BIOLOGICAL HYGIENE By Hilary S Browne BIOLOGICAL HYGIENE

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BIOLOGICAL HYGIENE By Hilary S Browne

BIOLOGICAL HYGIENE By Hilary S Browne

BIOLOGICAL HYGIENE IS MORE THAN JUST CLEANING TEETH. WE TAKE A “WHOLE BODY SYSTEMS”

BIOLOGICAL HYGIENE IS MORE THAN JUST CLEANING TEETH. WE TAKE A “WHOLE BODY SYSTEMS” APPROACH TO ORAL AND OVERALL HEALTH.

FOCUS IS MORE ON PREVENTION: PREVENTING BLEEDING GUMS, BONE LOSS, BAD BREATH. BLEEDING, SWOLLEN

FOCUS IS MORE ON PREVENTION: PREVENTING BLEEDING GUMS, BONE LOSS, BAD BREATH. BLEEDING, SWOLLEN GUMS ARE A SIGN OF INFLAMMATION AND A MARKER FOR HEART DISEASE, WHICH IS STILL THE LEADING CAUSE OF DEATH. PERIODONTAL DISEASE HAS ALSO BEEN DIRECTLY LINKED TO STROKES, DIABETES, PREMATURE/LOW BIRTH WEIGHT BABIES AND MORE.

 CUSTOMIZED TREATMENT PLANS ADDRESS A SPECIFIC SITUATION WHETHER THE PATIENT IS IN GOOD

CUSTOMIZED TREATMENT PLANS ADDRESS A SPECIFIC SITUATION WHETHER THE PATIENT IS IN GOOD HEALTH OR POOR.

CASE STUDY: NEW PATIENT, FEMALE 40 YEARS COMES IN FOR HYGIENE APPOINTMENT. SHE HAS

CASE STUDY: NEW PATIENT, FEMALE 40 YEARS COMES IN FOR HYGIENE APPOINTMENT. SHE HAS AVOIDED COMING IN AS SHE HATES THE DENTIST, SHE MENTIONS SHE IS FEELING TIRED, TAKES NO MEDICATION OR SUPPLEMENTS, HAS HAD BARIATRIC SURGERY 4 YEARS AGO, HAS A SENSITIVE TOOTH ON THE UPPER LEFT QUADRANT AND ASKS FOR LIP BALM AS HER LIPS ARE CRACKED.

AFTER WELCOMING THE PATIENT, RECEIVING AND SEATING HER IN THE PATIENT ROOM CONSULTATION CAN

AFTER WELCOMING THE PATIENT, RECEIVING AND SEATING HER IN THE PATIENT ROOM CONSULTATION CAN BEGIN:

1. HOW PAST DENTAL EXPERIENCES HAVE BEEN: PATIENT HAS HAD A TRAUMATIC CHILDHOOD EXPERIENCE

1. HOW PAST DENTAL EXPERIENCES HAVE BEEN: PATIENT HAS HAD A TRAUMATIC CHILDHOOD EXPERIENCE WHILE VISITING HER DENTIST AND THIS CAUSES HER RELUCTANCE TO HAVE ROUTINE DENTAL CARE. NEUROLINGUISTIC PROGRAMMING MAY BE USEFUL FOR THIS PATIENT.

2. WHAT CURRENT ORAL AND OVERALL HEALTH IS LIKE AS PER THE PATIENT: THE

2. WHAT CURRENT ORAL AND OVERALL HEALTH IS LIKE AS PER THE PATIENT: THE PATIENT THINKS SHE IS RELATIVELY HEALTHY BUT FEELS SHE COULD DO MORE TO PROMOTE GENERAL HEALTH.

3. PATIENTS GOALS FOR ORAL AND OVERALL HEALTH: THE PATIENT WOULD LIKE TO STRAIGHTEN

3. PATIENTS GOALS FOR ORAL AND OVERALL HEALTH: THE PATIENT WOULD LIKE TO STRAIGHTEN HER TEETH, LOSE MORE WEIGHT AND HAVE A RADIANT SMILE.

4. DENTAL HYGIENE ASSESSMENT INCLUDES: REVIEW OF MEDICAL AND DENTAL HISTORY, ALLERGIES, BLOOD PRESSURE

4. DENTAL HYGIENE ASSESSMENT INCLUDES: REVIEW OF MEDICAL AND DENTAL HISTORY, ALLERGIES, BLOOD PRESSURE CHECK, VITAMIN D TEST, GLUCOSE TEST, SCREENING OF TEETH, ORAL CANCER SCREENING, PERIODONTAL CHARTING WITH PSR SCREENING RECORD.

5. DENTAL XRAYS MAY BE TAKEN AT THIS STAGE. *** AS THIS IS MY

5. DENTAL XRAYS MAY BE TAKEN AT THIS STAGE. *** AS THIS IS MY CASE STUDY, NO XRAYS ARE INCLUDED, AS UNFORTUNATELY WHERE I PRACTICE HERE IN THE MIDDLE EAST , DENTAL HYGIENISTS ARE NOT PERMITTED TO TAKE XRAYS AND THESE WILL BE DONE DURING CONSULTATION WITH THE BIOLOGICAL DENTIST.

THE PATIENT HAS : BLOOD PRESSURE – 120/90 VITAMIN D – 39 NG/ML BLOOD

THE PATIENT HAS : BLOOD PRESSURE – 120/90 VITAMIN D – 39 NG/ML BLOOD GLUCOSE (NON –FASTING) – 89 MG/L 1 AMALGAM RESTORATION ON THE UPPER LEFT FIRST MOLAR GENERAL INFLAMMATION AND BLEEDING ON PROBING PERIODONTAL POCKETS TOOTH #3 AND #14, 4 MM CRACKED LIPS/CORNERS OF THE MOUTH NO OTHER ORAL LESIONS APPARENT

6. DIAGNOSIS: -BIOFILM INDUCED GINGIVITIS STAGE 1, LOCALISED. -ANGULAR CHEILITIS -POSSIBLE MOUTH BREATHING /SLEEP

6. DIAGNOSIS: -BIOFILM INDUCED GINGIVITIS STAGE 1, LOCALISED. -ANGULAR CHEILITIS -POSSIBLE MOUTH BREATHING /SLEEP APNEA DUE TO CRACKED LIPS AND LETHARGY. ***PATIENTS WHO HAVE HAD BARIATRIC SURGERY OFTEN HAVE REFLUX, THEREFORE THIS CAN ALWAYS BE A CONSIDERATION IF PATIENTS HAVE TOOTH SENSITIVITY.

7. TREATMENT PLAN: SPECIMEN COLLECTION FOR DNA TESTING FOR CANDIDA (ANGUALR CHEILITIS ) “GUIDED

7. TREATMENT PLAN: SPECIMEN COLLECTION FOR DNA TESTING FOR CANDIDA (ANGUALR CHEILITIS ) “GUIDED BIOFILM THERAPY (GBT) PROTOCOL” -DISCLOSING -ORAL HYGIENE INSTRUCTION -POLISHING -SCALING DESENSITIZATION/ DISINFECTION RECOMMENDATIONS/REFERRALS

8. ORAL DNA TESTING USING SALIVA: -DUE TO ANGULAR CHEILITIS, CANDIDA IS SUSPECTED. -

8. ORAL DNA TESTING USING SALIVA: -DUE TO ANGULAR CHEILITIS, CANDIDA IS SUSPECTED. - HEALTH CHECK AS THE PATIENT MAY HAVE NUTRITIONAL DEFICIENCIES DUE TO PRIOR BARIATRIC DEFICIENCIES.

9. DISCLOSING AGENT IS APPLIED THAT WILL HIGHLIGHT ANY PLAQUE ON THE TEETH. THIS

9. DISCLOSING AGENT IS APPLIED THAT WILL HIGHLIGHT ANY PLAQUE ON THE TEETH. THIS ENABLES US TO SEE WHERE THE PATIENT IS CLEANING EFFECTIVELY, AS WELL AS AREAS THAT ARE MISSED WITH BRUSHING AND INTERDENTAL CLEANING. PICTURES ARE TAKEN SO WE CAN COMPARE RESULTS AT THE NEXT HYGIENE VISIT. THAT WAY, WE CAN TRACK PATIENT PROGRESS.

10. ORAL HYGIENE INSTRUCTION: THE HOMECARE ROUTINE IS DETRIMENTAL TO ORAL HEALTH. WE WORK

10. ORAL HYGIENE INSTRUCTION: THE HOMECARE ROUTINE IS DETRIMENTAL TO ORAL HEALTH. WE WORK WITH THE PATIENT TO DEVISE A CUSTOMIZED HOMECARE PLAN. THIS INCLUDES RECOMMENDATIONS OF NATURAL HOMEMADE AND/OR COMMERCIAL PRODUCTS AND ORAL HYGIENE AIDS.

OTHER TOOLS CAN BE INCORPORATED INTO THE HOME CARE ROUTINE TO GET BETTER RESULTS

OTHER TOOLS CAN BE INCORPORATED INTO THE HOME CARE ROUTINE TO GET BETTER RESULTS – FOR INSTANCE, ORAL IRRIGATORS, INTERPROXIMAL/INTERDENTAL (“PROXY”) BRUSHES, RUBBER TIPS, POWER BRUSHES, SULCUS BRUSHES, AND MORE. *** I HAVE RECOMMENDED A POWER BRUSH, BOKA TOOTHPASTE (WITH HYDROXYAPETITE, FLUORIDE FREE) , DENTAL FLOSS, TONGUE SCRAPER AND OZONATED OIL FOR GINGIVAL HEALTH.

ONCE WE’RE DONE THE PATIENT WILL RINSE WITH WATER AND THE HYGIENE APPOINTMENT WILL

ONCE WE’RE DONE THE PATIENT WILL RINSE WITH WATER AND THE HYGIENE APPOINTMENT WILL COMMENCE WITH REMOVAL OF BIOFILM AND DEPOSITS USING THE “GUIDED BIOFILM THERAPY” PROTOCOL. THE CONCEPT IS BEING LEAST INVASIVE WHILE CLEANING THE TEETH, STARTING WITH POLISHING THE TEETH AND THEN REMOVING HARD DEPOSITS.

11. POLISHING/STAIN REMOVAL: THE REMOVAL OF BIOFILM AND STAIN FROM THE TOOTH'S SURFACE WITH

11. POLISHING/STAIN REMOVAL: THE REMOVAL OF BIOFILM AND STAIN FROM THE TOOTH'S SURFACE WITH FLUORIDE FREE PROPHY PASTE OR AIR POLISHING CONTAINING ERYTHRITOL. .

12. SCALING/ROOT PLANING : THE REMOVAL OF SOFT (PLAQUE) AND MOSTLY HARD (TARTAR) DEPOSITS

12. SCALING/ROOT PLANING : THE REMOVAL OF SOFT (PLAQUE) AND MOSTLY HARD (TARTAR) DEPOSITS FROM THE TEETH BOTH ABOVE AND BELOW THE GUM LINE IS DONE WITH AN ULTRASONIC SCALER USING OZONATED WATER. HAND INSTRUMENTS ARE ONLY USED FOR QUALITY CONTROL. .

WHEN REQUESTED: OUR “HOMEMADE” POLISHING PASTE CONTAINS BENTONITE CLAY AND PUMICE FLOUR TO GENTLY

WHEN REQUESTED: OUR “HOMEMADE” POLISHING PASTE CONTAINS BENTONITE CLAY AND PUMICE FLOUR TO GENTLY POLISH THE TOOTH SURFACE AND REMOVE STAIN. PURE PEPPERMINT ESSENTIAL OILS HELP KILL BACTERIA AND LEAVES THE MOUTH FEELING FRESH AND CLEAN. OUR COMMERCIAL PASTE IS FREE FROM FLUORIDE, ARTIFICIAL SWEETENERS, GLUTEN, AND DYES.

13. DESENSITIZING OF TEETH AND DISINFECTION OF THE GINGIVA (ESPECIALLY POCKETS) IS DONE USING

13. DESENSITIZING OF TEETH AND DISINFECTION OF THE GINGIVA (ESPECIALLY POCKETS) IS DONE USING OZONE THERAPY. OCCASIONALLY A FLUORIDE FREE DENTAL CONDITIONER IS ALSO APPLIED IF NECESSARY.

14. NUTRITIONAL COUNSELLING: THE PATIENT HAS HAD BARIATRIC SURGERY AND MAY HAVE NUTRITIONAL DEFICIENCIES

14. NUTRITIONAL COUNSELLING: THE PATIENT HAS HAD BARIATRIC SURGERY AND MAY HAVE NUTRITIONAL DEFICIENCIES AND OTHER DIETARY DEVIATIONS. DUE TO THE COMPLEXITY OF THE SITUATION, REFERRAL TO A NUTRITIONIST IS ADVISED. I HAVE ONLY SUGGESTED A WHOLE FOOD DIET, INCREASING WATER INTAKE AND REGULAR EXERCISE. I ALSO RECOMMENDED A FEW BOOKS THE PATIENT MIGHT LIKE TO READ.

15. VITAMIN SUPPLEMENT RECOMMENDATIONS: VITAMIN D 3 , VITAMIN K 2 (MK 7), VITAMIN

15. VITAMIN SUPPLEMENT RECOMMENDATIONS: VITAMIN D 3 , VITAMIN K 2 (MK 7), VITAMIN C, AND A GOOD ORAL PROBIOTIC ARE HIGHLY RECOMMENDED.

16. ACCORDING TO FINDINGS IN THE ORAL CAVITY. REFERRAL TO OTHER DENTAL HEALTH PROFESSIONALS

16. ACCORDING TO FINDINGS IN THE ORAL CAVITY. REFERRAL TO OTHER DENTAL HEALTH PROFESSIONALS IS NECESSARY, A. REFERRAL TO A BIOLOGICAL DENTIST FOR THE POSSIBLE REMOVAL OF AMALGAM RESTORATION. B. REFERRAL TO A MYOFACIAL SPECIALIST TO DIAGNOSE AND TREAT THE POSSIBLE MOUTH BREATHING/SLEEP APNEA. C. REFERRAL TO AN ORTHODONTIST. D. REFERRAL TO A NUTRITIONIST.

17. THE NEXT HYGIENE APPOINTMENT IS NOT BOOKED BASED ON SOME PREDETERMINED SCHEDULE BUT

17. THE NEXT HYGIENE APPOINTMENT IS NOT BOOKED BASED ON SOME PREDETERMINED SCHEDULE BUT THE PATIENT’S NEEDS, IN ORDER TO FOLLOW UP WITH THE OUTCOME OF THE TREATMENT PLAN AND THE PATIENTS HEALTH GOALS. FOR THIS CASE I HAVE RECOMMENDED THE PATIENT RETURN IN 2 WEEKS FOR DISCUSSION OF THE RESULTS OF THE DNA TESTS, THEREAFTER A 4 MONTH RECALL WILL BE RECOMMENDED FOR REEVALUATION AND PROPHYLAXIS.