Let me take you on a journey an expedition if you will below the gumline or gingival margin. the entrance to the cavernous dark sulcus. As I begin my descent and the light begins to fade I turn on the headlamps of my nano (vehicle) of my submersable. I first encounter the motile carnivorous bacterial species that inhabit this environment. I approach the Great Wall of the cavern that is the cemental surface of the tooth and observe a frightening display they have joined in a battle group and a feeding unit united for one purpose seek and destroy. I turn my vehicle 180 degrees and look at the soft vulnerable epithelial barrier, the sulcular epithelium. The only barrier that keeps them from invading and ravaging the host organism. I watch their tactics hoping to find some measure of defense. Once colonized and organized into a feeding unit their first wave of their attack is biochemical warfare. They release toxins that kill the epithelial cellular soldiers. They are quickly overcome and perish bavely in the battle but the barrier is breached they have successfully invaded the host. I feel despair is their nothing that can stop the carnage. BUT wait I see thin nylon cylinders attacking the colony. a silken rope appears and adds reinforcement. Most of the colony has abandonded their base camp, and now a sharpened wooden device eliminates the last of their battle group. The epitheliar soldiers at the barrier gain recruits and the invasion is over for now. but i see the colony beginning to form again, and realize this is a never ending day to day battle.
Whoa ! I must have drifted for a moment, but I'm much better now. I remember I'm a Hyienist in Knoxville America. I'm teaching Comprehensive Self Care, subgingival disruption of biofilm. Yes ! that is how you must adapt the brush for sulcular cleaning, yes that's how you must adapt the floss for the submarginal convesities and the perio Aide for submarginal concavities. Mission accomplished. What's that Carol.........Yes, Next Patient !
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