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How to Keep Instruments Sharp

I am spending lots of time sharpening my instruments. What can I do to help them stay sharp longer? There are two basic sharpening objectives: to produce a sharp cutting edge and to maintain the original contour of the instrument. The…

Strategies to Reduce Aerosol Risk

My office will not allow for four-handed dentistry, and I am concerned about exposures to aerosols. What are some strategies I can implement by myself to reduce this risk? Aerosols became a greater concern when the COVID-19 pandemic…

Tips For At-Home Whitening

Many of my patients ask for recommendations for at-home whitening modalities. How should I determine which is best based on individual patient characteristics? Before considering any over-the-counter (OTC) products or starting any…

Reducing Root Caries Risk

Most of the patients I see are elderly and at elevated risk for root caries. What qualities should I look for in a fluoride varnish that will provide the best results in this population? Fluoride is widely accepted as a safe and…

Preventing Cross-Contamination

What are some effective strategies to reduce the risk of cross-contamination in the dental operatory? The dental operatory is a prime source of infection, so surfaces in this area must be properly disinfected to avoid cross…

Mouthrinses for High-Risk Kids

How effective are antimicrobial mouthrinses in reducing caries prevalence among children assessed as high risk? Caries is a multifactorial disease caused by oral microorganisms acting upon sugars and carbohydrates in the presence of…

One-Time Subgingival Irrigation

Should I use chlorhexidine or stabilized chlorine dioxide for one-time subgingival irrigation after scaling and root planing? Chlorhexidine gluconate (0.12%) is known as the gold standard for antimicrobials due to its demonstrated…

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