Gingival Hyperplasia with bone loss and Anorexia Nervosa

Challenge: A 15-year-old patient with multiple years of periodontal concerns being co-managed with a periodontist without resolution. Background:  A 15-year-old female has been presenting for care at our practice since age 4.  From an early age the patient displayed behavioral concerns and chronic poor home care.  The dental history is early eruption of #19, three month recall due to levels of supra and sub gingival calculus, and mild bone loss resulting in a referral to the periodontist ...
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Rethinking the Dental Examination

It’s 2018 and I am dumbfounded by the number of adult new patient appointments that begin in the hygiene chair. We all recognize this is an ‘old school’ practice, but maybe we still secretly believe it’s the right thing to do for our patient. Maybe we somehow believe it’s financially beneficial to the practice. Neither of these could be further from the truth. The dental examination of today is all about the patient of today. From a health standpoint, the patient of today is more complica...
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OraRisk® Caries: Identifying Bacteria for Risk Assessment

Dental caries is defined as the progressive destruction of a tooth and is considered a major health issue in both adolescents and adults, in which reportedly 90% of the population is affected(1). Cavities are formed when acid erodes the hard tissues of the teeth (enamel, dentin and cementum). Acid is produced in the mouth when certain bacteria, such as Streptococcus mutans, ferment sugars into acid. For decades, S. mutans was believed to be the main bacteria involved in caries initiation ...
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Interview with Adrian Fitts RDH & Gerald Smith DMD

Dr McGlennen: Tell me how you use OralDNA® salivary diagnostics. Adrian Fitts RDH & Dr. Gerald Smith: When we see a patient that isn’t “normal.”  Many patients are routine with regard to their oral hygiene/plaque/calculus.  The vast majority of patients respond to usual measures, debridement, and diligent oral hygiene.  However, some patients don’t fit this.  For example, we see a relatively “clean” mouth but we are finding increasing pocketing/bleeding.  The OralDNA® tests are perfec...
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Implants, Biofilm, & pH!

Today, dental professionals need to look at professional maintenance in a whole new light. A paradigm shift in professional maintenance and home-care recommendations for patients with tooth-borne and implant-borne restorations is occurring. I would refer to this as ‘mixed bag’ patients with natural teeth, restorations, and implants. We see these ‘Mixed bag’ patient every day. An additional resource to provide the best maintenance would be The American College of Prosthodontists guidelines fo...
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JP Institute TRANSFORMED! — My New Life As A Hygienist

I have been a clinical hygienist since 1979. When I earned my degree in Dental Hygiene, I was very happy, idealistic and excited about caring for patients. I felt I was on a mission to improve people’s lives through better oral health. Being young and starry-eyed , I was not prepared for the reality of working in a dental practice. I found, to my great surprise, that most of my patients were not interested in the education about their oral health that I had been trained to provide. They just...
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Life & Death and a Saliva Test

Sometimes I get so frustrated with the profession of dentistry. Here is my case in point: Five oral originating pathogens have been identified as causative in the development of atherosclerosis by the BaleDoneen™ peer reviewed study published in the British Medical Journal. Wait a minute, so they concluded that these oral bacteria are causative of atherosclerosis? Seriously? Yes!! And in the last one hundred years, atherosclerosis has killed more Americans than any other disease. Atheroscler...
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Simple Strategies to Enhance Oral & Overall Health

As dental professionals, we all take the responsibility to present treatment cases to patients. Most often, the dental hygienist presents periodontal treatment plans to patients, but in reality, any team member could present this type of case. For example, if a new patient is seen on the doctor’s schedule and periodontal disease is the diagnosis, the dental assistant could have the opportunity to present the case. It is important that with any case presentation, the team is on the same page....
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Everyone Has A Story

Every patient that sits in your dental chair has a story. All stories have a beginning, middle, and end, as does life. We have the wonderful opportunity to help our patients be able to live a long and productive one. Jumping to the middle of my story, my mom died at the age of 58 and my dad at age 60, both from end stage vascular diseases. They didn’t get a chance to enjoy their children into their adult years, get time with their grandchildren, or even meet their great grandchildren.  I, li...
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Oral HPV Awareness Campaign: Part 1

As a Total Health Dental Practice, there was one particular oral disease my team was not comfortable discussing—even though it is deadly and its epidemic has escalated to horrific proportions. You guessed it…HPV-related Oral Pharyngeal Cancer (OPC). Don’t get me wrong; our responsibility to complete our 9-point screen for oral cancer is routinely completed. But we knew the screening exam—was completely ineffective in screening for the risk of HPV-OPC. In brainstorming about our weakness, ...
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