{"id":7912,"date":"2021-07-30T12:00:56","date_gmt":"2021-07-30T17:00:56","guid":{"rendered":"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/?p=7912"},"modified":"2024-08-14T14:12:52","modified_gmt":"2024-08-14T19:12:52","slug":"how-do-you-speak-testing-with-becky-comstedt-rdh","status":"publish","type":"post","link":"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/index.php\/2021\/07\/30\/how-do-you-speak-testing-with-becky-comstedt-rdh\/","title":{"rendered":"How Do you Speak Testing? With Becky Comstedt RDH"},"content":{"rendered":"

\"\"<\/a>\u201cHow Do You Speak Testing\u201d provides insight into how to talk with your patients about optimal care. The guest author has been given a fictitious patient with background information and clinical signs along with a randomly selected test result(s). The guest author will share their expertise in communicating OralDNA\u00ae Labs testing with patients.<\/p>\n

Hypothetical Patient Bio:<\/strong> An 82-year-old female patient has been seeing you for periodontal maintenance. She has cardiovascular disease, takes lisinopril and a prescription blood thinner. She is a smoker. Upon your clinical exam: inflammation, redness, bone loss, and generalized 3 to 5 mm pockets around the lower left premolar area were discovered.<\/p>\n

\"\"<\/a><\/p>\n

Introduce testing to the above hypothetical patient.<\/strong><\/p>\n

Becky Comstedt RDH:<\/strong> Good morning Ms. Smith. After reviewing your oral health today, I\u2019m seeing some unresolved inflammation around your lower left teeth. I know that we\u2019ve been seeing you frequently to maintain your oral health and we\u2019ve tried to incorporate a variety of tools that are easy for you to use at home, but this inflammation is a sign that we may need to utilize a different approach.<\/p>\n

I know that you take a blood thinner, and your gums may bleed more easily, but the inflammation localized on your lower left may be a sign of a bacterial infection that we need to address. I recommend that we test your saliva to make sure this isn\u2019t an indication of a more serious bacterial infection. [Here I would use a visual aid showing the bacteria often found in periodontal disease\/gingivitis with the systemic signs and symptoms]<\/p>\n

Once we have the results back, I will review them with you and together we can decide the best course of action.<\/p>\n

MyPerioPath\u00ae Test Results:<\/strong><\/p>\n

\"\"<\/a><\/p>\n

Interpret MyPerioPath\u00ae results for the hypothetical patient.<\/strong><\/p>\n

Becky Comstedt RDH:<\/strong> Ms. Smith, I am so glad you chose to test your saliva! We would have been \u201cspinning our wheels\u201d had we not identified the specific bacteria in your mouth. The first thing I noticed when I saw your results is that you do have high risk bacteria that are unfazed by the treatment we\u2019ve been performing thus far. Interestingly enough, both bacteria are associated with heart disease. It\u2019s likely that a source of your cardiovascular disease is right here in your mouth! While we cannot undo the damage that\u2019s been done, wouldn\u2019t it be great to minimize future damage?<\/p>\n

The other finding these results reveal, is that your mouth is colonized with many of the moderate risk pathogens that are more common in smokers.1<\/sup> I understand smoking is a difficult habit to break, and I\u2019ll offer some solutions that you can hopefully easily embrace. If you would like to consider quitting smoking, I\u2019d love to talk more about that!<\/p>\n

So, let\u2019s talk about options moving forward. While I\u2019m not generally an \u201cantibiotics first\u201d type of practitioner, I do think that in your case, with the high levels of these dangerous bacteria, it\u2019s best to utilize antibiotics. Fortunately, based on your MyPerioPath\u00ae lab report we can prescribe ones specific to these bacteria! How do you feel about that?<\/p>\n

Additionally, vitamin E (a-tocopherol) may have benefits against one of the bacteria in your mouth (Pg).2<\/sup> I\u2019d suggest you talk to your MD about the right vitamin E dosage for you, as it is one of the vitamins that can accumulate in your body if you take too much. When are you due for your next primary care physician appointment? Would you like me to write something for them, or are you okay bringing it up?<\/p>\n

When you come for your recare appointments, I\u2019d like to start using the laser each time. We\u2019ll try to reduce the bacteria numbers at their source, which is under the gums. In 6 months, we need to retest to verify that we are on the right track! How do you feel about this plan, Ms. Smith?<\/p>\n

References:<\/p>\n

    \n
  1. https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7000377<\/a><\/li>\n
  2. https:\/\/pubmed.ncbi.nlm.nih.gov\/26214284\/<\/a><\/li>\n<\/ol>\n

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

    This is a hypothetical case and should be used for educational purposes only.<\/p>\n","protected":false},"excerpt":{"rendered":"

    I am so glad you chose to test your saliva! We would have been \u201cspinning our wheels\u201d had we not identified the specific bacteria in your mouth.<\/p>\n","protected":false},"author":141,"featured_media":7986,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[120,229,57,108],"tags":[37,230,17],"class_list":["post-7912","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cardiovascular-disease","category-how-do-you-speak","category-oral-systemic","category-patient-education","tag-cardiovascular-disease","tag-how-do-you-speak","tag-oral-systemic-connection"],"jetpack_featured_media_url":"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/wp-content\/uploads\/2021\/07\/Bradburn-Village-Logo.jpg","jetpack_sharing_enabled":false,"jetpack_shortlink":"https:\/\/wp.me\/p7W16z-23C","_links":{"self":[{"href":"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/index.php\/wp-json\/wp\/v2\/posts\/7912"}],"collection":[{"href":"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/index.php\/wp-json\/wp\/v2\/users\/141"}],"replies":[{"embeddable":true,"href":"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/index.php\/wp-json\/wp\/v2\/comments?post=7912"}],"version-history":[{"count":9,"href":"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/index.php\/wp-json\/wp\/v2\/posts\/7912\/revisions"}],"predecessor-version":[{"id":7998,"href":"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/index.php\/wp-json\/wp\/v2\/posts\/7912\/revisions\/7998"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/index.php\/wp-json\/wp\/v2\/media\/7986"}],"wp:attachment":[{"href":"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/index.php\/wp-json\/wp\/v2\/media?parent=7912"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/index.php\/wp-json\/wp\/v2\/categories?post=7912"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/index.php\/wp-json\/wp\/v2\/tags?post=7912"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}