PAD
PHOTO ACTIVATED DISINFECTION
Product Brochure
• Prophylaxis
• Periodontics
• Implantology
• Endodontics
• Restorative Dentistry
PADTM high level disinfection –
never has it been so easy to eliminate
oral infections so effectively!
Oral bacteria?
One solution.
Prophylaxis
Problem
The solution with PAD
Routine prophylaxis treatment does not remove • Bacteria surviving after prophylaxis may be
all bacteria in gingival or periodontal lesions.
eliminated during patient visit.
Hence, patients can be given antiseptic solutions • Facilitates improved gingival health
or mouthwashes to use themselves which may
• Inclusion after routine prophylaxis enhances
or may not be successful in preventing gingivitis
patient care
or more chronic periodontal infections.
Oral bacteria?
One solution.
PADTM high level disinfection uses
Photo-Activated Disinfection to eliminate
bacterial infections in a minimally invasive,
safe and fast technique in the ? fields of:
• Prophylaxis
• Periodontics
PADTM IS EXTREMELY
• Implantology
EFFECTIVE KILLING AT LEAST • Endodontics
99.99% OF ALL SPECIES OF • Restorative Dentistry
ORAL BACTERIA IN SECONDS –• Fungal infections
WITHOUT ANY SIDE EFFECTS.
upper arch
lower arch
PADTM uses a dilute aqueous solution
made from a medical grade tolonium chloride
powder (a vital stain) which selectively targets
and tags all bacteria. When the solution is
activated by red LED light (at 635nm) it releases
singlet oxygen which ruptures the cell walls
of the bacteria, killing these in seconds.
PADTM solution selectively eliminates all
types of bacteria and unlike other methods
of disinfection does not harm healthy host
tissue, stain restorations or soft tissue.
PADTM (high level disinfection) is
totally painless.
Photo-Activated Disinfection has been
successfully used in dentistry for several years
without adverse side effects or allergic reactions.
PADTM is easy to use. No special training
is required. Used as instructed, PADTM can
be relied on to eliminate bacteria improving
both short and longer term results.
TM
PAD ’ effectiveness as a high level disinfectant
is demonstrated in an extensive list of
peer reviewed publications including both
microbiological and clinical studies. Expert
international clinicians recommend its use.
Periodontics
Restorative Dentistry
Problem - Caries
The solution with PAD
Problem
The solution with PAD
Conventional treatment of caries lesions may
require more removal of tissue due to possible
bacterial contamination, becoming more dif?
cult
to remove as the pulp chamber is approached.
• Limits removal of dentine and facilitates
minimal restoration
• Preserves tooth structure
• Reduces risk of infection and
endodontic treatment
• Facilitates treatment of “deep” lesions up to
pulp chamber
• Supports natural remineralisation
• Promotes adoption of Atraumatic Restorative
Technique (ART) reducing use of drilling.
• Ideal for young children
Conventional cleaning and debridement of
periodontal pockets cannot ensure all bacteria
are removed so inflammation may reoccur
reducing successful outcome.
• Significant improvement in outcome when
used after conventional treatment
• Elimination of persistent lesions
• Reduces need for antibiotics
• No development of resistant bacterial species
• Helps preserve tissue
• Alternative to surgery
PAD
PHOTO ACTIVATED DISINFECTION
Before PAD
Periodontics Photography:
Dr. Marius Swanepoel
6 weeks after PAD
Implantology
Problem - Periimplantitis
The solution with PAD
Bacterial infection around an implant
increases mobility, reducing permanent
stability. This is difficult to treat in-situ.
PADTM high level disinfection can be used
prophylactically and for the treatment of more
severe infections.
Pre-op
Implantology
Radiographs:
Prof. Liviu Steier
Benefits
• Eliminates bacteria e.g. p gingivalis, left after
conventional prophylaxis improving rate of healing
• May limit use of antibiotics.
• Increases reliability in disinfection of root canals.
• Treats all types of caries, in all age groups.
• Treats all types of bacterial and fungal infections in
soft tissue.
• Allows minimally invasive treatment.
• Encourages remineralisation.
• Reduces bacterial load
assisting healing
• Restores stability and
improves integration
• Preserves integrity of sub
gingival structure
• Facilitates immediate
placement.
• Enhances natural
healing process
Post-op
“PADTM provides a means of reducing the extent
surgical interventions in dentistry.”
Prof. Gavin Pearson (United Kingdom)
• Continuous running even in the
longest treatment due to high
efficiency LED and permanent
power supply.
• Genuine practice builder.
• Low treatment cost
• Treatment welcomed by patients.
• Creates extra practice income.
• Pain free treatment.
“There is the impression of faster healing and
less post-operative pain after endodontic
treatment of apical periodontitis with PAD
Plus. scienti?c study is ongoing”
Professor Paul Lambrechts Dds. Mscd. Phd.
Catholic University Of Leuven
“PADTM is an effective alternative therapy
for disruption and destruction of
periodontal pathogens”
Tracey Lennemann,
International Dental Hygienist
Endodontics
Chart showing bacterial load in 25
canals at different stages.
Problem
Conventional mechanical
cleansing of canals e.g.
with sodium hypochlorite
or EDTA may remove
the bulk of the bacterial
load. However, bacterial
contamination of the dentine
wall and tubules will still
remain reducing successful
outcome and increasing
the possibility of repeated
periapical infection.
“Kömerik et al (2003) proved the lethal efficiency
of toluidine blue, used as photosensitizer,
against P. gingivalis.
Pagonis et al (2009) reasoned that the
antimicrobial efficiency of the photoactivated
disinfection is a promising adjunct to chemical
disinfection in endodontics.
Lima et al. (2009) eliminated bacteria
successfully from carious dentin.
TM
Our research group has been dealing with the PAD technology
a fairly long time. It has achieved excellent results. The potential of the
TM
PAD technology is extremely diverse which enables a better
and optimized disinfection in the ? elds of periodontics, endodontics,
implantology and restorative dentistry.”
Dr.med.dent. Liviu Steier (United Kingdom/Germany)
Specialist in Endodontics, Spezialist für Prothetik
Assoc. Clinical Professor, Vis. (multi) Professor
25
‘Initial’: load at start
20
The solution with PAD
• Penetrates dentine walls and to
bottom of canal reducing failures
• Can be used as adjunctive therapy
to facilitate one visit endodontics
• Reduces apical in?ammation
• Improves healing and outcome
‘After Prep’: load
after conventional
preparation
15
‘After PAD’: final load
10
PADTM improves
outcome by 20%
5
0
“It is known that endodontic success
rates are higher if the root canal system is
rendered bacteria free prior to obturation.
PAD has been shown to achieve this so why
not give every case the best possible chance
of a good outcome?”
Mr Steve Bonsor BDS(Hons) MSc FHEA
Bonsor S et al BDJ
2006 200:337-340
Initial
After Pre p
3 (Heavy infect)
2 (Medium infect)
After PAD
1 (Mild infect)
0 (No infect)
“with PAD, we obtain field of high level
disinfection throughout the root canal
without the potential risks inherent in the
use of hypochloride irrigations, and this is
achieved safely and comfortably for both the
patient and the clinician.”
Professor Professor Antoni J España Tost
University Of Barcelona, Spain
PB-GB-V1 08/10
Dealers Address
Orangedental GmbH & Co. KG
Aspachstr. 11, 88400 Biberach
Tel: (+49) 7351 / 474 99 - 0
Fax: (+49) 7351 / 474 99 - 44
E-Mail [email protected]