Traditional Periodontal Disease Case Study

Challenge: Patient with extremely limited history of dental care presents seeking dental wellness. Although patient is anxious, she is highly motivated to create a healthier dental foundation. Background:  A 33-year-old woman with history of acid reflux, seasonal allergies and anemia is seeking to better her dental care. The patient has limited recollection of any dental care in her life, even childhood. The patient’s home care consists of manual tooth brushing 1-2 times per day with the ...
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To Threshold or Not to Threshold

OralDNA® providers frequently comment that some patients will say “I am below those black lines so I must be okay.” To help overcome this obstacle, the MyPerioPath® results have an option to display the threshold lines (black lines) or have them removed. There are benefits to both versions. This blog will provide sample verbiage a clinician can use both when the thresholds are present and when the thresholds are removed. To serve as a refresher and from a previous blog “What is the Therap...
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Interview with Richard Zbaraschuk DDS

Dr McGlennen: Tell me how you use OralDNA® salivary diagnostics. Richard Zbaraschuk, DDS: For each patient we utilize chairside microscopy. When I see mature biofilms and/or Fn (Fusobacterium nucleatum), yeast, white blood cells (WBC), or spirochetes with the aid of the microscope, or the patient has consistent bleeding upon probing, I’ll make the recommendation of OralDNA® testing.  All new patients are given the MyPerioPath® brochure so they know all the options for testing that our off...
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Why I Teach Salivary Testing as a Dental Hygiene Instructor

  I am a dental hygienist and have spent most of my career in a periodontal practice. Most recently I split my time at Dr. Steven Peiser’s office and serve as a faculty member at Goodwin College in Connecticut teaching Oral Pathology to dental hygiene students. It has been so exciting to teach this course and share my knowledge and experience.  Specifically, I most enjoy teaching about the relationship of pathogenic bacteria to the oral-systemic link which is crucial to understand wh...
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How do you speak Metabolic Health/Diabetes and Periodontal Disease to Your Patients?

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 gluc...
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Finding the Root Cause of Disease – It’s All Connected

  The mouth is, and forever will be, part of the body. The traditional medical model is treating symptoms and body parts in isolation. A new approach called functional medicine is emerging. Functional medicine pioneers such as Dr. Mark Hyman, Dr. Mike Roisen, Dr. Josh Axe, Dr. Joel Fuhrman, Dr. Amy Doneen, Dr. Brad Bale, and a host of others, are leading the charge. They do not ask questions like “What do we have?” but rather “Why do we have it?” They understand that body parts and o...
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Interview with Ben Mendoza, RDH

Dr. McGlennen: Please tell me how you use OralDNA® salivary diagnostics in your practice. Ben Mendoza RDH: OralDNA® salivary diagnostics is the most applicable tool we use at Dr. Katherine Brown’s practice in order to guide our patients toward optimal oral care as well as total health well-being. We use this testing to help identify, confirm, and convey both the risk and presence of bacterial pathogens that increase patients’ potential for tooth decay and gum disease, as well as any negat...
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Microbiology Terminology

MyPerioPath® is a laboratory test that screens saliva for specific bacteria known to cause periodontal disease. Bacteria are often described using their scientific name, by categorizing as gram-negative or gram-positive, and by identifying their shape. These descriptors provide us with useful information about each bacteria.  For example, it is plausible that motile bacteria are more resistant to localized treatment due to their ability to move away from areas where the environment does not ...
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Periodontal Disease, Perio Pathogens & Rocket Science

Risk factors for heart attack include; age, tobacco, high blood pressure, lipid profile, diabetes, family history of heart attack, lack of physical activity, obesity, stress, illicit drug use, history of preeclampsia, history of autoimmune condition such as lupus or rheumatoid arthritis and so on and so on. Why have all these risk factors been identified? Because it is better to prevent a heart attack than it is to have one. Risk factor identification and modification is the cornerstone of p...
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What is the Therapeutic Threshold?

In a previous blog, Salivary Diagnostics—Your Molecular X-ray, I introduced the concept of using salivary diagnostics to provide objective understanding to the clinical signs observed with periodontal disease. Once a saliva specimen is analyzed and the results released, the clinician must correlate the lab results to the clinical signs, and decide the next steps for treatment. One feature of the MyPerioPath® test report is the “Therapeutic Thresholds”, displayed as black lines overlying the ...
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