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[Intro music]
>> Jeremy: I’m Dr. Jeremy Bowen and this is my partner Kirk Opdahl. Our office is in
Independence, Missouri. I’ve found some great results right off the bat. Being in
dental school, we were brought up on chlorhexidine being a gold standard. But this is a product
that actually integrates with the saliva, and by integrating with saliva that’s no
longer in that crevicular fluid, that’s no longer our enemy blocking the action that’s
going in. When a patient comes in, they’ll take a swish of the product for about 30 seconds
and rinse with that. We can reduce bacteria before we ever work on the patient - and that’s
a good thing. Before we ever do any cleaning, we’ll use the debriding serum, which comes
in a syringe. In the syringe comes the two CCs for the entire treatment of that scaling
and root planing patient. We estimate it’ll be about half a CC per quadrant, so in that
one syringe is enough for the entire mouth. If we were to do that, put the gel down around
the gums and allow that to kind of work in, one thing that we found is when this gel is
expressed into the sulcus, you’ll notice that there is a lot of bubbling that happens.
That’s the reaction that’s occurring to help remove debris up out of it. When that’s
done several times in between, we’ll go in and put a little bit more gel in. What
you’ll notice is by the end of the treatment, the gel isn’t as effervescent and bubbling
as much as it had been. There’s a lot of research that shows that through mechanical
removal alone, you don’t get the best results. You need to have some other tools in your
toolbelt, and after using hand instruments and ultrasonics, I had thought I had done
really well, I would express some gel down into those deeper pockets and still notice
that there was a lot of bad coming out. What the patient leaves with is the rinse, which
has the same key ingredients in it. So we instruct the patients to rinse at least two
times a day, and then there’s also the gel pen, which has the same debriding gel that’s
in it, but it’s an easy-to-apply use-at-home treatment. The one thing that I’ve noticed
is we’re pulling and stretching on the gums when we’re working on them, and afterwards
the patients don’t complain as much about post-op sensitivity.
>> Kirk: Patients’ gums have been feeling much better, and they actually haven’t had
the need to take Motrin, or any type of aspirin or anything after their periodontal treatment.
>> Jeremy: When the patient goes through that and they’re able to come back to you and
say, “Hey, that was a great experience, as best as it could be,” that’s very eye-opening
to us, and telling us, that we’re doing something different that we’re not used
to seeing, and that’s one of the main reasons that we like this treatment. The patients
are referring their friends and family in to see us because we’re doing dentistry
in a pain-free manner that’s getting the results that we want.
>> Kirk: The neat thing about this case is that there were actually two implants even-placed
- the upper first molar was removed. Along with that, an implant was placed there and
an incision was made to the interior, and there was also an implant placed in the second
bicuspid area. This is a great picture - you can actually see the cover screw showing,
which is common, especially when you have tissue that’s trying to granulate over the
socket. >> Jeremy: It was immediately placed.
>> Kirk: So this next picture here is one month post-op. One of the neat things I want
to bring up here besides such a great, great result. But the patient- her tissue actually
grew over the cover screw. It’s really hard to have tissue grow over a cover screw because
it doesn’t attach to the metal. And not only did that happen, but you see a lack of
inflammation there, and complete healing, and if you were to prescribe a better healing
or a better end result, you couldn’t do that.
>> Jeremy: I think this patient too was one that was worried about pain, and I don’t
remember a lot of reports of it. >> Kirk: There was absolutely none with her.
>> Jeremy: This next picture is mouth trauma. There was a lot of bone recontouring, we did
bone grafting procedure that day, and placed multiple sutures into the area. The picture
here that you see is two weeks post-op, using the rinse and the debriding gel, he actually
carried the rinse with him everywhere he went because it just felt so good for his gums,
and made him feel a whole lot better. We used a class 2 narcotic and we used ibuprofen,
but he reported back two weeks later that he hadn’t needed too many of those at all.
>> Kirk: This patient came in because he had really severe periodontal disease so the amount
of bacteria in his mouth was pretty high. The other thing is that his tissues were really
really red, and was a really really poor case to begin with.
>> Jeremy: Here’s a 64-year old that probably had a couple of underlying health conditions.
>> Kirk: So what we did is have him rinse with a mouth rinse, we did the extractions,
and then we actually used the gel and had him use the rinses. You can see here though
after six days, he came back in and we just wanted to check to see his healing and we
thought it looked tremendous. No inflammation there, almost complete healing, with all closures
over all of those extraction sites.
[Closing music]