diabetes

How Do You Speak Testing? With Karina Diaz, BASDH, CRDH

Posted on by Karina Diaz BASDH, CRDH
Patient Bio: A new patient, female, age 41 appointed to your practice. Upon medical history review, she is currently not taking any medications, only nutritional supplements recommended by her dietician. Her family history revealed her father has cardiovascular disease and sister has Type 2 diabetes. Completing the periodontal assessment identified: How would you introduce therapy including MyPerioPath® to this patient? (Patient) we understand that the health of our mouths and the heal...
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How Do You Speak Testing? With Kim Ramos RDH & Ali Carr RDH

Posted on by Kim Ramos RDH - Ali Carr RDH
Patient Bio: Your new female 39-year-old patient hasn’t been seen by a dentist since 2020. She was recently diagnosed as pre-diabetic with elevated blood pressure. With her medical doctor’s approval, she is attempting to control or reverse her pre-diabetes and lower her blood pressure with diet and lifestyle changes. Her medical doctor recommended she have a dental exam. She is interested in fixing her crowded maxillary anterior teeth. Here are the findings of the periodontal assessment: ...
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Leaky Gum Syndrome & The Oral-Systemic Link

Posted on by Cass Nelson-Dooley MS
Few of us think much about the health of our mouth lining unless our gums are swollen and red or if we have mouth pain. But the tissue lining your gums and the inside of your mouth is vitally important to keeping you safe from heart disease, joint pain, and brain disease. How do healthy gums protect you from all of that? Your mouth lining is a critical defense between infections in your mouth and the rest of your body. Bleeding, swollen, sore gums can point to a weak defense in the mouth and may...
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Active Periodontal Disease with Multiple Medical Complications

Posted on by Brie Eickhoff RDH
Challenge: A patient with Multiple Sclerosis (MS) and active periodontal disease, most recently was diagnosed with Type II diabetes, will receive periodontal therapy. Currently, proper home care is limited to the physical difficulties of MS. Background: A 58-year-old female presented on 4/17/2018 with a chief complaint of xerostomia and physical difficulties challenging a proper home care regimen. Due to living with MS for several years, the patient has partial left-side paralysis resulti...
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Uncontrolled Diabetic – Referred by Physician

Posted on by Mary Kay Carroll RDH
  Background: The patient is a 41-year-old female who has not been seen by a dental professional since 2008 (10 years). The patient stated her chief concern as “My doctor said my uncontrolled diabetes could be caused by my mouth.” Other medical concerns are high blood pressure and acid reflux. The home care routine consisted of manual tooth brushing only. Following the periodontal assessment, the patient was diagnosed with active, localized, chronic periodontitis due to the present s...
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How do you speak Metabolic Health/Diabetes and Periodontal Disease to Your Patients?

Posted on by Elizabeth Farber RDH
Dr. McGlennen: Many resources confirm a bi-directional relationship between periodontal disease and Type II diabetes; which in simple terms means if you have one, you will most likely have the other. Elevated levels of periodontal bacteria can directly cause hyperglycemia.1 Long term, the inflammation associated with increased pathogen burden can affect the health of the pancreas. Specifically, there is the risk of the loss of beta cells that produce insulin and respond to elevated blood glu...
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Periodontal Patient with Poor Diabetic Control Combined with Poor Home Care

Posted on by Carter Lamb RDH
Challenge: A periodontal patient of record is diagnosed with active periodontal disease. Therapy is needed to achieve a healthier oral state; however the patient has uncontrolled diabetes combined with poor home care that may be contributing to the patient’s oral health status. Background:  A female patient of record, age 48, presented for periodontal maintenance on 11/19/2018. Upon periodontal assessment, the patient exhibited oral inflammation with bleeding, moderate calculus deposits a...
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Active Periodontal Disease with Multiple Medical Complications

Posted on by Brie Eickhoff RDH
Challenge: A patient with Multiple Sclerosis (MS) and active periodontal disease, most recently was diagnosed with Type II diabetes, will receive periodontal therapy. Currently, proper home care is limited to the physical difficulties of MS. Background:  A 58-year-old female presented on 4/17/2018 with a chief complaint of xerostomia and physical difficulties challenging a proper home care regimen. Due to living with MS for several years, the patient has partial left-side paralysis result...
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Type II Diabetic and Periodontal Disease

Posted on by Debbie Bickford RDH
Challenge: A Type II Diabetic patient, who has been a long term client, has uncontrolled periodontal disease and a history of not responding to previous periodontal treatment. Background:  This 73 year-old female with Type II Diabetes has been a patient in our periodontal maintenance program for years. She has had several courses of active periodontal therapy never achieving complete periodontal remission. In the past year, our team has been upping our game by studying under Dental Hygien...
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An Uncontrolled Diabetic Patient – Referred by Physician

Posted on by Mary Kay Carroll RDH
Background: The patient is a 41-year-old female who has not been seen by a dental professional since 2008 (10 years). The patient stated her chief concern as “My doctor said my uncontrolled diabetes could be caused by my mouth.” Other medical concerns are high blood pressure and acid reflux. The home care routine consisted of manual tooth brushing only. Following the periodontal assessment, the patient was diagnosed with active, localized, chronic periodontitis due to the present sub-gingiva...
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