AAP Classifications Simplified: Part 2

Last week, establishing a stage for your patient was highlighted. Click HERE to review. Once you have established the stage of your patient, the grade needs to be determined. The three grades are A, B or C. The grade indicates the speed of progression and the quality of treatment response. In order to establish the grade, there are 3 factors to consider: Direct evidence – Evidence of bone loss over the past 5 years. (You may not have access to previous records, but this highlights the v...
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AAP Classifications Simplified: Part 1

How the heck are we supposed to implement the new American Academy of Periodontology (AAP) Staging and Grading Periodontitis classifications into practice?  This new system seems so complicated, right??  Actually, it can be simplified and once that is done, the new system is extremely valuable!  As hygienists, we know that periodontal disease is multifactorial.  It is affected by systemic health, habits, occlusion, and more.  We know that it is just as much about the host response as it is abo...
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Interview with Brooke Armour, RDH

Dr McGlennen: Tell me how you use OralDNA® salivary diagnostics. Brooke RDH: I use OralDNA® salivary diagnostics to test new patients, patients that have clinical signs of periodontal disease, or patients with a complex medical history. Dr McGlennen: What are the biggest benefits to using salivary diagnostics? Brooke RDH: The benefits of salivary diagnostics are being able to quantify periodontal disease, having something to physically show the patient about their periodontal diseas...
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How do you speak Pregnancy and Periodontal Disease with your patients?

Dr McGlennen: The oral microbiota changes when women become pregnant, and levels of periodontal pathogens increase1. During pregnancy, periodontal inflammation worsens, mostly due to increased levels of A.a., P.g., F.n. and P.i.2. Among these oral pathogens, there is a marked risk of infection of the maternal blood and the placenta, which leads to an increase in pre-term labor, lower birth weight and even the chance of fetal loss due specifically to the bacteria P.g. and F.n.3,4. Further, the ...
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Interview with the Searcy Dental Team

Dr. McGlennen: Please tell me how you use OralDNA® salivary diagnostics in your practice. Searcy Dental team:  We use salivary diagnostics as standard protocol in our periodontal therapy program, especially MyPerioPath®. These results help us, and patients, understand exactly which pathogens are present and at what levels.  When a patient has responded to our applied therapy, we are able to measure the amazing results by post treatment testing. Dr. McGlennen: What are the top two thing...
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Soft Tissue Program with a Microscope & MyPerioPath®

As with most dental practices we have a soft tissue program in place to help treat periodontal disease as well as gingivitis. We use the traditional x-rays and periodontal probing exams that allow us to assess periodontal damage that has already occurred within the soft tissues and bone. We have also implemented a new type of exam that can show us bacteria that is present in the gum tissues. Our team recently received training on the use of a microscope and Dr. Hawkins decided to purchase...
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Case Study: Periodontal Disease and Cardiovascular Disease

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...
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American Academy of Oral Medicine: The Past, The Present, and The Future

On April 29-May 2, 2020, the American Academy of Oral Medicine (AAOM) celebrates its 75th annual meeting in Orlando, Florida. The theme of our meeting is “Oral Medicine: The Past, The Present, and The Future.” In 1945, “The Past,” Dr. Samuel Charles Miller founded the academy with a keen intent to integrate dental and medical issues. This inspiration has formed a strong foundation, “The Present,” that over the years, through education, collaboration, and research, has set standards for mana...
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How do you speak Dementia/Brain Health and Periodontal Disease with your patients?

Dr McGlennen: Concerning dementia and brain health, recent medical studies point to poor oral health, and high levels of the bacteria in our gums with the increased risk to develop Alzheimer’s and other types of dementia1-3. Specifically, there is now evidence of the oral pathogen, Porphyromonas gingivalis (Pg), present in brain tissue and cerebrospinal fluid and it may be involved with the production of the abnormal proteins that are characteristic of Alzheimer’s disease4.  Additionally, th...
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Interview with Ryan McWhorter, MD

Dr. McGlennen: Please explain how you use OralDNA® salivary diagnostics in your functional medicine practice. Ryan McWhorter MD:  I use OralDNA® Labs’ MyPerioPath® test when I suspect or know there are sources of inflammation. The lab results are part of the evaluation for coronary heart disease treatment, joint problems, cancer support, autoimmune reversal or problems in women's pelvic health, fertility or miscarriages. Dr. McGlennen: What is your primary consideration when selecting ...
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