MyPerioPath® Antibiotic Option

MyPerioPath® results provide guidance to the health care provider regarding the bacterial cause to a patient’s periodontal disease and/or risk of complicating other systemic diseases such as cardiovascular disease1, diabetes2, certain cancers3, brain health4, musculoskeletal health5, and pregnancy outcomes6. The health care provider will consider several modes of therapy to help address the pathogenic bacteria and the following therapy will conduct a post-therapy test to objectively measure ...
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Where Do I Start?

When health care professionals finish their schooling, they take a professional oath before beginning the practice of their chosen field. The words in each oath may be different, but the premise is the same. For example, in the dental hygiene oath, there is a pledge to continually improve my professional knowledge and skills and to uphold the highest standards. I worked in private practice dental hygiene for 7 years and through continuing education seminars, I realized I was not stepping ...
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Critical Thinking: The Systemic Antibiotic Option

The MyPerioPath® test provides a wide variety of valuable information for the clinician to consider in the care of their patients. In one example, the Treatment Consideration section of the report provides a recommendation for a regimen of oral antibiotics when the test results show bacteria levels greater than the black lines, called the therapeutic threshold.  Where did this recommendation come from?  This choice of drug, along with the recommended doses, are based on published research of...
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To Threshold or Not to Threshold

OralDNA® providers frequently comment that some patients will say “I am below those black lines so I must be okay.” To help overcome this obstacle, the MyPerioPath® results have an option to display the threshold lines (black lines) or have them removed. There are benefits to both versions. This blog will provide sample verbiage a clinician can use both when the thresholds are present and when the thresholds are removed. To serve as a refresher and from a previous blog “What is the Therap...
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What is the Therapeutic Threshold?

In a previous blog, Salivary Diagnostics—Your Molecular X-ray, I introduced the concept of using salivary diagnostics to provide objective understanding to the clinical signs observed with periodontal disease. Once a saliva specimen is analyzed and the results released, the clinician must correlate the lab results to the clinical signs, and decide the next steps for treatment. One feature of the MyPerioPath® test report is the “Therapeutic Thresholds”, displayed as black lines overlying the ...
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Salivary Diagnostics: Your Molecular X-Ray

According to Merriam-Webster, one of the definitions of technology is a manner of accomplishing a task especially using technical processes, methods, or knowledge. This definition rings true for the introduction of clinical laboratory testing for the health care professions. It was noted in research by the NIH, “…it was not until 1896 that the first clinical laboratory was opened, a twelve-foot-by-twelve-foot room equipped at a cost of $50 at Johns Hopkins Hospital.”1 So for over a century, ...
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Genetic Testing with OralDNA® Labs

Genetic testing refers to the analysis of human DNA, and has become commonplace in the practice of medicine. According to the National Institute of Health, in the future “genetic testing will be an important part of health care for many individuals…we will live in a time of more effective ‘personalized medicine’. Information from genetic testing will help to detect risk for disease, guide strategies for maintaining health, offer more accurate diagnosis, and guide treatment choices for a wide...
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Patient Communication is Essential for Patient Acceptance

As a dental hygienist in Minnesota, I complete a professional portfolio to maintain my license. One of the core competencies is Patient Communication. As healthcare professionals we guide patients to better health through communicating therapy needs, providing the latest education and motivating patient self-care. Salivary diagnostics allows the clinician to have an objective measurement provided by a credentialed clinical laboratory. However, before the clinician and patient can benefit fro...
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When to Administer the Systemic Antibiotic…..

The use of systemic antibiotics as an adjunct to periodontal disease have been utilized for decades1. With the emergence of systemic antibiotic stewardship, a responsible approach to administering a systemic antibiotic with periodontal care is warranted. The overall “cocktail” approach-selecting a systemic antibiotic to blanket everything-could be contributing to rise in antibiotic resistance. However, a systematic approach of testing and utilizing an evidence based recommendation helps you ...
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The Puzzle of Periodontal Disease

As children, we are constantly exploring to see how things work. We are given books to explore what others have learned and puzzles help us to see how things fit together. As a dental hygienist, I use the puzzle analogy often when referring to periodontal disease. As oral health care professionals, we are trying to put pieces together to resolve or at minimum reduce the patient’s inflammation. To do so in a timely manner, we need to know as many of the pieces as possible. We all know the fru...
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