TREHALOSE

Best Efficacy For Supragingival Stain And Biofilm Removal

Dürr Dental has recently launched its portable unit in Australia, the MyLunos handpiece, which has been available overseas since 2017.

In terms of reprocessing, all components are autoclavable and can be placed in the ultrasonic bath, reducing risk of clogging and ease of maintenance. Furthermore, clinicians and patients can feel safe regarding the hygienic use of the device. The primary benefits of subgingival air polishing are its gentler application and shorter treatment time in comparison to hand instrumentation and ultrasonic scalers.

One of the low-abrasive powder materials, a non-cariogenic disaccharide, trehalose, has demonstrated equivalent outcomes to ultrasonic scaling over 12 months in terms of reducing periodontal pockets and bleeding on probing in patients with pocket depths of 5-9mm.

This was conducted using the new sterile perio tip (pictured) designed by Dürr Dental, which has a small flexible diameter, allowing easy entry into the periodontal pocket, providing a much more comfortable experience for the patient compared to ultrasonic scaling.

In contrast to an apical streaming tip, the single opening on the lateral surface of the tip enables optimal redirection of the compressed air towards the root surface, lowering the risk of emphysema.

Trehalose, which is substantially less abrasive than glycine and sodium bicarbonate, has also demonstrated the best efficacy for supragingival stain and biofilm removal.

The MyLunos Supra nozzle allows easy removal of plaque and stains using trehalose that can be integrated into routine hygiene visits, cleaning around orthodontic brackets, or preparing for fissure sealants.

Morawietz, M, et al. 2020, Cleaning performance in comparison to surface roughness

There are three flavours of the trehalose-containing Gentle Clean powder for supragingival application: orange, spearmint, and neutral. Additionally, a neutral-flavoured Perio Combi powder is offered as a one-for-all powder for both supragingival and subgingival treatments. Patients no longer need to feel the unpleasant grittiness commonly associated with air polishing due to trehalose’s exceptional water solubility, along with a pleasant tasting experience.

References

Kruse, A.B., Wölki, B.J., Woelber, J.P. et al. Subgingival air polishing with trehalose powder during supportive periodontal therapy: use of a conical shaped tip during a randomized clinical trial. BMC Oral Health 22, 70 (2022). https://doi.org/10.1186/ s12903-022-02109-1

Before

Treatment