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dentist performing oral procedure using tranexamic acid

Controlling Bleeding in Dentistry for Patients on Anticoagulants

Many current dentistry guidelines do not recommend discontinuing oral anticoagulants before a minor dental procedure. Instead, local haemostatic measures are taken to reduce bleeding and ensure a patient can continue their treatment. These measures may include mechanical pressure, suturing, or local haemostats like tranexamic acid. Tranexamic acid is administered in the form of a topical solution applied with gauze or used as an oral rinse. Studies have shown that post-procedural…
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dentist explaining lesion sterilization and tissue repair (LSTR) with triple antibiotic paste

Lesion Sterilization and Tissue Repair (LSTR)

Lesion sterilization and tissue repair (LSTR) is an alternative to extracting primary teeth in cases of gross periradicular pathosis and internal resorption. LSTR involves the use of a triple antibiotic paste to treat the infection that is causing the inflammation and retreat of tissue. Avoiding tooth extraction can be a great benefit for patients and practitioners and help extend the longevity of a child’s teeth. LSTR with triple antibiotic paste…
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dental implant after socket preservation

Socket Preservation after Tooth Extraction

Socket preservation is a term that encompasses techniques used by dentists to preserve the dimensions of bone after the removal of a tooth. This can be useful for a variety of reasons, mostly because it improves the chances of having a successful restoration procedure in the future that works aesthetically. Without socket preservation after tooth extraction, alveolar bone loss occurs and the jaw bone may be permanently altered before an…
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scaling and root planing

Dental Anesthetic for Scaling and Root Planing

Chronic periodontitis affects about half of the adult population over 30 in the United States. Despite the efforts of dentists and organizations advocating for good oral hygiene habits, periodontal disease is still extremely common. Scaling and root planing is the standard procedure used for reducing the severity of chronic periodontitis. However getting patients to return for the multiple sessions needed to see results can be difficult. The deep cleaning of…
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nystatin oral suspension

Nystatin Oral Suspension

Nystatin oral suspension may be used to treat fungal infections of the mouth and esophagus. Fungal infections are common in patients with compromised immune systems and they frequently occur after treatment courses of antibiotics. They may be found when an individual has dentures, suffers from diabetes or anemia, uses inhaled corticosteroids, or smokes. Currently, commercially available versions of nystatin oral suspension are experiencing manufacturer shortages. Until the shortages are resolved,…
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dentist with patient

How Do Topical Anesthetics for Dental Treatments Work?

One of the formulations we consistently receive requests for is high-powered topical anesthetic gels. There are numerous numbing gels used by dentists for numbing prior to routine dental care, oral surgery, and orthodontic procedures. How do numbing gels work though, and why are some formulations more effective than others? Anesthetics Designed for Topical Use A topical anesthetic is not just an injectable anesthetic applied without a needle. Unlike an injected…
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woman drinking water to treat dry mouth

Dry Mouth Treatment

Dry mouth (xerostomia) is a common condition that has multiple possible causes. It results from either a decrease in the production of saliva or a change in saliva’s composition. Dry mouth is frequently associated with the use of certain medications and is common in patients undergoing radiation therapy. Individuals with Sjogren’s syndrome have chronic dry mouth that requires long-term care. Compounded treatments include a topical dry mouth spray that can…
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dry socket paste

Alternative to Alvogyl for Dry Socket Treatment

Alveolar osteitis, also referred to as dry socket, is one of the most common complications after a tooth extraction. Using a medicated treatment after extraction can decrease the dry socket rate. One treatment for dry socket is Alvogyl, which is a resorbable paste that contains a combination of eugenol, butamben, and iodoform. We offer a dry socket paste that is a compounded alternative to Alvogyl with a higher-strength anesthetic. What…
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TAC gel alternate

Dental Anesthetic Gels – Instructions and Safety

Our topical anesthetic gels including TAC 20 alternate, Profound, and BTT 12.5 are popular with dentists in multiple specialties. Since these products are all compounded, they are not FDA-approved. Without clinical trials and studies that demonstrate the efficacy and safety of particular dosages, most dentists rely on their experience and the advice of their peers when using compounded products. However there are general guidelines that can be used for applying…
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What is the Best Canker Sore Treatment?

Canker sores are a common complaint, with 80% of the population getting them at some point in their lives. In most cases they go away on their own and occur infrequently. For some individuals, however, they can become chronic. The best canker sore treatment is usually a compounded formulation with multiple effective ingredients. For both those who get an occasional sore and those that have them regularly, a compounded treatment…
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