Case Study: Dental Hygienist with Type II Diabetes

Background: This patient is a 38-year-old female, who works as a dental hygienist. She was recently diagnosed with Type II Diabetes. In agreement with her medical doctor, she has committed to diet and lifestyle changes to control her diabetes before the consideration of medication. These lifestyle changes include regular exercise and eliminating sugar. When this hygienist presented in my chair, her chief complaint was “When it comes to my diabetes, I know what to do, I just need to do it! As...
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Exchanging Spit and What Else?

Recently, I had a patient who presented with generalized gingivitis. Her husband was also recently diagnosed and treated for generalized chronic periodontitis. She asked the familiar question “How did I get gingivitis? I brush and floss every day.” These questions opened the door for an interesting discussion about her risk factors. She has two children under the age of 4 and she works full time as a nurse. Both of these contribute to her disrupted and inadequate sleep patterns. She is overw...
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Case Study: Class II Periodontitis

Background: The patient is a 54 year old female who presented with the chief complaint “My gums bleed when I brush, there are possible cavities and I don’t like the tooth crowding.” Her last dental visit was about 6 years ago. There is a family history of diabetes, cardiovascular disease, stroke and cancer. The home care consisted of manual tooth brushing 1-2 times per day with occasional antibacterial mouth rinse. During the clinical assessment, it was discovered that several amalgam restor...
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A Higher Standard of Care

For many years now, research has shown that there is a mouth body connection. In other words, what is happening in the mouth can impact what is happening with the body! In order for someone to have good health, they need to have good oral health. Unfortunately, periodontal disease is silent, as it does not hurt until it is severe. The minimal pain factor, as periodontal disease develops, may be why 80% of the United States population is suffering from periodontal disease. In the next paragra...
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Case Study: Pregnancy and Periodontal Pathogens

Background: Patient is a 31 year old female, who presented with the chief complaint "My gums are swollen and painful." The last dental visit with exam was about 6 months ago. The radiographic examination including bitewings revealed horizontal bone loss and heavy amounts of generalized subgingival calculus. The patient's gums were erythematous with probe depths between 5-9 mm. Patient was diagnosed with generalized severe chronic periodontal disease. The additional challenge was that the patie...
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Gum Disease and Alzheimer’s Disease

In honor of National Alzheimer’s Month, enjoy this repost from 3/3/2017. A 2016 study published in PloS One1 examined the impact of periodontitis on the rate of cognitive decline in individuals with Alzheimer’s disease (AD). Sixty community dwelling patients with mild to moderate AD were cognitively assessed and blood samples were taken for detection and quantification of systemic inflammatory markers. Initial clinical assessments of periodontal health were conducted and the same assessme...
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Periodontist Turned Patient

  As a periodontist, I pride myself on healthy gums. I admit to only getting a prophylaxis when the schedule permitted. My home care most likely resembles what most dental professional do, brush twice daily with an electric toothbrush and flossing most days. In grad school, it was discovered I had a few 4mm periodontal pockets. However, my professors were not concerned and I was never diagnosed with periodontal disease. Now fast forward several years. At age 37, after surviving an...
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Education and Encouragement through Connecting and Commitment: An Interview with Rosie Jimenez

Dr. McGlennen: Tell me how do you use OralDNA® salivary diagnostics.  Rosie RDH: Let me begin by sharing; I have been very fortunate to work in practices that support my passion for treating periodontal disease. My patients have benefited through the communication, assessment and treatment I provide. I know there are hygienists who feel they are not supported in their efforts. In honor of dental hygiene month, my advice- stay strong, keep educating yourself on new technologies and keep as...
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Are you tired of the “Are you flossing?” song and dance? Find the Root Cause Instead: An Interview with Angie Bays

Dr. McGlennen: What are the biggest benefits to using salivary diagnostics? Angie RDH: The biggest benefit with offering MyPerioPath® is it gives the clinician another platform for educating the patient. I know patients are fed up of hearing about brushing and flossing, just as much as hygienists are weary of saying it. Don’t get me wrong brushing and flossing are important but OralDNA® takes care to another level. We can now show the patient the root cause of the infection, maybe even ti...
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Saving Patient’s Time and Money: An Interview with Lori Appehans

In many, if not most dental offices, the dental hygienists are the engine that makes the practice go. Clinicians like Lori Appehans are providing optimal treatment by choosing to utilize salivary diagnostic technology. It is my sincere hope that her patients understand how well they are being taken care of. It was certainly my pleasure to discuss the impact of salivary testing with Lori. Dr. Nagelberg: Tell me why you started to use OralDNA salivary diagnostics. Lori, RDH: We were frus...
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