Tand og andre sygdomme

Periodontitis and other illnesses

CMS Dental has been a leader in the development of LAD treatment for several years and is expanding on this with the launch of an "upgraded" total concept for oral cavity biofilm control.

This is done with LAD (light-activated disinfection) and probiotic supplementation to strengthen the biofilm.

 

 

 

There is good evidence of the link between periodontitis and several systemic diseases such as diabetes, atherosclerosis, inflammatory gastrointestinal diseases, rheumatoid arthritis, and Alzheimer's disease.

It, therefore, underlines the importance of good prevention, early diagnosis, and immediate initiation of treatment. Treatment should include increased bacterial control and focus on modulating the biofilm. Indeed, the composition of the biofilm has a major impact on the course of the disease.

As a result, non-surgical treatment options in periodontology are rapidly evolving. New technologies are filling the gap between the two traditional treatment approaches of mechanical cleaning of teeth and roots and surgical intervention.

 

 

 

Conventional periodontal treatment may prevent further bone loss, but the inflammation-causing bacteria including P.gingivalis will still be present in the biofilm, where they continue to release enzymes to the brain, the joints, and other tissues, where they initiate a degeneration of the tissues.

CMS Dental focuses on treating the cause of the disease and therefore intervenes to eliminate the pathogenic bacteria directly in the biofilm.

With FlashMax® P7 LAD, you have a medical device that can eliminate P. gingivalis and other inflammation-causing bacteria in the biofilm of the gum line quickly and safely.

 

 

 

P.gingivalis.turkis

 

P.gingivalis

There are 7 good reasons to fight P.gingivalis.

 

1.
P. gingivalis is the primary cause of the development, maintenance, and worsening of periodontal inflammation. PG can neutralize the patient's immune response both to the bacteria itself, but also to other pathogenic bacteria.

2.
P. gingivalis releases enzymes into the bloodstream, including gingipain, which has been shown in several studies to be involved in the development of Alzheimer's disease.

3.
P. gingivalis can attach itself to red blood cells and thus surf through the bloodstream undetected without resistance from the human immune system. This allows the bacterium to colonize various organs, causing immune system diseases in patients.

4.
P. gingivalis enters the body via the oral cavity in large numbers. In patients with periodontitis, the patient will swallow in the order of 1 billion bacteria per day. The bacteria are resistant to oxygen and they can pass relatively easily into the colon, where they cause dysbiosis leading to numerous diseases.

5.
P. gingivalis converts ethanol to acetaldehyde. Acetaldehyde is a known human carcinogen. This is a possible explanation for the correlation between P. gingivalis and oral cancers.

6.
P. gingivalis membrane LPS (liposaccharides) are highly virulent and cause endotoxemia (high proinflammatory response), which is related to obesity and diabetes.

7.
P.gingivalis membrane LPS (liposaccarides) stimulate periosteal osteoclast formation and bone resorption and also have adverse effects on patients with rheumatoid arthritis.

Commensal bacteria biofilm

 

Biofilm control

A key element in the fight against periodontitis and P.gingivalis.

 

To see a lasting clinical improvement in periodontitis, there must be a change in the bacterial composition of the biofilm in the pockets (gum pockets). In periodontitis, there is a self-reinforcing inflammatory process that breaks down the periodontal tissues, including the bone. This is the process that needs to be prevented or reversed, and it requires a radical change in the bacterial composition.

This is done through a four-step approach:

Step 1
First, mechanical tooth and root cleaning are performed as usual. This does not change the bacterial composition as such, but removes surface deposits that make it easier for anaerobic bacteria to survive, and is, therefore, an important part of the treatment.

Step 2
Next, eliminate as many bacteria in the pockets as possible.

This is done by light-activated disinfection, which is the most effective and yet most gentle local antibacterial method available.

Step 3
The biofilm immediately starts to rebuild. It is important for the prognosis that the therapist boosts the biofilm in the right direction. This is done by immediately adding beneficial bacteria (probiotics) in the form of a gel consisting of Lactobacillus Plantarum and Lactobacillus Brevis. The two strains are selected for their specific properties, which help to strengthen a healthy biofilm.

Step 4.

The patient should continue the probiotic influence with one sugarbeet daily of the same lactic acid bacteria. Preferably after brushing in the evening so that the tablet works throughout the night.

An effort with FlashMax P7, which turns an unhealthy biofilm in the pockets into a balanced biofilm, and ProlacSan®, which strengthens the healthy biofilm, is a prerequisite for a healthy oral cavity.

 

 

Unge glade mennesker

Facts

Did you know that the incidence, or frequency, of new cases of severe periodontitis, already peaks at age 38?

We know a lot about the bacterial complexes found in severe periodontitis, which are thought to be responsible for the pathogenesis of periodontitis. On the other hand, we know little about the evolution of bacterial dysbiosis in the years before periodontitis is clinically diagnosed. This is thought to take several years. Therefore, preventive measures such as dental check-ups and supplementation with oral probiotics are a good start.