NO Surgery News May 2023 | Page 8

HOW TO AVOID SURGERY

– FOR PERI-IMPLANT AND PERIODONTAL INFECTIONS

CLEAN : PHASE 1 – WITH PERISOLV ®
1
MIXING OF THE SYRINGES
2 INJECT
3 PERISOLV ® ACTS
PERISOLV ® must be cooled for storage .
Please fill the pockets to be treated with the cleaning gel .
Avoid overfilling the pockets .
Leave the cleaning gel > 60 sec in the pocket .
Do not rinse with CHXcontaining products before , during and after treatment . ( CHX = chlorhexidine )
Use the information provided in the package insert and the visualization on the product box for the preparation of the cleaning gel with the components in the two syringes .
4
MECHANICAL DEBRIDEMENT 5 RINSING
6 ADDITIONAL CLEANING CYCLE
7 RINSING
Thorough instrumentation of the pocket and thetooth root surface . Remove the detached granulation tissue with tweezers .
After mechanical cleaning , rinse the pocket with saline solution ( NaCl ) until no visible debris or biofilm residues are flushed out of the pocket .
Fill the pocket again with PERISOLV ® as long as debris or biofilm residues are flushed-out of the pocket during step 5 .
Perform another instrumentation .
For periodontal pockets , applying 3-4 cycles is common . For peri-implant pockets , doing 4-7 cycles is usual .
Please rinse the pocket thoroughly with saline solution ( NaCl ) to remove possible PERISOLV ® residues .
SEAL : PHASE 2 – WITH hyaDENT BG
1 PREPARATION
2 SEAL THE POCKET
Fill the pocket from apical to coronal with hyaDENT BG
The preparation of hyaDENT BG is carried out according to the enclosed package insert .
Use rounded needle . E . g .: 27G 0.4 mm x 20 mm
After the treatment , the patient should not eat or drink anything for two hours , so that hyaDENT BG can start the healing process .
During the first week after the CLEAN & SEAL ® treatment , the patient should refrain from tooth- and interproximal brushes .
Do not use mouth rinses with low concentration chlorhexidine until 2 days after treatment .
3 RECALL
If possible , perform a refill of the pocket with hyaDENT BG at the follow-up after a few days .
4
RE-EVALUATION
Involve the patient in regular checks . For example plan a follow up with the patient at 3 and 6 weeks for the healing check .
Please follow the EFP recommendation and refrain from measuring the pocket depth during the first 3 month .
After approximately 12 weeks , the clinical situation should be assessed to check how the clinical parameters ( BOP , CAL , PD ) have evolved .
Scan for studies for the ” Clean & Seal ” koncept