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November 29-December 5, 201020 Perio Tribune United Kingdom Edition as these can cause chronic in- flammation and activation of T- Lymphocytes, leading to plaque formation and lesions in the carotid arteries. Further thick- ening of the arterial walls can severely increase the possibility of stroke or heart disease. Interproximal Cleaning With evidence for the connec- tion between oral health and general health mounting and data suggesting a strong link between periodontal disease and cardiovascular disorders, interproximal cleaning is at the top of many dental research- ers’ priority lists. In light of up to date research, recent studies have attempted to assess the oral health benefits of regular interproximal cleaning both alone and with the addition of specially formulated gels. These studies focussed on the effects of daily use of a fluoride-based gel with chlorhexidine (0.2 per cent sodium fluoride (900ppm) and 0.2 per cent chlorhexidine digluconate), applied with an interdental brush. The University College of Health Sciences, Kristianstad, with the Department of Cari- ology, Goteburg University in Sweden, carried out a double- blind crossover design trial, which used an active gel as well as a placebo. In this trial 15 healthy patients with at least four open approximal spaces in the pre-molar/molar re- gion were chosen from the Department of Peridontol- ogy in Kristianstad and clini- cal parameters were regis- tered at eight approximal tooth surfaces: Plaque index after using a disclosing solution, pocket depth, sulcus bleeding in- dex and gingival fluid flow using a periotron. Participants were asked to use the gel after brushing, apply- ing it with an interdental brush twice a day, ensuring that each interproximal space was cleaned twice. Results were assessed as mean values at three points within the trial – on days 0, 7, and 21. From the very beginning of the trial a noticeable improve- ment was shown in all four pa- rameters. The study concluded that three weeks of interdental brushing combined with an in- terdental gel could significantly improve oral health as well as helping to prevent the build up of plaque. Those patients predisposed to plaque and caries are known to benefit from a dual action formula created to strengthen and desensitise tooth surfaces and help maintain oral hygiene. For these patients a product that lists fluoride as an active ingre- dient and posts the anti-bacte- rial properties of chlorhexidine (CHX) can help prevent the build up of bacteria. Using interdental gels and brushes can also be beneficial as these will help the patient ac- cess those ‘hard to reach’ areas. Using a product containing bac- teria fighting CHX will allow the fluoride to work to better effect, but patients would be well ad- vised to use a non-abrasive for- mula to protect the tooth enam- el from demineralisation. A dual acting gel can be an ideal accompaniment to inter- dental brushes for oral hygiene issues of varying types and severity. It may be appropriate for practitioners to recommend an interdental cleaning product based on fluoride and supported by the antibacterial properties of CHX. Interdental gels are ex- cellent products for the effective support of your patients’ inter- dental care regime and special- ly formulated, dual-action gels can provide patients with a convenient and effective ‘take- home’ method of cleaning inter- dental spaces. That traditional interdental cleaning is no longer a prior- ity for patients is obvious from the statistics cited by the British Dental Health Foundation, but many practitioners have high hopes that the next generation of cleaning products now avail- able will encourage the British public to improve their dental hygiene. If these products can successfully motivate the mass- es, we may see a dramatic im- provement in dental health into the coming decade. DT page 20DTß About the author Helmut Nissen International Mar- keting & Sales Manager Helmut has been working for over 20 years in the health and oral care market and is dedicated to estab- lishing strong brands based on real user benefits Email www.tandex.dk for more infor- mation Ems-swissqualitY.com For more information> www.ems-swissquality.com savE cEllsNEw Ems swiss iNstrumENts surgErY – saviNg tissuE with NEw iNNovatioNs iN implaNt dENtistrY The inventor of the Original Piezon Method has won another battle against the destruction of tissue when dental implants are performed. The magic word is dual cooling – instrument cooling from the inside and outside together with simultane- ous debris evacuation and efficient surgical preparations in the maxilla. cooliNg hEals A unique spiral design and internal irrigation prevent the instrument’s temperature from rising during the surgical procedure. 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The new EMS Swiss Instruments Surgery stand for unequaled Swiss precision and innovation for the benefit of dental practitioners and patients alike – the very philosophy embraced by EMS. > EMS Swiss Instrument Surgery MB6 with unique spiral design and internal instrument irrigation for ultralow temperature at the operative site