Notice the tissue ulcerations,      inflammation, bleeding, etc on this 21-year-     old emergency patient.

Immediate goal is to provide relief from pain and then debride the area. ORA5 antibacterial agent stops pain while it kills bacteria. Placement of ORA5 is achieved via the Medical Placement Instrument as illustrated below. 

ORA5 topical antibacterial agent stops pain of ulcerated areas by creating a psuedomembrane over the tender, exposed connective tissue. 

The bluish color changes indicate where the ORA5 is coagulating connective tissue, plaque and blood. The ulcerated areas are no longer painful. This allows for pain-free debridement as seen in the next picture.

The scaling instrument is dipped in a dappen dish of ORA5 and cotton pledgets. This process contains the blood in the dappen dish and allows for the continued delivery of the pain-killing, antibacterial agent.

   Bloody Instrument

 Clean instrument leaving blood in dappen dish.

Full mouth, pain-free debridement was achieved on the emergency appointment.  Patient was rescheduled for a complete comprehensive examination.