handheld Nomad Pro 2 and the wall-mounted Heliodent

Plus using a maxillofacial phantom. Results showed

comparable quality across anterior teeth, premolars, molars,

and bitewing

specifically centering and angulation accuracy between the

Nomad Pro 2 and a wall-mounted unit using a phantom.

Findings revealed that the wall-mounted device produced

significantly better centering (horizontal and vertical), while

the Nomad Pro 2 achieved significantly better

perpendicularity (angulation) in both axes (p < 0.001)

exposure to operators and patients using the Nomad Pro 2

and other handheld devices. Thermoluminescent dosimeters

placed on a mannequin captured doses to sensitive organs

(eyes, thyroid, gonads, hands, etc.). The Nomad Pro 2 showed

doses within safety limits, and use of protective measures

(like shielding) reduced exposure by 11%–93%, depending on

body region (p < 0.05) .

• portiliably

• improve work flow

• high quality of images

Disadvantages

• higher exposure risk

• costly

• operator exhaustion

Most U.S. retailers list the unit between $2,500 and $3,000, which usually covers the device, charger, and

standard accessories. Some distributors advertise higher bundled prices, reaching $6,000 to $7,000,

especially when additional features, warranties, or veterinary models are included. On the lower end,

international suppliers may offer units for $1,200 to $2,000, although shipping costs, taxes, and limited

warranty coverage often make these options less practical for dental offices in North America. While the

Nomad Pro 2 requires a larger upfront investment than many wall-mounted X-ray units, its portability,

flexibility, and ability to serve patients in diverse settings often make the cost justifiable.

• easy to use

• pateint comforablilty

• shorter wait time than traditional impressions

• more accurate than impressions

disadvantages:

• costly

• routinely maintenance needed

• heavy and big

complicated results that need understanding, that can be hard for a patient

limited testing types

inconsistent sampling

How To:

The patient will swish and gargle sterile saline for 30 seconds and spit it back into a tube, and send it to an oral testing lab, and will receive results within 2 weeks.

Advantages

• Reduce gingival inflammation and bleeding more effectively than floss in some cases.

• Helpful for patients with implants, orthodontic appliances, bridges, or dexterity issues.

• Easy and well-tolerated by most patients.

• Can deliver antimicrobial solutions (e.g., chlorhexidine) directly to gingival pockets.

Disadvantages

• Evidence on plaque removal is mixed not always superior to floss.

• Some studies show inconsistent results, especially in orthodontic patients.

• Cost and need for electricity/water make them less convenient than floss.

• Lack of strong long-term evidence compared to traditional methods.

1. Fill the reservoir with lukewarm water (or mouthrinse if recommended).

2. Select a tip and attach it to the handle.

3. Place the tip in your mouth, leaning over the sink.

4. Turn on the device and close your lips slightly to avoid splashing.

5. Aim the water stream at the gumline and between teeth, moving slowly tooth by tooth.

6. Empty the reservoir, then rinse and dry the device after use.

• better sleep

• improved orthodontic outcomes

• better breathing

• less tension

disadvantages

• require consistency

• not much evidence

• lack of insurance coverage, making it pricey

• tongue clicks

• tongue pressing

Breathing exercises:

• deep nasal breathing

• ballon breathing

  
  

- also doing lip and cheek massages can be a simple way of creating simple habits to better occlusion

Orofacial myofunctional therapy (OMT) was tested in adults with obstructive sleep apnea using a 12-week exercise program guided by a therapist. Participants reported improved sleep quality and daytime function, but adherence varied widely. Common barriers included the fixed protocol, difficulty with exercises, and diary burden, while motivators included therapist support and belief in health benefits. The study concludes that OMT may improve symptoms, but success depends heavily on adherence and supportive guidance.

Advantages

• Helps detect lesions not visible under white light.

• Quick, painless, and non-invasive.

• Guides biopsy site selection and surgical margins.

• Useful for patient education and follow-up monitoring.

Disadvantages

• Cannot confirm diagnosis (needs biopsy).

• Low specificity (many false positives).

• Requires training and interpretation.

• Costly and not always covered by insurance.

Cost

• VELscope unit: $3,000–7,000 (depending on model).

• Disposables: ≈ $2–3 per patient.

• Patient fee (if charged): $10–65, avg. ~$35.

How to Use

1. Dim lights, give protective eyewear.

2. Do a normal oral exam first.

3. Shine VELscope blue light—healthy tissue glows green, abnormal looks dark.

4. Record findings, recheck or biopsy if suspicious.

• improving diagnosis

• efficient

• personalizing treatment

• improving patient experience

disadvantages:

• expensive

• data security

• information quality issues

• used in X-rays to dectect bone loss and caries

• used to note probing scores

• making a personalized treatment plan

• Recording notes while the hygienist is talking to the patient to improve time management

• oral cancer and lesion detection

• improves pateints communication

• improves patient education

• increase accessibility for low-income communities

disadvantages:

• lack of hands on care

• diagnostic limitations

• technoglie barriers

• Provides real-time subgingival visualization of calculus, root surface, and pocket anatomy.

• Can improve detection and removal of residual calculus and biofilm.

• May reduce the need for surgical access in some cases.

• Enhances precision during nonsurgical periodontal therapy.

• Useful in managing deep pockets and around implants (peri-implantitis).

  
  

  Disadvantages:

• Requires longer treatment time compared to conventional scaling.

• High cost of equipment and training.

• Learning curve for clinicians; requires specialized training.

• Evidence shows limited additional clinical benefit (PD and CAL improvements may not be significantly better than conventional SRP).

• Equipment can be fragile and needs careful maintenance.

• comfort

• convenient for patients

• easier to maintain good hygiene

disadvantages:

• costly

• require the patient to wear them consistently for 20-22 hours every day

• needs to be cleaned regularly