Kill ‘em Quick, Dead, and Often

Posted on October 12, 2015

October 8, 2015 - LVI Clinical Instructor Dr. Jim McCreight and Tanya Dunlap, Managing Director at Perio Protect LLC, team up at a conference held at the Las Vegas Institute on Friday, October 23 to present the course Kill 'em Quick, Dead, and Often.

The title reflects the overriding problem for many patients in periodontal therapy. Oral biofilms reform just hours after patients leave the hygiene chair. Toothbrush, rinse, and floss just don't get deep enough below the gums. Patients need an easy way to manage the pathogenic bacteria below the gums on a regular basis.

Prescription tray delivery of antimicrobials into periodontal pockets can help. The most extensively tested antimicrobial is 1.7% hydrogen peroxide gel. "The research supporting the use of peroxide is significant," explains Dunlap, "because hydrogen peroxide overcomes many of the limitations of antibiotic therapy. The trick of course is how to get the medication deep into the pockets, that's why the Perio Tray® is important."

A Perio Tray by Perio Protect has an internal peripheral seal corresponding to pocket probing depth scores. It is custom made for each patient to deliver and maintain medication in the pocket long enough to have therapeutic effect. "I'll review the clinical trials and microbiological data," says Dunlap, "but Jim gets the exciting part, a presentation of the real-world results he's documented with the trays for his own patients."

"I'm super excited to be able to share these results with my colleagues," says McCreight." We've had great success for many different kinds of patients, including those who continue to struggle after periodontal therapy, who refuse surgery, or who even refuse scaling. It's so rewarding to have options that help patients."

The course is open to all attendees of the IAPA meeting, and all attendees of the presentation will have the option to become Perio Protect providers following the course. They do not need to complete additional training, although doctors and teams are encouraged to attend together for seamless implementation. "The goal," McCreight explains, "is to provide the scientific and practical information for an office to get started immediately after the conference."

The conference celebrates 20 years of continuing education for the Las Vegas Institute. For descriptions of current LVI programs, visit More information on the International Association of Physiologic Aesthetics (IAPA) and the upcoming conference is available at For more information on Jim McCreight's practice, see Detailed information about prescription tray delivery is available at


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