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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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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Classic Periodontal Disease

Challenge: A new patient with poor home care and lack of dental attention presented wanting whiter teeth along with a cleaning. Background: A male 40-year-old new patient whose last dental appointment was 3/8/2017 presents with adult chronic periodontal disease, severe wear on anterior teeth and decay on #19. The patient appears generally healthy (BP 118/79) with no medical conditions or medications. There is a suspicion of sleep disordered breathing along with an anterior tongue tie. Solu...
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Classification of Periodontal and Peri-Implant Diseases and Conditions

As a periodontist, there are two topics that other clinicians frequently ask me about. The first is the updated Classification of Periodontal and Peri-Implant Diseases and Conditions. The second is my experience of working with salivary diagnostics. Both of these initiatives have become an essential part of my daily practice in periodontics. I moved to Dubai in 2010 to work as a specialist periodontist at a well-known private clinic. During my time in Dubai, it became increasingly clear that ...
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Life and Death of 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. A...
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Interview with Michael Carter MD

Dr. McGlennen: Who/what introduced you to OralDNA® Labs’ services? Michael Carter MD: I was introduced to OralDNA® Labs testing during an oral health summit about 3-4 years ago. As I listened to Dr. Bale and Dr. Doneen express how important testing for periodontal pathogens is, I became inspired to learn more about the oral microbiome and the oral connection with systemic diseases such as cardiovascular disease, arthritic conditions, and neurodegenerative processes. Many people think b...
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Interview with Brittany Blue DDS

Dr. McGlennen: Tell me how you use OralDNA® salivary diagnostics. Brittany Blue DDS: We use MyPerioPath® to determine the levels of aggressive periodontal pathogens present in our patients’ oral flora.  Traditional periodontal therapy will not be as effective and is certainly more prone to relapse if these harmful bacteria remain in the mouth.  The bacterial diagnostics allow us to target the specific harmful bacteria with the specific systemic antibiotic that will help control the level of i...
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How Do You Speak Testing? With Janice Kaeley DDS, MSD

Patient Background: A 41-year-old female patient is seen for a new patient exam. Her last dental appointment was 10 months ago. Today her primary concern is occasional bleeding gums with brushing. Currently, there are no medical conditions reported and no medications or supplements reported. The patient indicated she may be experiencing peri-menopausal symptoms, but this is not confirmed by a medical doctor. Upon dental examination, generalized 4mm to 6mm pockets were revealed with generaliz...
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MyPerioProgress: Features and How-To Video

According to Merriam Webster, the definition of a posttest is “a test given to students after completion of an instructional program or segment and often used in conjunction with a pretest to measure their achievement and the effectiveness of the program.” When an OralDNA® provider performs a pretest MyPerioPath®, applies periodontal therapy, and then performs a posttest MyPerioPath®, a comparison report called MyPerioProgress® is generated. This can be used to measure the effectiveness of t...
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Interview with Lori Appelhans RDH

Dr. McGlennen: Tell me why you started to use OralDNA® salivary diagnostics. Lori, RDH: We were frustrated with inconsistent periodontal results, and began incorporating OralDNA® into our practice. Prior to starting, some patients returned for their post periodontal therapy check and there were still significant signs of disease. We wanted more for our patients. We started using the MyPerioPath® salivary test pre- and post-periodontal therapy and for gingivitis therapy too. Salivary diagn...
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