Case Study

When a “Hopeless” Tooth Isn’t Hopeless

Posted on by Lee Sheldon DMD PA
A 45-year-old woman arrived in our office in significant pain. The day before, she had seen a dentist for a painful lower left central incisor. The recommendation was straightforward: extract the tooth and then see a periodontist. She refused. Instead, she searched for another option and drove nearly 50 miles to our office. The Clinical Picture She was hitting tooth #24 every time she closed her mouth—and it hurt badly. The gingival tissue was visibly swollen, and the tooth had Clas...
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Throwback: Chronic Anterior Inflammation

Posted on by Daniela Yanez RDH
Challenge: The patient’s main concern was to reduce chronic inflammation around tooth #8 and #9. The patient previously had received treatment at a general dentist and a periodontist without significant improvement. Background: A new female patient, age 28, was last seen by another dentist about 3 years prior. Her home care consists of brushing twice daily with Tom’s of Maine® toothpaste and a Sonicare™ power toothbrush, and Crest® Pro-Health™ rinse with occasional flossing. Her family hi...
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Oral Care Probiotics and Periodontal Health: A Clinical Case Study

Posted on by Dr. Rachelle Beattie
How ProBiora Probiotics Turned Around a Severe Periodontal Case Periodontal disease can be notoriously difficult to treat, especially when it persists despite traditional and advanced therapies. This case study highlights how oral care probiotics, specifically ProBiora products, helped resolve a severe periodontal condition when other traditional methods failed. Patient Background A 52-year-old patient presented with a history of moderate to severe chronic periodontitis. Symptoms included b...
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Revolutionizing Periodontal Disease Screening and Treatment with OFC and Alert 2™ Diagnostics

Posted on by Robert Benavides DDS
In the evolving field of dental diagnostics, early detection is the key to effective management of periodontal disease. One of the latest advances in our practice is the utilization of OFC (Oral Fitness Check) by DentoGnostics, a groundbreaking tool that allows us to screen for active matrix metalloproteinase-8 (aMMP-8). The presence of aMMP-8 signals ongoing collagen breakdown, providing valuable insight into the health of the periodontal tissues. When detected, this makes our providers cur...
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Dr. Benavides: “Did We Overtreat: The Value of Proactive Intervention for the Periodontal Patient.”

Posted on by Robert Benavides DDS
Disambiguating between Plaque-Induced Gingivitis and Stage II Periodontitis is an easy diagnostic feat. The difficulty increases when we attempt to finalize a diagnosis between Gingivitis and Early-Onset Periodontitis. As a reminder, according to The American Academy of Periodontology, it takes 15% of radiographic bone loss (RBL) for our patients to land at Stage I Periodontitis. The goal of this article is to present you with two cases that could be interpreted as borderline. Our goa...
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Class II Generalized Periodontitis and Rheumatoid Arthritis Requesting Implant Placement

Posted on by Patricia Lugo DMD
Challenge: To establish periodontal remission by addressing the clinical manifestations of periodontal disease and altering the oral flora in order to lower the incidence of periodontal disease relapse. Bacterial management will eliminate a source of total body inflammation and increase success of implant placement. Background: The patient is a 66 year-old-male with rheumatoid arthritis, taking Lisinopril and is a potential candidate for implant to restore #19. Patient’s daily home care r...
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Redefining Dental Care for The Reluctant: Technology’s Role in the New Mouth-Body Connection Era

Posted on by Robert Benavides DDS
Challenge: Addressing the unique needs of a patient with a history of hesitancy towards dental care, compounded by complex health issues such as Tobacco Dependence Syndrome, Hypertension, and Prediabetes, presented a significant challenge. This task, however, was greatly facilitated by the integration of CBCT/OralDNA® technologies. These cutting-edge tools played a pivotal role in demystifying the pathos process, enabling a more clear and personalized approach to the patient's treatment plan....
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Testing & Treatment When the Timing is Right

Posted on by Jennifer Campbell RDH
Challenge: A patient of record since 2014, single dad and full-time factory plant worker came in for a routine dental . Background: Age: 33 years old Sex: Male Medical History: asthma, high blood pressure, patient reports smoking history, on and off up to a pack per day. Last Dental Exam: 2020 Home Care: Brush, floss, rinse, shower flossing device Clinical Assessment: Dental history shows high caries risk, and adult periodontitis. The patient shows current clinical evi...
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How Do You Speak Testing? With Yemia White RDH

Posted on 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 ...
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How Do You Speak Testing? with Judith Nwagwu RDH

Posted on by Judith Nwagwu RDH
Patient Bio: Your female patient, age 63, struggles as she enters the operatory. You have been seeing her for 4 years. Her wheezing and appearance of being out of breath are due to her new diagnosis of COPD. She is recently widowed. How would you introduce therapy including Alert 2™ testing to this patient?  Welcome to our office where we are big advocates of the Mouth Body Connection™. We are not just here for your teeth and gums, but also your overall health and wellness. We would love to h...
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