In April 2015, a group of key opinion leaders met with a team from Johnson & Johnson at a National Advisory Panel event in Dublin to advise on the topic of ‘Improving the periodontal health of Irish population – prevention and treatment’.

At the meeting, the key opinion leaders agreed on the following periodontal health consensus statement:

• ‘Effective plaque and calculus removal is key to oral health;

• Dental healthcare professionals have a responsibility to educate patients on their disease status and to direct patients appropriately;

• Patients should receive tailored oral hygiene instruction and demonstration;

• Patients have a responsibility to act upon the advice given by dental healthcare professionals;

• For effective management optimal patient home care and professional debridement are both essential;

• Long-term periodontal maintenance with continuity of care is critical for successful treatment outcome;

•Clinically proven mouthwashes, gels and pastes should be considered for recommendation to those individuals who are not achieving optimal levels of plaque control in their home care routine.’

The key opinion leaders were:

Dr Amit Patel is a registered specialist in periodontics; graduating in 1997 from the University of Liverpool, he is now the principal of the Birmingham Dental Specialists as well as working as the Associate Specialist in Periodontics and Honorary Clinical Lecturer at the University of Birmingham dental school. He is a prolific lecturer both nationally and internationally and is enthusiastic about practising better dentistry. To this end, Amit always ensures to use the best equipment possible to achieve excellent results.
 

“Everything I use is A-dec,” says Amit. “I have an A-dec 500 dental chair, an A-dec LED light and, after trialling one recently, I’m using the A-dec 500 stool as well. Together, these pieces of equipment allow me to practise better dentistry – not just for my patients, but for myself as well.
 

“Many dentists will suffer from back pain and musculoskeletal disorders throughout their careers. The positions we must assume to perform even the simplest of dental treatments can have a real effect on our wellbeing – indeed, the majority of dentists who are forced to retire early, do so because of these debilitating conditions.
 

“But modern, ergonomic equipment, like that supplied by A-dec, can have a huge impact on the ease with which we can practise dentistry and the quality of life we can enjoy as a result. For example, the 500 stool allows me to assume a comfortable posture in which I can remain for long periods of time; even during implant surgery I do not get fatigued. What’s more, because the stool is so lightweight and easily manoeuvred, I can move around my patient without having to stretch.
 

“Similarly, a good light will help eliminate eye strain. Repeatedly focussing in and out of the oral cavity and having to adjust to the different ambient lights can cause unnecessary strain. The A-dec LED light I use is bright enough to negate this: it illuminates everything. I find it particularly useful since I perform a significant amount of surgery and I need a light bright enough to fulfil my needs. Rather than investing in an incredibly expensive theatre light, the A-dec LED is more than satisfactory. It’s also incredibly light and easily manoeuvred, making it applicable for many indications. Some of my patients comment on just how bright is – but they appreciate that the better I can see, the better the result of their treatment will be.
 

“I also work with the University of Birmingham Dental School and use A-dec equipment there as well. As a way of promoting good posture and ergonomic practice, A-dec products are the best.
 

“I wouldn’t hesitate to recommend A-dec and its products to any dentist.”
 

With an eclectic range of dental equipment that has been specifically made with dental professionals in mind, A-dec will provide you with everything you need to practise better, healthier dentistry.
 

To find out the benefits yourself, contact the friendly team today.

For more information about A-dec Dental UK Ltd, call 02476 350 901 or visit: www.a-dec.co.uk

It has been known for centuries that dental health and systemic health are linked. However within the challenging environment of a hospital, oral care is still, quite often a low priority. Recent studies reveal that total bacterial count of dental plaque increases during hospitalisation[1] and the oral cavity of hospitalised patients can harbour high frequencies of bacterial respiratory pathogens.[2] As a result, this can lead to infections and hospital acquired pneumonia (HAP)².
 

As well as inadequate oral hygiene, the potential risks to oral disease and discomfort in hospitalised patients include a significant number of medications as well as artificial feeding and high-calorie food supplements used to maintain nutrition. In addition, the effects of nasal oxygen, mouth breathing, intermittent suction of the airway and the restriction of oral food and fluid all contribute to a decrease in saliva production and symptoms such as xerostomia.[3]
 

Another common problem for sick patients is the dry mouth and discomfort caused by constant open mouth posture that is required for intubation. For those undergoing surgery, there can also be further complications. A study involving 404 surgical patients under general anaesthesia facilitated by endotracheal intubation, revealed that 6.9% sustained various degrees of oral trauma including soft tissue laceration, tooth fracture, prosthesis damage, tooth avulsion, ecchymosis and numbness of tongue.[4] In addition, a recently published study on the oral health of 162 patients found an increase in plaque levels and deterioration of gingival health during just a short stay in hospital.[5]
 

If a patient that has recently been hospitalised attends the dental practice, practitioners may observe oral tissue and tooth trauma, high plaque levels, gingivitis and periodontal disease. As always, it is fundamentally important to reinforce oral health instructions and to treat any dental problems efficiently. If, for example, periodontal disease has developed, it is first necessary to remove and disrupt the plaque using root surface debridement (RSD). In cases with deep periodontal pockets it is usually necessary to implement an adjunctive therapy to inhibit further periodontopathic bacterial growth and allow the periodontium time to heal and stabilise. Some practitioners use antibiotics for this purpose, but, if the patient has recently been unwell and had antibiotics prescribed previously, the risks of resistance are greater and it is preferable to use an antimicrobial alternative.
 

Practitioners should therefore consider PerioChip^® – a wafer thin dental insert that is an effective, non-antibiotic alternative for treating periodontal pockets over 5mm. PerioChip^® is applied directly into the periodontal pocket and slowly releases chlorhexidine digluconate to eliminate 99% of bacteria over 7-10 days.^[6] Furthermore, the insert employs a controlled-release system and continues to provide an antibacterial effect to suppress bacterial growth for up to 11 weeks after placement.^[7]

As it seems that care for medical and dental problems are still less coordinated than we might expect, it is imperative to emphasise to patients that successful recovery after a period of ill health or hospitalisation is not just about the body but also their oral health.

PerioChip^® is available exclusively from Dexcel Dental, to order or for further information call 0800 013 2333 or email This email address is being protected from spambots. You need JavaScript enabled to view it.

For a complete electronic probing and charting system that allows a single operator to complete a comprehensive periodontal exam in under ten minutes, turn to the Florida Probe from Clark Dental.

The Florida Probe handpiece exerts a constant force regardless of the strength or pressure of the operator, which guarantees accuracy and reproducibility between users.

Alternatively, the new VoiceWorks microphone and headset system can be used to capture the same data into the same software.

Using either system means there is no need to have another member of staff present to record the results. 

The Florida Probe aids patient communication by providing a detailed periodontal chart that can be used to create a “treatment map” for scaling and root planing, subgingival antimicrobials or laser treatment. When combined with the patient diagnosis sheet, this becomes an invaluable clinical and legal record of informed consent to protect your practice.

To explore the benefits of utilising the Florida Probe, contact Clark Dental’s team of experts who will be pleased to demonstrate and offer advice about the Florida Probe System and the new Voice Works system.

For more information call Clark Dental on 01268 733 146, email This email address is being protected from spambots. You need JavaScript enabled to view it. or visit www.clarkdental.co.uk