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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The Doctor-Hygienist Hand-Off

As a formerly practicing hygienist and now a dentist, I am respectfully sensitive to the time constraints and importance of the information exchange during a periodic exam in the hygienist’s treatment room. My team and I developed, practice, and teach this exchange for thoroughness, patient benefit, and emphasis of our professionalism. When the doctor enters the hygienist’s treatment room, the hygienist is to highlight and summarize her findings in the most efficient and effective verbiag...
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How do you speak Cardiovascular Disease and Periodontal Disease to your patients?

Dr. McGlennen: There is consensus within the medical and dental community that periodontal bacteria contribute to the initiation, progression and prognosis of cardiovascular disease. From key studies, including prospective, retrospective and even meta-analysis studies, persons with untreated periodontal infections have up to a 20% increase in their risk of coronary vascular disease.1 The multiple of risk for stroke (1.74-2.85 fold) and peripheral vascular disease (1.41-2.27 fold) is equal or...
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Nobody Has Ever Done that Before

In this era of trying to differentiate yourself from the provider down the street, a simple solution is incorporating OralDNA® salivary testing services.  Imagine a patient who has had periodontal disease and has seen several dentists and periodontists in the past.  They may have been told they have pockets, but what do pockets mean to a patient?  Perhaps a lot, but only if they have been properly educated about the consequences of a pocket deepening. Let’s look at this from another persp...
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Traditional Periodontal Disease Case Study

Challenge: Patient with extremely limited history of dental care presents seeking dental wellness. Although patient is anxious, she is highly motivated to create a healthier dental foundation. Background:  A 33-year-old woman with history of acid reflux, seasonal allergies and anemia is seeking to better her dental care. The patient has limited recollection of any dental care in her life, even childhood. The patient’s home care consists of manual tooth brushing 1-2 times per day with the ...
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What’s Your Excuse?

It is difficult to understand the resistance by dental professionals to test for the bacteria that cause gum disease. The excuses are numerous including, “I’ve always done it this way”. A variation on this notion is “We were always taught”. Other excuses shift the decision to the patients. “My patients won’t accept it”. Equally unsupported excuses include “We’re already getting good results”, or “I don’t need that”, or “What difference will it make?” Claims of insufficient time are very comm...
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Interview with Ben Mendoza, RDH

Dr. McGlennen: Please tell me how you use OralDNA® salivary diagnostics in your practice. Ben Mendoza RDH: OralDNA® salivary diagnostics is the most applicable tool we use at Dr. Katherine Brown’s practice in order to guide our patients toward optimal oral care as well as total health well-being. We use this testing to help identify, confirm, and convey both the risk and presence of bacterial pathogens that increase patients’ potential for tooth decay and gum disease, as well as any negat...
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Microbiology Terminology

MyPerioPath® is a laboratory test that screens saliva for specific bacteria known to cause periodontal disease. Bacteria are often described using their scientific name, by categorizing as gram-negative or gram-positive, and by identifying their shape. These descriptors provide us with useful information about each bacteria.  For example, it is plausible that motile bacteria are more resistant to localized treatment due to their ability to move away from areas where the environment does not ...
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Interview with Functional Medicine Leader, Pete Williams

  Dr. McGlennen: You started incorporating OralDNA® testing services into your care over a year ago in Spring 2018. Tell me how you were introduced to OralDNA® salivary diagnostics and why do you use the testing services. Pete Williams: We first became aware of the OralDNA® testing services at a Functional Medicine conference in the US. As a Functional Medicine practice, we are aware of how oral health can have a systemic effect on chronic disease and its management. We have been ...
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