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...
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Interview with Chelsea Gonzales, DDS

Dr McGlennen: Tell me how you use OralDNA® salivary diagnostics. Dr Gonzales: We use OralDNA® to create a customized plan for treating our patient’s periodontal disease. We also use it to gauge the success of their periodontal treatment and revised home care regimens. Salivary diagnostics enables us to treat the patient’s whole health by tying their periodontal condition to their medical history and treating the specific bacteria that could be contributing to multiple health conditions. ...
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MyPerioProgress® – Your Road Map

Several years ago, Dr Herb Bader wrote: “The literature supports the advantages of determining the causative organisms in the biofilm, that induces the destructive inflammatory response (Haffajee, Tanner, Teles andSocransky, 2006). In addition, there is a considerable body of evidence supporting the accuracy and sensitivity of salivary testing as being virtually identical to sulcular samples. Work by Giannoble, Wong and others (2008) have confirmed this. Data from thousands of such tests has...
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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...
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Genetic Testing with OralDNA® Labs

Genetic testing refers to the analysis of human DNA, and has become commonplace in the practice of medicine. According to the National Institute of Health, in the future “genetic testing will be an important part of health care for many individuals…we will live in a time of more effective ‘personalized medicine’. Information from genetic testing will help to detect risk for disease, guide strategies for maintaining health, offer more accurate diagnosis, and guide treatment choices for a wide...
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OraRisk® Caries: Identifying Bacteria for Risk Assessment

Dental caries is defined as the progressive destruction of a tooth and is considered a major health issue in both adolescents and adults, in which reportedly 90% of the population is affected1.  Cavities are formed when acid erodes the hard tissues of the teeth (enamel, dentin and cementum). Acid is produced in the mouth when certain bacteria, such as Streptococcus mutans, ferment sugars into acid.  For decades, S. mutans was believed to be the main bacteria involved in caries initiation ...
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“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 ...
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Patient Communication is Essential for Patient Acceptance

As a dental hygienist in Minnesota, I complete a professional portfolio to maintain my license. One of the core competencies is Patient Communication. As healthcare professionals we guide patients to better health through communicating therapy needs, providing the latest education and motivating patient self-care. Salivary diagnostics allows the clinician to have an objective measurement provided by a credentialed clinical laboratory. However, before the clinician and patient can benefit fro...
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“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 ...
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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...
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