AAP Classifications Simplified: Part 2

Last week, establishing a stage for your patient was highlighted. Click HERE to review. Once you have established the stage of your patient, the grade needs to be determined. The three grades are A, B or C. The grade indicates the speed of progression and the quality of treatment response. In order to establish the grade, there are 3 factors to consider: Direct evidence – Evidence of bone loss over the past 5 years. (You may not have access to previous records, but this highlights the v...
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AAP Classifications Simplified: Part 1

How the heck are we supposed to implement the new American Academy of Periodontology (AAP) Staging and Grading Periodontitis classifications into practice?  This new system seems so complicated, right??  Actually, it can be simplified and once that is done, the new system is extremely valuable!  As hygienists, we know that periodontal disease is multifactorial.  It is affected by systemic health, habits, occlusion, and more.  We know that it is just as much about the host response as it is abo...
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Interview with Brooke Armour, RDH

Dr McGlennen: Tell me how you use OralDNA® salivary diagnostics. Brooke RDH: I use OralDNA® salivary diagnostics to test new patients, patients that have clinical signs of periodontal disease, or patients with a complex medical history. Dr McGlennen: What are the biggest benefits to using salivary diagnostics? Brooke RDH: The benefits of salivary diagnostics are being able to quantify periodontal disease, having something to physically show the patient about their periodontal diseas...
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Interview with the Searcy Dental Team

Dr. McGlennen: Please tell me how you use OralDNA® salivary diagnostics in your practice. Searcy Dental team:  We use salivary diagnostics as standard protocol in our periodontal therapy program, especially MyPerioPath®. These results help us, and patients, understand exactly which pathogens are present and at what levels.  When a patient has responded to our applied therapy, we are able to measure the amazing results by post treatment testing. Dr. McGlennen: What are the top two thing...
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Up Your Oral Health Game with Salivary Testing: Part 1

Aren’t you tired of the same old drill and fill, pumice-pushing lecture about tooth decay, flossing, and bleeding gums?  Yet, patients still come back infected and full of plaque.  All our great suggestions are for naught.  We keep lecturing, hoping for different results.  It becomes discouraging and frustrating for our patients and leads to burnout and career changes for us.  On top of that - despite all of our efforts, all of our breath, and all of our floss - periodontal disease is still ...
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Microbiology 101

MyPerioPath® is a laboratory test widely used by health care professionals to screen for pathogens that cause both periodontal and systemic infections.  The rich report provided to clinicians includes an easy to read histogram showing the types and quantities of 11 specific periodontal pathogens detected from a simple saliva sample.  Two frequent questions about MyPerioPath®’s histogram will be discussed in this week’s blog.  First, what is the full name of each bacteria listed on each repor...
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The Insights Provided by Salivary Testing

Without salivary testing we have no way of knowing the cause of the periodontal disease in the patients under our care. The insights provided by salivary testing include: Identification of the causative bacteria Therapeutic endpoint Risk assessment Outcomes assessment Risk of recurrence Appropriate antibiotic Incorporating the information from the salivary bacterial test into the periodontal patient’s treatment plan enables personalized care. Forget the one-size-fit...
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I Don’t Need That, We’re Already Getting Good Results

The enemy of optimal patient care is complacency. Why would anyone settle for good results when optimal results are so easily achieved?   Put yourself in your patient’s place in the exam chair: would you then want only good enough? Patients trust their dental professionals to provide the voice in decision regarding their care. If given the choice between practicing blindly, with no information about the specific bacterial cause of their individual case of periodontal disease, and having the ...
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Relapsed Periodontal Maintenance Patient with Breast Cancer

Challenge: A periodontal maintenance patient of record presented past due for recare. The initial exam revealed signs of active periodontal disease indicating that the patient is no longer in periodontal remission. Medically, the patient is undergoing treatment for breast cancer. Background: A 54-year-old female patient of record, with history of successful periodontal therapy, has relapsed due to missed recare and decreased oral home care. A diagnosis of breast cancer in Spring 2019 has ...
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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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