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Dental India Newsletter dated 21st September 2008
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Latest dental news.....
Viability is a key issue. In Australia, in order to have a probiotic placed on the register you actually have to state how many viable bacteria are left at the expiry date. I am not sure if this requirement is necessary if you pass the product as a food group.
The other keen talking point about probiotic yoghurts, is the delivery process from manufacture to sale, with the changing temperatures they endure while they are waiting to be stocked in the fridge, or at depots or in the consumer's car on the way home from the shop, and then refrozen again etc. This also must have a major effect on bacteria being viable.
Admittedly, some probiotics are more hardy than others and can take the temperature changes and handling. I don't know enough about this one to comment. Is it passed as a registered, listed or food group product. The group determines its ability to make claims.
The main comment I have, and most of you have mentioned it in the emails, is that bacteria in the mouth are a very different animal due to the biofilms, and gene switching that seems to take place once the biofilms/bacteria are organized. I would think a probiotic against decay, would work better then a probiotic against periodontal issues (personal opinion). So is its mode of attack to work on bacteria in the saliva and on the teeth and hopefully have these mouth changes progress to periodontal areas, or are they claiming it gets into the periodontal pockets??
So I am keen to see if this one lives up to its promises. What I would like to see someone discuss, is what percentage of perio causing bacteria make methyl mercaptan??? I know different topic!! - Geoff Speiser

As the co-developer of LANAP I'd like to clarify some misconceptions.

1st - the pulsed Nd:YAG laser doesn't "cut" or "incise" gum tissue in the LANAP protocol in the same way a scalpel does in ENAP. A scalpel indiscriminately cuts through the diseased epithelium AND the connective tissue "rete ridges". The pulses of 1064nm Nd:YAG (in the 100 millionths of a second) reflect off of CT and the rete ridges and are therefore not effected, but the diseased epithelium is selectively cleaved (aka "ablated") off of the CT basement membrane. That's a critical element in tissue regeneration in that native stem cells (fibroblasts) are not injured.

2nd - It true that there is no "magic" with any laser--including the PerioLase MVP-7 and the LANAP protocol. There is, however, photonics and quantum physics in play as postulated by Albert Einstein, invented by Dr TH Maiman, and applied in medicine and dentistry for 40 and 20 years, respectively, that often confound our conventional training and understanding of the biologic and physiologic processes we thought we fully understood when we learned Newtonian physics (being celebrated at the AAP this year) in dental school. But "energy" of light (measured in electron volts or eV's) behaves differently as a treatment modality in biologic tissues than cold stainless steel - like LASIK vs radial keratotomy for eye refraction.

3rd - the ability to change laser operating parameters and warm the blood (protein denaturization vs vaporization) at the end of the LANAP protocol permits a thermogenic clot vs a chemolytic cleavage of the fibrinogen to fibrin. This allows the gingival collar of tissue to be closed to the entire width and depth of the perio defect by a "white connective tissue fibrin" clot that seal the tissues closed. Once there is a closed system, the wounds of the periodontal tissues heal like any wounds in the mouth that have been successfully closed, such as in an apicoectomy (see Goldman 1945). Regeneration is then permitted. Applied physics, not magic.- Respectfully, Robert Gregg (From a Blog:8th Sep 2008)

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Bombed molars
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Treatment with CaOH
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5 canal lower molar

how can computerized chairside charting improve pt care?
how do you use tulsa dentsply rotary?
how can patient teaching be a critical component?
how far will gums recede to ?
how many canals in a bicuspid?
how many months it will take for primary teeth to erupt?
how many roots are in your back molar?
how fast can wisdom teeth grow back?
how many teeth can you have on a bridge?
how many teeth should a 1 year old have?

why are wisdom teeth named so?
why arestin?
why can't i eat nuts with dental bridge?
why can't i open my mouth after having tooth pulled?
why does my jaw hurt 2 months after wisdom teeth out?
why does my throat and tongue hurt after tooth extraction?
why internal bleaching didn't work?
why is my bonding coming off my teeth?
why jaw sore when opening after dentist?
When, Where and What?........
when teeth are sensitive to heat?
when not to remove wisdom teeth?
Where is tooth 14?
Where is tooth 16?
what is a buccal crack?
what is a hot tooth?
what is bridge cement?
what is calcium hydroxide's use in dental practices?
what is importance of hand cleaning?
what is mta in dental endodontic treatment?
what is skeletal class iii malocclusion?
what is the difference between porcelain to metal crowns?
what is the diff between captek porcelain Vs gold crowns?
what kind of calcium hydroxide for cvek pulpotomy?
what kind of pain happens with wisdom teeth?
what are the procedures for using rubber dam?

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