Case GV: Ginger Vitis, RDH’s patient is a 58 year old Africa…

Case GV: Ginger Vitis, RDH’s patient is a 58 year old African-American male in for his three-month periodontal maintenance recall appointment. He has high blood pressure that is controlled with Toprol-XL ® (metoprolol) and recently had a cardiac pacemaker placed. Ginger notices a couple of lesions on the left buccal mucosa where the patient recalls he bit his cheek. Ginger notes several amalgam restorations, and a 3 unit bridge on the UL. The patient has generalized recession and pockets ranging from 2 to 6 mm. He has a couple of areas of graininess and one small spicule of subgingival calculus in the upper anterior with a thin band of calculus visible supragingivally in the lower anterior lingual area. His oral hygiene is fair, with a thin line of biofilm accumulated along the gingival margin of most all posterior teeth and a little heavier on some anterior teeth. He is very agitated because he was on time for his appointment but was not seated until 15 minutes after he arrived.Case GV: Ginger wants to use an ultrasonic scaler to remove the supragingival deposit. What is the primary criteria must she consider when making that decision?

(decorative only image) candy cane.pngBuddy the Elf needs s…

(decorative only image) candy cane.pngBuddy the Elf needs some pre-Christmas oral hygiene education! Thankfully, he has no periodontal issues and his gingiva are healthy so the concern is preventing dental decay (Uh…candy, candy canes, candy corn & syrup!?).  In addition to using a fluoridated toothpaste, what would be the best recommendation for controlling biofilm accumulation on his teeth to prevent decay?