Saliva Microbiome Testing: The Future of Dentistry is Here

Posted on April 18, 2025April 18, 2025 by Katie Lee DDS

Close your eyes. Imagine a day when patients no longer avoid or complain about coming to your dental office. You no longer have empty appointment slots or patients not showing up for appointments. Instead, patients are seeking out your expertise because perhaps you hold the key to ending their chronic suffering and their ability to achieve optimum health. You don’t have to imagine this day because it has already arrived! The landscape of dental care is undergoing a transformative shift. Dent...

Beyond Burnout: 5 steps to lead your hygiene team toward higher job satisfaction and retention

Posted on April 11, 2025April 18, 2025 by Jamie Dooley RDH BIS

Every practice has that one person who steps up and helps out (without being asked), enjoys learning, and boosts the morale of the whole team. Chances are it is one of your hygienists. The best RDHs to employ are those who go the extra mile; but if you don’t acknowledge their extra effort, they will move on to a setting that does. There is a shift happening in dental hygiene, and if we aren’t prepared for it, we are going to fall so far behind that it will be challenging to catch up. As ...

Protect Patient Health with Salivary Diagnostics

Posted on April 4, 2025April 18, 2025 by Kathryn Gilliam

Persistent oral human papillomavirus (HPV) infections have been linked to an increased risk of oral and oropharyngeal cancer. According to the Center for Disease Control and Prevention (CDC), HPV is the most common sexually transmitted infection. Over 200 strains of HPV have been identified. The high-risk types, HPV-16 and HPV-18 are associated with oropharyngeal squamous cell carcinoma (OPSCC). The CDC reports that HPV is responsible for approximately 70% of oropharyngeal cancer in the Unit...

Patient Expectations in the Dental Office

Posted on April 28, 2017May 19, 2021 by Richard H. Nagelberg, DDS

Most patients seem to have reasonable expectations of the care they receive from their dental providers. It is reasonable for our patients to expect us to provide the right amount of treatment for their dental needs- no more and no less, for a reasonable fee. For the majority of patients, the dental service most often received is of a periodontal nature, such as a prophylaxis or periodontal maintenance procedure. This generally occurs two to four times a year. Restorative treatments such as ...

Perio Pathogens CAUSE Atherosclerosis – Now What?

Posted on February 24, 2017May 19, 2021 by Richard H. Nagelberg, DDS

“[It is reasonable to state PD, due to high-risk pathogens, is a contributory cause of atherosclerosis. Distinguishing this type of PD as causal provides a significant opportunity to reduce arterial disease.]” This quote was cited in a previous blog post discussing the first journal article that demonstrated perio pathogens cause atherosclerotic plaques, which lead to cardiovascular events including heart attacks and strokes. The last half dozen words in the quote above are the most impactful; “...

My Staff Won’t Do It

Posted on January 20, 2017May 12, 2021 by Richard H. Nagelberg, DDS

There are many justifications, rationalizations, and excuses in non-testing practices, all of which signal some level of disinterest in enhancing patient care. One of the most difficult to understand is; “My staff/hygienist just won’t do it.” If the doctor is the driving force behind testing implementation and one or more team members are resistant, a staff meeting is in order. Leadership comes from the top and it is the doctor’s responsibility to set the direction for the practice, including th...

Stop Diagnosing the Pocketbook

Posted on January 13, 2017May 12, 2021 by Richard H. Nagelberg, DDS

Cost is a consideration for all of us, which we take into account when deciding whether or not to purchase a wide variety of goods and services. Our responsibility as clinicians is to make recommendations to help patients achieve the best health possible, without letting our preconceived ideas about the patient’s ability to afford treatment get in the way – what I refer to as diagnosing the pocketbook. One of the things we do not know and cannot predict is how much value the patient puts on thei...

Causality: It Was Only a Matter of Time

Posted on January 6, 2017May 12, 2021 by Richard H. Nagelberg, DDS

We as dental professionals have a significant role in combating the number one cause of death: cardiovascular disease. “High-risk periodontal pathogens contribute to the pathogenesis of atherosclerosis” is a powerful piece and I recommend you read it. There is scientific evidence that [periodontal disease] PD caused by the high-risk pathogens can influence the pathogenesis triad in an adverse manner. With this appreciation, it is reasonable to state PD, due to high-risk pathogens, is a co...

Periodontal Pathogens and Rheumatoid Arthritis

Posted on December 30, 2016May 12, 2021 by Richard H. Nagelberg, DDS

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 involved. The link between A.a. and RA involves a process called citrullination; which is the conversion o...

The Third Annual North American Saliva Symposium

Posted on December 23, 2016May 12, 2021 by Richard H. Nagelberg, DDS

I attended the third annual North American Saliva Symposium (NASS) this year which was held at New York University College of Dentistry, December 9-10. It was an event filled with globally recognized researchers in salivary diagnostics presenting updates on their respective research efforts. The following is a glance into what the future holds for salivary diagnostics as well as the exciting application of salivary tests currently available. Dental innovations of the future were captured ...