Clinical and cleaning protocols AIR-N
Contents
1. Pockets Debridement on posterior tooth with H3 tip SATELEC SATELEC A company of ACTEON Group 17 av Gustave Eiffel e BP 30216 33708 MERIGNAC cedex FRANCE Tel 33 0 556 34 06 07 Fax 33 0 556 34 92 92 E mail satelec acteongroup com www acteongroup com Page 7 sur 15 STEP 2 Pockets Debridement on posterior tooth with H4L and H4R tips ii 2 STEP Additional biofilm removal It usually takes seven to ten days before initial re attachment of the collagen fibers to the root takes place Once the inflammation or bleeding has subsided AIR N GO PERIO can then be used in step two This procedure has an additional benefit to completely remove the biofilm of the treated root surface On a natural tooth the AIR N GO PERIO nozzle is recommended exclusively to treat pockets that are greater than 4 mm in depth but not deeper than 10mm 3mm of firm bone should remain around the apex An X ray should be taken to confirm There should not be periodontitis radicularis The AIR N GO PERIO treatment can be applied only after checking that there is no more bleeding on probing and when the pocket opening is sufficient to allow the PERIO nozzle to be inserted SATELEC SATELEC A company of ACTEON Group 17 av Gustave Eiffel e BP 30216 33708 MERIGNAC cedex FRANCE Tel 33 0 556 34 06 07 Fax 33 0 556 34 92 92 E mail satelec acteongroup com www acteongroup com Page 8 sur 15 An2. Clinical and cleaning protocols AIR N GO PERIO Clinical Protocol and cleaning SATELEC AIR N GO PERIO nozzle CONTENTS fe SUMMARY WADE orien EEEE EEEE EE EEEE EEE EEEE TS 4 Il THE USE OF AIR N GO WITH SUPRA NOZZLE CONFIGURATION WITH THE PERIO POWDER 4 AY PREVENTION WITHOUT DISEASE siete sr sedetieneccaree nnsacaneenaesusse saad envenasconvauntentnaieyeseeassenssesacencete 4 B PREVENTION OF PERIODONTAL DISEASE AND PERI IMPLANTITIS scscscscscscscscsescseseseeeeeeeeeeeeeaeasaeeeeeeeees D C MAINTENANCE ON TREATED PERIODONTAL PATIENTS ssessesseeseesecssessersecsecsocssessersersecsoesserseeseeseese 5 D SURGICAL INTERVENTION 2 sesceceaganaaceceesaaver ever EEEE EEE EEEE D Ill THE USE OF AIR N GO WITH PERIO NOZZLE CONFIGURATION WITH THE PERIO POWDER 6 A TREATMENT OF PERIODONTAL DISEASES AND PERI IMPLANTITIS sscesescscecsceceeseececseseseseseseeeneneneasaeaeas 6 i 1 STEP Initial Therapy Subgingival Treatment ccccccccccccccccecccscsecsessssssssesssesese 6 ii 2 STEP Additional biofilm removal sssscccccceeesnsccccccesessnccccceeeennececceesetnaeecens 8 i 3 STEPS ROCV AG ON oreen En EE AAE NEEE E ERA 9 Ve USING Tie FERO NOZ E nine EENE OEE EEE EEEE ENEE EEA 10 V PROTOCOL FOR CLEANING THE PERIO NOZZLE ccscscsvoscscecscsvevesescscscseveseecsceseveses 14 SATELEC SATELEC A company of ACTEON Group CAC 17 av Gustave Eiffel e BP 30216 33708 MERIGNAC cedex
3. Gustave Eiffel e BP 30216 33708 MERIGNAC cedex FRANCE Tel 33 0 556 34 06 07 Fax 33 0 556 34 92 92 E mail satelec acteongroup com e www acteongroup com Pa ge 10 sur 15 Mount the PERIO nozzle on the AIR N GO device ACTION 4s Attach the green CLIP N GO PERIO tank to the handpiece by rotating it one quarter turn clockwise Connect AIR N GO PERIO system to your turbine coupling N The AIR N GO PERIO kit is exclusively dedicated for sub gingival treatment of periodontitis and peri implantitis SATELEC SATELEC e A company of ACTEON Group 17 av Gustave Eiffel e BP 30216 33708 MERIGNAC cedex FRANCE Tel 33 0 556 34 06 07 Fax 33 0 556 34 92 92 E mail satelec acteongroup com e www acteongroup com Page 11 sur 15 Control the water pressure of the handpiece The jet of the powder air water mixture must be symmetrical Use the surgical suction tube and maintain it near the treated area for cleaning the operatory area Treat your patient as required Each tooth or implant must be treated individually Make sure there is no excessive bleeding during probing Insert the nozzle to the bottom of the pocket exerting the same amount of pressure as with a periodontal probe Clinical case courtesy of Dr G GAGNOT Treatment of parodontitis Penetration into a 5 mm pocket with the PERIO nozzle SATELEC SATELEC A company of ACTEON Group 17 av
4. Gustave Eiffel e BP 30216 33708 MERIGNAC cedex FRANCE Tel 33 0 556 34 06 07 Fax 33 0 556 34 92 92 E mail satelec acteongroup com e www acteongroup com Pa ge 12 sur 15 Clinical case courtesy of Dr NORMAND Treatment of peri implantitis Penetration into a 5 mm pocket with the PERIO nozzle Activate the AIR N GO device with your pedal and only when the nozzle is inside the pocket Gently move the nozzle upwards moving it slowly from side to side without pressure for five seconds per side surface Leave AIR N GO activated even when you have gone past the top of the pocket The gingival margin must be treated slightly in order to obtain an optimal result After releasing the foot pedal an air powder jet may continue to spray a few seconds Wait few seconds before removing the nozzle from the mouth in order not to disseminate more powder in the room During the healing period the patient should be recommended to use a 0 2 chlorexidine gluconate solution twice a day during 1 4 weeks according to the treatment plan SATELEC SATELEC A company of ACTEON Group 17 av Gustave Eiffel e BP 30216 33708 MERIGNAC cedex FRANCE Tel 33 0 556 34 06 07 Fax 33 0 556 34 92 92 E mail satelec acteongroup com www acteongroup com Page 13 sur 15 V PROTOCOL FOR CLEANING THE PERIO NOZZLE For more details please refer to user s manual The nozzle must be unscrewed after each
5. FRANCE Tel 33 0 556 34 06 07 Fax 33 0 556 34 92 92 E mail satelec acteongroup com www acteongroup com Page 3 sur 15 I SUMMARY TABLE SUPRA Nozzle Prevention without disease for pockets up to 5 mm Prevention of periodontal disease and peri implantitis for pockets gt 5 mm Maintenance on treated parodontal patients Surgical intervention Biofilm removal during open flap debridement Treatments of periodontal diseases and peri implantitis Il THE USE OF AIR N GO WITH SUPRA NOZZLE CONFIGURATION WITH THE PERIO POWDER a Prevention without disease In SUPRA function with SUPRA nozzle amp green tank AIR N GO can be also used in combination with AIR N GO PERIO powder on teeth or implants for pockets up to 5mm in order to control the bacterial flora in a maintenance procedure SATELEC SATELEC e A company of ACTEON Group 17 av Gustave Eiffel e BP 30216 33708 MERIGNAC cedex FRANCE Tel 33 0 556 34 06 07 Fax 33 0 556 34 92 92 E mail satelec acteongroup com e www acteongroup com Page 4 sur 15 b Prevention of periodontal disease and peri implantitis For the prevention of periodontal disease and peri implantitis the AIR N GO PERIO powder is recommended on the pockets above 5mm Exposed root surfaces restorations and composite fillings should be treated only with AIR N GO PERIO powder to reduce the substance removal and to prevent further tooth sensitivity Implant
6. surfaces should also only be treated with AIR N GO PERIO powder Studies have shown the benefit of Glycine on implant surfaces and observed no changes of the surface Generally hard deposits have to be removed by an ultrasonic device or hand instruments Clinical case courtesy of Clinical case courtesy of Dr E NORMAND Dr G GAGNOT Sub gingival scaling on molar with the P2R tip by Scaling with tip n 1 by SATELEC SATELEC Clinical studies with a similar device are available upon request c Maintenance on treated periodontal patients PERIO powder can also be used to prevent the progression of periodontal diseases d Surgical intervention For biofilm removal during open flap debridement on tooth and implant PERIO powder can also be used After the treatment with AIR N GO the surgical field should be thoroughly cleaned by sodium chloride NaCl SATELEC SATELEC A company of ACTEON Group 17 av Gustave Eiffel e BP 30216 33708 MERIGNAC cedex FRANCE Tel 33 0 556 34 06 07 Fax 33 0 556 34 92 92 E mail satelec acteongroup com www acteongroup com Page 5 sur 15 Ill THE USE OF AIR N GO WITH PERIO NOZZLE CONFIGURATION WITH THE PERIO POWDER pee eee ot per tr a remem ve a Treatment of periodontal diseases and peri implantitis WARNING Sub gingival treatment must be performed exclusively with AIR N GO PERIO powder combined with the PERIO nozzle and Green tank
7. ker Clar Austria Switzerland SATELEC SATELEC e A company of ACTEON Group 17 av Gustave Eiffel e BP 30216 33708 MERIGNAC cedex FRANCE Tel 33 0 556 34 06 07 Fax 33 0 556 34 92 92 E mail satelec acteongroup com e www acteongroup com Page 15 sur 15
8. of the AIR N GO device v Target Treatment of periodontal diseases and prevention of peri implantitis pockets gt 4mm i 1 STEP Initial Therapy Subgingival Treatment Prior to subgingival AIR N GO use it is essential to perform the Initial Therapy The patient has to receive hygiene guidelines and appropriate and suitable hygiene products After this information the supraginvial treatment with different instruments like ultrasonic hand instruments SUPRA nozzle should be performed Clinical case courtesy of Dr G GAGNOT Use of AIR N GO SUPRA with CLASSIC Neutral powder after scaling with SATELE ultrasonic tips H4R and L BEFORE SATELEC SATELEC A company of ACTEON Group 17 av Gustave Eiffel e BP 30216 33708 MERIGNAC cedex FRANCE Tel 33 0 556 34 06 07 Fax 33 0 556 34 92 92 E mail satelec acteongroup com www acteongroup com Page 6 sur 15 When the patient s level of hygiene maintenance is appropriate subgingival treatment can be started Step one is to probe clean and debride the pocket with ultrasonic tips and or manual instrumentation hard deposits cannot be removed by using AIR N GO Example for a suggested procedure Begin the treatment with the use of the 10Z scaling tip to remove hard deposits Perform a full mouth periodontal debridement treatment by using the H3 on anterior natural teeth and H4L H4R on posterior teeth Working zone STEP 1
9. other treatment can be offered as an alternative The H2L H2R tips can also be used to complete this initial subgingival procedure treating furcations and very narrow spaces for biofilm removal Clinical case courtesy of Dr G GAGNOT Parodontal debridement furcations treatments with H2L and H2R tips by SATELEC For situations with high demands on biofilm management a full mouth therapy with AIR N GO use can be provided For this approach a full mouth debridement with Glycine powder supra and subgingivally on all teeth and all mucous tissues is used for suppressing periodontal pathogens This kind of treatment results in a strong shift of oral microbiota For subgingival debridement the PERIO nozzle with the PERIO powder is recommended for supragingival and tissue debridement the SUPRA nozzle and the PERIO powder should be used iii 3 STEP Reevaluation After the second step treatment the full healing time of the collagen fibers of 6 to 8 weeks should be permitted The second probing should be performed to assess probing depths in pathological range to diagnose or exclude further treatment In case of a good pocket closure we recommend you to use the AIR N GO device every 6 8 weeks in the SUPRA configuration with the AIR N GO PERIO powder Prior to the application of the AIR N GO PERIO powder the use of ultrasonic tips for cleaning and debridement of the periodontal pockets may not be necessary In order
10. to preserve the soft tissues NEVER USE FORCE to get the nozzle inside the pocket SATELEC SATELEC A company of ACTEON Group 17 av Gustave Eiffel e BP 30216 33708 MERIGNAC cedex FRANCE Tel 33 0 556 34 06 07 Fax 33 0 556 34 92 92 E mail satelec acteongroup com www acteongroup com Page 9 sur 15 In case of a bad pocket closure and if some inflammation pocket depth up to 5mm and bleeding remain you should search for remaining hard deposits In case there is no hard deposit proceed to a light pocket debridement described in step 2 As a reminder we recommend the use of the P2L and P2R on natural tooth and Periosoft on the implants For peri implantitis please follow the same steps as above In short prior to application of AIR N GO PERIO the pocket must first be probed cleaned and debrided of hard deposits with ultrasonic tips and or manual instrumentation of Aw 4 Clinical case courtesy of Prof U SAXER Treatment of peri implantitis using AIR N GO PERIO nozzle after pockets probing and debridements The healing time surrounding implants takes up to 3 months IV USING THE PERIO NOZZLE A protocol for using the PERIO nozzle with glycine based AIR N GO PERIO powder on the AIR N GO device For more details please refer to user s manual Patient and practitioner should wear accessories for protection mask and glasses SATELEC SATELEC A company of ACTEON Group 17 av
11. treatment Remove any residual powder in the PERIO nozzle using only the PERIO nozzle cleaning probe provided in your kit AIR N GO PERIO Clean the PERIO nozzle from the front and rear using the air spray on the AIR WATER syringe built into the chair Rinse under running cold tap water for at least one minute Immerse the PERIO nozzle in an ultrasonic tank containing 2 cm 0 8 inch of Listerine or other mouth wash polar solvent e g Ethanol as contained in Listerine for at least 10 minutes Listerine is a registered trademark of Pfizer SATELEC SATELEC e A company of ACTEON Group 17 av Gustave Eiffel e BP 30216 33708 MERIGNAC cedex FRANCE Tel 33 0 556 34 06 07 Fax 33 0 556 34 92 92 E mail satelec acteongroup com e www acteongroup com Page 14 sur 15 Remove the nozzle and tap on a hard surface to remove any last particles that may remain Rinse under running cold tap water for at least 30 seconds Dry the nozzle again using the air spray Place the nozzle in a sterilization bag A 5 Sterilize in a class B autoclave at 134 for 18 min If you do not have a class B Autoclave please follow your autoclave manufacturer s recommended settings for sterilization i 5 134 C 132 C rain Revision date 09 10 2012 Written by PZZ Prophylaxe Zentrum Zurich in cooperation with Prof Dr U P Saxer Switzerland Dr Vol
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