Discover What Saliva Can Reveal About Whole-Body Health at the NYDHA 2026 Empire Conference

Dental hygienists play an important role in recognizing the connections between oral health and overall wellness. At the 2026 NYDHA Empire Conference, attendees will have an opportunity to explore how salivary diagnostics can support this connection and help advance preventive, personalized patient care. Taking place November 6–8 at the Hyatt Regency Long Island in Hauppauge, New York, the annual conference brings dental hygiene professionals together for continuing education, networking,...
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The Three Pillars of Periodontal Healing: Why Identifying the Infection Matters

Over the course of my career, some of the most satisfying—and often surprising—results I have seen in periodontal practice have come from balancing what I call the three pillars of periodontal healing: root cleanliness, control of the infectious component, and occlusion. All three matter. But for this discussion, I want to begin with the infectious component because it raises an interesting question: If we believe we are treating an infection, shouldn't we try to identify what we are trea...
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The Missing Link Between Bacterial Testing and Clinical Decision-Making

Salivary bacterial testing has transformed the way we identify periodontal pathogens and assess disease risk. Instead of relying solely on clinical findings, today's clinicians have access to biologic data that provides a more personalized understanding of each patient's oral microbiome. However, as testing becomes more widely adopted, many dental professionals are encountering an unexpected challenge: interpreting the results is often easier than knowing what to do next. Receiving a labo...
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Bleeding Gums Aren’t Just a Hygiene Issue – They’re Often a Diagnostic Opportunity

For a long time, bleeding gums were treated as a home care conversation. Brush better. Floss more consistently. Let’s keep an eye on it… but what are we actually waiting for? That’s how most of us were taught. And honestly, it’s exactly how I practiced early in my career too. In 2008, when I began using salivary diagnostics alongside phase-contrast microscopy, something shifted for me. For the first time, I wasn’t making educated guesses. I could identify which microbes were prese...
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Periodontal Endoscopy: Seeing What Stops Periodontal Disease

“The critical determinant in periodontal therapy is not the technique (surgical or non-surgical) used for the treatment of the periodontal pocket, but the quality of the debridement of the root surface." — Jan Lindhe, Journal of Clinical Periodontology (1984) That statement is not philosophical; it is clinical reality. Root surfaces must be truly clean for inflammation to resolve and for periodontal stability to occur. Multiple studies have shown that clinicians cannot reliably clean b...
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When Data Changes Minds: How Chlorhexidine Irrigation and Non-Surgical Laser Therapy Transformed a Resistant Microbiome in a Reluctant Patient

    A patient presented for a new patient exam to our practice after many years of “routine” and “regular” cleanings elsewhere. Although clinical and radiographic findings indicated chronic infection and the need for comprehensive non-surgical therapy including scaling and root planing, irrigation, and bacterial decontamination, the patient declined adjunctive care and requested to receive scaling alone. Local anesthesia was administered, and scaling and root planning w...
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Virtual Interview with Dr. Rob Frey

Dr. Ron McGlennen: Tell us a little bit about yourself and how you started in your profession. What is your driver to do what you do? Dr. Rob Frey: I have a passion for blending esthetic dentistry, functional dentistry, and whole-body health. My journey into dentistry started with a desire to work in healthcare in a way that combined science, artistry, and meaningful human connection. I was drawn to the idea that dentistry allows you to not only restore health, but also confidence, comfort,...
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The Secret Weapon – Part Two

In Part One, we explored how salivary analysis changes the patient conversation – helping patients better understand their health and why treatment matters. But its impact goes even further – empowering both the clinical team and the practice, which we explore below in Part Two. The Real Secret Salivary analysis isn’t powerful because it’s advanced. It’s powerful because it changes the story. It moves dentistry from:“Here’s what you need.” To: “Here’s what your body is telling us—...
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The Secret Weapon – Part One

Every practice owner I know is chasing the same three outcomes—whether they admit it out loud or not. Better patients. Higher acceptance of the right care—free from insurance constraints. And referrals that happen naturally, because marketing has become expensive, exhausting, and unpredictable. Yet most practices are still reaching for the same familiar tools to get there: Better scripts. Prettier brochures. Tighter financial conversations. Hel...
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Hormonal Contraceptives and the Oral Microbiome: The Missing First Signal in Salivary Diagnostics

We’re Having the Wrong Conversation The debate around hormonal contraceptives has grown louder and more polarized. Mood changes. Inflammation. Fertility concerns. Some of these concerns are valid. Much is oversimplified. But almost all of it misses the starting point. We are debating hormones while ignoring the environment they enter. We keep focusing on hormones in isolation. Ovaries, cycles, receptors. More recently, the gut microbiome has entered the discussion through the estrobo...
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