dental saliva test

A Higher Standard of Care

Posted on by Stacey Espe RDH
For many years now, research has shown that there is a mouth body connection. In other words, what is happening in the mouth can impact what is happening with the body! In order for someone to have good health, they need to have good oral health. Unfortunately, periodontal disease is silent, as it does not hurt until it is severe. The minimal pain factor, as periodontal disease develops, may be why 80% of the United States population is suffering from periodontal disease. In the next paragra...
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Case Study: Pregnancy and Periodontal Pathogens

Posted on by Evelyn Chan DMD
Background: Patient is a 31 year old female, who presented with the chief complaint "My gums are swollen and painful." The last dental visit with exam was about 6 months ago. The radiographic examination including bitewings revealed horizontal bone loss and heavy amounts of generalized subgingival calculus. The patient's gums were erythematous with probe depths between 5-9 mm. Patient was diagnosed with generalized severe chronic periodontal disease. The additional challenge was that the patie...
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Gum Disease and Alzheimer’s Disease

Posted on by Richard H. Nagelberg, DDS
In honor of National Alzheimer’s Month, enjoy this repost from 3/3/2017. A 2016 study published in PloS One1 examined the impact of periodontitis on the rate of cognitive decline in individuals with Alzheimer’s disease (AD). Sixty community dwelling patients with mild to moderate AD were cognitively assessed and blood samples were taken for detection and quantification of systemic inflammatory markers. Initial clinical assessments of periodontal health were conducted and the same assessme...
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Are you tired of the “Are you flossing?” song and dance? Find the Root Cause Instead: An Interview with Angie Bays

Posted on by Angie Bays, RDH
Dr. McGlennen: What are the biggest benefits to using salivary diagnostics? Angie RDH: The biggest benefit with offering MyPerioPath® is it gives the clinician another platform for educating the patient. I know patients are fed up of hearing about brushing and flossing, just as much as hygienists are weary of saying it. Don’t get me wrong brushing and flossing are important but OralDNA® takes care to another level. We can now show the patient the root cause of the infection, maybe even ti...
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Saving Patient’s Time and Money: An Interview with Lori Appehans

Posted on by Lori Appelhans, RDH
In many, if not most dental offices, the dental hygienists are the engine that makes the practice go. Clinicians like Lori Appehans are providing optimal treatment by choosing to utilize salivary diagnostic technology. It is my sincere hope that her patients understand how well they are being taken care of. It was certainly my pleasure to discuss the impact of salivary testing with Lori. Dr. Nagelberg: Tell me why you started to use OralDNA salivary diagnostics. Lori, RDH: We were frus...
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We Were Always Taught

Posted on by Richard H. Nagelberg, DDS
Dentists who were trained in the 70’s were always taught that the first instrument used in an operative procedure was the enamel hatchet. Caries excavation was done with spoon excavators and a belt driven low speed handpiece. We were always taught that reversible hydrocolloid was an excellent impression material, especially since you could use the same material on multiple patients. You just had to warm it back up in the water bath. We were always taught that we only needed to use a mask and...
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Communicating with Patients about Nicotine and Perio

Posted on by Kim Miller, RDH, BSDH
During a recent in-office team workshop, we were discussing nicotine use and its dramatic effects on the progression of periodontal disease. To help the team fully understand the consequences of nicotine use, we talked about vasoconstriction and how smoking masks the true level of periodontal infection. The vasoconstrictive properties of smoking reduce blood flow and, in turn, oxygen to the tissue, resulting in gums that do not bleed or have reduced bleeding. Smoking patients have pockets th...
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Assessing Risk with Salivary Diagnostics

Posted on by Herb Bader, DDS, FACD, FICD
The development of commercial laboratory tests utilizing the collection of saliva is, in my opinion, an important step forward in understanding and managing inflammatory periodontal disease. There are, in fact, no tests available that will predict the onset of attachment loss. However, by gathering information on a patient’s genetic inflammatory profile as well as periodontal pathogen profile we have access to objective data when ascertaining risk, or the possible onset of periodontal disease ...
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Perio Pathogens CAUSE Rheumatoid Arthritis– Now What?

Posted on by Richard H. Nagelberg, DDS
“Rheumatoid arthritis is a chronic disease affecting over 1.3 million Americans and as much as 1% of the worldwide population.” (www.rheumatoidarthritis.org) There is a growing body of research indicating a causal association between specific periodontal pathogens and rheumatoid arthritis (RA). In a 2009 study, in Compendium of Continuing Education in Dentistry, the authors indicate that a specific perio pathogen, Porphyromonas gingivalis (P.g.), produces an enzyme capable of modifying specifi...
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Pharmacogenetics: Many medicines work differently on different people, Why?

Posted on by Ronald C. McGlennen, MD
Insights into the structure of the human genome have taught us much about the genetic basis of disease. But what about the genetic nature of health and more specifically, how we as individuals deal with medication? We are, as a species, 99.5% genetically the same. But that last 0.5% difference serves to explain the wide diversity we experience as people in general, including why some respond to medications, and others not as well, or not at all. Here is an example. People who suffer from ...
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