Every dentist knows this patient.
Great home care. Minimal bleeding. Stable radiographs. Nothing particularly alarming on the periodontal chart. Maybe they’re even the patient you expect to have the best results.
Then you run a salivary test and find elevated Porphyromonas gingivalis, Fusobacterium nucleatum, or several periodontal pathogens at levels that simply don’t match the mouth you just examined.
Now what?
Is the patient healthy, or is the saliva test telling us something ...
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