How Do You Speak Testing? With Karina Diaz, BASDH, CRDH

Posted on August 25, 2023August 24, 2023 by Karina Diaz BASDH, CRDH

Patient Bio: A new patient, female, age 41 appointed to your practice. Upon medical history review, she is currently not taking any medications, only nutritional supplements recommended by her dietician. Her family history revealed her father has cardiovascular disease and sister has Type 2 diabetes. Completing the periodontal assessment identified: How would you introduce therapy including MyPerioPath® to this patient? (Patient) we understand that the health of our mouths and the heal...

How Do You Speak Testing? With Yemia White RDH

Posted on February 3, 2023January 19, 2023 by Yemia White BSDH RDH

Patient Bio: Your new male patient, age 45, presents with the below findings. He has smoked 1 pack per day for the past 25 years. Upon medical history review you discover his blood pressure and cholesterol are being controlled by medication. He confides that his father passed away at age 53. How would you introduce therapy including MyPerioPath® to this patient? Mr. Smith, thank you for allowing us to collect pertinent information for your comprehensive oral health assessment. May I ...

Everyone Has a Story

Posted on May 27, 2022May 26, 2022 by Kriston Reisnour RDH, BSDH, CCSH, COMS

Every patient that sits in your dental chair has a story. All stories have a beginning, middle, and end, as does life. We have the wonderful opportunity to help our patients be able to live a long and productive one. Jumping to the middle of my story, my mom died at the age of 58 and my dad at age 60, both from end stage vascular diseases. They didn’t get a chance to enjoy their children into their adult years, get time with their grandchildren, or even meet their great grandchildren. I, like ma...

How Do You Speak Testing? With Rosse Lustina RDH

Posted on November 12, 2021December 6, 2021 by Rosse Lustina RDH

Patient Bio: Mr. Joe Doe is 64 years old and has been a patient of record for 25 years. He complies with 3-month periodontal maintenance since his active therapy 5 years ago. His home care consists of brushing with an electric toothbrush in the evening and flossing 5x/week. He takes a blood pressure medication and several for cholesterol. His deceased father had cardiac bypass surgery at age 67. How would you introduce therapy including MyPerioPath® to this patient? First, following t...

How Do you Speak Testing? With Becky Comstedt RDH

Posted on July 30, 2021July 16, 2021 by Becky Comstedt RDH, BS

“How Do You Speak Testing” provides insight into how to talk with your patients about optimal care. The guest author has been given a fictitious patient with background information and clinical signs along with a randomly selected test result(s). The guest author will share their expertise in communicating OralDNA® Labs testing with patients. Hypothetical Patient Bio: An 82-year-old female patient has been seeing you for periodontal maintenance. She has cardiovascular disease, takes lisinopri...

Case Study: Periodontal Disease and Cardiovascular Disease

Posted on February 21, 2020May 20, 2021 by Shawn Perla RDH

Challenge: A new patient who has neglected dental care for 20 years with a chief complaint of broken teeth and bleeding gums appoints to address his dental concerns. Background: A 70-year-old male patient with broken teeth and bleeding gums appoints to our office. His last dental visit was estimated to be 20 years ago. Surprisingly the patient was not experiencing dental pain. The periodontal assessment revealed generalized 4-6 mm pockets with localized 7-9 mm pockets, inflamed and bulbo...

How do you speak Cardiovascular Disease and Periodontal Disease to your patients?

Posted on October 4, 2019May 20, 2021 by Barb McClatchie DDS

Dr. McGlennen: There is consensus within the medical and dental community that periodontal bacteria contribute to the initiation, progression and prognosis of cardiovascular disease. From key studies, including prospective, retrospective and even meta-analysis studies, persons with untreated periodontal infections have up to a 20% increase in their risk of coronary vascular disease.1 The multiple of risk for stroke (1.74-2.85 fold) and peripheral vascular disease (1.41-2.27 fold) is equal or...

30 Years of Periodontal Maintenance with Relapse and Cardiovascular Complications

Posted on February 15, 2019May 20, 2021 by Kendra Linders RDH

Challenge: After decades of periodontal stability, the patient presented with a rapid advancement of pocketing and inflammation over a period of only 9 months. Background: A 60-year-old male maintaining periodontal health for over 30 years started to relapse. Upon periodontal assessment, there were increasing pockets throughout, especially around an implant, of 9mm. The gingiva was generally medium pink with rolled margins and spongy, erythematous papilla with isolated severe inflammatio...

Rethinking the Dental Examination

Posted on November 9, 2018May 20, 2021 by Susan Maples DDS

It’s 2018 and I am dumbfounded by the number of adult new patient appointments that begin in the hygiene chair. We all recognize this is an ‘old school’ practice, but maybe we still secretly believe it’s the right thing to do for our patient. Maybe we somehow believe it’s financially beneficial to the practice. Neither of these could be further from the truth. The dental examination of today is all about the patient of today. From a health standpoint, the patient of today is more complica...

Causality– It Was Only a Matter of Time

Posted on August 31, 2018May 19, 2021 by Richard H. Nagelberg, DDS

Trends in Salivary Testing Throwback: We as dental professionals have a significant role in combating the number one cause of death: cardiovascular disease. “High-risk periodontal pathogens contribute to the pathogenesis of atherosclerosis” is a powerful piece and I recommend you read it. There is scientific evidence that [periodontal disease] PD caused by the high-risk pathogens can influence the pathogenesis triad in an adverse manner. With this appreciation, it is reasonable to stat...