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Feb
14

What is that black stain?

written by CariFree

Actinomyces/Black Stain Have you ever had a young patient come to your office with strange black staining? Something we see from time to time are children who present with superficial black stains on the teeth. Parents will always ask what causes it, and usually we discuss things like water and vitamins, but often we throw […]

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Category: Education
Jan
24

Don’t Miss Dr. Kutsch’s Science Update TODAY! Free Webinar

written by CariFree

  Tonight Dr. Kim Kutsch offers an update on the science of dental caries. Sign up for this free event by clicking the link below.   REGISTER HERE       In other news…   We had an excellent question by a reader on last week’s post Q & A With Dr. Kim Kutsch: Saliva […]

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Category: Education
Jan
17

Q&A With Dr. Kim Kutsch: Saliva and Brushing

written by CariFree

Here are some questions posed recently to Dr. Kutsch and his responses:   Q: What is your baseline approach to a saliva compromised patient? For the patient with reduced salivary flow, which may be a result of age and or medication use, my approach is to make sure they understand the importance of keeping the […]

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Category: Education
Oct
25

The Prescriptive Phase: pH as Therapeutic Strategy

written by CariFree

Why is pH important? We know that long periods of low pH select for acid producing bacteria. Thus, the makeup of the biofilm can shift as a result of the pH of the oral cavity. Additionally, ‘good’ bacteria, if given the right environment (low pH) start behaving like ‘bad’ acid producing bacteria. pH is important […]

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Category: Education
Oct
18

The Prescriptive Phase: Xylitol as a Therapeutic Strategy

written by CariFree

In a previous blog we discussed the first prescriptive phase of caries management: Repair- Discussing remineralization, prevention and restoration and then we took on the first therapeutic strategy: Sodium Hypochlorite. Today we are going to begin the discussion of another therapeutic strategy Dr. Kutsch employs with his patients: Xylitol. Therapeutic Strategies Antimicrobial Xylitol pH strategies Fluoride Nano-HA There […]

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Category: Education
Sep
13

The Prescriptive Phase: 3 Reparative Strategies for Dental Caries

written by CariFree

Last week we introduced Dr. Kutch’s simple caries risk diagnosis guidelines. Today we look at how he approaches the prescriptive phase, and we break down the first strategy: reparative.   The 3 Prescriptive phases include: Reparative (remineralization, restoration) Therapeutic (antimicrobial therapy, metabolic strategies and pH strategies) Behavioral (homecare, diet, medications, special needs)   Today we will […]

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Category: Education
Sep
6

Dr. Kutsch’s Simple Caries Risk Diagnostic Guidelines

written by CariFree

When it comes to Caries Risk Assessment, many doctors complain of the complexity. While the disease is complex, after years and years of work, Dr. Kutsch has developed super-simple diagnostic guidelines:   LOW CARIES RISK  CDT D0601 (Only green answers) No Risk Factors / Healthy   MODERATE CARIES RISK   CDT D0602 (At least 1 yellow […]

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Category: Education
Aug
16

Mark your calendar August 23 – You won’t want to miss this!

written by CariFree

We will be having part 2 of the webinar series with Dr. V. Kim Kutsch entitled: Dental Caries, a Disease of Choice? On August 23. If you have not had a chance to hear part 1 you can do so here.   Here is a snippet of information from the first webinar regarding the role […]

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Category: Education
Aug
9

To Floss or Not to Floss: That is the question!

written by CariFree

By: Dr. V. Kim Kutsch, DMD Dental floss made from silk thread first became a commercial product in 1882, and has probably been a controversial topic since that first introduction. The dental profession routinely recommends patients floss daily and dental hygienists daily instruct patients on flossing technique as a standard of care. Despite the profession’s […]

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Category: Education, Opinion
Jun
1

Dr. Kutsch Weighs in on the ADA Caries Classification System (CCS)

written by CariFree

Dental caries is a multifactorial disease of the teeth from bacterial biofilm origin characterized by prolonged periods of low pH resulting in net mineral loss.1 A growing trend to treat dental caries from an early preventive and nonsurgical approach has made the GV Black cavity classification system obsolete, as that system only described surgical procedures. […]

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Category: Education, Opinion