How Do You Speak Testing? with 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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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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Dental Hygiene Student Discovers the Value of OralDNA® Testing

Challenge: To reduce periodontal pathogens in the oral cavity that are contributing to severe periodontal inflammation, improve oral malodor as reported by the patient and remove unsightly calculus buildup that is harboring oral pathogens. Introduction: In Fall of 2021, I had the pleasure of learning about OralDNA® Labs’ testing from my instructor Jamie Griggs of Colorado Northwestern Community College (CNCC). Before knowing anything about OralDNA® or how the process works, I wondered why...
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Dental Hygiene Student Helps Manage Periodontal Disease Through MyPerioPath® Testing

Challenge: To reduce periodontal pathogens in the oral cavity that are contributing to severe periodontal inflammation and tissue sensitivity. Background: The patient is a 33-year-old female with a history of treatment for ovarian cancer. The patient presented with severely inflamed gingiva with generalized extreme heavy bleeding upon gentle probing. Upon touch, there was generalized sensitivity. For the patient’s home care routine, she states that she practices daily toothbrushing and in...
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How Do You Speak Testing? With Katherine Gutierrez RDH

Patient Bio: Your patient is 34 years old, and she is new to your practice. She recently moved back to the area to be closer to her father who was recently diagnosed with dementia. Her partner and two children will also be joining your practice soon. She is not taking any medications and her last dental visit was before she moved about 9 months ago. She presents with these clinical signs. How would you introduce therapy including MyPerioPath® to this patient? In our practice, the doc...
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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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Periodontal Disease with a Patient Experiencing Vision Impairment

  Challenge: Patient experiencing recent vision impairment presented as Stage III Grade B, active generalized periodontal disease with localized severe periodontal disease in the maxillary anterior area. Background: Age: 36 Sex: M Medical History: Patient reports recent vision impairment with the right eye. Under the care of the ophthalmologist, a diagnosis has not been found. No other systemic diseases or conditions reported. Last Dental Exam: Within 3 years Chi...
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Oral Health Contributing to Health Issues with Sarah Poteet DDS, PA

Challenge: Due to dental anxiety, specifically the fear of being overwhelmed with dental problems, the patient finally took the necessary steps to address her chief complaint, “My gums are bleeding, and my teeth are sensitive. I want a more holistic approach to dental care. I feel like my mouth is contributing to my health issues.” Background: Age: 37 Sex: Female Medical History: Severe eczema since childhood, long term topical and systemic steroid for skin has resulted in steroid...
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Classic Periodontal Disease after COVID with Brenda Sullivan RDH

Challenge: Patients are avoiding routine dental visits due to fear of contracting COVID. This patient had missed several hygiene appointments during the pandemic. Our goal was to re-establish health and increase homecare to help this patient’s general immunity. Background: This case study involves an 84-year-old male with a history of scaling and root planing, who before this assessment was in good periodontal health. His blood pressure was 114/72 and his pulse 83. He has a history of cancer,...
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Case Study: Class III Moderate Periodontitis with Halitosis

Background: The patient is a 61-year-old male who presented with concerns of halitosis. The home care routine consisted of daily tooth brushing and inconsistent flossing. Following the periodontal assessment, the patient was classified as Class III generalized periodontitis with localized Class IV due to pocket depth measurements, heavy bleeding on probing with inflamed, bulbous, and erythematous tissue. The patient has a history of periodontal therapy and has maintained a 3-month recare int...
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