The Link Between RA and Periodontal Disease: Bidirectional Cycle/Shared Inflammation

The Challenge: A 29 year old female patient came in extremely concerned with her bleeding gums and wondering if that is also related to her diagnosis of rheumatoid arthritis. The Background: Age: 29 Sex: Female Medical History: Elevated Rheumatoid factor and undergoing further diagnosis to conclude diagnosis for RA  Last Dental Exam: 2021 Home Care: Manual toothbrush 2x daily, floss occasionally Chief Complaint: bleeding gums, sensitive gums Clinical Assessment: ...
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Throwback: Oral Health Contributing to Health Issues

Challenge: Due to dental anxiety, specifically the fear of being overwhelmed with dental problems, the patient finally took the necessary steps to address her chief complaint, “My gums are bleeding, and my teeth are sensitive. I want a more holistic approach to dental care. I feel like my mouth is contributing to my health issues.” Background: Age: 37 Sex: Female Medical History: Severe eczema since childhood, long term topical and systemic steroid for skin has resulted in s...
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RDH Spotlight: Oanh Pham, CPhT, RDH, BSDH

Dr. McGlennen: What inspired you to pursue a career in dental hygiene, and what do you find most rewarding about it? Oanh: I’ve always had a strong passion for helping others and initially pursued a career in nursing. Over time, I realized a career in dental hygiene has a better work life balance while still allowing me to make meaningful impacts on patients’ overall health. What I find most rewarding is knowing that my role goes beyond oral health. By treating periodontal disease, I’m also...
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Secure Your Spot: Pure Perio in Nashville

We’re excited to share an upcoming continuing education experience that brings periodontal care back to its roots while embracing where dentistry is headed next. Pure Perio, led by Dr. Tommy Nabors and Andrea Owens, RDH, BS, OFMT, is designed to reshape how dental teams understand and treat periodontal disease by taking an oral-systemic, evidence-based approach. About the Course Pure Perio delivers a comprehensive framework for treating periodontal disease as a systemic health issue, not a...
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Throwback: Why? What? How?

WHY?…WHAT?…HOW? This is a philosophy that is often taught in dental and hygiene schools: Diagnose, Treatment Plan, then Treat. And yet, immediately after this is taught, a focus is placed on learning treatment, or the HOW. And then upon graduation the focus also becomes on treatment and production. The diagnosis (WHY) and planning (WHAT) become secondary. They’re only an avenue to an end…Production, a means to an end. That’s where the money is. In a nutshell, that’s the problem with our...
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When a “Hopeless” Tooth Isn’t Hopeless

A 45-year-old woman arrived in our office in significant pain. The day before, she had seen a dentist for a painful lower left central incisor. The recommendation was straightforward: extract the tooth and then see a periodontist. She refused. Instead, she searched for another option and drove nearly 50 miles to our office. The Clinical Picture She was hitting tooth #24 every time she closed her mouth—and it hurt badly. The gingival tissue was visibly swollen, and the tooth had Clas...
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Update to MyPerioPath® Antibiotic Options: What You Need to Know

An updated MyPerioPath® Antibiotics Guide is now in effect following our most recent clinical review. These periodic reviews are an essential part of our commitment to evidence-based care, ensuring the recommendations outlined in the report reflect the most current evidence and published literature. As a result, you may notice minor adjustments in some of the antibiotic options recommended, intended to support effective treatment while promoting thoughtful, responsible use.  In particular...
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Throwback: Light the Flame of Awareness

Incorporating OralDNA® testing into our practice has been a game changer. It finally gives us, the clinicians, an advantage when getting ahead of this progressive disease–periodontal disease. The research is mounting, periodontal pathogens do not just exist in your oral cavity; the bacteria can enter the bloodstream through inflamed periodontal tissue. Hence, the mouth is connected to the body and so are the pathogens. It is all linked. Now with MyPerioPath® results to show what periodontal ...
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Throwback: How Do You Speak Testing? With Janice Kaeley DDS, MSD

Patient Background: A 41-year-old female patient is seen for a new patient exam. Her last dental appointment was 10 months ago. Today her primary concern is occasional bleeding gums with brushing. Currently, there are no medical conditions reported and no medications or supplements reported. The patient indicated she may be experiencing peri-menopausal symptoms, but this is not confirmed by a medical doctor. Upon dental examination, generalized 4mm to 6mm pockets were revealed with generaliz...
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Throwback: Classification of Periodontal and Peri-Implant Diseases and Conditions

As a periodontist, there are two topics that other clinicians frequently ask me about. The first is the updated Classification of Periodontal and Peri-Implant Diseases and Conditions. The second is my experience of working with salivary diagnostics. Both of these initiatives have become an essential part of my daily practice in periodontics. I moved to Dubai in 2010 to work as a specialist periodontist at a well-known private clinic. During my time in Dubai, it became increasingly clear t...
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