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Presentation Overview Air Polishing Procedure With Clinpro Glyciene Prophy Powder Use and Efficiency for Clinpro Glyciene Prophy Powder Clinpro Glyciene Prophy Powder benefits, indications and clinical evidence 3M 2016. All Rights Reserved 3

Biofilm Management Biofilm Management and Polishing in One Step Supra and Subgingival Calculus Removal Supra and Subgingival Plaque Biofilm and Stain Removal Supra and Subgingival Plaque Biofilm and Stain Removal Professional toothpaste treatment plan Fluoride Application Treatment for at Home Maintenance Possible Prophy Paste Replacement Manual removal with Air polishing and ultrasonic and hand instrumentscleaning Can also be used BEFORE calculus removal to clean biofilm to limit manual instrumentation time Optional replacement of prophy paste polish Supports Selective Polishing trend for enamel health Fluoride varnish treatment for protection and long term fluoride benefit and sensitivity relief ADA Recommended Air Polishing with glycine prophy powder: Fast and easy biofilm removal procedure that is more gentle for patients and less abrasive 3M 2016. All Rights Reserved 4

Benefits and Indications: Clinpro Glycine Prophy Powder Clinpro Glycine Prophy Powder For gentle sub- and supragingival removal of plaque biofilm Low abrasiveness on dentin, root surfaces and restorations Effective removal of biofilm in periodontal pockets Effective removal of light to moderate extrinsic stains Gentle on restoration, orthodontic brackets, implants and sealants Fast and easy procedure Pleasant taste Can be used in commercially available air-polishing equipment In place of using a prophy angle with paste to polish Around orthodontic brackets On implants and restorations Around gingival margins 3M 2016. All Rights Reserved 5

Air Polishing Procedure Efficiency Air polishing continues to be well documented in the literature and a growing trend in biofilm removal. The advantage of subgingival biofilm removal that is more effective and efficient than hand instrumentation will have the added benefit of cost effective, timely delivery of supported periodontal treatment with the potential of improved treatment outcomes. Petersilka GJ, J Periodontal, 2011, Flemmig, TF, J Periodontal, 2012. This new technology will make work easier and faster for the hygienist, to effectively de-plaque the mouth, which will impact the business of dental hygiene and the practice. Interview with TF Flemmig, Dentaltown, 2014! Glycine Prophy Powders, Invented by 3M, have been successfully used in professional tooth cleaning since 2001 3M 2016. All Rights Reserved 7

Air Polishing Procedure Efficacy New polishing powders, such as glycine, are less abrasive and have the potential to transform the dental hygiene recall appointment for patients with minimal periodontal involvement. The advantage of subgingival biofilm removal that is more effective and efficient than hand instrumentation will have the added benefit of cost effective, timely delivery of supportive periodontal treatment with the potential of improved treatment outcomes. 4,8 10,12,16,23,37 3M 2016. All Rights Reserved 8

Clinical Evidence Dentin Abrasion Abrasion: Surface analysis of dentin after different debridement treatment before after Clinpro Glycine Prophy Powder before after Sodium bicarbonate air polishing powder before after Hand scaler after before after Ultrasonic Device *SEM images 500 x magnification Kiesow et al, Fraunhofer Institute of Mechanics and Materials, Germany 2015: Evaluation of morphological changes after treatment of Clinpro Glycine Prophy Powder in comparison to sodium bicarbonate air polishing powder, hand scaler and ultrasonic device, using Scanning Electron Microscopy. A gentle cleaning effect with glycine based powder can be seen, vs sodium bicarbonate treatment which creates an increased roughness with the formation of craters and little cracks. In addition, significant surface damage was observed when cleaning with a hand scaler and ultrasonic device. 3M 2016. All Rights Reserved 10

Clinical Evidence Reduction of Bacteria Periodontitis: Subgingival biofilm/plaque removal Petersilka et al, J. Clin Periodont 2003, 74(3): 307-311: Assessment of the clinical efficacy of Clinpro Glycine Prophy Powder of subgingival plaque removal on interdental sites during periodontal maintenance therapy (PMT). Clinpro Glycine Prophy Powder is superior to curettes in removing subgingival plaque at interdental sites with up to 5mm pocket dept in PMT. 3M 2016. All Rights Reserved 11

Indications With proven, innovative products, 3M supports your prophylaxis procedure from start to finish helping you provide the ultimate in patient comfort and care. Used to remove subgingival plaque biofilm up to 5mm pocket depth Clinpro Glycine Prophy Powder Conventional Sodium Bicarbonate Powders Conventional Prophy Paste Used to remove supragingival plaque biofilm Made with less abrasive glycine technology Safe on restorations, implants, orthodontic brackets and sealants Water-soluble Pleasant, non-salty taste Can be used for patients with sodium restrictions Removes light to moderate extrinsic stains Removes discoloration Used for supportive maintenance in periodontitis therapy Used for supportive maintenance for peri-implant therapy 3M 2016. All Rights Reserved 12