{"id":754,"date":"2017-04-07T12:00:32","date_gmt":"2017-04-07T17:00:32","guid":{"rendered":"http:\/\/oraldna.com\/trends-in-salivary-testing\/?p=754"},"modified":"2021-05-19T14:54:28","modified_gmt":"2021-05-19T19:54:28","slug":"missing-the-boat-when-it-comes-to-perio-therapy","status":"publish","type":"post","link":"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/index.php\/2017\/04\/07\/missing-the-boat-when-it-comes-to-perio-therapy\/","title":{"rendered":"Missing the Boat When it Comes to Perio Therapy"},"content":{"rendered":"

\"\"During a recent national speaking engagement, a hygienist told me that they used<\/em> to do clinical laboratory testing. \u201cWe stopped doing it because when we tested months later, the bacteria had come back and the patient had an active infection again. We decided \u2018it\u2019 wasn\u2019t working so we stopped,\u201d she explained.<\/p>\n

I thought to myself, wow, this is very interesting and a perfect example of \u2018throwing the baby out with the bath water\u2019! It wasn\u2019t the clinical laboratory testing that wasn\u2019t working, it was the therapy being provided that was falling short.<\/p>\n

When a patient has a periodontal infection, it\u2019s essential that we remember these bacteria burrow into the non-keratinized gingival col, begin to reproduce and alter the integrity of the epithelial tissue. These bacteria cause chronic <\/em>inflammation which is defined as simultaneous healing and destruction. In some cases, we have been treating patients for many years who have experienced bleeding every time we provide a prophy. This would indicate that they have not only a chronic infection, but very well established virulent sub gingival biofilm.<\/p>\n

Think with me on this\u2026 if a patient seeks care with their physician for a sinus infection or pneumonia and the bacteria involved do not respond with the initial round of treatment, what do they<\/em> do? They certainly don\u2019t throw their hands in the air and say, \u201cOh well that didn\u2019t work, there is nothing we can do.\u201d If your MD told you that, you would find another one.<\/p>\n

Perhaps it\u2019s the clinical protocols and frequency of visits that are not sufficient to control the sub gingival bacterial biofilm. Did you know that once the sub-g calculus has been removed, an additional 30 \u2013 60 seconds of ultrasonic instrumentation, per pocket, is necessary to completely dismantle and destroy the biofilm? Calculus removal is only the first step. We must address the living organisms in the pockets that\u00a0are causing the disease activity.<\/p>\n

For more information on how to become an OralDNA Provider \u2013 scan HERE:\u00a0\"\"<\/a><\/p>\n

My Staff Won\u2019t Do It<\/a><\/p><\/blockquote>\n