Identify & Destroy! Synergistic Pathogenic Biofilm Management

Synergy is the combined effect of two things being greater than either one independently. As a veteran of managing periodontal diseases, that is how I view salivary diagnostics and Guided Biofilm Therapy (GBT).   With salivary diagnostics I can identify specific pathogens thriving in my patient’s biofilm, and through the process of GBT I am able to dismantle and destroy those pathogens.  This is synergy at its best. Quick review of pathogenic biofilm, then we can focus on GBT and salivary...
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Systemic Inflammation, Elevated hs-CRP, and Oral Bacterial Pathogens Decrease After Two Years of Natural Dental Health Treatments: A Case Study

Heart Disease Begins in the Mouth High sensitivity C-reactive protein (hs-CRP) is the most clear, quantifiable, and readily accessible marker of the oral-systemic connection. We present a case study of an otherwise healthy 62-year-old woman with elevated hs-CRP who had abundant numbers of pathogenic oral bacteria. A natural dental health treatment over two years lowered hs-CRP and lowered oral pathogens. Given the links between oral disease, inflammation, and heart disease, it is wise to ...
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Flower Power: A Less Aggressive Approach

When OralDNA® testing indicates worrisome levels of periodontal pathogens, we may want to consider a dentally counter-cultural idea that can help avoid the need for aggressive antibiotics and antiseptics. Most dental professionals believe periodontal disease cannot be cured, yet a more holistic approach has been shown to overcome periodontal pathogens and may offer a way to avoid the continuous cycles of treatment to control re-infection. Our understanding of human bacteria changed as the Human ...
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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 affected1.  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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“New Hat” for the RDH— Oral Systemic Health Educator & Certified Lifestyle Coach

Why would the Complete Health Registered Dental Hygiene team find themselves in inter-professional collaboration with the Certified Lifestyle Coach? The answer begins with understanding that the war raging inside of us is between chronic inflammation and the body’s own host response. We’re not aware of this war because it doesn’t hurt, and we can’t see its effects since it’s going on at a cellular, even a molecular level. The mouth happens to be a major battleground in this war. Unlike a ...
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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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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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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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Testing and Coding Improving Patient’s Health

  Periodontal disease starts with a biofilm-based infection that creates a wound that in turn, induces the inflammatory cascade responsible for the disease. This wound should be taken seriously! A variety of tests are available to determine risk, genetics, and the specific pathogens involved with periodontal disease. OralDNA® Labs salivary diagnostic testing helps improve oral health outcomes and enables patients to make more informed choices regarding their professional treatment...
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One Size Does Not Fit All

Periodontal disease is an inflammatory, polymicrobial, multifactorial disease that not only affects the periodontium but has also been linked with systemic diseases such as cardiovascular disease, rheumatoid arthritis, and diabetes. Periodontal disease is a silent disease that affects over 64 million Americans. Most are unaware they have it or possess the bacteria placing them at risk. The use of MyPerioPath® is essential in determining which bacteria are present. It is a key factor in pa...
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