local antibiotic therapy beside flossing and brushing is a main pillar in treatment of periodontal disease

povidone-Iodine & Lactobacillus two steps to fight periodontal disease the second probiotic step makes the advantage

periodontal disease the author's severe periodontal disease: stable unchanged status over more than 10 years under iolac therapy only. dental plaque is stained over time by iodine application. stained plaque should be removed by tooth polishing from time to time. 'periodontal disease is an infection of the gums and/or bone that surrounds the tooth. generally the disease is painless, and most patients are not aware they have a problem until examined by a dentist.' (http://www.vermontperio.com). 'Bacteria are the primary etiologic agents in periodontal disease. More than 500 bacterial strains may be found in dental plaque. These bacteria have evolved to survive in the environment of the tooth surface, gingival epithelium, and oral cavity. Recent technical advances have led to the recognition that dental plaque is a biofilm. Changes in thinking about the structure of dental plaque have improved our understanding of why periodontitis is so difficult to treat and will affect the strategies used to prevent and control periodontitis in the future.' Jill S. Nield-Gehrig, RDH, MA, Textbook author, international speaker, and dental hygiene consultant, Asheville, North Carolina. theory a. main cause of chronic peridontal disease are certain bacteria ("bad" bacteria) b. there are bacteria which do not cause peridontal disease ("good" bacteria) c. lactobacillus are members of "good" bacteria d. Lactobacillus producing buttermilk is the most suitable, I found after investigation of lot of strains. e. "good" and "bad" bacteria are rivals in settling in oral mucous membranes f. fighting chronic peridontal disease "bad" bacteria count has to be reduced g. not enough is known about "bad" bacteria to fight them selectively commonly used longterm lowdose local antibiotic therapy reduces "bad" as well as "good" bacteria count without any chance to enhance "good" bacteria the way: 1. use povidone-iodine as a short-term aseptic agent locally to reduce "bad" as well as "good" bacteria count 2. wash out agent 3. apply a surplus of Lactobacillus ("good" bacteria) so that "good" bacteria will boost until next application of povidone-iodine btw: avoid sugar (feeds & breeds "bad" bacteria) practice two steps: 1. antiseptic step: apply 1 - 2ml of Povidone-Iodine (best way: by syringe with blunted cannula to perio pockets) once per day for 15 minutes, don't swallow, spit out after. Wash out your mouth with drinking water 5 times 2. probiotic step: immediately after step one apply 250ml of buttermilk over another 15 minutes, taking sip after sip, rinsing your mouth intensivly before swallowing. lactobacillus Buttermilk is a fermented dairy product produced from cow's milk with a characteristically sour taste. Originally, buttermilk was the liquid left over from churning butter from cream. Today, this is called traditional buttermilk. Buttermilk also refers to cultured buttermilk, a product where lactobacillus have been added to milk. Whether traditional or cultured, the tartne?s of buttermilk is due to the presence of acid in the milk. The increased acidity is primarily due to lactic acid, a by-product naturally produced by lactobacillus while fermenting lactose, the primary sugar found in milk. As lactic acid is produced by the bacteria, the pH of the milk decreases and casein, the primary protein in milk, precipitates causing the curdling or clabbering of milk. This process makes buttermilk thicker than plain milk. Traditional buttermilk tends to be thinner whereas cultured buttermilk is much thicker. Both traditional and cultured buttermilk contain lactobacillus. povidone-iodine povidone/iodine cream can be easily handled after warm liquefying. drawing up syringes in advance I use very carefully a microwave oven to liquefy iodine cream. just before application I will reliquefy the cream putting the syringe into a cup of hot water. over time povidone/iodine cream will stain dental plaque, which can be removed by tooth polishing. the described iolac method is explicitly on your own risk: as povidone/iodine cream can be hazardous to your health read carefully following consumer drug information: Povidone/Iodine Cream Generic Name: Povidone/Iodine Cream and Ointment (POE-vi-done/EYE-oh-dine) Brand Name: Examples include Betadine and Pharmadine Povidone/Iodine Cream is used for: Treating minor wounds and infections, as well as killing bacteria. Povidone/Iodine Cream is an antiseptic combination. It works by killing sensitive bacteria. Do NOT use Povidone/Iodine Cream if: * you are allergic to any ingredient in Povidone/Iodine Cream Contact your doctor or health care provider right away if any of these apply to you. Before using Povidone/Iodine Cream: Some medical conditions may interact with Povidone/Iodine Cream. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you: * if you are pregnant, planning to become pregnant, or are breast-feeding * if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement * if you have allergies to medicines, foods, or other substances * if you have serious burns or deep puncture wounds Some MEDICINES MAY INTERACT with Povidone/Iodine Cream. However, no specific interactions are known at this time. This may not be a complete list of all interactions that may occur. Ask your health care provider if Povidone/Iodine Cream may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine. How to use Povidone/Iodine Cream: Use Povidone/Iodine Cream as directed by your doctor. Check the label on the medicine for exact dosing instructions. * Clean the affected area. Apply a small amount of Povidone/Iodine Cream to the affected area. The area may be left uncovered, or you may cover it with a sterile bandage. * If you miss a dose of Povidone/Iodine Cream, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once. Ask your health care provider any questions you may have about how to use Povidone/Iodine Cream. Important safety information: * If you have had a severe allergic reaction to Povidone/Iodine Cream or a medicine that contains iodine, contact your doctor or pharmacist immediately. A severe allergic reaction includes a severe rash, hives, difficulty breathing, or dizziness. If you have questions about whether you are allergic to Povidone/Iodine Cream or if a certain medicine contains iodine, contact your doctor or pharmacist. * If you experience a skin rash, hives, or itching, or any other unusual reaction after using this product, discontinue use and contact your docto? as soon as possible. * Povidone/Iodine Cream is for external use only. Do not get Povidone/Iodine Cream in your eyes. * Do not use Povidone/Iodine Cream over large areas of the body or for more than 1 week unless advised to do so by your doctor. * Contact your doctor before using Povidone/Iodine Cream on serious burns, deep wounds, or puncture wounds. * PREGNANCY and BREAST-FEEDING: If you become pregnant while taking Povidone/Iodine Cream, discuss with your doctor the benefits and risks of using Povidone/Iodine Cream during pregnancy. It is unknown if Povidone/Iodine Cream is excreted in breast milk. If you are or will be breast-feeding while you are using Povidone/Iodine Cream, check with your doctor or pharmacist to discuss the risks to your baby. Possible side effects of Povidone/Iodine Cream: All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome: Skin irritation. Seek medical attention right away if any of these SEVERE side effects occur: Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue). This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch. If OVERDOSE is suspected: Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http: / / www.aapcc.org / dnn / Resources / FindLocalPoisonCenters / tabid / 130 / Default.aspx), or emergency room immediately. Proper storage of Povidone/Iodine Cream: Store Povidone/Iodine Cream at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Povidone/Iodine Cream out of the reach of children and away from pets. General information: * If you have any questions about Povidone/Iodine Cream, please talk with your doctor, pharmacist, or other health care provider. * Povidone/Iodine Cream is to be used only by the patient for whom it is prescribed. Do not share it with other people. * If your symptoms do not improve or if they become worse, check with your doctor. This information is a summary only. It does not contain all information about Povidone/Iodine Cream. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.