Archive for May, 2008

Good Analogy for Prevora

Wednesday, May 21st, 2008

Hello everyone,

During a recent Lunch & Learn presentation the doctor used a great analogy to describe how Prevora interacts with the tooth surface.

The analogy went like this: The dentin of the root surface is a lot like a sponge and as Prevora stage 1 is applied to this sponge it is absorbed into the pores. Then Prevora stage 2 is like nail polish, in that it is painted on the tooth surface and acts as a protective coating for the tooth. Then just like nail polish, Prevora stage 2 gradually wears off over time through normal use.

I thought that this analogy was a very good way of explaining how Prevora interacts with the tooth surface in a manner that is easy for everybody to relate to.

I hope that this little analogy will provide some insight into how Prevora interacts with the tooth surface

Take care,
Tyler

Maternal periodontal disease, systemic inflammation, and risk for preeclampsia

Wednesday, May 21st, 2008

Hello,

A few days ago, a colleague of mine passed along a study about the association between maternal periodontal disease , systemic inflammation and an elevated risk for preeclampsia that was published in the April edition of the American Journal of Obstetrics & Gynecology.

First and foremost I had to look up what preeclampsia was. At which time I discovered that preeclampsia is a serious complication involving the development of hypertension (high blood pressure) during pregnancy and can lead to premature delivery. For the purpose of this study the condition was categorized as 2 episodes of blood pressure greater than 140/90 mmHg and at least 1+ proteinuria on a catherized urine specimen.

In the study the presence of periodontal disease was defined as 1 or more tooth sites with greater than or equal to 4 mm pocket depth or 1 or more tooth pockets greater than 3 mm that bled on probing. During this study they also measure the level of C-reactive protein a known non-specific marker of inflammation in order to determine the level of systemic inflammation.

This study showed that expecting women with an increased level of C-reactive protein and periodontal disease were at an increased of developing preeclampsia

If you would like more information about this article you can follow the link below to the Reuters article from May 7th, or the article from the journal.

Reuters Article

Ruma M, Boggess K, Moss K, et al. Maternal periodontal disease, systemic inflammation, and risk for preeclampsia. Am J of Obstet Gynecol. 2008;198:389.el389.e5

Take care,
Tyler

Periodontal Disease & CHD

Tuesday, May 6th, 2008

Hi everybody,

I recently came across a very interesting scientific paper in the April 1 issue of Circulation that defined a link between chronic periodontitis and edentulism and the risk of coronary heart disease (CHD). The topic of this paper is not new, and a lot of people know about the link between perio and CHD; however the research behind this link has never really been consistent or definitive. This is what makes this paper so interesting; finally there is some definitive proof of the relationship between these two diseases.

If you would like more information about this topic you can follow the link below which will lead you to the article in Circulation.

Age-Dependent Associations Between Chronic Periodontitis/Edentulism and Risk of Coronary Heart Disease

    
      Feel free to leave comments and we can have a discussion about the implication of this paper

Take care,

Tyler

Allergic Reactions to Prevora

Tuesday, May 6th, 2008

Hello Everybody,

I was recently asked by one of our Partners in Prevention about the possibility of an allergic reaction to Prevora in a patient who has recently had surgery and is also allergic to “many” things.

The response that they received was as follows: there have been no know allergic reactions to Prevora and its ingredients during the clinical trials which have taken place over many years and involved thousands of patients. There have been only 2 or 3 cases of asthmatics having difficulties during the treatment and approximately 2% of patients having a mild topical irritation of the oral mucosa. Prevora’s safety profile has been rigorously reviewed by both Health Canada (DIN # 02046245) and the Irish Medical Board prior to receiving approval as a prescription drug.

Patients with known sensitivities to chlorhexidine, Sumatra benzoin, ethyl alcohol or polymethylmethacrylate should be consulted prior to treatment. Chlorhexidine the active ingredient in Prevora, is a very well know antimicrobial which has been used in dentistry throughout the World for over 50 years.

If you have any other questions about Prevora’s safety profile or contraindications feel free to leave a comment and I will be happy to reply

Regards,
TYLER

The Cost of Missed Hygiene Appointments

Tuesday, May 6th, 2008

In a recent seminar that was held by Prevora, practice management consultant Sandie Baillargeon was talking about how to implement Prevora into your practice.

One of the points that really got my attention was when she began to talk about the cost of missed hygiene appointments. The general consensus among the hygienist in the room was that there was typically 1-2 appointments missed each day and from this input Sandie was able to come up with this calculation about the loss in revenue. The calculation was as follows:

Value of the appointment: $200 x 2 = $400 a day

Per Week: $400 x 5 days = $2 000

Per Month: $2000 x 4 weeks = $8 000

Per Year: $8000 x 12 Months = $96 000 in Lost Revenue

From this calculation you can see that anything that can help to avoid missed appointments would be of great benefit to the practice. Some of the things that Sandie suggested as a way to prevent these cancellations, was to let your patients know that the appointment was more than just a cleaning and that it was part of a preventive therapy. You also need to let the patients know “What’s in it for me?” by telling them about how this will affect their oral and overall health. Also work with the patient to schedule the appointment at a time that they will most likely be able to keep.

These were just a few of the things that Sandie talked about that I thought were of great interest and would have some practical implications. When you start talking about $96,000 in lost revenue, I think that most dental clinics would find this interesting as well.

Until next time, take care
TYLER

Welcome

Tuesday, May 6th, 2008

Hello everybody,

Thanks for visiting my little platform to inform all of you about new and interesting things about preventative dentistry, science and my daily adventures as product specialist for Prevora. I hope that you find the topics interesting. If you have any questions or suggestions let me know and I will respond to the best of my ability.

Thanks again and take care
TYLER