CYCLORINSE(Dyclonine 1%)

TO BUILD A MORE CARING PRACTICE

Cyclone, a Real Pearl By Dr. David S. Kang, DDS*

Not too long ago, a pharmacist friend of mine asked me if I had ever heard of cyclone. When I told him I hadn't, he referred me to an article that he had read regarding cyclone, a topical anesthetic rinse that has numerous applications in dentistry. Cyclone (also known as Cyclonine, Dyclone, or Dyclonine) is only available through pharmacies that have compounding capabilities. It is distributed as a rinse which provides temporary anesthesia to gingival and palatal soft tissues. With a quick google search, I was able to find a local pharmacy that could compound cyclone so I ordered a bottle**.

As dentists, how many times on a daily basis are we faced with the dilemma of whether or not to numb a patient for a "light" cleaning? How many times has a patient told you he or she was numb for two hours after their twenty minute visit? How many times have you regret not numbing a patient once you began the procedure? You get the point. These days, we use the cyclonine rinse for our patients on a daily basis. It's great for debridements, periodontal probing, and even for taking digital x-rays to minimize the discomfort of the bulky digital sensors. It can also be used prior to impression taking to suppress the gag reflex and to make tray sizing more bearable. Just the other day, I used cyclonine rinse for suture removal on tender gingival tissue for a post-operative third molar extraction patient. Given the choice between a needle or a quick rinse for light anesthesia of soft tissue, I'm certain every patient would choose the rinse!

In our office, we use the disposable 30ml graduated measuring cups, fill it about 3/4 full, and instruct our patients to rinse for about a minute. For those patients who have a sensitive gag reflex, make sure to tell them to get the rinse all the way to the back of their throats. I have found one 480ml bottle will give between 15-20 doses. Its onset is about 3-10 minutes and effects of anesthesia are about an hour. The benefits so far have far outweighed the cost. It's a fantastic conversation piece with the patients, and it's become an added amenity that really separates us from every other Dentist in town. We've had plenty of patients who've requested the rinse for their light cleanings because their friends/relatives told them about it.

Cyclone has turn out to be a real pearl for our practice and a wonderful practice builder. I've recommended it to our periodontist, orthodontist, and hygienists. For any dentist out there wishing to provide his or her patients with a better and more pleasant dental experience, I recommend incorporating cyclone topical anesthetic rinse into every day practice.

*Dr. Kang is a published co-author and has over 14 years of clinical experience. He is currently in private practice in Anaheim, California.

About Cyclorinse

Cyclorinse is available in mint flavor and standard bottle size of 16 ounces (480ml) which will provide 21 doses (about $3 per dose).

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CONTRAINDICATIONS:
Any patient with a known sensitivity to local anesthetics of the amide type. (Allergic reactions of the amide type are very rare) or pera-aminobenzoic acid. Use with caution in patients with hepatic disease since metabolism takes place in the liver.

Action:
Lactating mothers- small quantities may be excreted in breast milk, but in minute quantities with generally no risk of affecting the infant at therapeutic doses. Pregnancy- no reports of disturbance in reproductions or increased malformations.

Adverse reactions:
Drowsiness following applications is usually a sign of high plasma levels. Symptoms of over dosage mainly originate in the central nervous and cardiovascular systems and should be treated as such.

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