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Application of wound dressings in dentistry.
One of the most common uses of Neoplug is for molar extractions. You can insert one or more for hemostatic control. NeoTape and NeoCote are often used in palatal wounds or oral abscesses. They can also be used on top of a membrane as an external covering, on burns or periosteal defects.
Can Neoplug replace a membrane when using a flap procedure?
Many articles have discussed the use of a collagen plug, such as NeoPlug, during ridge preservation procedures. The authors conclude that sufficient short term coverage and protection is achieved provided that there is sufficient thickness and quality of the buccal bone. Extraction sockets with good quality bony walls (typically referred to as a 5 walled socket) show the best results for collagen plug use.
As soon as any bony wall is compromised (thin or missing), then a membrane is recommended for long term protection and containment of the graft material such as Raptos Allograft particulates.
Intended use of the Dorma 99 respirator mask
The Dorma 99 respirator is intended to be worn by healthcare professionals to provide respiratory protection from the transfer of microorganisms, body fluids, and particulate material.
Can a wound dressing replace a dental membrane?
Wound dressings (NeoTape, NeoCote, NeoPlug) are not meant to be used as membranes as they are too porous.
They do not act as a barrier and are resorbed within 1 to 2 weeks.
Composition of the Monoglyc™ suture.
Monoglyc™ is a sterile synthetic absorbable monofilament surgical suture produced from a copolymer of glycolic acid and e-caprolactone.
e-Caprolactone or simply caprolactone is a lactone possessing a seven-membered ring. Its name is derived from caproic acid. This colorless liquid is miscible with most organic solvents and water. It was once produced on a large scale as a precursor to caprolactam.
Monoglyc™ Product Overview
Monoglyc's tensile strength versus absorption/resorption time.
One place references "Maintains 50% tensile strength for 14-28 days" another says "Absorbable in approximately 4 weeks (5/0)" and yet another states "Absorption is fully complete in approximately 90 days". Clinically, what does all of this mean?
The 90 days time frame is for the Monoglyc suture material to be 100% absorbed by the body so that there is no trace of the suture material.
The 4-week time frame is for the strength of the suture material to be sufficient to keep the flap closed without tension before it disintegrates further.
The 14-28 days time frame is the time that the suture retains 50% of its tensile strength.
- 90 days - 100 % absorption
- 4 weeks - enough strength to keep flap and incision line stable
- 14-28 days - the range of time depending on the suture size
Did you know?
The Monoglyc sutures will absorb in five weeks for the 4.0, four weeks for the 5.0, and three weeks for the 6.0.
Finding the right fit for your Dorma 99.
Most people will fit the medium Dorma 99. Fit tests were performed on users with a wide range of face shapes and sizes, and the medium size passed for all of the sizes on the NIOSH face panel (1-10). Thanks to its flexible lip, the medium is the best size for about 70% of the North American population. The small and large sizes will allow for added comfort for those who fall on either end of the NIOSH panel; small for sizes 1-3, and large for sizes 8-10.
Do I have to change the filter?
No, the Dorma 99 filter does not need to be changed or replaced. The Dorma 99 respirator has an integrated filter which can be decontaminated and sterilized, unlike other masks on the market. To reuse your respirator, simply clean it according to the User Instructions
Did you know?
The Dorma?99 may be sterilized in an autoclave up to 20 times, decontaminated using a 30% hydrogen peroxide solution up to 30 times, or decontaminated in a Clean Flow Healthcare Mini up to 50 times.
Comparing the Dorma 99 to a N99 mask
The Dorma 99 respirator (or 99PFE-L3 respirator) is equivalent to an N99 mask. Both masks can filter at least 99% of non-toxic airborne particles. As with the N95 mask, they are not efficient against oil-based pollutants, but they do offer a higher rate of particulate filtration.
Benefits of Monoglyc™ vs non-resorbable PTFE sutures.
For those who are used to PTFE sutures, sometimes if the suture is left in for a prolonged period, it tends to get buried, making it difficult to retrieve.
On the other hand, Monoglyc™ will last quite some time because it is 100% resorbable and has added PCL polymer although you do not have to worry about having to remove the suture.
Dental procedures in which NeoCote or NeoTape can be used.
This will depend on the clinician, patient requirements and what they are trying to accomplish; some doctors will use them interchangeably.
We recommend that NeoTape be used in the following procedures: covering a palatal donor site covering suture sites placing over burn sites as a soft cover The thin tape-like design helps in areas that require a more intricate procedural covering.
We recommend that NeoCote be used in the following circumstances: covering Periodontal surgical wounds dealing with and covering oral ulcers, either non-infected or viral Dealing with denture sores as a cover under the overriding denture the thicker NeoCote, with its spongier shape, helps protect soft tissue better in some cases than NeoTape.
Features & Benefits
Features of Monoglyc™ sutures that minimize tissue damage.
The Monoglyc™ suture glides smoothly through the tissue because of the single strand monofilament construction aided by the super sharp needles.
Tissue trauma from suturing is virtually non existent with Monoglyc™, and the monofilament structure prevents bacterial wicking. Monoglyc™ smooth surface provides excellent handling properties, combined with the sharp and high quality needle allow for atraumatic passage through tissue.
Characteristics of Monoglyc™ sutures.
- Monoglyc™ is dissolved by the body’s own processes.
- No foreign material remains in the body
- No removal is necessary - Absorbable in approximately 4 weeks (5/0)
- Smooth Surface
- Little tissue damage
- No bacterial accumulation and no plaque buildup
- No capillarity (volume of fluid absorbed along the suture line)
The importance of no memory with the Biotex™ sutures.
Because it has no memory, the Biotex™ suture can be removed from the package without coiling, keeping the suture straight. Less handling allows the surgeon to focus on getting a nice clean suture line, to prevent sutures from tangling when they are pulled through the tissue.
Definition of "99PFE" in the Dorma 99 mask description
A 99PFE respirator is a filtering facepiece respirator (FFR) designed to protect the wearer from harmful airborne contaminants. There are several types of filtering masks used as part of personal protective equipment (PPE) in health care, industrial or commercial environments.
Filter masks are designed to protect the user against inhalation of small particles or aerosols, including infectious particles. Respirators are categorized according to their level of filtration and are labeled “95PFE”, “99PFE” or “100PFE”. These are equivalent to N95, N99, and N100 masks, respectively.
“99PFE” indicates greater than or equal to 99% particulate filter efficiency. This rating may be paired with “-L1,” -L2,” or “-L3” to indicate that it is a surgical respirator. “99PFE-L3” means that the respirator offers at least 99% filtration efficiency, and level 3 surgical masks protection (fluid resistance, bacterial efficiency, etc.).
Dorma 99 storage instructions
Before use, store the Dorma 99 respirator in its original packaging, away from contaminated areas, dust, sunlight, extreme temperatures, excessive moisture and damaging chemicals.
Dorma 99 donning and seal check instructions
To put on the Dorma 99 respirator, cup the respirator in your hand, with the nosepiece at your fingertips, allowing the head strap to hang freely below your hand (Fig 1). With the nosepiece up, place the respirator over your nose and mouth. Make sure that the respirator rests on the nose. The bottom part of the respirator should be placed between the lower lip and under the chin, depending on the length of the user’s face. Pull the top strap over your head, resting it high at the top of the back of your head (Fig 2). Then adjust the strap length through the eyelets so that the respirator comfortably covers both your mouth and nose (Fig 3). Fasten the clips behind your neck (Fig 4) and pull the loose strap ends to tighten to an appropriate tension (Fig 5).
A seal check must be performed each time the respirator is put on. Use one or both hands to completely cover the respirator filter, and exhale (Fig 6). The respirator should budge slightly. If air leaks at the respirator edges, reposition the respirator on face and/or readjust tension of head strap to eliminate the leakage (Fig 7). Once the seal check is successful, the respirator is ready for use (Fig 8).
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For further details, read the Donning Instructions
Recommended Dorma 99 wearing time
Dorma Filtration recommends a maximum time frame of 4-6 hours to sustain comfort and breathability.
DO NOT use the Dorma 99 respirator continuously for more than 8 hours. In heavily contaminated or humid environments the respirator may reach its filtration load more rapidly.
The user must be aware of the respirator’s filter load throughout use. If breathing becomes difficult, immediately leave the contaminated area and don a new/clean Dorma 99 respirator.
Dorma 99 optimal usage
Dorma Filtration does not recommend this respirator for use with beards or other facial hair that prevents direct contact between the face and the sealing surface of the respirator.