So, if you haven’t been to an exhibit hall
recently, I invite you to make plans to see what
is new at two meetings this summer: ADHA’s
annual session in Jacksonville, Florida, during
June, and Penn Well’s RDH Under One Roof
Conference in Chicago in July. Both exhibit
halls will be packed and full of exciting new
products that are sure to make life as a
hygienist more interesting and more rewarding.
I look forward to seeing you at one or both
1. Guignon AN. Take a stand on seating: Strategies
defuse occupational hazards associated with sedentary positions. RDH. 2016; 36( 9).
2. Guignon AN. 50 years of seated dentistry: The
legacy and the outcome of just sitting down too
much. RDH. 2016; 36( 9).
3. Mylon P, Lewis R, Carré MJ, Martin N. A critical
review of glove and hand research with regard to
medical glove design. Ergonomics. 2014; 57( 1):116-
4. Drabek T, Boucek CD, Buffington CW. Wearing
the wrong size latex surgical gloves impairs manual
dexterity. Occup Environ Hyg. 2010 Mar; 7( 3):152-5.
5. Guignon AN. Current glove trends in clinical dental
hygiene practice. Data collected August 2010.
6. Callahan A, Baron E, et al. Winter season,
frequent hand washing, and irritant patch test
reactions to detergents are associated with hand
dermatitis in health care workers. Dermatitis. 2013
Jul-Aug; 24( 4):170-5.
7. Molinari JA, Nelson P. Investigation of FiteBac
germicidal hand gel properties. The Dental Advisor.
8. Molinari JA, Nelson P. Investigation of prolonged
activity of FiteBac germicidal hand gel. The Dental
Advisor. 2012; 46.
9. Ciancio SG, Marberger AD, et al. Comparison of
3 intranasal mists for anesthetizing maxillary teeth in
adults: A randomized, double-masked, multicenter
phase 3 clinical trial. J Am Dent Assoc. 2016
10. Hersh EV, Pinto A, et al. Double-masked,
randomized, placebo-controlled study to evaluate
the efficacy and tolerability of intranasal K305 (3%
tetracaine plus 0.05% oxymetazoline) in anesthetizing maxillary teeth. J Am Dent Assoc. 2016
11. Sreebny LM, Vissink A. Dry mouth, The malevolent symptom: A Clinical Guide. Ames, IA: Wiley,
Blackwell: May 2010.
12. Chaffee BW, Cheng J, Featherstone JD.
Non-operative anti-caries agents and dental caries
increment among adults at high caries risk: a retrospective cohort study. BMC Oral Health. 2015 Sep
24; 15( 1):111. 4.
While the drug claims can’t include soft
tissue anesthesia, buccal and interproximal
tissue felt different. According to the FDA drug
claims, the anesthesia will last around 45 minutes. In my case, the effects of Kovanaze lasted
for well over two hours, and there was no lip
numbness. Afterwards, the anesthetic wore
off quickly over a 10-minute period of time.
While this is a niche product, it is truly minimally invasive and is considered a topical anesthetic in most states.
OPTIONS IN DRY MOUTH TREATMENT
Every day, more patients grapple with dry
mouth issues. Hyposalivation and xerostomia
are not synonymous terms. Hyposalivation is
defined as insufficient salivary flow, which, in
extreme cases, can mean no saliva at all. Xerostomia is a patient’s perception that the
mouth is dry. There are situations where the
flow is sufficient, but the composition is poor,
resulting in a feeling of dryness.
Despite the differences in definition, patients with dry mouth syndrome of any sort
have significant problems with oral comfort,
and oral dryness becomes a quality of life issue.
While dry mouth is very common in those age
50 plus, the problem spans all ages (10% of all
30-year-olds). The factors that contribute to
dry mouth are complex and complicated and
include side effects of medications, symptoms
of many diseases and disorders, lifestyle issues,
and environmental challenges. 11 Look for a
comprehensive continuing education article
in the next few months that will go into great
detail on this subject.
Allday Dry Mouth Spray is the final product
that caught my attention. Most existing mouth
sprays offer temporary relief, but lack substan-tivity, so the relief is short-lived. It is well known
that xylitol can stimulate salivary flow, but the
trick again is keeping the xylitol levels elevated
for a longer period of time. 12 Allday Dry Mouth
Spray is a supersaturated spray that contains
44% xylitol. In addition, it has mucoadhesive
properties, so it sticks and stays much longer
than other sprays.
The spray is formulated with a light mint
flavor, is the consistency of heavy cream, and
has a smooth mouth feel. The spray bottle fits
nicely into the purse and meets all government
regulations for liquid carry-ons on planes.
on surface microbes, the skin must remain wet
from the product for two minutes. This length
of time exacerbates dry skin, which can lead
to microscopic breaks in skin integrity. To
combat dry skin issues, it is important to know
that petroleum-based hand creams and lotions
can affect the integrity of certain types of
FiteBac germicidal hand gel is a proprietary,
fragrance-free silicone formula that contains
the antimicrobial benzalkonium chloride,
known to be effective against pathogens such
as E. coli, S. aureus, MRSA, C. albicans, and
influenza A. 7-8 It only takes a pea-size amount
of the gel to coat both hands.
The silicone makes the application very
smooth, and it also creates an invisible skin
barrier that prevents absorption of water or
other chemicals. The product does not contain
water, petroleum, alcohol, or paraffin. FiteBac
gel should be reapplied every four hours to
maintain germicidal action. There are 300 applications in the small tube, which fits neatly
inside most purses, computer bags, or
OPTIONS IN PAIN CONTROL
Do you have any patients who are needle pho-bic, or who would be willing to pay an extra
fee to have a needle-free anesthesia experience
on the maxillary arch? Drum roll, please. Kovanaze is a new way to provide a regional block
anesthesia on the upper arch from bicuspid
to bicuspid, resulting in full pulpal
Kovanaze is a combination of tetracaine
HCL and oxymetazoline HCL that is administered as a nasal spray. 10 My recent experience
with this drug was amazing and went way past
the strict guidelines set forth by the FDA regarding drug claims.
While I realize that every person is different,
this was my firsthand encounter with the drug.
The small application device is inserted into
the nose. While sitting upright, one spray is
administered horizontally, and, five minutes
later, the second spray is administered at a
slightly more oblique angle. Within minutes,
teeth numbers 9 through 13 were profoundly
numb and, due to nerve crossover, 7 and 8
were also anesthetized. In my case, the palatal
tissue was also numb.