Soft Tissue Program with a Microscope & MyPerioPath®

As with most dental practices we have a soft tissue program in place to help treat periodontal disease as well as gingivitis. We use the traditional x-rays and periodontal probing exams that allow us to assess periodontal damage that has already occurred within the soft tissues and bone. We have also implemented a new type of exam that can show us bacteria that is present in the gum tissues. Our team recently received training on the use of a microscope and Dr. Hawkins decided to purchase...
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Interview with Ryan McWhorter, MD

Dr. McGlennen: Please explain how you use OralDNA® salivary diagnostics in your functional medicine practice. Ryan McWhorter MD:  I use OralDNA® Labs’ MyPerioPath® test when I suspect or know there are sources of inflammation. The lab results are part of the evaluation for coronary heart disease treatment, joint problems, cancer support, autoimmune reversal or problems in women's pelvic health, fertility or miscarriages. Dr. McGlennen: What is your primary consideration when selecting ...
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Up Your Oral Health Game with Salivary Testing: Part 2

The Path of Pathogen Destruction Cardiovascular Disease We know that the oral pathogens Aggregatibacter actinomycetemcomitans (Aa), Porphyromonas gingivalis (Pg), Tannerella forsythia (Tf), Treponema denticola (Td), and Fusobacterium nucleatum (Fn) are directly connected to atherosclerosis.1  We know cardiovascular disease is the number one cause of death and disability in the United States.  Gastrointestinal and colorectal cancers, as well as adverse pregnancy outcomes and aspiration pn...
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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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Identify & Destroy! Synergistic Pathogenic Biofilm Management

Synergy is the combined effect of two things being greater than either one independently. As a veteran of managing periodontal diseases, that is how I view salivary diagnostics and Guided Biofilm Therapy (GBT).   With salivary diagnostics I can identify specific pathogens thriving in my patient’s biofilm, and through the process of GBT I am able to dismantle and destroy those pathogens.  This is synergy at its best. Quick review of pathogenic biofilm, then we can focus on GBT and salivary...
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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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How do you speak Joint/Musculoskeletal Health and Periodontal Disease to your patients?

Dr. McGlennen: Like periodontitis, rheumatoid arthritis (RA) is a chronic inflammatory condition.  But unlike periodontitis, where the genesis of the inflammation is the complex infections in the gingival sulcus, the cause of RA is unknown.  Recent studies, however, provide insights that, in part, oral bacteria play a role in evoking an abnormal immune response that then leads to joint disease.  In a recent meta-analysis of 21 separate studies, there was a significantly increased risk of per...
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Be the Guide, Not the Hero

We care deeply for our patient family and are oral-systemic experts.  Because we have invested enormous amounts of time and money in quality education, we know best what people need for strong teeth and a long health span.  Our patients appreciate this and always listen intently to what we tell them they need to do.  They happily reach into their wallets and hand us their credit card.  Right? In my 34 years of clinical experience: Wrong!  People buy what they want, not necessarily what they ...
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