The Oral Mycobiome: How Fungi in Our Mouths Help or Hurt Us (Condensed Version)

Fungus is a normal, natural inhabitant of the oral microbiome. Candida is the most well-known oral fungus. Sometimes called “yeasts,” Candida lives in people’s mouths, intestines, and on their skin. One in two adults has Candida species living in their mouth.4 In small to moderate amounts, it is normal and does not cause a problem as long as the immune system is in good working order. However, Candida can get out of balance for people at risk. Certain factors make a person more likely to have Ca...
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How Do You Speak Testing? With Emily McCleary, RDH

Patient Bio: Your 54-year-old female patient of record has been absent from your practice for 5 years. At the last appointment in 2018, this patient was going through a divorce, and it was recommended that the patient receive periodontal therapy. Now, the patient is emotionally and physically ready to address any concerns as she is caretaker for her mother who has Alzheimer’s. She is taking medication for blood pressure and fluctuating hormones. She does express an occasional bout of brain fog. ...
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Active Periodontal Disease with Multiple Medical Complications

Challenge: A patient with Multiple Sclerosis (MS) and active periodontal disease, most recently was diagnosed with Type II diabetes, will receive periodontal therapy. Currently, proper home care is limited to the physical difficulties of MS. Background: A 58-year-old female presented on 4/17/2018 with a chief complaint of xerostomia and physical difficulties challenging a proper home care regimen. Due to living with MS for several years, the patient has partial left-side paralysis resulti...
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Patient with Chronic Gingivitis & Oral Candida

Challenge: Patient presented with chronic gingivitis and oral Candida symptoms Background: A 64-year-old female sought treatment from a medical doctor for a “thrush-like” infection. The medical doctor then referred the patient to an ENT. However, this patient was already of our record and decided to start with our office. The chief complaint is a “thrush-like” infection in the mouth, throat and lips. The clinical assessment confirmed generalized white patches. Upon periodontal assessment,...
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Oral Health and Leaky Gut: The Surprising Connections

Helping dental professionals recognize the interconnectedness between oral health, the gastrointestinal (GI) system, and overall wellness is my passion. As dental clinicians, it’s imperative to understand these connections because what happens in the mouth doesn’t stay in the mouth. Numerous health issues can be detected by educated and observant dental professionals—thus alerting patients to avoidable negative health consequences down the road. Does bad oral health affect the rest of the...
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