Critical Thinking: The Systemic Antibiotic Option

Posted on April 24, 2020May 20, 2021 by Diane Larson RDH, BSDH

The MyPerioPath® test provides a wide variety of valuable information for the clinician to consider in the care of their patients. In one example, the Treatment Consideration section of the report provides a recommendation for a regimen of oral antibiotics when the test results show bacteria levels greater than the black lines, called the therapeutic threshold. Where did this recommendation come from? This choice of drug, along with the recommended doses, are based on published research of...

AAP Classifications Simplified: Part 2

Posted on April 3, 2020May 20, 2021 by Kelly Young BSDH

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...

AAP Classifications Simplified: Part 1

Posted on March 27, 2020May 20, 2021 by Kelly Young BSDH

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...

Interview with Brooke Armour, RDH

Posted on March 20, 2020May 20, 2021 by 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 dise...

Interview with the Searcy Dental Team

Posted on March 6, 2020May 20, 2021 by Searcy Dental

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...

Up Your Oral Health Game with Salivary Testing: Part 1

Posted on January 10, 2020May 20, 2021 by Barbara Tritz RDH

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 ...

Microbiology 101

Posted on January 3, 2020May 20, 2021 by Kimberly Babauta, RDH, BS, BCPA

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...

The Insights Provided by Salivary Testing

Posted on December 27, 2019May 20, 2021 by Richard H. Nagelberg, DDS

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...

I Don’t Need That, We’re Already Getting Good Results

Posted on November 29, 2019May 20, 2021 by Richard H. Nagelberg, DDS

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 ...

Relapsed Periodontal Maintenance Patient with Breast Cancer

Posted on November 15, 2019May 20, 2021 by Maria Teague RDH

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 ...