Dental Hygiene Student Discovers the Value of OralDNA® Testing

Challenge: To reduce periodontal pathogens in the oral cavity that are contributing to severe periodontal inflammation, improve oral malodor as reported by the patient and remove unsightly calculus buildup that is harboring oral pathogens. Introduction: In Fall of 2021, I had the pleasure of learning about OralDNA® Labs’ testing from my instructor Jamie Griggs of Colorado Northwestern Community College (CNCC). Before knowing anything about OralDNA® or how the process works, I wondered why...
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Dental Hygiene Student Helps Manage Periodontal Disease Through MyPerioPath® Testing

Challenge: To reduce periodontal pathogens in the oral cavity that are contributing to severe periodontal inflammation and tissue sensitivity. Background: The patient is a 33-year-old female with a history of treatment for ovarian cancer. The patient presented with severely inflamed gingiva with generalized extreme heavy bleeding upon gentle probing. Upon touch, there was generalized sensitivity. For the patient’s home care routine, she states that she practices daily toothbrushing and in...
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Patient with Chronic Gingivitis & Oral Candida

Challenge: Patient presented with chronic gingivitis and oral Candida symptoms Background: A 64-year-old female sought treatment from a medical doctor for a “thrush-like” infection. The medical doctor then referred the patient to an ENT. However, this patient was already of our record and decided to start with our office. The chief complaint is a “thrush-like” infection in the mouth, throat and lips. The clinical assessment confirmed generalized white patches. Upon periodontal assessment,...
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Periodontal Disease with a Patient Experiencing Vision Impairment

  Challenge: Patient experiencing recent vision impairment presented as Stage III Grade B, active generalized periodontal disease with localized severe periodontal disease in the maxillary anterior area. Background: Age: 36 Sex: M Medical History: Patient reports recent vision impairment with the right eye. Under the care of the ophthalmologist, a diagnosis has not been found. No other systemic diseases or conditions reported. Last Dental Exam: Within 3 years Chi...
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Classic Periodontal Disease after COVID with Brenda Sullivan RDH

Challenge: Patients are avoiding routine dental visits due to fear of contracting COVID. This patient had missed several hygiene appointments during the pandemic. Our goal was to re-establish health and increase homecare to help this patient’s general immunity. Background: This case study involves an 84-year-old male with a history of scaling and root planing, who before this assessment was in good periodontal health. His blood pressure was 114/72 and his pulse 83. He has a history of cancer,...
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Case Study: Class III Moderate Periodontitis with Halitosis

Background: The patient is a 61-year-old male who presented with concerns of halitosis. The home care routine consisted of daily tooth brushing and inconsistent flossing. Following the periodontal assessment, the patient was classified as Class III generalized periodontitis with localized Class IV due to pocket depth measurements, heavy bleeding on probing with inflamed, bulbous, and erythematous tissue. The patient has a history of periodontal therapy and has maintained a 3-month recare int...
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Pregnancy & Periodontal Inflammation: Pathogens or Hormones?

Challenge: Pregnant, periodontal maintenance patient appointed with increasing periodontal measurements over the last two periodontal maintenance appointments. The goal of testing is to establish the cause for the increase of inflammation. Background: My 44-year-old periodontal maintenance patient with a regular recall and excellent home care consisting of electric toothbrushing 2 times per day, nightly flossing, and use of Waterpik™ 2 times per day presented for a maintenance appointment...
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How to Share a Case Study

 An article written by Crowe, Cresswell et al. states a case study is a research approach that is used to generate an in-depth, multi-faceted understanding of a complex issue in its real-life context.1 Periodontal disease fits this definition because it is a complex issue with real-life context. Personally, case study presentations have been a huge benefit in establishing my approach to periodontal therapy. What I learned in school is that the one size fits all approach should work, however I’...
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The Co-management of an Esophageal Cancer Survivor

Background: The patient is a 75-year-old female with a history of esophageal cancer in 2013. The origin of the cancer was determined to be lichen planus. Surgical removal of the lesion occurred, and no reconstructive surgery was needed. However, post-surgery to present date, the patient experiences severe acid reflux and sleeps with her head elevated. She has great home dental care and follows a 3-month periodontal maintenance. During the head and neck exam, no significant findings were disc...
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Chronic Anterior Inflammation Finally Resolved

Challenge: The patient's main concern was to reduce chronic inflammation around tooth #8 and #9. The patient previously had received treatment at a general dentist and a periodontist without significant improvement. Background: A new female patient, age 28, was last seen by another dentist on 12/5/2018. Her home care consists of brushing twice daily with Tom's of Maine® toothpaste and a Sonicare™ power toothbrush, and Crest® Pro-Health™ rinse with occasional flossing. Her family history i...
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