Judy@JudyBendit.com

JudyBendit.com

Sponsoredby:

LikemeonFacebookat:JudyBenditRDH,BS

Justlikeallofus,ourpatientsareadvancinginageandarefacingsomecomplicatedage-relatedconsequences.Wewillchewonthefactsandspitoutpotentialsolutionsthatwillhelpusallagetastefully.

Wheretolookforinformation…

ADAwebsite:

http://ebd.ada.org/

TryGoogleScholar

http://scholar.google.com/

Cochranewebsite:http://www2.cochrane.org/reviews/

NIH-http://www.nih.gov/

ClinicalTrials-https://clinicaltrials.gov/

Manufacturerswebsites:Lookinprofessionaltabsthatreviewtheliteratureandresearch-Colgate,P&G,SunstarButler,WaterPik,Phillips,GSK,J&J…

Forproducts:gotohttp://www.judybendit.com/main/products

Clickontheitemanditwilltakeyoudirectlytoeachcompany’swebsite.

ReadthisBook:

DyingfromDirtyTeeth-WhytheLackofProperOralCareisKillingNursingHomeResidentsandHowtoPreventit.

ByAngieStoneRDH,BS

Chewinggum:

•Freshenbreath•NeutralizeplaqueacidsandincreasethepHoftheoralenvironmentduetosalivarystimulation.•Stimulatesalivaflow,whichisbeneficialforpatientswithxerostomia.•Potentiallyincreasestheproductionofsalivafrom1mlto2mlperminute.GIconsiderationsMemoryStress

RestingSalivatest:

•

XerostomiaandHyposalivation

Xerostomiadescribesthefeelingoforaldryness.Hyposalivationisthephysicalreductioninsalivaoutput.

Questionstoaskpatients…

Doyouhaveanydifficultyswallowing?

Doesyourmouthfeeldrywheneatingameal?

Doyousipliquidstoaidinswallowingdryfood?

Doestheamountofsalivaseemtobetoolittle,toomuch,ordoyounotnotice?

Thingstoavoidforxerostomia:

Smoking

Alcohol-basedmouthwashes

Dryorsaltyfood

ChewablevitaminC

Caffeine,alcohol,citrus&carbonatedbeverages

SodiumLaurylSulfate(SLS)

Updatedoverviewofmostmouthwashesonthemarket…

http://www.dimensionsofdentalhygiene.com/uploadedfiles/DDH/Magazine/2015/04_april/Focus_on_Mouthrinses_0415.pdf

OralIrrigation:

WaterPik

https://www.waterpik.com/oral-health/pro/education/newsletters/april-2015/

NewSideKick(https://www.waterpik.com/oral-health/products/dental-water-flosser/WF-04CD010-1/)

Phillipsairflosshttp://www.sonicare.com/professional/en_us/OurProducts/AirFloss.aspx

Reasonformouthguards?

Snoring

Heavymouthbreathing

Grinding/Bruxism

Athleticprotection

TMJissues

Snoringissues..

Snoringcanaffectalmostanyone.

Habitualsnoringhasbeenfoundinanestimated24percentofadultwomenand40percentofadultmen.

Bothmenandwomenaremorelikelytosnoreastheyage.Menbecomelesslikelytosnoreaftertheageof70.

Alcohol,drugs,musclerelaxersandtobaccoproductscontributetosnoringforbothmenandwomen.

Obeseoroverweightpeopletendtosnorebecausethereismorefattissueinthebackoftheirthroats.

Snoringappearstoruninfamilies

Denturecare:

Dr.B’scrystals(https://www.drbdentalsolutions.com)

Rememberallthethingsyoucandowithyourdenturecleanersathome.

Homecare:RememberProtectionvsPrevention.Discussoptions.

ArmorDentalPreventiveTools-MouthMates(http://www.armor-dental.com)

Disclosingoptions:

Tri-PlaqueDisclosinggel(http://www.gcamerica.com/products/preventive/GC_Tri_Plaque_ID/index.php)

Plac-O-Test(http://www.directadental.com/products/prophycare/plac-o-tect)

PlaqueHD(https://plaquehd.com)

Interproximalaides

Curaprox(https://www.curaprox.com/us-en/interdental-brushes)

TePe(http://www.elevateoralcare.com/dentist/TePe)

GumChucks(http://www.gumchucksprofloss.com)

Cocofloss(https://cocofloss.com)

DryMouthProducts2017

MoisturizingGelforDryMouthAvailableon-lineorOTC

GCDryMouthGels-availableinmanyflavorsforthosethatcannottoleratemintyflavors(http://www.gcamerica.com/products/preventive/GC_Dry_Mouth_Gel/)

AOProVantageGelPerioSciences(https://www.periosciences.com/product/rinse_h_10)

DryMouthAOProGel(optimizedfordrymouth)PerioSciences

GelclairBioadherentOralrinsegelhttp://gelclair.com StellalifeGel(https://stellalifehealing.com) MedactiveOralReliefGel(https://www.medactive.com) SpryDrymouthGel(http://www.xlear.com/spry-dental-

defense/) BioteneOralBalance(https://www.biotene.com) OraCoatXyliGel

SunstarGUMCanker-X(http://www.gumbrand.com/gum-canker-x-gel-1772ra.html)

CTx4Gel(http://carifree.com/patient/shop/products.html)

MoisturizingSpraysforDryMouth

SpryMoisturizingmouthSpraybyxlear(http://www.xlear.com/spry-dental-defense/)

CTx2Spray(http://carifree.com/patient/shop/products.html)

OralBalance(https://www.biotene.com) BioteneDryMouthMoisturizingspray

(https://www.biotene.com)

ArtificialSaliva(doesnotstimulatesalivaryglandproduction)(Carboxymethylcelluloseorhydroxymethylcellulose) Entertainer'sSecret®(KLICorp)spray Glandosane®(Kenwood/Bradley)Spray Moi-Stir®(KingswoodLabs)spray,swabs SalivaSubstitute®(RoxaneLabs)Liquid Salivart®(Gevauer)preservative-freeaerosol Salix®(ScandinavianNaturalhealthandbeauty)Tablets V.AOralube®(OralDis.Res.Lab)sodium-free;liquid(not

availableinUS) Xero-Lube®ArtificialSaliva(Scherer)sodium-free;spray MucopolysaccharideSolutions:spray MouthKote®(Parnell)spray

SalivaryGlandStimulants:Sialogogues(OTC)

NatrolDryMouthRelief(NatrolandAmarilloBiosciences)lozenges

Salese(Nuvora.com)Lozenges Xylimelts®(orahealth)timereleaseoraldisc OraMoist®QuantumHealth ActDrymouthLozenges(J&J)PrescriptionSalivaryGlandStimulants

NeutraSal-SupersaturatedCalciumPhosphateRinse(OraPharma)

SalivaMAX™-SupersaturatedCalciumPhosphateRinse(ForwardScience)

Pilocarpine:Stimulatesresidualsalivaryglands,solution,gelortabletform(Salagen)

Cevimeline:Increasesexocrineglandsecretions,tablets(Evoxac)

Anatholetrithione:Simulatesexocrineglandsecretions(Sialor)

SalivaryEnzymeReplacement

Lactoperoxidase,andLysozyme,sodiumlaurelsulfatefree.Toothpaste,mouthwash,gum

Oralbalance(GSK)gel CankerX(SunstarButler)gel

LozengesandDiscs(listedaboveinstimulantstoo)

Oramoist™drymouthtreatmentpatch(QuantumHealth) Salese™drymouthlozenges(Nuvora) Xylimelts™moisturizerandsalivarystimulant

(OraHealth) MedActiveLozengesforDryMouth

(https://www.medactive.com) SmartMouthDryMouthMint ActDryMouthLozenges

(http://www.actoralcare.com/products/act-dry-mouth/act-dry-mouth-lozenges/)

XyliPOPS-Hager MighTeaFlowLozenges

(https://www.camellix.com/products/mighteaflow-oral-care)

WoundDressing

OraSoothe®liquidoralgel(oralhydrogelwoundrinse)

Sockit®(oralhydrogelwounddressing)Decay(Cavity)Prevention

Rx. Prevident5000®(Colgate)Prescriptionlevelfluoride

toothpastes,1.1%SodiumFluoride–availablein4options:Sensitive,DryMouth(onlyonewithoutSLS’s)EnamelProtect,Booster.

ClinPro5000®(3-MESPE)PrescriptionlevelFluoride,1.1%SodiumFluorideDentifrice(withTri-CalciumPhosphate)

MIPaste(http://www.mi-paste.com)Professionallydispensedamorphouscalciumphosphatepaste,follow-upselfapplicationincustomtrays

FluoriMax™5000(ElevateOralCare)contains10%xylitol,2.5SodiumFluoride

OTC 1%StannousFluorideRinse-(MedActive)Stannous

Fluoride,Ultramulsion&SpilantholOTC(on-lineorindentaloffice)EnamelonGel®(http://www.enamelon.com)OTCgelwithStannousFluoride,ACP,Ultramulsion&SpilantholAntibacterialMouthRinses/MouthWashesRx.

Peroex®-ChlorhexidineGluconateOralRinse(http://us-professional.gumbrand.com/gumr-chlorhexidine-gluconate-oral-rinse-4.html)Theonlyalcoholfreechlorhexidinerinseonthemarket.

PerioGard®(Colgate)(http://www.colgateprofessional.com/products/colgate-periogard-rinse-rx-only/overview)

Peridex®(3-MESPE) OTC CrestPro-HealthMulti-Protection(P&G)

(https://crest.com/en-us/products/crest-pro-health-multi-protection-mouthwash)

ColgateTotal®AdvancedPro-Shield™(Colgate)(http://www.colgatetotal.com/mouthwash/advanced-pro-shield)

Closys(https://closys.com)withandwithoutFluorideandwithandwithoutflavoring

BioteneDryMouthoralrinse(https://www.biotene.com)BioteneMoisturizingOralRinse(https://www.biotene.com)Oral7MoisturizingOralRinse(http://www.oral7.com/home/products)HydrisHydratingmouthrinse(https://www.colgateprofessional.com/products/hydris)ActDrymouthMouthwash(http://www.actoralcare.com/products/act-dry-mouth/)

MighTeaFlowMoisturizingOralRinse(https://www.camellix.com/products/mighteaflow-oral-care)

On-Lineorthrudentist PerioSciencesHydratingAOProRinse

(https://www.periosciences.com/product/rinse_h_10) StellalifeVegaOralRinse(https://stellalifehealing.com) CTx4TreatmentRinse

(http://carifree.com/patient/shop/products.html) PlaqueHDRinseforSevereDrymouth(PlaqueHD.com)GumsandCandies

On-lineorinsomeretailstores

Spry-(xlear)100%xylitolgumsandcandies(http://www.xlear.com/spry-dental-defense/)

MedActiveLozengesforDryMouth(https://www.medactive.com) Xylichew!00%xylitolgum(http://focusnutrition.com) IceChips100%xylitolcandies

(https://www.icechipscandy.com) PURGum100%xylitolgum

(http://www.thepurcompany.com) Zellies100%xylitolgumsandcandies(http://zellies.com) Epic100%xylitolgum(http://www.epicdental.com/c-4-

gum) Dr.Johnssweets100%xylitolcandy,chocolates,gumand

candy’s(http://www.drjohns.com) MighTeaFlowGum

(https://www.camellix.com/products/mighteaflow-oral-care)

CTx2xylitolgum(http://carifree.com/patient/shop/products.html)

Thrudentaloffice HagerPharmaxylitoldrymouthdrops

(http://www.hagerworldwide.com/HagerPharma/2013-11-26-23-49-52/view/productdetails/virtuemart_product_id/304/virtuemart_category_id/6)

xyliPOPs-Hager Miradentxylitolgumsandcandies100%xylitol(Hager

Worldwide) LoLoZ-licoriceextract(http://www.loloz.comor

http://www.elevateoralcare.com) Usedforcariescontrol

NaturalMouthRinses

TomsofMaine(http://www.tomsofmaine.com/home)TheNaturalDentist(http://www.bleedinggums.com)SpryAlcoholFreeMouthwash(http://www.xlear.com/spry-dental-defense/)Considerationsforanyproduct…FlavoringscansometimesburnAlcoholcansometimesburnSLS’sshouldbeavoidedduringsomephasesoftreatmentItcanbetrialanderror-sometimestheyworkandsometimestheydon’t…Productsandcompaniescomeandgo.Checktheirwebsitesforfurtherinformation.