Caron Glickman DDS
General & Cosmetic Dental Spa, Modern Integrative Dentistry,
Duvall Dental & Smile Makeover
(425) 788-1551


New Hope When Conventional Therapy Failed

Dr. Caron Nelson Glickman and RDH Barbara Tritz from Duvall, WA received the Orkos Award for their case study demonstrating how bleeding on probing was effectively managed with prescription tray delivery of Perio Gel-H (1.7% hydrogen peroxide) for a patient with profuse bleeding and pockets up to 6mm.

This long-time patient practiced excellent oral hygiene and made regular perio maintenance visits, but when bleeding on probing increased in December 2009 the dental team became concerned and offered treatment using prescription Trays to deliver medication into his pockets. The patient agreed. After using the customized prescription trays for two weeks, six times a day, he returned to the office and a probing revealed that bleeding was significantly reduced.

Several of the deeper pockets (5-6mm) had begun to resolve, but a 6mm pocket remained. His microscopic slide results also improved; no spirochetes were present, while the rods and white blood cells had decreased in numbers by over 50%. After wearing his trays six times a day for the entire month, the patient returned again. According to Tritz, “the tissues looked fabulous with no plaque, no bleeding, stippled, pink and knife edge, and his microscopic slide was filled only with cocci. This is the best his tissues had ever looked,” she recalls.

Gum disease has been described by the US Surgeon General as a silent epidemic, affecting approximately 85 percent of American adults thirty-five and over. The disease starts with an inflammatory response to a bacterial infection in the gum tissue. Gum disease is not only the leading cause of adult tooth loss but has also been linked to heart disease, diabetes, upper respiratory disease and other inflammatory infections.

Once an individual is diagnosed with gum disease, the standard treatment available involves intensive cleaning of the teeth above and below the gum line, a repetitive practice (every 3 to 6 months) that often requires a local anesthetic. Severe cases may require surgery. Both options are understandably unpopular with patients, many of whom leave their disease untreated, perhaps because the disease is easy to ignore in the early stages.

Perio Protect offers a methodology designed to reduce the need for repetitive invasive procedures. The Method combines a customized tray delivery of medication below the gum line with professional cleaning procedures. It is important to clean below the gum line and deliver medication there because that is where bacterial communities thrive. The non-invasive prescription tray delivery of medication can be done by patients at home between office visits.

Dr. Glickman has been offering the Perio Protect Method® to her patients since January 2010.

Since opening her dental practice Dr. Glickman has remained passionate about minimally invasive periodontal therapies.

For the last 17 years Tritz has worked with Dr. Glickman as periodontal therapist.

Together they keep up with the most current dental research and the latest dental products and treatment programs.

The efforts of dental professionals like Glickman and Tritz are helping to increase awareness of gum disease and encourage patients to fight it. They are the first recipients of the Orkos Award. Additional information about the award and current award-winners can be found at the Orkos Award web site at To learn more about Perio Protect® visit