OraRisk® Caries: Identifying Bacteria for Risk Assessment

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 ...
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A New Conversation with Your Patients

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...
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Interview with Dawnie Kildoo, DDS, MAGD

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 rea...
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Stop Diagnosing the Pocketbook

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 ...
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Knowing Your Opponent-Biofilm

According to Merrian-Webster, biofilm is defined as a thin usually resistant layer of microorganisms (such as bacteria) that form on and coat various surfaces. Environmental biofilms are found on the mountain stream rock beds, the dog’s water bowl, etc.. Oral biofilms are the slimy layer on retainers and night guards. They are present in the sulcus and depending on the composition of the biofilm can be very pathogenic. Biofilms are constantly responding to their environment and evolving. ...
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The True Cost of Clinical Lab Testing

As an in-office coach I often hear the following objection, “Clinical laboratory testing is too expensive. My patients won’t want to spend the money.” Taking into consideration the latest research, released in the online British Medical Journal November 29, 2016, which states that periodontal disease with high risk pathogens (Aa, Pg, Tf, Td, Fn) is causal for arterial sclerotic vascular disease, the patient can’t afford NOT to test for the presence of these dangerous bacteria. (1) As a pr...
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Pregnancy Gingivitis: Test, Don’t Guess

In 2015, about 1 out of 10 babies was born too early in the United States (1). In recognition of November's Prematurity Awareness Month, enjoy a hygienist's passion for providing exceptional periodontal care not just for the patient but the unborn patient. "Recently, I was training in a well-established dental practice of more than 30 years.  The four woman, very talented and all out of school less than a year hygiene team, prompted the question about my opinion of pregnancy gingivitis. I...
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Education and Encouragement through Connecting and Commitment: An Interview with Rosie Jimenez

Dr McGlennen: Tell me how do you use OralDNA® salivary diagnostics.  Rosie RDH: Let me begin by sharing; I have been very fortunate to work in practices that support my passion for treating periodontal disease. My patients have benefited through the communication, assessment and treatment I provide. I know there are hygienists who feel they are not supported in their efforts. In honor of dental hygiene month, my advice- stay strong, keep educating yourself on new technologies and keep ask...
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A Progressive Oral Wellness Center in Rural America

In our rural practice (McCreight Progressive Dentistry) in Northwest Colorado, we see periodontal disease on average in about one of every two patients, or around 46%. This is representative of the CDC statistic as posted in the May 2015 Journal of Periodontology. Whenever we read these statistics, we are puzzled. In an industrialized nation where home care tools and dental technologies are readily available, how can there be so much disease? Here are some measures (newer technologies) we ha...
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Systemic Antibiotics can be Bad but Heart Attacks are Worse

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...
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