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Home Care

Presentation - A Guided Tour of The CDM Homecare Program

Clo2 has been in the news for killing anthrax in our government building and cleaning up the contamination of the Mississippi River. Chlorine dioxide became a practical tool for combating periodontal disease when world famous periodontist, Perry Ratcliff developed a means for dissolving it in a toothpaste and an oral rinse. His patented formula is now marketed by Rowpar Pharmaceuticals as ClosysII. ClosysII is our choice for home care because it deals simultaneously with both causal factors in periodontal disease; anaerobic bacteria and volatile sulfur compounds. 		 



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Chlorine dioxide is effectively anti-bacterial, anti viral and anti-fungal. The O2 in CLO2 effectively oxidizes the H2S and CH2SH turning them into harmless by-products. We normally find that just one week on ClosysII rinse and toothpaste will reduce bleeding on probing by 90%, thus achieving our objective for the first visit. Research shows that reduction of pocket depth is accelerated, and bacteria and VSC's are controlled. Remarkably, the most obvious benefit to the patient is fresh breath, which lasts for 8 hours after treatment.

The Impact of Volatile Sulfur Compounds has not been fully appreciated in dentistry. What has been observed is that patients are apparently “cured” of periodontal disease, only to have the disease recur a few years later. This is because while periodontal treatment may have repaired the “damage” in the form of periodontal pockets and bleeding, it did not remove the causal factors of the disease.

Each day, the skin tissue of the gums, which contains sulfur dies and is replaced by new tissue. The dead tissue mixes with bacteria and food remains and forms sulfur compounds such as hydrogen sulfide and methyl mercaptan. These are what we recognize as “bad breath. It is important to eliminate VSCs because they allow damaging bacteria to penetrate the protective barrier of the gums.
The bacteria then attack the tissue causing inflammation, redness, bleeding and deepening of periodontal pockets. Without the volatile sulfur compounds the bacteria do not penetrate the gums and there is no periodontal disease.
 
Article:
Tonzetich J, Carpenter PA. Production of volatile sulphur compounds from cysteine, cystine and methionine by human dental plague. Arch Oral Biol. 1971 Jun;16(6):599-607.
 
Contains the CloSYSII ingredient (unique combination of chlorine dioxide and phosphate) to kill harmful bacteria and neutralize odor-causing compounds on contact, plus a special combination of silica polishers to help whiten teeth with regular brushing. CloSYSII Toothpaste is one of the lowest in abrasivity of any toothpaste on the market, so it's safe for daily use. Together with CloSYSII Oral Rinse, it is designed and proven to improve your Oral Health.
Another unique feature is that CloSYSII Toothpaste is one of the only toothpastes that does not contain sodium lauryl sulfate, which has been linked to canker sores.

CloSYSII Toothpaste: A cleaner, not a cover-up
  • Patented chlorine dioxide system
  • Non-foaming. Traditional toothpastes contain sodium lauryl sulfate, which is a foaming agent. This foaming agent fills the mouth full of suds sending a premature signal to the user that their mouth is clean hence the toothbrush is hung up long before effective plaque control has been accomplished. You can feel where the toothbrush bristles are relative to the gingival margin with the use of CloSYSII Toothpaste.
  • Low Abrasivity. Gentle to delicate veneers, expensive reconstruction and kind to exposed root structures; yet, has a whitening effect due to the combination of the oxygenating capabilities of chlorine dioxide and hydrated silicas.
  • Sodium lauryl sulfate has been associated with causing apthous ulcers (canker sores)
  • Toothpastes containing sodium lauryl sulfate should not be used within 2 hours of using chlorhexidene as these two compounds are incompatible when used together.
  • Many dentists and hygienists use CloSYSII Toothpaste as a professional polishing agent due its low abrasivity as the ADHA no longer recommends full mouth polishing with high abrasive polishers.
  • Tooth whitener when used on a regular basis reducing stains caused by food, wine, tobacco, coffee, tea and sodas.
 
CloSYSII Oral Rinse provides coverage of the oral cavity after brushing. Unlike traditional mouthwashes designed to improve oral health, pH balanced CloSYSII is alcohol-free. Together with CloSYSII Toothpaste, it is designed to treat the symptoms of gum disease. Throughout the oral cavity, stabilized chlorine dioxide in CloSYSII actually eliminates the VSCs that cause odor at its source, and destroys the harmful bacteria that cause it. And, because it is alcohol-free, it does not dry and irritate the soft tissue in your mouth. Over-the-counter mouthwashes cannot achieve these results.
Unflavored CloSYSII Oral Rinse can be used as is, directly from the bottle. Try it yourself. However, if you find that you prefer a flavored oral rinse, try the addition of a minty scent to your breath and adding the accompanying mint flavor according to package instructions.
If you are conducting comparative breath evaluations, use the unflavored product as the flavoring can mask any results or cause a confusing reading on any breath measurement instruments.
  


 
Efficacy of a Chlorine Dioxide-containing Mouthrinse in Oral Malodor, J. Frascella et al, TKL Research, Inc., Paramus, NJ, Journal of Dental Research, , (IADR Abstracts) 1999, p. 356, Article 2004, (submitted for publication in its entirety)
http://www.rowpar.com/professionals/oralhealth/research/5.html

Management of Periodontitis with Oral Care Products, Chapek et al, Compendium Vol. XV No 6, 740-746, 1994
http://www.rowpar.com/professionals/oralhealth/research/6.html

Reduction of Bleeding on Probing by Oral Care Products, Chapek et al, Compendium, Vol. 16, No. 2, 1995, 188-196
http://www.rowpar.com/professionals/oralhealth/research/7.html