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We can help you get optimal and more predictable clinical outcomes for the treatment of periodontitis

Successful evidence based treatment plan for periodontal disease

Venn diagram showing adequate management of risk factors modulation of inflammation and reduction of plaque lead to a successful treatment

Are you getting predictable clinical outcomes for your patients suffering from periodontitis?

If you are treating periodontitis as an infectious disease only (SRP, antimicrobial, ultrasonic, home-care, etc.), this is probably why your treatment plan does not provide your patient positive predictable outcomes!

picture of periodontitis
illustration of book with question mark inside

Is periodontitis an infectious or an inflammatory disease?

Definition of an infectious disease
Caused by pathogenic microorganisms, such as bacteria, viruses, parasites or fungi; the diseases can be spread, directly or indirectly, from one person to another. http://www.who.int/topics/infectious_diseases/en/

Definition of an inflammatory disease
Long-term inflammatory processes directed at a particular endogenous or exogenous antigen. http://hmg.oxfordjournals.org/content/18/R1/R101.full

The inflammatory process

healthy inflammation graphic showing tissue repair and no new inflammation
chronic and prolonged inflammation graphic
healthy inflammation graphic showing tissue repair and no new inflammation
chronic and prolonged inflammation graphic

Things may worsen!

The liver produces C-reactive protein (CRP) when it detects signs of inflammation, such as the presence of cytokine molecules like interleukins. CRP is not present in large amounts in the blood of healthy people.

liver illustration
body illustration saying insult plus immune system equals periodontal disease

Understanding periodontal disease

Insult
The most common cause that initiates a destructive inflammatory response is bacterial plaque in the form of a biofilm and calculus. Trauma may also initiate an inflammatory response (i.e. a recently placed crown or a restoration with a sub-gingival margin).
While complete removal of periodontal bacterial burden is not possible (and the threat of reinfection is constant), we must have in place the most effective treatments and adjuncts for in-office and home care. This becomes even more important for patients with risk factors for periodontal disease.

Host/Immune System
This is the body’s own inflammatory response to the insult. When this inflammation is prolonged (chronic) or excessive then periodontal tissue destruction occurs rather than tissue repair.

What do these diseases have in common?

• Periodontal disease
• Asthma
• Atherosclerosis
• Autoimmune Diseases
• Crohn's disease
• Heart Attack & Stroke
• Infectious Diseases
• Lupus
• Many forms of Cancer
• Multiple sclerosis
• Nerve Disorders
• Rheumatoid arthritis
• Type 1 diabetes

flame illustrating inflammatory disease

They are all chronic inflammatory diseases!

All chronic diseases have dysregulated and excessive inflammatory responses.

American Academy of Periodontology

" Research has shown that periodontal disease is associated with several other diseases. For a long time it was thought that bacteria was the factor that linked periodontal disease to other disease in the body; however, more recent research demonstrates that inflammation may be responsible for the association. Therefore, treating inflammation may not only help manage periodontal diseases but may also help with the management of other chronic inflammatory conditions. "
Source: www.perio.org/consumer/other-diseases

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Our Home-care Treatments for Periodontitis

periostat bottle

Collagenase inhibitor drug

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gengigel bottle

0.2% hyaluronic acid topical gel

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x-pur remin box

Nano medical hydroxyapatite toothpaste

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perichlor bottle

Chlorhexidine gluconate oral rinse

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curaprox interdental brushes
curaprox toothbrushes
plaque hd box and tube

Plaque identifying toothpaste

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Our In-Office Treatments for Periodontitis

gengigel prof box

0.8% hyaluronic acid professional syringes

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cetacaine bottle

Liquid non-injectable topical anesthetic

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x-pur crystal bottle

In-office desensitizer

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We can help you get optimal and more predictable clinical outcomes for: