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    How to improve patients’ oral health in one step

    MI Paste ONE is a gentle, two-in-one product designed to prevent caries and rebuild tooth enamel.

    Chairside dental assistants play essential roles in dental practices and often spend quality time with patients to educate them about dental procedures and proper oral health home care. In this capacity, the nature of the chairside assistant’s interaction with patients provides ideal opportunities for these dental professionals to introduce new treatments and services that the practice offers that could be of interest and benefit to them. Chairside dental assistants are also well positioned to recommend home oral health products that patients could purchase directly from the practice to enhance their home care efforts.

    MI Paste ONEThese patient education discussions and home care recommendations are based on the patient’s individual oral health needs and the specific dental problems with which they present. These may include high caries risk, tooth sensitivity and/or enamel wear and erosion, among other conditions.

    Caries is a far-reaching oral health problem that affects individuals of all ages. Caries result from the infiltration of harmful bacteria in the mouth, particularly around natural teeth and around and under restorations.1 Specifically implicated in the caries process are Streptococcus mutans, Streptococcus sobrinus and Lactobacilli. To reduce plaque and harmful bacteria levels in the mouth as well as to prevent, reduce, and/or eliminate the risk factors for developing caries, the use of fluoride toothpastes and varnishes, along with calcium, phosphate and fluoride for tooth remineralization, have been advocated.2,3

    Trending article: 6 things to say to get your patients to clean in between their teeth

    Tooth (i.e., dentin) sensitivity can be a complex problem that has been attributed to multiple factors. Generally defined as an exaggerated chronic irritation and sharp pain of an individual’s tooth or teeth in response to eating certain foods and/or drinking certain beverages (e.g., cold, hot, acidic), tooth sensitivity may result from the permeability and fluid movement in open and exposed dentinal tubules.4,5 Stimuli that cause a change in dentin fluid flow stimulate intra-dental nerve fibers through a mechanoreceptor response, leading to pain.6 Gingival recession is considered a leading cause of exposed dentin and a predisposing factor for tooth sensitivity.6 The use of dentifrices containing potassium nitrate have been shown successful in reducing patients’ tooth sensitivity,7,8 and immediate and long-lasting relief of tooth sensitivity has been achieved by occluding, sealing and plugging open dentin tubules.6

    Tooth and enamel wear naturally occurs as part of the aging process, and loss of tooth structure and enamel can affect a patient in several ways. The effects of tooth and enamel wear include changes in a tooth’s shape, surface and color, occlusal discrepancies and tooth sensitivity.9 Categories of tooth wear are erosion (i.e., caused by dietary and/or digestive acids; characterized by slick, glossy lingual and buccal surfaces on the maxillary incisors, or as a halo effect on the palatal surfaces of exposed dentin); attrition (i.e., caused by natural chewing forces or pathological bruxing; characterized by worn occlusal surfaces); and abrasion (i.e., caused by contact between teeth and another object such as from brushing, chewing hard foods or objects).10,11 Depending on the extent of tooth and enamel wear, treatment may require direct or indirect restorations. However, tooth and enamel wear may be preventable with dietary modifications, protective nightguard use, application and use of fluoride, and the use of casein phosphopeptide (CPP).

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