# US 11,110,058 B2 · Periodontic treatment and method > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 11,110,058 B2 - Document ID: US11110058B2 - Status: Granted - Kind: B2 - Application number: 16/804,178 - Filed: 2020-02-28 - Published: 2020-06-25 - Granted: 2021-09-07 - Earliest claimed: 2016-11-18 - Applicants: Cutting Edge Technology, LLC - Inventors: Larry P. Bleier - Web page: https://patentgrep.com/patent/US11110058B2 ## CPC - A61K 6/52: Cleaning; Disinfecting - A61C 5/40: Implements for surgical treatment of the roots or nerves of the teeth; Nerve needles; Methods or instruments for medication of the roots - A61C 5/42: Files for root canals; Handgrips or guiding means therefor - A61K 6/69: Medicaments - A61K 9/0063: {Periodont} - A61K 9/06: Ointments; Bases therefor; {Other semi-solid forms, e.g. creams, sticks, gels (composition of ointments, creams or gels A61K47/00)} - A61K 31/327: Peroxy compounds, e.g. hydroperoxides, peroxides, peroxyacids - A61K 31/65: Tetracyclines - A61P 1/02: Stomatological preparations, e.g. drugs for caries, aphtae, periodontitis - A61K 9/08: Solutions {(composition of solutions A61K47/00)} - A61K: PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES (devices or methods specially adapted for bringing pharmaceutical products into particular physical or administering forms A61J3/00; chemical aspects of, or use of materials for deodorisation of air, for disinfection or sterilisation, or for bandages, dressings, absorbent pads or surgical articles A61L; soap compositions C11D) - A61C: DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE (non-driven toothbrushes A46B; {tongue scrapers A61B17/24;} preparations for dentistry A61K6/00; preparations for cleaning the teeth or mouth A61K8/00, A61Q11/00) - A61P: SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS ## Abstract Dental treatments and methods, including treating gum disease, using peroxide gel and a viscous antibacterial agent including tetracycline to chemically debride and curettage a treatment area. Treatments and methods include non-surgically scaling and root plaining the treatment area with dental tools such as periodontal scalers and/or curettes during the active period of the chemical debridement. The working surfaces of dental tools can be sharpened for optimal root and tooth surfacing during treatment. Treatment can include instructions for co-therapy by or on behalf of treatment subjects between visits and for maintenance care. ## Claims ### Claim 1 A method of root conditioning a root surface of a periodontitis-affected tooth of a subject in which the root surface is within a periodontal pocket, comprising: chemically debriding the root surface by applying a gel solution including a clinically effective amount of a peroxide and a clinically effective amount of tetracycline directly to the root surface with a manual dental instrument including a blade having a working edge with a surface roughness of 1 to 5 microns to chemically anesthetize the root surface; and mechanically debriding the root surface, while performing the step of chemically debriding, by manually root planing the root surface with the dental instrument such that the peroxide and the tetracycline chemically anesthetize the root surface while the mechanical debridement step is performed, the root planing including contacting the root surface that includes the gel solution directly with the working edge of the blade to curettage the root surface to form a root surface roughness of 1 to 5 microns. ### Claim 2 (depends on 1) The method of claim 1, wherein the gel solution is applied directly to the working edge of the blade of the dental instrument prior to application to the root surface. ### Claim 3 (depends on 2) The method of claim 2, further comprising forming the gel solution by mixing a tetracycline powder with a peroxide gel. ### Claim 4 (depends on 3) The method of claim 3, wherein the gel solution and the tetracycline are applied to the root surface of the periodontal pocket at the same time. ### Claim 5 (depends on 3) The method of claim 3, wherein the gel solution is applied a plurality of times to the root surface while the mechanical debridement is in process. ### Claim 6 (depends on 3) The method of claim 3, wherein the tetracycline powder is drawn with a wetted dental instrument to form a paste-like consistency of tetracycline prior to being applied to the root surface. ### Claim 7 (depends on 6) The method of claim 6, wherein the gel solution comprises at least 10% carbamide peroxide. ### Claim 8 (depends on 7) The method of claim 7, wherein the gel solution and the tetracycline are applied to the periodontal pocket at a depth of 5 to 10 millimeters. ### Claim 9 (depends on 8) The method of claim 8, wherein the dental instrument is selected from the group consisting of a periodontal probe, a periodontal curette and a periodontal scaler. ### Claim 10 (depends on 9) The method of claim 9, wherein the gel solution and the tetracycline are applied directly into the periodontal pocket with the dental instrument selected from the group consisting of a periodontal probe, a periodontal curette, and a periodontal scaler. ### Claim 11 (depends on 10) The method of claim 10, wherein the blade of the dental instrument includes no deformations and no wire edges. ### Claim 12 (depends on 11) The method of claim 11, wherein the working edge of the blade of the dental instrument is resharpened during debridement to 1 to 5 microns and to remove wire edges and deformations formed during debridement to maintain a functional working edge. ### Claim 13 (depends on 12) The method of claim 12, further comprising: flossing with the gel solution at least once daily by the subject; and gumbrushing with the gel solution at least once daily by the subject.