For Dental Sales Professionals
May 2019
Periodontal Disease When sales reps understand the risks of periodontal disease, they can better understand their dental customers’ concerns.
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FOR DENTAL SALES PROFESSIONALS
MAY 2019
Editorial Staff Editor Laura Thill lthill@sharemovingmedia.com Managing Editor Graham Garrison ggarrison@sharemovingmedia.com Founder Brian Taylor btaylor@sharemovingmedia.com Senior Director of Business Development Diana Partin dpartin@sharemovingmedia.com Director of Business Development Jamie Falasz, RDH jfalasz@sharemovingmedia.com Art Director Brent Cashman bcashman@sharemovingmedia.com Circulation Wai Bun Cheung wcheung@sharemovingmedia.com Associate Editor Alan Cherry acherry@sharemovingmedia.com
First Impressions Digital Edition is published monthly by Share Moving Media 1735 N. Brown Rd. Ste. 140 Lawrenceville, GA 30043-8153 Phone: 770/263-5257 Fax: 770/236-8023 www.firstimpressionsmag.com First Impressions (ISSN 1548-4165) is published monthly by Share Moving Media, 1735 N. Brown Rd. Ste. 140, Lawrenceville, GA 30043-8153. Copyright 2019 by Share Moving Media. All rights reserved. Subscriptions: $48 per year. If you would like to subscribe or notify us of address changes, please contact us at the above numbers or address. POSTMASTER: Send address changes to Share Moving Media, 1735 N. Brown Rd. Ste. 140, Lawrenceville, GA 30043-8153. Please note: The acceptance of advertising or products mentioned by contributing authors does not constitute endorsement by the publisher. Publisher cannot accept responsibility for the correctness of an opinion expressed by contributing authors.
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Periodontal Disease
When sales reps understand the risks of periodontal disease, they can better understand their dental customers’ concerns.
Why Nice People Start Turf Wars
12 14 16
Healthy Reps
Health news and notes
Quick Bytes
Technology News
News
Benco Dental acquires Dart Dental; announces partnership with StellaLife
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Periodontal Disease
When sales reps understand the risks of periodontal disease, they can better understand their dental customers’ concerns.
Periodontal disease begins with gingivitis – a mild form that causes the gums to become red, swollen and prone to bleeding. The good news is that, with professional treatment and good oral homecare, the disease is reversible. Left untreated, however, gingivitis can advance to periodontitis. Plaque can spread and grow below the gum line over time, and toxins produced by the bacteria in plaque irritate the gums. The toxins stimulate a chronic inflammatory response, causing the tissues and bone that support the teeth to break down. In turn, the gums separate from the teeth, forming pockets, which can become infected. As the disease progresses, the pockets deepen and more gum tissue and bone are destroyed. Eventually, teeth can become loose and may need to be removed. The most common forms of periodontitis include: • Aggressive periodontitis. Aggressive periodontitis occurs in patients who are otherwise clinically healthy. Common features include rapid attachment loss and bone destruction, and familial aggregation. •C hronic periodontitis. Chronic periodontitis results in inflammation within the supporting tissues of the teeth, progressive attachment and bone loss. This is the most frequently occurring form of periodontitis and is characterized by pocket formation and/or recession of the gingiva. It is prevalent in adults, but can occur at any age. Progression of attachment loss usually occurs slowly, but periods of rapid progression can occur. • P eriodontitis as a manifestation of systemic diseases. This often begins at a young age. Systemic conditions, such as heart disease, respiratory disease and diabetes, are associated with this form of periodontitis. •N ecrotizing periodontal disease. Necrotizing periodontal disease is an infection characterized by necrosis of gingival tissues, periodontal ligament and alveolar bone. These lesions are most commonly observed in individuals with systemic conditions such, as HIV infection, malnutrition and immunosuppression.
Left untreated, gingivitis can advance to periodontitis. Plaque can spread and grow below the gum line over time, and toxins produced by the bacteria in plaque irritate the gums. The toxins stimulate a chronic inflammatory response, causing the tissues and bone that support the teeth to break down.
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PERIODONTAL DISEASE Dental professionals should remind their patients that while brushing, flossing and using mouthwash can help prevent periodontal disease, a number of factors in addition to plaque can affect their gums: •A ge. Studies indicate that older people have the highest rates of periodontal disease. Data from the Centers for Disease Control and Prevention indicates that over 70 percent of Americans 65 and older have periodontitis. •S moking and/or tobacco use. In addition to being at risk of illnesses such as cancer, lung disease and heart disease, tobacco users also are at increased risk for periodontal disease. Studies have shown that tobacco use may be one of the most significant risk factors in the development and progression of periodontal disease.
In addition to being at risk of illnesses such as cancer, lung disease and heart disease, tobacco users also are at increased risk for periodontal disease. Studies have shown that tobacco use may be one of the most significant risk factors in the development and progression of periodontal disease. •G enetics. Research has indicated that some people may be genetically susceptible to gum disease. Despite aggressive oral care habits, these people may be more likely to develop periodontal disease. Identifying these people with a genetic test before they even show signs of the disease and getting them into early intervention treatment may help them keep their teeth for a lifetime. • Stress. Stress is linked to many serious conditions, including hypertension and cancer. It’s also a risk factor for periodontal disease. Research demonstrates that stress can make it more difficult for the body to fight off infection, including periodontal diseases.
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• Medications. Some drugs, such as oral contraceptives, anti-depressants and certain heart medicines, can affect oral health. Dental professionals should ask their patients what medications they take and inquire about any changes in their overall health. • Clenching or grinding teeth. Clenching or grinding teeth can put excess force on the supporting tissues of the teeth, speeding up the rate at which these periodontal tissues are destroyed. • Other systemic diseases. Other systemic diseases that interfere with the body’s inflammatory system may worsen the condition of the gums. These include cardiovascular disease, diabetes, and rheumatoid arthritis. • Poor nutrition and/or obesity. A diet low in important nutrients can compromise the body’s immune system and make it harder for the body to fight off infection. Because periodontal disease begins as an infection, poor nutrition can worsen the condition of the gums. In addition, research has shown that obesity may increase the risk of periodontal disease. Although symptoms of periodontal disease often don’t appear until an advanced stage of the disease, dental professionals can educate their patients to recognize warning signs, including: • Red, swollen or tender gums or other pain in the mouth. • Bleeding while brushing, flossing, or eating hard food. • Gums that are receding or pulling away from the teeth. • Loose or separating teeth. • Pus between the gums and teeth. • Sores in the mouth. • Persistent bad breath. • A change in the way the patient’s teeth fit together when he/she bites. • A change in the fit of partial dentures.
Comprehensive evaluation and treatment In 2011, the American Academy of Periodontology published the Comprehensive Periodontal Therapy Statement, which recommends that all adults receive an annual comprehensive evaluation of their periodontal health. In its statement, the AAP noted that “as a result of advances in knowledge and therapy, the majority of patients can retain their dentition over their lifetime with proper treatment, reasonable plaque/biofilm control, and continuing care.”
PERIODONTAL DISEASE A comprehensive assessment of a patient’s current health status, history of disease and risk characteristics should include the following: 1. Extra- and intraoral examination to detect non-periodontal oral diseases or conditions. 2. Examination of teeth and dental implants to evaluate the topography of the gingiva and related structures; to measure probing depths, the width of keratinized tissue, gingival recession, and attachment level; to evaluate the health of the subgingival area with measures such as bleeding on probing and suppuration; to assess clinical furcation status; and to detect endodontic-periodontal lesions. 3. Assessment of the presence, degree and/or distribution of plaque/biofilm, calculus and gingival inflammation. 4. Dental examination, including caries assessment, proximal contact relationships, the status of dental restorations and prosthetic appliances, and other tooth- or implantrelated problems. 5. An occlusal examination that includes determining the degree of mobility of teeth and dental implants, occlusal patterns and discrepancy, and determination of fremitus. 6. Interpretation of current and comprehensive diagnosticquality radiographs to visualize each tooth and/or implant in its entirety and assess the quality/ quantity of bone and establish bone loss patterns. 7. Evaluation of potential periodontal-systemic interrelationships. 8. Assessment of the need for and suitability of dental implants.
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9. Determination and assessment of patient risk factors, such as age, diabetes, smoking, cardiovascular disease and other systemic conditions associated with development and/or progression of periodontal disease. Clinical findings, together with a diagnosis and prognosis, should be used to develop a treatment plan, including non-surgical, surgical, regenerative and cosmetic periodontal therapy or dental implant placement, to arrest or deter further disease progression, according to the AAP. When indicated, the plan should include: • Medical and dental consultation or referral for treatment, when appropriate. • Surgical and non-surgical periodontal and implant procedures to be performed.
• Consideration of adjunctive restorative, prosthetic, orthodontic and/or endodontic consultation or treatment. • Provision for ongoing re-evaluation during periodontal or dental implant therapy and throughout the maintenance phase of treatment. •C onsideration of diagnostic testing, which may include microbiologic, genetic or biochemical assessment or monitoring during the course of periodontal therapy. • Consideration of risk factors, including, diabetes and smoking, which play a role in the development, progression and management of periodontal diseases. • Periodontal maintenance program, including ongoing evaluation and reevaluation for treatment.
Source: The American Academy of Periodontology. For more information visit https://www.perio.org/consumer/types-gum-disease.html.
The oral-systemic health connection Periodontal disease may begin in the mouth, but patients don’t always realize that its effect on their health can reach much further. Research has shown that periodontal disease is associated with several other diseases: • Diabetes. People with diabetes are more susceptible to contracting infections, including periodontal disease. In fact, periodontal disease is often considered a complication of diabetes. Those who don’t have their diabetes under control are especially at risk. Furthermore, periodontal disease may make it more difficult for people who have diabetes to control their blood sugar. Severe periodontal disease can increase blood sugar, contributing to increased
periods of time when the body functions with a high blood sugar and putting people with diabetes at increased risk for diabetic complications. •H eart disease. While a causeand-effect relationship has yet to be proven, several studies have shown that periodontal disease increases the risk of heart disease. Scientists believe that inflammation caused by periodontal disease may be responsible for the association. Periodontal disease can also exacerbate existing heart conditions. • Stroke. Studies have pointed to a relationship between periodontal disease and stroke. •O steoporosis. Researchers have suggested a link between
osteoporosis and bone loss in the jaw, placing people at risk for tooth loss. • Respiratory disease: Research has found that bacteria that grow in the oral cavity can be aspirated into the lungs, causing respiratory diseases such as pneumonia, especially in people with periodontal disease. • Cancer. Researchers found that men with gum disease were 49 percent more likely to develop kidney cancer, 54 percent more likely to develop pancreatic cancer, and 30 percent more likely to develop blood cancers.
Source: The American Academy of Periodontology. For more information visit https://www.perio.org/consumer/types-gum-disease.html.
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SALES
BY LISA EARLE MCLEOD
Why Nice People Start Turf Wars Steve knew he was facing a challenge. As he walked into the budget meeting, he squared his shoulders and took
a deep breath.
The facts were on his side. Now it was time to convince the rest of the senior team, and, most importantly, his CEO. The challenge at hand was the marketing budget. For the last two budget cycles, Steve had been shorted. Or at least that’s how he perceived it. His budget had been cut to the bone while the IT and Operations budgets grew. This time he was ready. Armed with data about market share and competitive spending, he wasn’t going to let his department go underfunded again. His team was counting on him. Steve was relatively new to the senior leadership team. He’d only had a few years as a manager before he’d gotten promoted. But one thing he learned early on was, good leaders fight for their people. For Steve it was all about his team. The problem was, Steve was fighting for the wrong team. If you ask most leaders who their team is, they’ll tell you it’s their direct reports. Yet in more successful organizations, a leader’s first alliance is to the larger team. In Steve’s case, that was his peers and the CEO.
Steve is like many well-intended leaders. He cares deeply about his people, and he also cares about the organization’s success. Increasing the marketing budget may be the right thing to do. But Steve’s approach, even if he wins, will only accelerate siloed thinking amongst the team. In my experience, turf wars are silos with emotion. The original cause is almost never malice. The eventual war is the all too natural result of the three common conditions:
Danger of silos
Putting department agendas aside in favor of team goals requires trust. Leaders must have confidence their peers are in it for the team, not simply jockeying for themselves. The biggest challenge is, no one wants to go first. But when teams are brave enough to trust each other, and let go of their divisions, there’s nothing they can not do.
If the leader wants to get everyone going in the same direction, the senior team’s primary alliance must be to each other, and their collective goals.
Patrick Lencioni, author of the classic book The Five Dysfunctions of a Team, says, when team members put their individual needs or even the needs of their divisions above the collective goals of the team it creates inattention to results. A leadership team with 10 agendas is never as effective as a leadership team focused on one agenda.
No. 1: The expertise trap The VP of marketing is unlikely to know much about IT. Steve is playing in the space he knows, the area he was assigned. No. 2: Personal connections Most leaders spend more time with their direct reports than their peers. In Steve’s case, he’s relatively new to the role. When you’re in a new job one of the first things you do is connect with your team. Steve has probably been so busy leading his own team he hasn’t built strong relationships with his peers, who he likely only sees at big group meetings. No. 3: Lack of holistic leadership Because the first two conditions (above) are almost always a given, leaders have to be relentlessly proactive in aligning their teams against the larger organizational goals. If Steve’s boss goes around the table at meetings discussing individual goals and budgets, that’s what people are going to focus on. If the leader wants to get everyone going in the same direction, the senior team’s primary alliance must be to each other, and their collective goals.
Lisa Earle McLeod is a leading authority on sales leadership and the author of four provocative books including the bestseller, Selling with Noble Purpose. Companies like Apple, Kimberly-Clark and Pfizer hire her to help them create passionate, purpose-driven sales organization. Her NSP is to help leaders drive revenue and do work that makes them proud. 10
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HEALTHY REPS
Health news and notes Delay the inevitable Here’s good news for those who can’t stand the thought of getting – and using – a gym membership. Physical activity of any intensity – even if it means just walking around for a bit – provides health benefits. “If you have a job or lifestyle that involves a lot of sitting, you can lower your risk of early death by moving more often, for as long as you want and as your ability allows,” said Dr. Keith Diaz at Columbia University, referring to a study funded in part by NIH’s National Institute of Neurological Disorders and Stroke. Research has shown that long periods of sitting increase the risk of heart disease and death overall. But the amount of activity needed to counter these dangers has been
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unclear. The Columbia study included almost 8,000 participants aged 45 and older. All participants wore an activity monitor for a week between 2007 and 2013. The device recorded how often they moved while awake and the intensity of their activities. Deaths were tracked through April 2017. The researchers then used this data to model how, when substituting for sitting, various amounts and intensities of activity affected the risk of death from any cause. The team found that any amount of activity was better than sitting. People who swap 30 minutes of sitting for 30 minutes of light-intensity activity per day would have a 17 percent lower risk of death. Light-intensity activities include walking and doing chores that require moving around.
Obesity in the four-legged population Humans are not the only residents of the United States gaining weight. So are their dogs, according to Nationwide, a provider of pet health insurance, as reported by The New York Times. Obesity among dogs and cats has risen for eight years in a row, along with claims for ailments related to being overweight. In 2017, obesity-related insurance claims for veterinary expenses exceeded $69 million, a 24 percent increase over the last eight years, Nationwide reported in January. With only 2 percent of pets covered by insurance, the costs to owners of overweight pets is likely to be in the billions. A study of 50 obese dogs enrolled in a weight-loss program at the University of Liverpool demonstrated the value of losing excess body fat. The 30 animals in the study that reached their target weight had greater vitality, less pain and fewer emotional issues than the animals that remained too fat. Pet owners: Learn to resist dogs that beg for more food than they need, suggested John P. Loftus, veterinarian at the Cornell University College of Veterinary Medicine. “If you’re already meeting your pets’ nutritional needs, they’re not hungry. What they’re really asking for is your attention. Better to distract them with an activity.”
Sleep tight Researchers say they are closer to solving the mystery of how a good night’s sleep protects against heart disease. In studies using mice, they discovered a previously unknown mechanism between the brain, bone marrow, and blood vessels that appears to protect against the development of atherosclerosis, or hardening of the arteries – but only when sleep is healthy and sound. “We’ve identified a mechanism by which a brain hormone controls production of inflammatory cells in the bone marrow in a way that helps protect the blood vessels from damage,” explained Filip Swirski, Ph.D., the study’s lead author who also is an associate professor at Harvard Medical School and Massachusetts General Hospital in Boston. “This antiinflammatory mechanism is regulated by sleep, and it breaks down when you frequently disrupt sleep or experience poor sleep quality. It’s a small piece of a larger puzzle.” The study was funded by the National Heart, Lung, and Blood Institute (NHLBI), part of the National Institutes of Health.
Tobacco use: Going up Tobacco product use among U.S. youth is increasing, reports the Centers for Disease Control and Prevention. More than one in four high school students and about one in 14 middle school students in 2018 had used a tobacco product in the past 30 days. This was a considerable increase from 2017, and was driven by an increase in e-cigarette use. E-cigarette use
increased from 11.7 percent to 20.8 percent among high school students and from 3.3 percent to 4.9 percent among middle school students from 2017 to 2018. No change was found in the use of other tobacco products, including cigarettes, during this time. Among youth: 1) e-cigarettes are still the most commonly used tobacco product, ahead of cigarettes, cigars, smokeless tobacco, hookah, and pipes; 2) e-cigarettes are the most commonly used product in combination with other tobacco products; and 3) e-cigarette use is highest among boys, whites, and high school students.
Need another reason to quit smoking? African-Americans who smoke appear to be at greater risk for peripheral artery disease, or PAD, new research has found, reports the National Institutes of Health. Additionally, the findings suggest that smoking intensity – how many cigarettes a day and for how many years – also affects the likelihood of getting the disease. PAD affects 8 to 12 million people in the United States and 202 million worldwide, especially those age 50 and older. It develops when arteries in the legs become clogged with plaque, which are fatty deposits that limit blood flow to the legs. The impact of cigarette smoking on PAD has been understudied in African-Americans, even though PAD is nearly three times more prevalent in African-Americans than in whites. For the study, researchers divided the 5,258 participants into smokers, past smokers and never smokers. They found that those smoking more than a pack a day had significantly higher risk than those smoking fewer than 19 cigarettes daily. Similarly, those with a longer history of smoking had an increased likelihood of the disease. Despite strong associations between smoking and PAD, however, the findings do not establish a causal link, according to the study’s authors. Nor can they be generalized to people of African descent from other regions or countries, since the study was conducted in a single community of African-Americans.
Obesity among dogs and cats has risen for eight years in a row, along with claims for ailments related to being overweight. In 2017, obesity-related insurance claims for veterinary expenses exceeded $69 million, a 24 percent increase over the last eight years, Nationwide reported in January.
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QUICK BYTES
Editor’s Note: Technology is playing an increasing role in the day-to-day business of sales reps. In this department, First Impressions will profile the latest developments in software and gadgets that reps can use for work and play.
Technology News Stop the porch pirates Thirty percent of Americans have experienced package theft, reports Mercury News. Video doorbells help catch porch pirates in the act. But a new partnership between Amazon and Chamberlain Group, a manufacturer of automatic garage door openers, offers a more foolproof solution: in-garage delivery, known as Key for Garage. Amazon already offers in-home delivery, but many homeowners aren’t comfortable with delivery persons entering their home. With Key for Garage, you install a device to your garage door opener that allows the delivery person access to your garage and notifies you along the way.
Standing desks The editors of The Wirecutter, a New York Times Company, write that the Uplift bamboo stand-up desk and V2 frame is the best deal for people who want a relatively stable surface that looks good, moves quickly and quietly, and presents few problems in working every day. “The Uplift bamboo desktop was every tester’s favorite, particularly the (optional) ergonomic groove cutout in front,” according to the editors. “You can kit out the Uplift with a number of accessories that match your desk style, including power and cable organizers.”
however. They are, after all, sunglasses, so unless you work in an exceptionally bright room, you won’t be wearing these at your office desk. And they lack prescription lenses. Bose says you can add prescription lenses without disrupting the internal electronics, but doing so will void the warranty.
A good cheap scanner The $90 Canon LiDE 220 is the fastest, most accurate, and most intuitive flatbed scanner for everyday users, according to The Wirecutter. “Whether you’re scanning an old photo, your kid’s artwork, or an excerpt from a book, the LiDE 220 is fast, accurate, and affordable,” according to the editors. “Compared to its closest competitors, the LiDE 220 produced the clearest scans with the most visual accuracy from a variety of materials and had the most accurate text recognition across all documents. It’s light and compact, can be used upright, and because it requires just one USB port, it won’t clutter up your workspace.”
Flicker-free lighting If your current office lighting is making life flash or at least flicker before your eyes, ask your manager to install the GAYA flat panel fixture from Access Fixtures. Designed for installation in a grid ceiling, the GAYA LED flat panels boast an L70 rated life of 50,000 hours. And they are guaranteed to be flicker-free, and they won’t produce glare. Available in 30w, 40w, 50w, and 75w.
Triple-rear cameras
Shades from Bose It’s difficult to determine whether to classify the $199.95 Bose Frames as Bluetooth earphones or headphones, as they make no contact with your actual ear, says PC Magazine. But they are sunglasses. And surprisingly, they succeed on both fronts, delivering crisp and clear audio through a classic, stylish design, according to the editors. The Frames present several limitations,
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Will 2019 be the year of triple-rear cameras? The launch of the Galaxy S10, LG G8 and Xiaomi Mi 9, along with numerous rumors about the next iPhone, point to this trend growing, according to CNET. “Even though Apple, Samsung and others aren’t the first to add three cameras to the back of a phone (that would be last year’s Huawei P20 Pro, and the LG V40 has them, too) the fact that some of most the popular phone-makers are embracing them, or plan to, will surely ensure widespread use.”According to CNET, the standard Galaxy S10 gets you three rear cameras – a 16-megapixel ultrawide sensor with fixed focus, a main 12-megapixel dual aperture wide-angle lens with OIS, and a 12-megapixel telephoto lens with OIS that can achieve 2x optical zoom. “That means you’re able to take portrait photos and photos from any of the sensors, just by toggling on the screen.”
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NEWS
Benco Dental acquires Dart Dental; announces partnership with StellaLife Benco Dental announced plans
to acquire Connecticut-based Dart Dental Supply on April 29, 2019. This is Benco’s first significant acquisition in the Northeast region in the past several years, according to a release.
Dart Dental was founded in 1976 by Art Stengel out of his parents’ home and today operates as a full-service distributor in Hamden, Connecticut. For more than 40 years, the company has specialized in dental supply and equipment sales and has offered the highest level of customer care. Dart’s Territory Representatives and Equipment Technicians will be retained by Benco Dental to serve customers in the greater New England area. “Team Dart is excited to join Benco Dental and grow with another family-owned company,” said Art Stengel, Dart Dental founder. “Benco’s national network will provide our customers with extensive offerings and will support our level of personalized service.” Benco Dental, headquartered in Northeastern Pennsylvania, is the largest family-owned dental distributor in the United States, offering a full array of supplies, equipment and services
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to dentists across the nation. Within the past 88 years, the company has developed distribution innovations that have become industry standards and in 2018, launched an Innovation Index. This key metric tracks the percentage of products sold that were introduced in the previous three years. “We’re committed to driving dentistry forward through innovation and delivering a world-class customer experience,” said Chuck Cohen, Benco Dental Managing Director. “It’s exciting whenever the opportunity arises to expand our territory and customer base via the acquisition of a like-minded organization. Art and his team at Dart Dental have established a reputation for building strong customer relationships through exceptional service.” Benco Dental also recently announced a partnership with StellaLife, an innovative biotech company on a mission to improve people’s lives and significantly reduce, or in some cases eliminate, the need for narcotic pain medications, steroids and antibiotics. StellaLife is an Illinois-based company that focuses on Intelligent Healing, by using ingredients from botanical plants and minerals in an attempt to limit toxins and ensure good health for all patients. The company has worked with leading chemists, dental specialists, physicians, and pharmacists to create a line of products that aim to improve dental patients’ experience. “The clinically proven StellaLife product line encompasses a broad spectrum of applications, ranging from recovery to maintenance, and from the treatment of oral inflammatory conditions to pain management,” said Debbie Durako, StellaLife Director.
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