Connecting the Dots: A Role for Inflammation in Oral and Pharyngeal Cancers

Posted on September 1, 2017May 19, 2021 by Ronald C. McGlennen, MD

September is sexual health awareness month. In recognition, enjoy a previous post by Dr McGlennen regarding oral health and sexual health. It is important to understand the role of human papillomavirus (HPV) in the development of squamous cancers of the head and neck. But it seems there is missing a fuller appreciation of other key risk factors at work with the virus, to cause bad things to happen to cells in the mouth and throat. HPV infection is very common, and with the sensitive molecular...

Systemic Antibiotics can be Bad but Heart Attacks are Worse

Posted on August 25, 2017May 19, 2021 by John Kempton DDS

I am going to ask the question, would you agree antibiotics can be bad but heart attacks are worse? As this is part 3 of my series, I hope I am hearing a unified “Yes”. In my opinion, systemic antibiotic should be used in an attempt to lessen the translocated pathogens. The high-risk patient is no longer capable of fighting, resisting, or diminishing the pathogenic loads on their own and the systemic antibiotic is an option. Yes there is a risk of antibiotic adverse reaction but a heart atta...

Dentistry is Medicine

Posted on August 18, 2017May 19, 2021 by John Kempton DDS

In the previous blog, we discussed that the use of systemic antibiotics, for high-risk patients may currently be the most effective method to treat the systemic impact of translocated periodontal pathogens. As periodontal treatment plans are formatted, utilizing a MyPerioPath test assists in determining the pathogen profile of the periodontal infection and provides evidence- based systemic antibiotic selection. If dentistry is medicine, then utilizing a test to confirm the presence of bacte...

Routine dental hygiene… is never routine!

Posted on August 11, 2017May 19, 2021 by John Kempton DDS

The Merrian-Webster defines paradigm shift as “an important change that happens when the usual way of thinking about or doing something is replaced by a new and different way.” There is a definite paradigm shift in dentistry and a strive to parallel our dental profession to our medical counterparts. Dr John Kempton is on this front line, helping address oral systemic health with direct patient care and as a leader inspiring others to a higher quality of care. Dr John Kempton will be our gues...

The Medical History Form and Salivary Diagnostics

Posted on July 28, 2017May 19, 2021 by Traci Warner, RDH

A medical history form is a starting point to guide conversations and to make connections between oral health and overall health. Consider re-configuring your current medical history form to quickly be able to visualize oral systemic connections and/ or concerns. These 5 questions should be asked on your current health history form. 1) Has a parent, sibling or grandparent had a heart attack or stroke? Yes__ No__ 2) Has a parent, sibling or grandparent had diabetes? Yes__ No__ 3) Has a p...

Communicating with Patients about Nicotine and Perio

Posted on July 21, 2017May 19, 2021 by Kim Miller, RDH, BSDH

During a recent in-office team workshop, we were discussing nicotine use and its dramatic effects on the progression of periodontal disease. To help the team fully understand the consequences of nicotine use, we talked about vasoconstriction and how smoking masks the true level of periodontal infection. The vasoconstrictive properties of smoking reduce blood flow and, in turn, oxygen to the tissue, resulting in gums that do not bleed or have reduced bleeding. Smoking patients have pockets th...

Assessing Risk with Salivary Diagnostics

Posted on July 14, 2017May 19, 2021 by Herb Bader, DDS, FACD, FICD

The development of commercial laboratory tests utilizing the collection of saliva is, in my opinion, an important step forward in understanding and managing inflammatory periodontal disease. There are, in fact, no tests available that will predict the onset of attachment loss. However, by gathering information on a patient’s genetic inflammatory profile as well as periodontal pathogen profile we have access to objective data when ascertaining risk, or the possible onset of periodontal disease ...

“Seeing” What Can’t Be “Seen”

Posted on July 7, 2017May 19, 2021 by Tanya Brown, DMD

Can you think of a patient who, despite all your efforts, continues to struggle with their periodontal health? Do you ever wish that you could “see” that which you cannot “see”? Well, here’s the good news: You can! In addition to a complete professional prophylaxis or periodontal therapy, part of your mission as a healthcare provider is to partner with your patients to achieve better health. When you identify the oral-systemic link for your patients in addition to identifying risk f...

Reduce Dental Benefit Hassles and Help Your Patients Say Yes

Posted on June 23, 2017May 19, 2021 by Tanya Brown, DMD

Wouldn’t it be great if you never had to deal with a denied claim again? One way to help prevent these hassles is by having more diagnostic information from the beginning! The quantitative results that you receive in a salivary diagnostics report gives you a measurable overview of a patient’s bacterial profile as well as risk level—both of which provide crucial evidence for your best chance at insurance coverage. (You’ll also have a great baseline from which you can assess the efficacy of tr...

WNL: What’s your definition?

Posted on June 16, 2017May 19, 2021 by Richard H. Nagelberg, DDS

During virtually every dental examination, there is a review or updating of the patient’s health history and a clinical examination. If everything is consistent with good oral and overall health the notation WNL is commonly made, which is an abbreviation for Within Normal Limits. There is however another less commonly known meaning to WNL; We Never Looked. Looking goes way beyond visual observation and includes other diagnostic tools such as radiographs, scans and laboratory testing. Let’s co...