guide-xerostomia-en.pdf

02/14 - XP-XEROSTOMIA-CLINICALGUIDE-EN

DENTAL MANAGEMENT OF MEDICALLYCOMPROMISED PATIENTS

PRODUCTSBASED ONPATIENTS

NEEDS

PROTOCOLSBASED ONPATIENTS

NEEDS

TEAMEDUCATION

CLINICALTIPS

PATIENTEDUCATION

ORAL SCIENCE CREATES SYNERGY, SUCCESS AND DIFFERENTIATION

REFRACTORY TOOTHHYPERSENSITIVITY

XEROSTOMIA &SJGRENS SYNDROME HIGH RISK CARIES

ORAL LESIONS BUCCAL LUPUSERYTHEMATOSUS

MEDICAL TREATMENT(ex.: Oncology Treatment)

DISEASES(ex.: Sjogrens Syndrome, Diabetes)

DRUGS

MUCOSITIS ORAL LESIONS ORAL CANDIDA RAMPANT CARIES GUM DISEASE

(500 & more)

HALITOSIS

XEROSTOMIA / DRY MOUTH

INCREASE OF PATHOGENIC BACTERIA IN A PATHOGENIC BIOFILM

Decrease of the pH(acidic)

Increase ofpathogenic bacteria

P. 2

THE INCREASE OF A PATHOGENIC BIOFILM

BIOFILMDental plaque

TARTARSolidified dental plaque

GINGIVITISInflammatory diseaseof the gums caused

by dental plaque

TOOTH DECAY

TOOTH LOSS

BONE LOSS

PERIODONTALDISEASE

STROKE

IMMUNE DEFICIENCY

PERIODONTITISBAD BREATH

HEART ATTACK

HALITOSIS

INFLAMMATORYDISEASES

P. 3

WHAT IS XEROSTOMIA? 1

Xerostomia is an abnormal dryness of the mouth resulting from decreased secretion of saliva. This condition can be found in approximately 20% of patients, but more often amongst:

Women Elderly

1. ARPIN, S., KANDELMAN, D., LALONDE, B. La xrostomie chez les personnes ges. Journal dentaire du Qubec, Volume 42, Juillet / Aot 2005, p. 263-271.

P. 4

1. ARPIN, S., KANDELMAN, D., LALONDE, B. La xrostomie chez les personnes ges. Journal dentaire du Qubec, Volume 42, Juillet / Aot 2005, p. 263-271.

7 ESSENTIAL FUNCTIONS OF AN OPTIMAL SALIVARY FLOW 1

FUNCTION WHY IS IT ESSENTIAL?

1 - LUBRICATION The high concentration in water of saliva contributes to: The formation of the bolus, chewin, gulp, speech and cleaning of oral tissues

2 - DIGESTION Mechanical Function: Saliva dissolves food & TASTE Chemical Function: Salivary amylase eases digestion of food rich in starch

3 - TISSUE Tissue growth REPARATION Tissue reparation

4 - MAINTAIN OF Saliva contains antibacterial agents that: MICROBIAL FLORA Balances the oral flora Inhibits colonisation of oral tissues by bacteria

5 - DEFENSE & Presence of proteins, immunoglobulins A, cytokines, hormones & mucins IMMUNITY that positively impact the immune system

6 - BUFFERING Carbonates & phosphates that: EFFECT Ensure an optimal oral pH Reduce the risk of developing cavities Protect the oesophagus during acid reflux

7 - REMINERALIZATION Protects teeth Helps remineralization by producing calcium & phosphate

P. 5

DENTAL MANAGEMENT OF MEDICALLY COMPROMISED PATIENTS

OPTIMALORAL

HEALTH

1. Increasequality of saliva& salivary flow

2. Disturb everyday thepathogenic biofilm

3. Increase protection & remineralization of teeth surface

P. 6

OPTIMALORAL

HEALTH




DENTAL MANAGEMENTOF MEDICALLY

COMPROMISED PATIENTSA DENTAL MANAGEMENT

PLAN ON 3 LEVELS

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IDENTIFY BIOFILM BUILDUP & EDUCATE PATIENTSCuraprox Biofilm Finder

DETERMINE THE SIZE OF THE INTERDENTAL SPACESCuraprox Interdental Charting System

DETERMINE PATIENTS ORAL PHpH paper test

P. 8

IDENTIFY BIOFILM BUILDUP & EDUCATE PATIENTS CURAPROX BIOFILM FINDER

IDENTIFY OLD & NEW PLAQUE

Directions for UseEvery two weeks

A. Chew one tablet.

B. Wipe teeth with tongue.

C. Rinse mouth. Spit out saliva.

D. Stains old plaque purple. Stains new plaque pink.

E. Brush and floss teeth thoroughly to remove all staining.

Old biofilm (purple) New biofilm (pink)

Does not contain erythrosine, a potentially harmful compound.


P. 9

CPS 06

CPS 07

CPS 08

CPS 09

CPS 011

1. Determine the size of the interdental space between each tooth The last visible colour on the IAP sensor shown yellow here shows the optimum brush size.

2. Choose the corresponding CPS prime brushes The interdental space is easily and precisely measured using the patented IAP sensor.

3. Reminder Instruction for each interdental space The IAC instruction provides patients with precise instruction on where to clean with the appropriate size of interdental brushes.

IAPSensor

DETERMINE THE SIZE OF THE INTERDENTAL SPACES CURAPROX INTERDENTAL CHARTING SYSTEM


P. 10

DETERMINE THE PATIENTS ORAL PH PH PAPER TEST


PLAQUE pH

Hours

pH

7.0

Eats an Apple

5.0

8:00 9:00 10:00 11:00 12:00 1:00 2:00

6.0

7.0

0

5.5

6.5 pH SCALE COMPARISONS Pure water has a neutral pH of 7.00

A pH of 6.00 is 10x more acidic





P. 11


PROVIDE THE MOST EFFECTIVE IN-OFFICE FLUORIDE TREATMENT(AT LEAST EVERY 3 MONTHS)

X-PUR 5% NaF White Varnish

EDUCATE THE PATIENT ON THE OPTIMAL TECHNIQUE TO REMOVE EFFICIENTLY& ATRAUMATICALLY BIOFILM IN THE INTERDENTAL SPACES & IN THE SULCUS

P. 12


MEDICINAL INGREDIENTS 5% Neutral Sodium Fluoride (22,600 ppm F) Xylitol

INDICATIONAnti-caries

CLINICAL USES Geriatrics Orthodontics High risk caries Pediatrics Hypersensitivity Xerostomia Head & neck radiation and oncology treatments

DIRECTIONS FOR USE1. Thoroughly mix the varnish with the brush until completely uniform (approx. 20 sec.)

2. Paint on a thin layer evenly to the areas being treated. Do not saturate the brush with varnish to avoid varnish dripping.

3. Have the patients pass their tongue over their teeth and instruct them to avoid oral hygiene for 3 to 6 hours.

CONTRAINDICATIONSUlcerative gingivitis and stomatitis.

GOLD STANDARDFLUORIDE VARNISH!

BENEFITS Approved by Health Canada for In-Office Anti-Caries Treatment More Flowable & Easier to Apply

Releases Up to 4 Times More Fluoride than First Generation Varnishes Xylitol Sweetened

CLASSIFICATIONNPN 80008837

FORMATS 100 X 0.50 ml - Adults 100 x 0.25 ml - Children 50 x 0.50 ml + 50 x 0.25 ml

After - HomogeneousBefore - Not Homogeneous

Optimal thin layerof varnish

Saturated brushwith varnish

DIRECTIONSFOR USE

STEP 1

STEP 2

PROVIDE THE MOST EFFECTIVE IN-OFFICE FLUORIDE TREATMENT X-PUR 5% NAF WHITE VARNISH

AT LEAST EVERY 3 MONTHS

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PROVIDE THE MOST EFFECTIVE IN-OFFICE FLUORIDE TREATMENT X-PUR 5% NAF WHITE VARNISH

AT LEAST EVERY 3 MONTHS

Congratulations! Your dental specialist has selected to apply the X-PUR 5% Neutral Sodium Fluoride White Varnish on the surface of your teeth. These varnishes are recognized by North American public health services as the choice of treatment for the prevention of caries. For an optimal result, we recom-mend to follow the below after treatment instructions.

For the next 3 to 6 hours or preferably until the next morning in order not to remove the varnish: Do not brush or floss. Choose a softer food diet, avoid hot drinks and products containing alcohol.

After your application, X-PUR NaF White Varnish may leave your teeth feeling waxy or with a white streaky appearance. A thorough brushing and flossing after the treatment period will remove any remaining varnish.

YOUR GOLD STANDARD SOLUTION FOR OPTIMAL ORAL HEALTH

1 888 442.7070 www.oralscience.com

NaF White Varnish FOLLOW-UP CARE

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EDUCATE THE PATIENT ON THE OPTIMAL TECHNIQUETO REMOVE EFFICIENTLY & ATRAUMATICALLY BIOFILM

IN THE INTERDENTAL SPACES

Place your brush at the edge of the interproximal space. Search the ideal angle which allows a forceless entry.

Without inserting the brush any further, change angulation to horizontal.

Continue the insertion until the brush reaches the other side of the arch. Move it once back and forth.

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EDUCATE THE PATIENT ON THE OPTIMAL TECHNIQUETO REMOVE EFFICIENTLY & ATRAUMATICALLY BIOFILM

IN THE SULCUS

Hold the toothbrush at an angle (approx. 45 degrees) to the gum. One half of the brush area covers the gum while the other half rests on the surfaces of the teeth.

Clean the inner surfaces of the teeth. The Curaprox toothbrushes wide head is parti-cularly suited to cleaning areas that are difficult to reach.

The benefits of the wide brush are parti-cularly apparent when cleaning the rear surfaces of the molars.

The narrow areas of the lower jaw can also be cleaned perfectly with the special brush head of the toothbrushes.

With fine, circular movements and little pressure, the brush is slowly drawn along the row of teeth until it reaches the very back.

Clean the other outer half of the lower jaw.

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INCREASE SALIVARY FLOW During the day: X-PUR 100% Xylitol Gum & Pastilles

While sleeping & during the day: Xylimelts

IDENTIFY BIOFILM BUILDUP TO IMPROVE MECHANICAL REMOVALCuraprox Biofilm Finder

REMOVE EFFICIENTLY & ATRAUMATICALLY BIOFILM IN THE INTERDENTAL SPACESCuraprox Interdental Brushes

USE AN ANTIMICROBIAL & REMINERALIZING TOOTHPASTEReplace regular toothpaste by X-PUR Remin

INCREASE FLUORIDE UPTAKEX-PUR Opti-Rinse 0.2% every day

USE TRAYS IF NEEDEDX-PUR 1.1% NaF Gel

REMOVE EFFICIENTLY & ATRAUMATICALLY BIOFILM IN THE SULCUSCuraprox CS 5460 or CS Surgical or ATA toothbrushes

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*

STIMULATESSALIVATION

PREVENTSCAVITIES

WITHOUT

GMOXylitol

Glucose

11

100

2.4

3.75

Sucrose 64 4

SWEETENER GLYCEMIC INDEX CALORIES

GLUTEN &SUGAR FREE

BENEFICIALFOR

DIABETICS

SWEET EFFECT REFRESHING EFFECT

100100

36.626.5

4.14

100

60

80

0

20

40

60

XYLITOL SORBITOL SUCROSE

Stimulus

pH increase &production ofsaliva with its

protectivequalities

Xylitol sweettaste

+Cool &

refreshing eect

Nervous System

Carbohydrates

XylitolNO lactic acid Base of

healthier biofilm

Lactic acid

Polysaccharides

Base of pathogenic

biofilm

NO polysaccharides

Constant acidattack on enameland dentin

No acid attack on enamel and dentin

Tooth decay-causingbacteria

(Streptococcusmutans)

INCREASE SALIVARY FLOW WITH XYLITOLS INNOVATIONS

P. 18


INCREASE SALIVARY FLOW DURING THE DAY

MEDICINAL INGREDIENT 1,06g Xylitol / gum 1g Xylitol / 2 pastilles INDICATIONS Stimulates saliva production to relieve dryness of the mouth Helps reduce the incidence of cavities CLINICAL USESEvery patients with xerostomia from: Diseases: diabetes, Sjogrens syndrome Drugs drying the mouth (more than 500) Head & neck radiation and oncology treatmentsGeriatricsHigh risk cariesPediatrics

CLASSIFICATIONGum: NPN 80036707Pastilles: NPN 80036382

FORMATS (peppermint or fruit flavor)Small Bottles: 50 gum / 130 pastillesBig Bottles: 180 gum / 400 pastillesTins: 20 gum / 60 pastillesBags: 500 gum / 1000 pastilles

DIRECTIONS FOR USEGumAdults1 or 2 gum(s) 3 to 5 times per day.

Children (6 years and older)1 gum 3 to 5 times per day.

PastillesAdults2 to 4 pastilles 3 to 5 times per day.

Children (6 years and older)2 to 4 pastilles 3 to 4 times per day. PRECAUTIONA gradual introduction to Xylitol is recommended since it could havea mild laxative effect in the case of excessive consumption.

100% XYLITOL GUM& PASTILLES TOSTIMULATE SALIVATION!

APPROVED BY HEALTH CANADATO HELP STIMULATE SALIVATION*

SIMPLE EFFECTIVE

OPTIMAL SOLUTIONAGAINST DRY MOUTH

CONSUMERSAMPLESAVAILABLE!

P. 19


INCREASE SALIVARY FLOW DURING THE DAY & SLEEP


FORMAT40 pastilles

PATENT PENDING

APPROVED BY HEALTHCANADA TO HELP

STIMULATE SALIVATION*

DISCREET,CONVENIENT & SAFE

DURING SLEEP

DR. GORDONCHRISTENSEN REPORTOUTSTANDING PRODUCT

USE WHILESLEEPING & DAYTIME

XYLITOL IN-TIMERELEASE

MILD-MINTFLAVOR

100% NATURAL& GMO FREE

MEDICINAL INGREDIENT0.5g Xylitol

INDICATIONS Stimulates saliva production to relieve dryness of the mouth Helps reduce the incidence of cavities

DIRECTIONS FOR USE Place tan adhesive side to the outside of a molar and/or adjoining gums, upper or lower, white side touching cheek.AdultsBefore bedtime: Use 2 pastilles while sleeping, one on each side of the mouth or as needed. Lasts 4 to 6 hours.During the day: Use 1 or 2 pastille(s) as needed (3-7 times a day). Lasts 1 to 3 hours.

PRECAUTIONS Do not adhere to roof of mouth to enhance comfort. A gradual introduction to Xylitol is recommended since it could have a mild laxative effect in the case of excessive consumption.

CLINICAL USES Every patients with xerostomia from: CPAP machines (continuous positive airway pressure) Diseases: diabetes, Sjogrens syndrome Drugs drying the mouth (more than 500) Head & neck radiation and oncology treatmentsHigh risk caries

XYLITOL IN TIME-RELEASEADHERING PASTILLES TOSTIMULATE SALIVATION!


P. 20

IDENTIFY BIOFILM BUILDUP TO IMPROVE MECHANICAL REMOVAL CURAPROX BIOFILM FINDER


IDENTIFY OLD & NEW PLAQUE

Directions for UseEvery two weeks

A. Chew one tablet.

B. Wipe teeth with tongue.

C. Rinse mouth. Spit out saliva.

D. Stains old plaque purple. Stains new plaque pink.

E. Brush and floss teeth thoroughly to remove all staining.

Old biofilm (purple) New biofilm (pink)

Does not contain erythrosine, a potentially harmful compound.

P. 21


Regular Interdental BrushesDental Floss

INTERDENTAL SPACE IS NOT REACHEDPROBLEM #1

Programmed Failure: Either dental floss or interdental brushes with too short bristles do not succeed in fillingcompletely the interdental space. The task is fulfilled only very poorly or not at all. Gingivitis can then take its course.

REMOVE EFFICIENTLY & ATRAUMATICALLY BIOFILMIN THE INTERDENTAL SPACES

P. 22


CPS prime Products Line

CPS 06 CPS 07 CPS 08 CPS 09 CPS 11

0.6 mm 0.7 mm 0.8 mm 0.9 mm 1.1 mm

2.2 mm 2.5 mm 3.2 mm 4.0 mm 5.0 mm

Effectiveness

Mobility

INTERDENTAL SPACE IS NOT REACHEDTHE SOLUTION TO:

Success guaranteed: Interdental brushes CPS prime fills the space between the teeth completely and removes plaque from all critical niches and at the gum line carefully, effectively and without pain.


P. 23

0.6 mm2.2 mm

0.7 mm2.5 mm

0.8 mm3.2 mm

0.9 mm4.0 mm

1.1 mm5.0 mm Effectiveness

diameter offilaments

Insertiondiameter ofsurgical wire

CPS 06 CPS 07 CPS 08 CPS 09 CPS 11

SWISS PREMIUM QUALITY Lasts 5 times longer than any other interdental brush Ultra-fine & stiff surgical wire

IN-OFFICE BRUSHES SIZE IDENTIFICATION Unique interdental probe with color codes associated to the corresponding brush

THE SMALLEST WITH THE GREATEST EFFECT

Reach every interdental space

Reach even the tightest spaces

Ultra-fine filaments with umbrella effect

More effective than the leading brand and dental floss



P. 24

DIRECTIONS FOR USEAdults & childrenUse twice a day (morning & evening)1. Place about 1 to 1.5 cm of X-PUR Remin on an ultra soft toothbrush and brush meticulously for 3 minutes.

2. Expectorate. For best results, do not eat, drink or rinse for 30 minutes after brushing.

INGREDIENTS 10% Nano Medical Hydroxyapatite Sodium-N-lauroyl-L-glutamate -glycyrrhetinic acid Flavor 10% Xylitol

IDEAL FOR PATIENTS WHO CANNOT USE TRADITIONALTOOTHPASTES Diabetics Head & neck radiation and oncology treatments Implant maintenance Periodontics Orthodontics Ulcerations Pediatrics Xerostomia

IDEAL NEUTRAL PH LOW ABRASIVITY 7.51 60

INDICATIONRefractory Tooth Hypersensitivity Treatment

WITHOUT SLS *& TRICOSLAN

NATURALLYSWEETENED FOR

A REFRESHING TASTE

LIGHT-MINTFLAVOR

TM

TREATS REFRACTORYTOOTH HYPERSENSITIVTY

& FILLS SURFACEMICROFISSURES

IMPROVES WHITENESS& GLOSS

NOTHING COMPARESTO X-PUR REMINPREMIUM TOOTHPASTE!


USE AN ANTIMICROBIAL & REMINERALIZING TOOTHPASTE REPLACE REGULAR TOOTHPASTE BY X-PUR REMIN


* Sodium Lauryl Sulfate


+

P. 25

USE AN ANTIMICROBIAL & REMINERALIZING TOOTHPASTE REPLACE REGULAR TOOTHPASTE BY X-PUR REMIN


REMINERALIZATION & PROTECTION AGAINST CARIES1 Causes remineralization comparable to a fluoride toothpaste, inhibited caries development, thus suggesting that an toothpaste can be an effective alternative to fluoride toothpaste.

2 Remineralizes subsurface demineralized areas of tooth enamel.

3 Remineralizes tooth enamel more effectively than saliva and just as effectively as fluoride compounds. (Note: Fluoride promotes remineralization by saliva, where as itself remineralizes the teeth.)

4 Fills and repairs minute surface deficits on tooth enamel, restoring damaged enamel to its original smoothness.

5 Adheres to and helps remove bacteria and plaque protecting against tooth decay.

6 Removes white spots and incipient caries and restores enamel almost to its original form.

7 Protects against plaque attachment and stains by reducing the crevices that harbor them.

ANTIMICROBIAL PROPERTIES8 Absorbs periodontal and opportunistic pathogens such as P. gingivalis and Candida, helping reduce the risk of oral soft tissue infection.

9 Shows superior bacterial absorption compared to other forms of hydroxyapatite.

10 Shows strong selectivity for cariogenic mutans streptococci bacteria.

TOOTH SENSITIVITY TREATMENT11 Coats and fills exposed dentin and dentinal tubules protecting against dentinal hypersensitivity.

WHITENING & GLOSS12 Improves tooth whiteness and gloss, which can be correlated with an increase in surface minerals and smoothness.

NANO MEDICAL HYDROXYAPATITE - SCIENTIFICALLY PROVEN BENEFITSSummary of 33 years of research

For the complete references & articles, visit www.oralscience.com/en/education/mhap.htmlTM

P. 26


DIRECTIONS FOR USE1. Use after brushing.

2. Swish approximately 10 mL vigorously in the mouth and between the teeth for about 1 minute and then expectorate.

3. Do not eat, drink or rinse with water for 30 minutes after use. Instruct children under 12 years of age in the use of the product and in good brushing and rinsing habits to minimize swallowing.

0.2% SODIUM FLUORIDEOPTI RINSE

Anti-Cavities Helps to Remineralize Tooth Enamel 10% Xylitol Alcohol Free Neutral PH

1 TIME PER DAY UNTIL COMPLETE USE OF THE BOTTLE

INCREASE FLUORIDE UPTAKE X-PUR OPTI-RINSE 0.2% EVERY DAY

P. 27


USE TRAYS IF NEEDED X-PUR 1.1% NAF GEL

MEDICINAL INGREDIENTS 1.1% Sodium Fluoride (5000 ppm F) 10% Xylitol

INDICATIONS Anti-caries Helps to remineralize tooth enamel

CLINICAL USES Geriatrics Orthodontics Pregnant women High risk caries Pediatrics Tooth sensitivity Head & neck radiation and oncology treatments Xerostomia

CONTRAINDICATIONS Keep out of reach of children. Do not use in patients under 6 years of age unless recommended by a dentist. Do not use in patients with dysphagia.

BENEFITS Sodium Lauryl Sulfate Free (SLS) Xylitol Gives a Delightful Refreshing Taste


FORMATSBottle - 120 mlBottle - 475 ml

ONLY HIGH STRENGTHSODIUM FLUORIDE GELWITH 10% XYLITOL!

DIRECTIONS FOR USEAdults and children 6 years of age and olderOnce daily

Brushing1. Brush with the gel for 1 minute.2. Expectorate. Do not eat, drink or rinse for 30 minutes. Patients age 6-16: Expectorate after use and rinse mouth thoroughly.

Tray Use1. Fill the grooves of the trays 1/3 full of gel. 2. Wear for 5 minutes3. Expectorate. Do not eat, drink or rinse for 30 minutes.

P. 28

PLAQUE IN THE SULCUSPROBLEM #2

REGULAR BRISTLES

500 to 800 bristles only (small amount) Hard and thick bristles Absorb water

ABRASION CAUSED BY HARD PRESSURE Gingival recessioncausing sensitivity(for approximately80% of your patients)


REMOVE EFFICIENTLY & ATRAUMATICALLY BIOFILMIN THE SULCUS

P. 29

PLAQUE IN THE SULCUSTHE SOLUTION TO:

CURAPROX ULTRA SOFT BRISTLES

Up to 20 x more Curen bristles: - CS 5460: 5,460 bristles - CS Surgical: 12,000 bristles - ATA: 4,060 bristles

Ultra soft Dense Do not absorb water: maintain their firmness

Healthy gum NO ABRASION



P. 30



CS SURGICAL MEGA SOFT ATA

12,000 CUREN bristles 4,060 CUREN bristles

For: Operations, inflammation & radiation therapy

For: Kids & difficult access areas

4 rings permit a finger gripfor controlled and carefulcleaning without any pressure.

Made of polyester: do not absorb water and maintain their firmness.


Developed in cooperation withProf. N. P. Lang, Dental Clinicsat the University of Berne.

The most bristles for themost gentle care.

Anti-Pressure.

A finger grip and a reversed brushhead: the easy and revolutionaryway to put and end to pressureand harmful cleaning.

The smaller the head, the moreprecise the cleaning, tooth aftertooth. And the more careful thebrush movements, the smallerthe danger of exerting too much pressure.

CS 5460 ULTRA SOFT

5,460 CUREN bristles

For: Adults or refractory tooth hypersensitivity

The small and compact head reaches every area of thetooth sector.

The octagonal handle is ideally suited to holding the brush at a 45 angle.

Bendable necks allow individual angulation for individual preferences.


Up to 10 x more bristles! Optimal removal of plaque Atraumatic Accepted by patients

P. 31

P. 32

INDIVIDUALLY TAUGHT ORAL PROPHYLAXISACCORDING TO DR. JIRI SEDELMAYERAccepted - Effective - Atraumatic

BECOME THE PERSONAL ORAL HEALTH COACH OF YOUR PATIENTS

DIFFERENTIATE YOUR DENTAL OFFICE BY INTEGRATING THE PREMIUM ORAL HEALTH TEACHING PROGRAM ALREADY IMPLEMENTED IN 56 COUNTRIES!

:

THEORETICAL COURSE + HANDS-ON COURSE ( )

It is easy to summarize this great conference: An hygiene program easy to integrate in our office Sharing our professional experiences was really rewarding I discovered the most effective oral hygiene product

I learned new effectiveways to remove biofilm.This course brings us backto the main objective ofour wonderful profession:prevention!

A new highly motivatingteaching philosophy for myteam and our patients!

COMMENTS FROM ITOP PARTICIPANTS

1 888 442.7070 www.oralscience.com

guide-xerostomia-en.pdf

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