it around the tooth, following the level of attachment to the direct buccal measurement, and record.

 

Still keeping the probe in the pocket, walk it around to the mesio-buccal. This allows you to follow the shape of the tooth as well as the depth of the pocket. Repeat this procedure for the lingual on all of the teeth in the mouth.

 

If there are two or more hygienists in the office, sit down as a team to determine which probes you will use how you will read the markings.

 

IT IS IMPERATIVE TO ESTABLISH A PATTERN OF PROBING AND ALWAYS USE THE SAME ROUTINE FOR CONSISTENCY AND ACCURACY.

 

For more information go to:

 

http://www.friendsofhu-friedy.com/resources/InstrumentoftheMonthPeriodontalProbes.asp

 

References: Periodontal Instrumentation A Clinical Manual by Pattinson

Laser use in Dental Hygiene

Posted on: April 11th, 2011 by Sheree Wertz, RDH, BS No Comments

 

Laser use in Dental Hygiene

 

Laser technologies are changing dentistry as we know it with new breakthroughs technologies.

 

What is a laser?

  

A Laser is a device that converts electrical or chemical energy into light energy.

 

The word “laser” is an acronym for “light amplification by stimulated emission of radiation,” which means that the intense and narrow beam of light is of one wavelength.

 

Laser Light can be delivered by a number of different mechanisms.

 

The main kinds of dental lasers include diode and Nd:YAG lasers that target diseased tissue; carbon-dioxide lasers that work well in soft tissue; and Erbium lasers that work well in both soft and hard tissue.

 

For more information on types go to: http://www.scribd.com/doc/26626531/Lasers-in-Dentistry

 

How do lasers work?

 

All lasers work by delivering energy in the form of light.

 

A laser uses a focused beam of light which creates heat that targets the area of treatment.

 

When used at the appropriate setting, the beam is so precise it only removes diseased tissue, while killing the biofilm present in the tissue wall, leaving healthy tissue intact.

 

What do we use lasers for?

  

Lasers can be used for many procedures including : Crown lengthening, teeth whitening, removing canker sores, removing necrotic tissues and much more.

 

Lasers can be used on gums for periodontal procedures with relatively no bleeding, since it will also seal blood vessels and because of this, postoperative discomfort is greatly reduced. In addition, homeostasis may be achieved during laser use.

 

When used for surgical and dental procedures, the laser acts as a cutting instrument or a vaporizer of tissue that it comes in contact with.

 

When used for “curing” a filling, the laser helps to strengthen the bond between the filling and the tooth.

 

When used in teeth whitening procedures, the laser acts as a heat source and enhances the effect of tooth beaching agents.

 

What are the risks?

 

The only physical risk in laser therapy is the risk of an eye damage.

 

While never reported to have occurred, the risk of an eye damage must be considered, especially when using an invisible and collimated (parallel) beam.

 

Suitable protective goggles should be worn by the patient for extra oral therapy in the face.

 

Why offer it to patients?

 

When laser treatment is offered, patients know they are getting value and are more open to comprehensive treatment.

 

Many clinicians who use lasers have observed enthusiasm and better case acceptance from patients.

 

Since adding laser to treatment plans, we have also observed superior healing as well.

 

Our goal, after all, is to better serve our patients, by improving both their dental health and overall health.

 

We understand the systemic link and need to look beyond simply what is going on in the periodontal pocket.

 

Anything we can do to get better clinical results and compliance from our patients will assist in keeping our patients in remission.

 

How do we use a laser?

 

The laser is quite simple to use, and it does not take a lot of the appointment time.

 

The function of the laser is to reduce the bacterial population in the pocket, including the sulcular wall.

 

Various studies have demonstrated the effectiveness of the laser to decontaminate periodontal pockets.

 

Some procedures with lasers do not even require anesthetic for use.

 

There are many options available for our patients today to ensure comfort whether it is injectable or non-injectable anesthetics.

 

There are many types of lasers available so a course on the one you will be using in your office is best.

 

The best laser courses include adequate time with live patients so that the clinician is confident when seeing patients back in the office.

 

Participants should receive safety and technique instruction with whatever type of laser is available in their practice.

 

In addition to the clinical skills, it is important to use proper verbiage to communicate with the patient and to understand how the laser affects treatment planning.

 

References

 

 

http://www.scribd.com/doc/26626531/Lasers-in-Dentistry

 

Liz Lundry, RDH, www.jpconsultants.com

 

www.laserdentistry.org (Web site for Academy of Laser Dentistry)

 

For more information:

 

Coluzzi D, Dentistry Today. 2007 April;124–127

 

Andrian E, et al. J Dent Res. 2006 May;85(5):392–404

 

Brozovic S, et al. Microbiology. 2006 Mar; 152 (Pt 3):797–806

 

Andreas M, et al. Lasers in Surgery and Medicine 1998; 22:302–311

 

Pick R, Dentistry Today. 2000 Sept;50–53

ViziLite Oral Cancer Screeining

Posted on: April 11th, 2011 by Sheree Wertz, RDH, BS No Comments

  

ViziLite® Plus with TBlue

 

What is Vizilite?

 

ViziLite Plus with TBlue is oral lesion identification and marking system that is used as in conjuctuin with conventional head and neck examination to identify, evaluate, monitor and mark abnormal oral lesions suspicious for pathology including precancerous cells and cancer that may be difficult to see during a regular visual exam.

 

It is comprised of a chemiluminescent light source to improve the identification of lesions and a blue phenothiazine dye to mark those lesions identified by ViziLite.

 

ViziLite Plus with TBlue is designed to be used with patients at risk for oral cancer.

 

ViziLite can assist a dentist or hygienist in identifying an abnormality in the oral cavity.

 

Why use it?

  

Early Detection is Critical

Your patients rely on you to be an expert in oral health.

 

Dentists and hygenists are the best overall defense against oral cancer — you are, in fact, a lifesaver.

 

No other medical professionals are as well positioned to address this potentially deadly disease at its earliest stage.

  

The key is to identify oral abnormalities at their most easily treated stage of development.

 

ViziLite Plus aids in the early identification of oral abnormalities that can lead to cancer.

  

 How does it work?

 

After rinsing with a dilute acetic acid solution, abnormal squamous epithelium tissue will appear acetowhite when viewed under ViziLite’s diffuse low-energy wavelength light.

 

Normal epithelium will absorb the light and appear dark.

Normal epithelium absorbs ViziLite illumination

Abnormal epithelium: leukoplakias appear white; red lesions appear darker than surrounding tissue

 

TBlue is a patented, pharmaceutical-grade toluidine blue-based metachromatic dye. It is used to further evaluate and closely monitor changes in ViziLite-identified lesions.

 

TBlue, in an easy to use 3-swab system, providing the deep blue staining that allows ViziLite-identified lesions to be seen clearly under normal light.

 

The ViziLite® Plus exam is performed with the following materials:

• One disposable ViziLite light stick

• A ViziLite retractor

• 30ml ViziLite acetic acid solution (raspberry flavor)

• TBlue®Oral Lesion Marking System (one acetic acid swab, one TBlue swab, one acetic acid swab)

• One dosing cup

• Reproducible patient consent/waiver form with exam documentation map and instructions

 

How to use:

 

Following are instructions for identifying abnormal oral tissue using the ViziLite® Plus with TBlue oral lesion identification and marking system:

 

1. ENCOURAGE PATIENTS to read the ViziLite Plus patient education brochure. Once the patient is in the operatory, document patient authorization by putting the signed Patient Consent/Waiver Form (provided) in chart. 

  

2. CONDUCT ROUTINE EXAM of the oral cavity, noting the presence of any lesions.

  

3. HAVE PATIENT RINSE with ViziLite Pre-Rinse solution (1% acetic acid) for 30-60 seconds.

  

4.  While patient is swishing BEND FLEXIBLE outer light stick, breaking brittle inner vial.

  

5. SHAKE VIGOROUSLY to mix contents of light stick. Insert light stick into open end of retractor and assemble.

  

6. Turn off lights in operatory close the blinds and shade subject as much as possible. If you are unable to dim the room lighting, you can use eye wear provided by ViziLite Plus to facilitate the examination.

 

 Both patient and operator should where special goggles to protect eyes.

 

7. RE-EXAMINE the oral cavity using ViziLite device. The open retractor window should face the tissue being examined.

 

Place light in the mouth, if oral cancer is present you will see a spot show up lighter than the other surrounding tissues.

 

Look at the cheeks, tongue, dorsal of tongue, soft palate, hard palate, lips, floor of the mouth, throat, after a through check go over same areas again.

 

8. LOOK FOR AND DOCUMENT any abnormalities you see on the mouth map located on the back of the patient consent form. Apply the TBlue marking system to lesions visible under ViziLite illumination. Swabs should be applied in sequential order. The swab tubes are individually labeled 1, 2, and 3.

 

Measure the lesion or lesions and record in patients chart also.

 

9. LESIONS STAINED WITH TBLUE can be viewed clearly even without the ViziLite device.

 

If possible, photograph the lesion or take an intra-oral photograph for inclusion in the patient record, submission to the patient’s insurance carrier, or for referral to a specialist.

 

10. Discard all components.

 

ViziLite Plus Oral Screening Protocol:

 

ViziLite Plus should be offered annually to all new and re-care adult patients following the standard head and neck exam. Patients with a history of oral cancer should receive at least semi-annual ViziLite Plus exams.

 

As is the case with most cancers, age is the primary risk factor for oral cancer. Approximately 90% of oral cancer victims are age 40 and older, recent studies indicate that increasingly, patients younger than age 40 are being diagnosed with oral cancer.

 

Though tobacco and alcohol use are the primary lifestyle risk factors that contribute to the development of oral cancer, 25% of oral cancer victims do not use tobacco or alcohol, and have no lifestyle risk factors.

 

Oral cancer affects men more than women, 2:1, but oral cancer in women is on the rise nationwide.

 

Annual ViziLite Plus exams can be integrated with exsisting patient services, improving patient care and creating a positive financial impact in dental practices.

http://www.vizilite.com/vizilite_exam/

 

slide show : http://vizilitetraining.com/zila_content.html About 20 minutes

 

http://vizilitetraining.com/

 

http://www.zila.com/40/VIZILITE%26REG%3B%20PLUS/

How to Use Arestin

Posted on: April 6th, 2011 by Sheree Wertz, RDH, BS No Comments

 

How to Use Arestin

 

What is ARESTIN?

ARESTIN® is the first locally administered time-released antibiotic, encapsulated in Microspheres that effectively kills the germs that cause periodontal disease or periodontitis.

 

ARESTIN® Microspheres contain (minocycline hydrochloride) the antibiotic minocycline, is a member of the tetracycline family.

 

Minocycline exerts its antimicrobial activity by inhibiting protein synthesis and has been shown to be effective against the pathogens associated with periodontal disease.

 

Why use ARESTIN?

ARESTIN® is indicated as an adjunct to scaling and root planing (SRP) procedures for reduction of pocket depth in patients with adult periodontitis.

 

ARESTIN® may be used as part of a periodontal maintenance program which includes good oral hygiene.

 

ARESTIN® Microspheres provide sustained release of minocycline that is bioadhesive and completely bioresorbed Once ARESTIN® is inserted, it immediately adheres to the periodontal pocket for up to 21 days.

 

How to Administer:

ARESTIN® requires no preparation before administration.

 

It is already premixed, premeasured, and does not require refrigeration.

 

After scaling and root planing (SRP) procedures, applying 1 mg of ARESTIN® is fast and easy, with no need for local anesthesia.

 

1. Insert the ARESTIN® cartridge into the syringe handle while exerting slight pressure.

 

2. Twist until you feel and hear the cartridge “lock” into place.

 

3. To reach difficult-to-access areas, gently bend the tip if needed, leaving the blue cap on. Bending the tip after removal of the blue cap may cause powder to release prematurely.

 

4. Place the cartridge tip into the periodontal pocket, parallel to the long axis of the tooth. Be sure not to force the tip into the base of the pocket.

 

5. Gently press the thumb ring to express the ARESTIN® powder while withdrawing the cartridge tip away from the base of the pocket. If you feel any resistance during delivery, withdraw the device further.

 

6. Once delivery is complete, retract the thumb ring and remove the ARESTIN® cartridge with your free hand. Appropriately discard the cartridge, get a fresh cartridge for each site and sterilize the syringe prior to reuse.

 

Unlike other treatments, ARESTIN® Microspheres are completely bioresorbable, so you will not need to remove the powder.

 

Patient Instructions After Treatment:

Patients should be instructed to delay brushing the treated areas for 12 hours after treatment with ARESTIN® and to abstain from using interproximal cleaning devices around the treated area for 10 days.

 

Patients should also avoid hard, crunchy, or sticky foods such as popcorn or caramel that could traumatize the gingiva.

 

http://www.arestin.com/for-professionals.jsp

Hands Only CPR

Posted on: March 12th, 2011 by Sheree Wertz, RDH, BS No Comments

 

Hands Only CPR

 What is it?

 Hands-Only CPR is chest compressions without mouth-to-mouth breaths. It is recommended for use by people who see an adult suddenly collapse in the “out-of-hospital” setting (like at home, at work, in a park).

 When performed by a bystander has been shown to be as effective as “conventional” CPR in emergencies that occur at home, work or in public.

 Hands-Only CPR for adults who collapse suddenly.

 Hands-Only CPR has been widely publicized by the AHA as an appropriate bystander response to adult victims of out-of-hospital, witnessed, sudden cardiac arrest. So, don’t be surprised if others at the scene of such an event are performing Hands-Only CPR, that is, CPR without breathing. 

 

Why Do it?

 CPR is a lifesaving action.

 When an adult has a sudden cardiac arrest, his or her survival depends greatly on immediately getting CPR from someone nearby. Unfortunately, less than 1/3 of those people who experience a cardiac arrest at home, work or in a public location get that help.

 Most bystanders are worried that they might do something wrong or make things worse. That’s why the AHA has simplified things.

 Your actions can only help. You can make a difference.

 Don’t be afraid. 

How do you do hands only CPR?

 There are only two steps to remember:

1) Call 911

 2) Begin providing high-quality chest compressions by pushing hard and fast in the center of the chest with minimal interruptions.

 Don’t stop until help or an AED arrives.

 You can be a lifesaver. If you choose to help.

 Give a Hand to Save Others from Sudden Cardiac Arrest

 

Hands-Only CPR — Facts

 Sudden cardiac arrest claims hundreds of thousands of lives each year. One of the main reasons is because no one at the scene does anything to help.

 In fact, less than one-third of sudden cardiac arrest victims receive bystander cardiopulmonary resuscitation (CPR). Getting help right away — within a few minutes — is the key to survival.

 People who have a sudden cardiac arrest and don’t get help right away will probably die.

 Fortunately, the American Heart Association has a new way for anyone to step in and help adults who suddenly collapse — Hands-Only CPR.

 Anyone can perform Hands-Only CPR and everyone should perform it if they aren’t confident in their CPR skills or haven’t learned conventional CPR.

 Hands-Only CPR is easy to remember and results in delivery of more, uninterrupted chest compressions until more advanced care arrives on the scene.

 Bystanders must take action when they see someone suddenly collapse and stop breathing normally. When effective bystander CPR is given immediately after sudden cardiac arrest, it can double or triple a victim’s chance of survival. Hands-Only CPR can help save lives.

 Do not give Hands-Only CPR to infants and children — all infants and children who have a sudden cardiac arrest need conventional CPR.

 

Hands-Only CPR is NOT recommended for:

• Unresponsive infants and children

• Victims of:

– drowning

 – trauma

– airway obstruction

– acute respiratory diseases

– apnea, such as associated with drug overdose

 

Learning conventional CPR is still recommended

 A CPR course teaches you the skills needed to help those other victims. You’ll also practice performing the same two steps you’ll need for Hands-OnlyTM CPR. Typically people who have had CPR training are more confident about their skills and more likely to assist someone in a real emergency.

 Even a very short CPR training program that you can do at home, like the American Heart Association’s 22-minute CPR Anytime, provides skills training and practice that can prepare you to perform high-quality chest compressions.

 

Hands-OnlyTM CPR scientific statement

 The American Heart Association works with some of the world’s leading resuscitation scientists and medical professionals. Their continuous review of published research studies on CPR resulted in the following AHA Science Advisory, published in an April 2008 edition of the medical journal Circulation: Hands-OnlyTM (Compression-Only) Cardiopulmonary Resuscitation: A Call to Action for Bystander Response to Adults Who Experience Out-of-Hospital Sudden Cardiac Arrest.

 

Find out more at:

 http://handsonlycpr.org/