The Myths, Legends and Realities of OTC products By Judy Bendit RDH, BS JudyBendit.com
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1 The Myths, Legends and Realities of OTC products By Judy Bendit RDH, BS JudyBendit.com Like me on Facebook at: Judy Bendit RDH, BS sponsored by:
2 Discussion on What is a Myth? Urban Legend? Wives tale? Anecdote? and how they relate to dentistry How to stay current on all the new technologies Journals, websites, conventions, local reps, manufacturers reps Evidence vs. Eminence?? Where to go for the best information? ADA web site: Try Google Scholar Cochrane web site: Manufacturers web sites: Look in professional tabs that review the literature and research BE SKEPTICAL ASK HARD QUESTION OF THE COMPANIES DEMAND GOOD SCIENCE DEMAND GOOD EVIDENCE
3 Technologies in mouthwashes (Dimensions of Dental Hygiene April 2015) Look at mechanism of action and what they kill Essential Oils Listerine CPC (cetylpyridinium Chloride) & Stannous Fluoride Crest Pro-Health Colgate Advanced Pro-Shield Chlorhexidine 0.12% With and without alcohol Pink= Alcohol free by Sunstar Butler Blue= All other products New Alcohol Free CHX in now called Peroex Delmopinol Hydrochloride- PerioShield by Sunstar Butler Fluorides- Sodium vs. Stannous Chlorine Dioxide- CloSYS Oral 7 with natural enzymes For complete list, see Dry mouth products below. Toothpaste Technologies (Dimensions of Dental Hygiene October 2015) Fluoride- Stannous & Sodium Hexametaphosphate vs. Zinc Citrate (as anti-tarter agent) Pro-Health vs ProHealth advanced (consider water based by low water content) Triclosan
4 Read Triclosan Safety Exposed by A. Spolarich RDH, PhD Cochrane Review article to read: ADA seal RDA list- preview.prosites.com/131248/wy/docs/131248_rdh%20sheet.pdf JADA supplement 11/17 Baking Soda Dentifrices and Oral Health - Truly Radiant- Arm & Hammer Theodenthttp:// Aloesense toothpaste Tom s of Maine Livionex dental gel Squigle Toothpaste Enamelon by Premier (Stannous Fluoride + ACP) Hello Products
5 Plaque HD Black is White Toothbrush Technologies and controversies- Minimum requirements: Soft/ultra Bristles Head size Tufts Handle Number of bristles on_toothbrushes.aspx Manual (Look at the thickness of the bristle) Powered Cochrane Review articles to read: Review of patient acceptance Dispense vs. Prescribe New toothbrush ideas: MD Brush- Beam- Curaprox -
6 Dry Mouth Products 2017 Moisturizing Gel for Dry Mouth Available on-line or OTCGC Dry Mouth Gels-available in many flavors for those that cannot tolerate minty flavors ( AO ProVantage Gel PerioSciences ( Dry Mouth AO ProGel (optimized for dry mouth) PerioSciencesGelclair Bioadherent Oral rinse gel Stellalife Gel ( Medactive Oral Relief Gel ( Spry Dry mouth Gel ( Biotene Oral Balance ( OraCoat XyliGel ( Sunstar GUM Canker-X ( CTx4 Gel ( Moisturizing Sprays for Dry Mouth Spry Moisturizing mouth Spray by Xlear ( CTx2 Spray ( Biotene Dry Mouth Moisturizing spray ( All Day Epic 100% xylitol-sweeteded spray ( Moi-Stir ( Artificial Saliva (does not stimulate salivary gland production) Entertainer's Secret spray ( Glandosane Spray (Kenwood/Bradley) ( Moi-Stir ( spray, swabs MouthKote spray ( Salivary Gland Stimulants: (OTC) Salese (Nuvora.com) Lozenges Xylimelts ( time release oral disc SalivaSure- Scandinavian Formulas ( Salivix- Galen ( Prescription Salivary Gland Stimulants NeutraSal-Supersaturated Calcium Phosphate Rinse ( SalivaMAX -Supersaturated Calcium Phosphate Rinse (
7 Salagen: Stimulates residual salivary glands, solution, gel or tablet form ( Cevimeline: Increases exocrine gland secretions, tablets ( Anathole trithione: Simulates exocrine gland secretions (Sialor) Lozenges and Discs (listed above in stimulants too) (mostly available on line) Oramoist dry mouth treatment patch ( Salese dry mouth lozenges ( Xylimelts moisturizer and salivary stimulant ( H-B12 Melts for mouth sores ( MedActive Lozenges for Dry Mouth ( Smart Mouth Dry Mouth Mint Epic ( ( Act Dry Mouth Lozenges ( XyliPOPS-Hager ( will be available on Amazon soon. MighTeaFlow Lozenges ( SalivaSure- Scandinavian Formulas ( Salivix- Galen ( Salix Saliva Stimulating Lozenge ( Tablets Wound Dressing OraSoothe liquid oral gel (oral hydrogel wound rinse) ( Sockit (oral hydrogel wound dressing) ( Decay (Cavity) Prevention Rx. Prevident 5000 (Colgate) Prescription level fluoride toothpastes, 1.1% Sodium Fluoride available in 4 options: Sensitive, Dry Mouth (only one without SLS s) Enamel Protect, Booster. ClinPro5000 (3-M ESPE) Prescription level Fluoride, 1.1% Sodium Fluoride Dentifrice (with Tri- Calcium Phosphate) MI Paste ( Professionally dispensed amorphous calcium phosphate paste, follow-up self application in custom trays FluoriMax 5000 (Elevate Oral Care) contains 10% xylitol, 2.5 Sodium Fluoride OTC 1% Stannous Fluoride Rinse- (MedActive) Stannous Fluoride, Ultramulsion & Spilanthol OTC (on-line or in dental office) Enamelon Gel ( OTC gel with Stannous Fluoride, ACP, Ultramulsion &
8 Spilanthol Antibacterial MouthRinses/MouthWashes Rx. Peroex -Chlorhexidine Gluconate Oral Rinse ( The only alcohol free chlorhexidine rinse on the market. PerioGard (Colgate)( Peridex (3-M ESPE) OTC Crest Pro-Health Multi-Protection (P & G) ( Colgate Total Advanced Pro-Shield (Colgate) ( Closys ( with and without Fluoride and with and without flavoring Biotene Dry Mouth oral rinse ( Biotene Moisturizing Oral Rinse ( Act Dry mouth Mouthwash ( MighTeaFlow Moisturizing Oral Rinse ( On-Line or thru dentist PerioSciences Hydrating AO ProRinse ( Stellalife Vega Oral Rinse ( CTx4 Treatment Rinse ( PlaqueHD Rinse for Severe Dry mouth (PlaqueHD.com) Gums and Candies On-line or in some retail stores Spry-(xlear) 100% xylitol gums and candies ( MedActive Lozenges for Dry Mouth ( Xylichew!00% xylitol gum ( Ice Chips 100% xylitol candies ( PUR Gum 100% xylitol gum ( Zellies 100% xylitol gums and candies ( Epic 100% xylitol gum ( Dr. Johns sweets 100% xylitol candy, chocolates, gum and candy s ( MighTeaFlow Gum (
9 CTx2 xylitol gum ( Thru dental office Hager Pharma xylitol dry mouth drops ( /view/productdetails/virtuemart_product_id/304/virtuemart_category_id/6) xylipops- Hager Miradent xylitol gums and candies 100% xylitol (Hager Worldwide) LoLoZ- licorice extract ( or Used for caries control Epic Gums, mints and sprays ( Natural Mouth Rinses Toms of Maine ( The Natural Dentist ( Spry Alcohol Free Mouthwash ( Considerations for any patient with severe xerastomia Ask your dentist/hygienist to make sure you are using the proper toothbrush (soft or ultra soft), making sure you are using brush properly, and brush after every meal. Determine if you should be using floss, interdental brushes or water irrigator. Use a fluoride toothpaste daily. (Some will have discomfort/ tissue reactions from SLS s, hexametaphosphates and Stannous Fluoride) Many patients will be given Rx for higher concentration of Fluoride with or without mouth guard. Decrease intake of surgery snacks and frequency. If you need to eat or drink them, be sure to rinse with water or chew sugarless gum (xylitol if possible) to neutralize the ph. Also, watch your intake of carbohydrates, like bread and pasta and cookies, etc. which tend to hang around in the mouth. Avoid or decrease your intake of spicy, salty or very acidic foods, especially lemons and limes. Do not smoke. Avoid or decrease your intake of alcohol. Can burn tissues. Avoid or decrease your intake of caffeine-containing drinks and foods.
10 Chew your food slowly and thoroughly, taking small sips of water/milk to aid in swallowing. Some patients should try yogurt/applesauce instead of water. See your dentist/hygienist at least 3-4 times a year and have them routinely check you for evidence of early decay. Fluoride varnish is indicated at each visit. Remember.. Flavorings can sometimes burn It can be trial and error-sometimes they work and sometimes they don t! Products and companies come and go. Check their web sites for further information.
JudyBendit.com Sponsored by:
Judy@JudyBendit.com JudyBendit.com Sponsored by: Like me on Facebook at: Judy Bendit RDH, BS Just like all of us, our patients are advancing in age and are facing some complicated age-related consequences.
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