30 Years of Periodontal Maintenance with Relapse and Cardiovascular Complications

Challenge: After decades of periodontal stability, the patient presented with a rapid advancement of pocketing and inflammation over a period of only 9 months. Background:  A 60-year-old male maintaining periodontal health for over 30 years started to relapse. Upon periodontal assessment, there were increasing pockets throughout, especially around an implant, of 9mm. The gingiva was generally medium pink with rolled margins and spongy, erythematous papilla with isolated severe inflammatio...
More

I Don’t Need That, We’re Already Getting Good Results

The enemy of optimal patient care is complacency. Why would anyone settle for good results when optimal results are so easily achieved? Put yourself in your patient’s place in the exam chair: would you then want only good enough? Patients trust their dental professionals to provide the voice in decision regarding their care. If given the choice between practicing blindly, with no information about the specific bacterial cause of their individual case of periodontal disease, and having the ba...
More

“New Hat” for the RDH— Oral Systemic Health Educator & Certified Lifestyle Coach

Why would the Complete Health Registered Dental Hygiene team find themselves in inter-professional collaboration with the Certified Lifestyle Coach? The answer begins with understanding that the war raging inside of us is between chronic inflammation and the body’s own host response. We’re not aware of this war because it doesn’t hurt, and we can’t see its effects since it’s going on at a cellular, even a molecular level. The mouth happens to be a major battleground in this war. Unlike a ...
More

“Test – and Retest – for Clinical Success”

Periodontal disease affects over half of the population and expresses itself differently in different people. It is a highly personalized disease. It is initiated by bacteria, yeast, and viruses that live in a layer on the teeth we refer to as biofilm. It is this biofilm that stimulates a unique host response. INDIVIDUAL HOST RESPONSE Each individual’s host response is dictated by combining their genetics with their acquired risk factors. Acquired risk factors are things that they can ...
More

Periodontal Pathogens & Rheumatoid Arthritis

Trends in Salivary Testing wishes you a Happy Thanksgiving! Enjoy this blog re-post from 12/30/2016. In December 2016 researchers from Johns Hopkins University published a study in Science Translational Medicine indicating an identified link between periodontal disease and rheumatoid arthritis (RA). It would perhaps be more accurate to indicate that rather than periodontal disease being the causative agent, the perio pathogen Aggregatibacter Actinomycetemcomitans (A.a.) was found to be in...
More

When to Administer the Systemic Antibiotic…..

The use of systemic antibiotics as an adjunct to periodontal disease have been utilized for decades1. With the emergence of systemic antibiotic stewardship, a responsible approach to administering a systemic antibiotic with periodontal care is warranted. The overall “cocktail” approach-selecting a systemic antibiotic to blanket everything-could be contributing to rise in antibiotic resistance. However, a systematic approach of testing and utilizing an evidence based recommendation helps you ...
More

Type II Diabetic and Periodontal Disease

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...
More

Dental Hygiene Excellence: A Personalized Treatment Approach

Personalized care for dental patients is more important today than ever! Oral inflammation has been established as the driver for many systemic diseases such as cardiovascular disease, stroke, diabetes, and autoimmune diseases. Periodontal disease is one of the most prevalent inflammatory diseases and does not always respond well to “cookie cutter” treatment. We now know, treatment must target the bacteria that cause the patient’s infection, and every patient is different. Dental Hygiene Exc...
More

Interview with Adrian Fitts RDH & Gerald Smith DMD

Dr McGlennen: Tell me how you use OralDNA® salivary diagnostics. Adrian Fitts RDH & Dr. Gerald Smith: When we see a patient that isn’t “normal.”  Many patients are routine with regard to their oral hygiene/plaque/calculus.  The vast majority of patients respond to usual measures, debridement, and diligent oral hygiene.  However, some patients don’t fit this.  For example, we see a relatively “clean” mouth but we are finding increasing pocketing/bleeding.  The OralDNA® tests are perfec...
More

Sick & Tired of Patients Being … Sick & Tired?

Me too! Day after day, patients dismiss their oral health, writing it off as “My gums have always bled.” Inside, my head was exploding, but outside my heart was opened. I knew that I had a chance to educate my patients to a whole new level of health. One where their energy would be boosted, risk to coronary heart disease would be lowered, and the chance of them developing diabetes would be significantly reduced. I became a hygienist on a mission. I instinctively knew that if things were t...
More