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Expand your offerings, manage high caries-risk patients and earn patient confidenceThis course will focus on effective management of patients with high caries-risk. This course will describe the effective use of the MI paste family of products, dry mouth gels and glass ionomer materials to manage high caries-risk patients with restorations that are well retained and have no post-operative sensitivity.
The baby boomer generation is 61-79 years old this year and a large proportion of this cohort has extensive crown and bridge work in their mouths. Most boomers are also on medications that result in dry mouth. The risk for recurrent caries goes up logarithmically in a dry mouth with existing dental restorations. Restorative materials with good handling properties that lend themselves to sub-gingival use and save precious chair time as well as dentifrices or gels that inhibit recurrent caries are invaluable tools in a modern family dental practice.
This course will focus on effective management of patients with high caries-risk. Gels and dentifrices which inhibit caries are essential to maintain restorations in a high-risk environment. Dispensing these gels and/or dentifrices from the office ensures patient compliance and has the fringe benefit of building patient confidence and trust as patients appreciate the provider’s interest in preventing future caries, not just in restoring present disease.
Glass ionomers are the only restorative materials commercially available and in wide use that are suitable for sub-gingival situations and restoration of root caries. They release fluoride reliably and bond chemically to dentin and enamel. Their most valuable properties include their setting characteristics and thermal coefficient of expansion which is similar to that of dentin and enamel.
This course will describe the effective use of the MI paste family of products, dry mouth gels and glass ionomer materials to manage high caries-risk patients with restorations that are well retained and have no post-operative sensitivity. A practice that offers these restorative and management options can provide effective and reliable care to high caries-risk patients including the baby boomer generation, older adults, kids and patients with special needs and earn their trust.
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20 Comments
thank you, great webinar!
Thank you for the very informative lecture. Congratulations
Thank you very much
Thank you for sharing your experience
Thanks
No question…just thank you. Very good information and presentation. Appreciate your thoroughness.
For high risk caries patients I control phase I prescribe 5000 ppm fluoride wt do u think of that and how long should they use it if yes
When you swoosh with water after acidic diet or “throw-up”, are you concerned with individuals that solely rely on bottled water that can sometimes have a low ph? Would that make things worse?
do we have any concern when we prescribe PCP? will it need medical advise from pt’s gp?
hi Dr. Poonam, i wanted to clarify my question, are we light cure the adhesion? sorry for the repetition><
from your experience, do you have advice on how to increase the acceptance of the patients with dry mouth, to self care their problem with using the GC products for dry mouth? I mean how to motivate them.
Do you ever encourage or recommend swooshing with baking soda and water mix to help neutralize acidic environment?
With sandwich technique after gic do you put bond before composite
Please remind- what do you recommend for oil pulling?
Hello Dr. Poonam, regards to open sandwich technique to use self etch prim, are use using as common protocol, 2 bottles / single bottle, light cure, composite or without light cure? many thanks
How to deal with acidic saliva, if patient has good diet (3 hours rest for teeth, only water allowed), good hygiene, no plaque, doesn’t have any medical conditions or use of medications. Does xylitol help? or maybe Probiotics for mouth (L. Reuteri).
you speak about water – during set – does this not lead to a weaker substance or filling?
How often should high risk patients be recalled or monitored compared to low risk ones?
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