POWER SCALING AIR-FLOW AIR POLISHING SOLUTIONS

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1 POWER SCALING AIR-FLOW AIR POLISHING SOLUTIONS ADVANCING PROPHYLAXIS PROTOCOL

2 Introducing THE AIR-FLOW TECHNOLOGY AIR-FLOW PERIO units reach into periodontal pockets to remove biofilm. The new PERIO-FLOW nozzle and the new AIR-FLOW PERIO Powder combine to deliver greater efficacy and more patient comfort than conventional treatments. DEEP DOWN, hidden between root surface and gingiva, up to 1,500 different strains of bacteria continue to destroy soft tissue and bone under the cover of biofilm. PROPHYLAXIS, even in deep periodontal pockets*, is now a reality. A NEW AIR POLISHING TECHNIQUE FOR REMOVING SUBGINGIVAL PLAQUE The new treatment was perceived more acceptable and was more time efficient than scaling and root planning (SRP). Moëne R., Décaillet F., Andersen E., Mombelli A., School of Dental Medicine, University of Geneva, Switzerland Journal of Dental Research 2009 *Pockets up to 5 mm in the United States; 10 mm in Canada

3 PREVENTING PERIODONTITIS AND PERI-IMPLANTITIS SUBGINGIVAL PROPHYLAXIS AGAINST BIOFILM On the subgingival border area remove biofilm with the AIR-FLOW handpiece and AIR-FLOW PERIO Powder Periodontitis is the most common cause of tooth loss Periodontitis affects the entire immune system often with dramatic effects on the entire body PERIO-FLOW handpiece and nozzle for subgingival use: 3 horizontal nozzle outlets for air-powder mixture 1 vertical nozzle outlet for water Up to 5 mm* pocket depth remove biofilm with the PERIO-FLOW handpiece, PERIO-FLOW nozzle and AIR-FLOW PERIO Powder *Up to 10 mm in Canada SCIENTIFIC EVIDENCE -7000mm2 Photos by Prof. Dr. A. Mombelli, University of Geneva, Switzerland BEFORE Wound surface of moderate periodontitis in the entire oral cavity is the size of the palm of a hand BIOFILM THE DIRTY WORD The white surfaces are parts of the biofilm located in a thick layer on the root surface. Bacteria underneath biofilm are resistant to drug therapy Immune defenses of the body are powerless in order to prevent a bacterial invasion, the body triggers a process which breaks down bone tissue Implant sites are equally affected by biofilm peri-implantitis results in implant loss Biofilm in symbiosis with a variety of bacteria protected from the outside, proliferating on the inside Reduced pocket depth in recall (mm) Micro-organisms colonize the area and develop a protective layer. Bacteria then separate and colonize other areas Following treatment with AIR-FLOW, the biofilm is removed and the root surface is clean and smooth down to the base of the periodontal pocket. 2.5 Response to treatment of 200 periodontal pockets in patient recalls 3 6 months post-treatment 2.0 Reduction of pocket depth: by 1.22 mm after 4 6 weeks 1.5 Patient comfort feedback: On a scale of 1 (very pleasant) to ten (unbearable), the AIR-FLOW PERIO Method was rated Clinical study on the subgingival application of the AIR-FLOW technology with PERIO-FLOW handpiece and nozzle together with AIR-FLOW PERIO Powder 0 PERIO-FLOW Piezo-ceramic scaler Prof. Dr. U. P. Saxer, Zurich, Switzerland

4 IMPLANTS A poor investment without prophylaxis SUPRAGINGIVAL USE OF AIR-FLOW TECHNOLOGY Peri-implantitis is the periodontitis of implant patients. Biofilm adheres to the titanium implant, causing peri-implant infections, withdrawal of supporting bone and loss of implant. Regular prophylaxis with AIR-FLOW Technology is proven to prevent peri-implantitis* and its costly aftermath. Schwarz F., Ferrari D., Popovski K., Hartig B., Becker J. Journal of Biomedical Materials Research Part B (July 2008) X-ray photography by Prof. Dr. Stefan Renvert, University of Kristianstad, Sweden *The use of AIR-FLOW Technology allowed to restore the biocompatibility of titanium implant surfaces already contaminated by plaque ( ). The powder s optimum abrasivity for titanium surfaces caused the removal of biofilm (99.9 percent) and of the uppermost titanium oxide layer FIGHTS STAINING AND MICROBIAL TOOTH DEPOSITS Prevents gingivitis, periodontitis and caries Bacteria and micro-organisms in plaque are responsible for the spread of gingivitis, periodontitis and caries. This is countered by the removal of microbial tooth deposits and the effect of fluoride action WHEN SEALING FISSURES Minimizes the risk of caries Cleaning the fissures before sealing improves the adherence of the sealing material and reduces the risk of caries Photos: Dr. M. Roubach BEFORE Implant is loose due to withdrawal of bone tissue PERIODONTITIS AND PERI-IMPLANTITIS 100 % POTENTIAL FOR SUB- AND SUPRAGINGIVAL PROPHYLAXIS ~30% Severe Periodontitis ~50% 100% Potential Moderate Periodontitis INCREASED HEALTH RISK FACTORS Diabetes 2-11x Artherosclerosis 2x Osteoporosis 2-4x (according to Hetz / Hendriks 2004) Stroke 2x Premature birth 4-8 times (higher than when healthy) Chronic disease of the bronchial passages 2-4x IN CONSERVATIVE DENTISTRY Extends the life and optimizes the quality of synthetic restorations Cleaning the surface to prepare for enamel etching improves the adherence of composite, ceramic inlays and veneers IN PROSTHETICS Facilitates color determination Cleaning healthy teeth for the color adjustment of bridges, crowns, inlays and onlays, etc. IN ORTHODONTICS Reduces treatment risks Preparing the surface prior to bonding, cleaning of cemented bands, removing adhesive residue and bonded brackets Photo: Dr. R. Kalla BEFORE ~20% No Periodontitis German Oral Health Survey 2006 Increase since 1997: adults percentage points, senior citizens percentage points Severe Periodontitis 20.5 % of all adults 39.8 % of all senior citizens Moderate Periodontitis 52.7 % of all adults 48.0 % of all senior citizens IN ESTHETIC DENTISTRY Optimizes bleaching performance Cleaning the teeth before bleaching helps determine the exact natural color of the teeth Preparing the tooth surface guarantees the optimum efficacy of the bleaching agent

5 AIR-FLOW MASTER (COMING SOON!) With two working modes and two powder chambers designed to suit every clinical situation, the AIR-FLOW Master can be used for subgingival as well as supragingival prophylaxis. When operated in the AIR-FLOW mode, the AIR-FLOW Master delivers gentle kinetic energy without scratching the tooth surface in order to remove supragingival biofilm and stains. Air polishing in perio mode with glycine powder is effective for supra and subgingival biofilm removal and is safe on root surfaces and gingival tissues. Features: AIR-FLOW UNITS AIR-FLOW Technology delivers air polishing that is effective for practitioner and patient alike: reliable, fast and productive for the practice, stress-free, silent and comfortable for the patient. Automatic illumination of activated powder chamber for identification Easy handling, cleaning and refilling of the powder chambers Smooth touch panel surface for simple cleaning and disinfection Sleek user interface offers easy adjustment of power and water delivery Ergonomic handpiece for working comfort and precision for the clinician USE WITH: AIR-FLOW Classic Comfort and Perio Powders AIR-FLOW MASTER PIEZON The AIR-FLOW and Piezon Technologies combine to deliver complete and effective prophylaxis treatment to your patients. The AIR-FLOW Master Piezon enables the practitioner to readily switch between standard and perio working modes. The AIR-FLOW Master Piezon can operate supra and subgingivally with both AIR-FLOW and PERIO-FLOW handpieces and powder chambers included with the unit. USE WITH: AIR-FLOW Classic Comfort Powder (with AIR-FLOW handpiece and chamber) or AIR-FLOW Perio Powder (with PERIO-FLOW handpiece and chamber) AIR-FLOW S2 The AIR-FLOW S2 combines two devices in one for the professional removal of tooth deposits and stains. With the combined use of AIR-FLOW and Piezon technologies, it is a complete workstation for the dental hygienist or practitioner. A combination of an air polishing and ultrasonic unit, the AIR-FLOW S2 removes calculus, dental plaque, soft deposits and surface stains from pits, grooves, interproximal spaces and smooth surfaces of the teeth. It is also recommended for a wide variety of cleaning procedures. Features: Free-Flow technology to prevent clogging of powder, air and water line Controlled Piezon oscillation pattern for greater efficiency and patient comfort Ultrasonic cavitation and acoustic streaming for enhanced treatment efficiency Incredibly light handpiece tubing allows for easier maneuvering of the handpiece while in use USE WITH: AIR-FLOW Classic Comfort Powder AIR-FLOW handy 3.0 Use for supragingival and subgingival border applications Lightweight device allows for optimal clinician comfort Sleek design to ensure easy vision of the treatment area Well-balanced for easy handling Connects to dental unit USE WITH: AIR-FLOW Classic Comfort and Perio Powders AIR-FLOW handy 3.0 PERIO Specially created for both supragingival and subgingival applications Unit includes Perio handpiece and PERIO-FLOW nozzlesfor biofilm removal in pockets up to 5 mm* Same great design and features as the standard Handy 3.0 USE WITH: AIR-FLOW Perio Powder (Both handy 3.0 devices will be available pending FDA clearance) *Pockets up to 10 mm in the Canada

6 AIR-FLOW ACCESSORIES AND POWDERS AIR-FLOW HANDPIECE Based on free-flow technology, the AIR-FLOW handpiece features a 120 angle and is intended for supragingival use. The AIR-FLOW handpiece can also be used on the subgingival border area. AIR-FLOW PERIO POWDER When used with the PERIO-FLOW nozzle, the AIR-FLOW PERIO powder s extra-fine grains remove harmful biofilm and bacteria subgingivally. Made from glycine rather than sodium bicarbonate, AIR-FLOW PERIO powder is gentle on the tooth surface, making the air polishing experience more comfortable for the patient during supragingival procedures as well. Glycine based 25 µm 120 g per bottle PERIO-FLOW HANDPIECE Especially developed for subgingival applications, the PERIO-FLOW handpiece together with the PERIO-FLOW nozzle can be used in periodontal pockets up to 5 mm*. The PERIO-FLOW handpiece was innovatively designed to deliver the ultrafine AIR-FLOW PERIO Powder. Both handpieces are sterilizable. The patented single-use nozzle integrates 3 horizontal outlets to optimize the gentle turbulence of the air-powder mixture in the subgingival region. Another vertical outlet delivers water to the deepest reaches of the periodontal pockets to rinse the treatment area. AIR-FLOW CLASSIC COMFORT POWDER The Classic Comfort powder offers the well-known cleaning efficiency of sodium bicarbonate with increased patient comfort due to a smaller average grain size than standard sodium bicarbonate powders. While the Classic Comfort powder is primarily used for supragingival removal of biofilm and colorations, it can also be used for surface preparation before dental treatments. Sodium Bicarbonate 40 µm 250 g per bottle (AIR-FLOW Classic Comfort Powder will be available pending FDA clearance) *Up to 10 mm in Canada

7 AIR-FLOW PART CODES PRODUCT PART CODES PRODUCT PART CODES AIR-FLOW S2 FT-178#HF/A/001 AIR-FLOW handy 3.0 PERIO Kavo FT-221#HF/A/002 AIR-FLOW Master Piezon FT-200#HF/A/001 AIR-FLOW handy 3.0 PERIO W&H FT-221#HF/A/003 AIR-FLOW Master FT-188#HF/A/001 AIR-FLOW handy 3.0 PERIO NSK FT-221#HF/A/004 AIR-FLOW handy 3.0 Midwest FT-220#HF/A/001 AIR-FLOW handy 3.0 PERIO Bien Air FT-221#HF/A/005 AIR-FLOW handy 3.0 Kavo FT-220#HF/A/002 AIR-FLOW handy 3.0 PERIO Sirona FT-221#HF/A/012 AIR-FLOW handy 3.0 W&H FT-220#HF/A/003 4 bottles, Classic Comfort Powder DV-109/A AIR-FLOW handy 3.0 NSK FT-220#HF/A/004 4 bottles, Perio Powder DV-110/A/HS AIR-FLOW handy 3.0 Bien Air FT-220#HF/A/005 AIR-FLOW Handpiece EL-308#HF/A AIR-FLOW handy 3.0 Sirona FT-220#HF/A/006 AIR-FLOW Perio Handpiece EL-354#HF/A AIR-FLOW handy 3.0 PERIO Midwest FT-221#HF/A/001 PERIO-FLOW Nozzles DT-113HF PERIODONTAL RESTORATIVE ORTHODONTIC INSTRUMENT MANAGEMENT For more information about Hu-Friedy s Total Solutions visit HU-FRIEDY.COM Hu-Friedy Mfg. Co., LLC: 3232 N. Rockwell St. Chicago, IL USA Telephone: Hu-Friedy ( ) Website: Hu-Friedy.com 2014 Hu-Friedy Mfg. Co., LLC. All rights reserved. HF-3473/0214 NOTE: Kavo, Midwest, W&H, NSK, Bien Air and Sirona are trademarks or registered trademarks of their respective owners. ENDODONTIC SURGICAL ULTRASONIC SCALING

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