Class II Generalized Periodontitis and Rheumatoid Arthritis Requesting Implant Placement

Challenge: To establish periodontal remission by addressing the clinical manifestations of periodontal disease and altering the oral flora in order to lower the incidence of periodontal disease relapse. Bacterial management will eliminate a source of total body inflammation and increase success of implant placement. Background: The patient is a 66 year-old-male with rheumatoid arthritis, taking Lisinopril and is a potential candidate for implant to restore #19. Patient’s daily home care r...
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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 ...
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The Doctor-Hygienist Hand-Off

As a formerly practicing hygienist and now a dentist, I am respectfully sensitive to the time constraints and importance of the information exchange during a periodic exam in the hygienist’s treatment room. My team and I developed, practice, and teach this exchange for thoroughness, patient benefit, and emphasis of our professionalism. When the doctor enters the hygienist’s treatment room, the hygienist is to highlight and summarize her findings in the most efficient and effective verbiag...
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Interview with Jessica Clarke, RDH

Dr McGlennen: Let’s talk about how you use OralDNA® salivary diagnostics in your practice. Jessica Clarke RDH: We are currently using the OralDNA® MyPerioPath® test as standard protocol for all active non-surgical periodontal treatment in our office. Dr McGlennen: What are the top two things you consider when selecting a patient for testing? Jessica Clarke RDH: We stick with the traditional signs of periodontal disease (PD) such as bleeding gums, and when we review the patient’s med...
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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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