Products FAQ

I would refer the clients to the Isola study. I would suggest having a printed copy you can show and give them the link. The Isola RCT shows charts of how long it took for repopulation in comparison to SRP alone and as well as a bunch of other parameters measured. I have attached Isola to this email. The substantivity to keep red complex bacteria at bay is somewhere between 6-12 months.

Per Chrissy, she thinks that Hybenx would fit in towards the end of the GBT wheel. After piezon/scaling as the final cleanse. I think it could also be applied before piezon suprag for tenacious calculus. We think it would be best not to use it before airflow/perioflow, in case it may somehow predispose an area to subcutaneous emphysema. This is just our opinion at this point, we DO NOT have evidence that it will predispose to emphysema, it is just a precautionary thought at this point. Considering how effective Airflow is, using Hybenx one time at the end to cleanse the pocket makes sense.

We recommend that it be applied to a few teeth at a time (maybe a sextant) as you want to be able to efficiently rinse off the Hybenx after 10-30 seconds and you want the area to stay isolated as the product has a strong sour taste. That being said, Epien says that the full mouth can be done in one appt. But I would not apply to the entire arch at once.

I would generally suggest a quad approach, especially in cases with lots of bleeding to maximize the hemostatic effect. This also allows to monitor for any possible sensitivity and manage it quad by quad. Also, if you need Hybenx everywhere, chances are you need time for SRP and you may not finish the mouth in one appt. So quad by quad (or sextant) and definitive debridement to maximize healing.

Desensitizing agents have been shown to be protective of the pulp when placed on crown preparations to reduce dentin permeability. Advantage Arrest, a desensitizer, has been shown safe to the pulp when placed on exposed dentin. In addition, studies have shown desensitization and efficacy in treating softened dentin before placing direct restorations. Usually the tooth is first treated with Advantage Arrest 38%. This provides the benefit of sealing tubules plus the antimicrobial benefits of both silver and fluoride. 

Treating carious areas with Advantage Arrest 38% acts as a whole mouth fluoride treatment. It can also be used in place of sealants in grooves. A protective effect has been shown to non-treated teeth and surfaces. These findings come from high quality randomized clinical trials. 

Yes.

Although there are no head to head clinical trials comparing Advantage Arrest as a cavity liner, it has been used successfully in this way.

Advantage Arrest will not discolor intact enamel or dentin. Advantage Arrest can discolor demineralized tooth structure brown/black. Some of this discoloration may shadow a restoration and can create less than optimal esthetic restorations.

Yes, it will improve aesthetics.