Flying Blind: A Wake-Up Call – Part One

Posted on June 27, 2025June 19, 2025 by Michael Goldberg DMD

When I say “Flying Blind” no, I’m not talking about the air-control issues at Newark Airport. I’m talking about how we practice oral health care. Having taught in two universities, I have a pretty good idea of the curriculum dentists and hygienists receive. “Basic Sciences” dominate those early years: microbiology, immunology, physiology, anatomy, and pharmacology. Why? Because understanding the why behind disease matters. So here’s the real question: Why are those sciences all but aba...

Interview with Dr. Geoffrey Sharpe

Posted on May 9, 2025May 8, 2025 by Geoffrey Sharpe BDS MFDS RCPS MSc MRD Perio RCSEd

Dr. Ron McGlennen: How were you introduced to OralDNA® salivary diagnostics, and what motivated you to incorporate it into your practice? Dr. Geoffrey Sharpe: As a periodontist, I had been aware of salivary diagnostic testing for some time. However, this subject was not widely taught at dental schools, even at the postgraduate level. A number of colleagues in my network were strong advocates of the tests available from OralDNA® Labs and I became curious to explore their potential in my sp...

Throwback: Salivary Diagnostics for Gum Disease and Oral Cancer Risk Assessment

Posted on April 25, 2025April 24, 2025 by Idelle S. Brand DDS, ND

Clinical laboratory testing is a common practice for the medical professional. DNA testing, including genetic testing, has led to healthier patients. Cross over to dentistry, and let’s review 2 examples of what’s available. Presently, in my office, we perform MyPerioID® IL-6, a test for the genetic marker interleukin 6 (IL-6) to screen for genetic risk of periodontal disease and a viral DNA test for the human papilloma virus (HPV) to screen for risk of oral cancer. The collection is relativ...

Saliva Microbiome Testing: The Future of Dentistry is Here

Posted on April 18, 2025April 18, 2025 by Katie Lee DDS

Close your eyes. Imagine a day when patients no longer avoid or complain about coming to your dental office. You no longer have empty appointment slots or patients not showing up for appointments. Instead, patients are seeking out your expertise because perhaps you hold the key to ending their chronic suffering and their ability to achieve optimum health. You don’t have to imagine this day because it has already arrived! The landscape of dental care is undergoing a transformative shift. Dent...

Educated in Dental Hygiene, Practicing Dental Medicine

Posted on January 20, 2023January 18, 2023 by Stevey Cline RDH

Think about a smile, what does it mean to you? As a dental professional it likely means more than friendliness and beauty. Does the word medicine come to mind? I have been practicing dental hygiene for five short years and have begun to understand the degree that dental and medical are interchangeable. Dental medicine is a key term used when you understand the interchangeability. I believe in dental medicine. As a clinician, most of us have heard our patients say, “There is just a little ...

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 ...

OraRisk® Caries: Identifying Bacteria for Risk Assessment

Posted on October 5, 2018May 20, 2021 by Matt Smith MS

Dental caries is defined as the progressive destruction of a tooth and is considered a major health issue in both adolescents and adults, in which reportedly 90% of the population is affected(1). Cavities are formed when acid erodes the hard tissues of the teeth (enamel, dentin and cementum). Acid is produced in the mouth when certain bacteria, such as Streptococcus mutans, ferment sugars into acid. For decades, S. mutans was believed to be the main bacteria involved in caries initiation ...

A New Conversation with Your Patients

Posted on July 6, 2018May 19, 2021 by Richard H. Nagelberg, DDS

How do we introduce the idea of salivary testing to our patients? As is the approach with every dental procedure or service we recommend for our patients, the primary consideration is excellent communication. Some recommendations are routine and no explanation is necessary, including fillings and fluoride, among many others. When we introduce new procedures or services to our patients some explanation is appropriate. DNA salivary testing for bacteria is a good example. So what should we say w...

Interview with Dawnie Kildoo, DDS, MAGD

Posted on May 25, 2018May 19, 2021 by Dawnie Kildoo, DDS, MAGC

Dr. McGlennen: Tell me how do you use OralDNA® salivary diagnostics. Dr. Kildoo: We perform a MyPerioPath® on every patient with signs of periodontal disease. It gives us a more accurate diagnosis and helps us understand possible risk factors for other systemic diseases, such as Alzheimer’s, diabetes and strokes. Recently, we have been sending the results to the patient’s physician to help them understand the oral-systemic connection, too. Dr. McGlennen: What has been the physician’s ...

Stop Diagnosing the Pocketbook

Posted on May 18, 2018May 19, 2021 by Richard H. Nagelberg, DDS

Cost is a consideration for all of us, which we take into account when deciding whether or not to purchase a wide variety of goods and services. Our responsibility as clinicians is to make recommendations to help patients achieve the best health possible, without letting our preconceived ideas about the patient’s ability to afford treatment get in the way – what I refer to as diagnosing the pocketbook. One of the things we do not know and cannot predict is how much value the patient puts on ...