by Thomas Ventullo, DMD and Joseph S. Rubino, DMD
As a follow-up to the Oxyfresh Periodontal Management Program published in The Profitable Dentist, January 1992, and at the request of many readers, we would like to better explain some of the applications we have found for the sodium chlorite based Oxyfresh Gel in our practice.
Along with dispensing the Oxyfresh Toothpaste and Mouthwash to all our adult patients, we also dispense the Oxyfresh Gel to all patients who display any condition less than ideal periodontal health, and for marginal gingivitis to any of the stages of periodontitis. We instruct the patient to brush the teeth and gums with the toothpaste for at least two minutes on a soft, dry brush and follow this with rinsing for at least one minute with the mouthwash. We further instruct each person to use an interproximal brush first dipped in the sodium chlorite mouthwash, to clean the brush, and then into the gel to introduce it between the teeth and subgingivally.
We have also observed that using the interproximal brush and/or the syringe with the gel works well in molar areas with furcation involvement, especially where there is noted inflammation or exudate.
For any doctors who may question the effectiveness of the gel, we suggest trying it in an immediate denture after extractions. Unlike hydrogen peroxide which oxygenates and can dislodge a clot, sodium chlorite oxidizes and can be used in an extraction site. As the sodium chlorite also deodorizes, there will not be present that fetid odor and excessive exudate typically found beneath the immediate denture upon removing it the next day.
Furthermore, when the patient is encouraged to continue to apply the gel in the denture on a daily basis, we have observed a remarkable increase in the rate of healing as compared to when no gel has been used.
For those patients displaying hyperemia under a partial or full denture, we advise brushing the denture with Oxyfresh Toothpaste, soaking it in mouthwash and applying gel to the tissue-bearing surfaces of the prosthesis, as well as to the affected areas. We have noted a marked decrease in redness, inflammation, bleeding and malodor when a patient complies with this regimen.
The gel also helps to control oral candidiasis, thrush, and oral yeast problems. When used with a soft denture liner, there is a notable lack of odor absorbed by the denture and a marked decrease in tissue inflammation. We have also used the gel to aid in soothing denture sores and sores from orthodontic appliances rather than simply anesthetizing the area like some of the other topical ointments do.
We have also used the Oxyfresh Gel to treat viral ulcerations both intra- and extra-orally. We have found it effective in shortening the duration of aphthous ulcers, pericoronitis, and angular cheilitis (cracks in the corner of the mouth) and in cases of trauma, bruises or cuts. We also place it subgingivally after root planing and curettage as our patients have found that it often makes them more comfortable after therapy.
A noted local oral surgeon, Dr. Harry Beratis, has been using the gel in a styrofoam fluoride tray which is cut to fit over a surgical area. Instead of the odor and debris which tends to accumulate when perio-packing is used, this technique allows the patient to better clean the area, be more comfortable and odor free.
Finally, we have found all three Oxyfresh products help in the maintenance of the oral health of handicapped individuals. As the products contain no alcohol or toxic ingredients, there is no danger from accidental ingestion.
These are the personal clinical observations of Dr’s. Joseph Rubino and Thomas Ventullo, and not Oxyfresh.com, Inc.