<?xml version="1.0" encoding="UTF-8"?><rss version="2.0"
	xmlns:content="http://purl.org/rss/1.0/modules/content/"
	xmlns:dc="http://purl.org/dc/elements/1.1/"
	xmlns:atom="http://www.w3.org/2005/Atom"
	>
<channel>
	<title>Comments on: Dental Hygienist Supports Oral Irrigation</title>
	<atom:link href="http://tobeinformed.com/245/dental-hygienist-supports-oral-irrigation/feed/" rel="self" type="application/rss+xml" />
	<link>http://tobeinformed.com/245/dental-hygienist-supports-oral-irrigation/</link>
	<description>- Ask Dave About Health, Gum Disease and the Hydro Floss Oral Irrigator</description>
	<pubDate>Thu, 04 Dec 2008 23:57:04 +0000</pubDate>
	<generator>http://wordpress.org/?v=2.6.5</generator>
		<item>
		<title>By: Hillary</title>
		<link>http://tobeinformed.com/245/dental-hygienist-supports-oral-irrigation/#comment-6160</link>
		<dc:creator>Hillary</dc:creator>
		<pubDate>Tue, 06 Nov 2007 00:05:17 +0000</pubDate>
		<guid isPermaLink="false">http://tobeinformed.com/245/dental-hygienist-supports-oral-irrigation/#comment-6160</guid>
		<description>Hi Dave... Just checked in and read a little on your website and the comment about Chlorhexidine caught my eye. In my opinion, Chlorhexidine is NOT for long term use... Generally I have been taught to recommend it for only 7-10 days post treatment for Scaling and Rootplanin (SRP) then to switch to Listerine or Crest Oral health for Over the counter daily care. Chlorhexidine is too powerfull for long term use and wipes out all the flora in the mouth to throw off the natural balance. The stain, of course, is a problem, but more than that, Chlorhexidine can also cause in increase in dental tartar accumulation which in turn will make it increasingly difficult for the patient to keep out the plaque...downward spiral...etc, etc...  Also, I know you recommend patients see a Periodontist if they think they have periodontal disease. I do think you can also get good care in a general practice, if there is a hygienist who is taking time and care to do a periodontal exam and is skilled in expanded periodontal treatment. It can be more cost effective for people to get their conservative periodontal treatment in a general dentist's office rather than a specialist ( Periodontist) practice. I hope I am not stepping on any toes, but these are some of my thoughts. All best.. you are doing a great job getting the word out! Congratulations to Heather and all that she is doing to improve her health!!! Sincerely, Hillary Yasmer Shemin, RDH, BSDH</description>
		<content:encoded><![CDATA[<p>Hi Dave&#8230; Just checked in and read a little on your website and the comment about Chlorhexidine caught my eye. In my opinion, Chlorhexidine is NOT for long term use&#8230; Generally I have been taught to recommend it for only 7-10 days post treatment for Scaling and Rootplanin (SRP) then to switch to Listerine or Crest Oral health for Over the counter daily care. Chlorhexidine is too powerfull for long term use and wipes out all the flora in the mouth to throw off the natural balance. The stain, of course, is a problem, but more than that, Chlorhexidine can also cause in increase in dental tartar accumulation which in turn will make it increasingly difficult for the patient to keep out the plaque&#8230;downward spiral&#8230;etc, etc&#8230;  Also, I know you recommend patients see a Periodontist if they think they have periodontal disease. I do think you can also get good care in a general practice, if there is a hygienist who is taking time and care to do a periodontal exam and is skilled in expanded periodontal treatment. It can be more cost effective for people to get their conservative periodontal treatment in a general dentist&#8217;s office rather than a specialist ( Periodontist) practice. I hope I am not stepping on any toes, but these are some of my thoughts. All best.. you are doing a great job getting the word out! Congratulations to Heather and all that she is doing to improve her health!!! Sincerely, Hillary Yasmer Shemin, RDH, BSDH</p>
]]></content:encoded>
	</item>
</channel>
</rss>
