{"id":8529,"date":"2022-03-11T12:00:02","date_gmt":"2022-03-11T18:00:02","guid":{"rendered":"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/?p=8529"},"modified":"2022-03-09T09:12:37","modified_gmt":"2022-03-09T15:12:37","slug":"periodontal-disease-with-a-patient-experiencing-vision-impairment","status":"publish","type":"post","link":"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/index.php\/2022\/03\/11\/periodontal-disease-with-a-patient-experiencing-vision-impairment\/","title":{"rendered":"Periodontal Disease with a Patient Experiencing Vision Impairment"},"content":{"rendered":"<p><a href=\"https:\/\/www.fontainebleaudentistry.com\/\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-8746 aligncenter\" src=\"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/wp-content\/uploads\/2022\/03\/994-Logo.webp\" alt=\"\" width=\"1675\" height=\"300\" srcset=\"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/wp-content\/uploads\/2022\/03\/994-Logo.webp 335w, https:\/\/www.oraldna.com\/trends-in-salivary-testing\/wp-content\/uploads\/2022\/03\/994-Logo-300x54.webp 300w\" sizes=\"(max-width: 1675px) 100vw, 1675px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Challenge:<\/strong> Patient experiencing recent vision impairment presented as Stage III Grade B, active generalized periodontal disease with localized severe periodontal disease in the maxillary anterior area.<a href=\"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/wp-content\/uploads\/2022\/03\/Max-ant.jpg\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-8748\" src=\"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/wp-content\/uploads\/2022\/03\/Max-ant.jpg\" alt=\"\" width=\"211\" height=\"300\" srcset=\"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/wp-content\/uploads\/2022\/03\/Max-ant.jpg 607w, https:\/\/www.oraldna.com\/trends-in-salivary-testing\/wp-content\/uploads\/2022\/03\/Max-ant-211x300.jpg 211w\" sizes=\"(max-width: 211px) 100vw, 211px\" \/><\/a><\/p>\n<p><strong>Background: <\/strong><\/p>\n<ul>\n<li>Age: 36<\/li>\n<li>Sex: M<\/li>\n<li>Medical History: Patient reports recent vision impairment with the right eye. Under the care of the ophthalmologist, a diagnosis has not been found. No other systemic diseases or conditions reported.<\/li>\n<li>Last Dental Exam: Within 3 years<\/li>\n<li>Chief Complaint: Loose anterior tooth with mild discomfort.<\/li>\n<li>Clinical Assessment: Class III Mobility on teeth 8 and 10, no clinical findings of decay. Patient reports no history of trauma to head or neck.<\/li>\n<li>Periodontal Assessment: Generalized 3-5mm probing depth with localized 9+ probing depths on teeth 7 and 8. Generalized bleeding in all 4 quadrants. Suppuration from teeth 8 and 10.<\/li>\n<\/ul>\n<p><strong>Additional Comments:<\/strong> Patient states he noticed loosening of teeth around same time as vision impairment. This occurred approximately 3 months prior to the dental exam.<\/p>\n<p><strong>Solution: <\/strong><\/p>\n<ul>\n<li>Date of MyPerioPath\u00ae Collection: 12\/21\/2020<\/li>\n<li>Periodontal Therapy:\n<ul>\n<li>Full mouth scaling and root planning, irrigation, and bacterial decontamination.<\/li>\n<li>Systemic Antibiotic used: Metronidazole 500mg 10 days.<\/li>\n<li>6 weeks post SRP: Consult with Periodontist and extract teeth 8 and 10.<\/li>\n<\/ul>\n<\/li>\n<li>Perform MyPerioProgress\u00ae Collection: 02\/18\/2021<\/li>\n<li>3 months post extract; cone beam computed tomography (CBCT) and evaluation for implants by periodontist. Areas of teeth 8 and 10 showed not enough bone for implant placement. Permanent bridge was recommended and completed for patient.<\/li>\n<\/ul>\n<p><strong>Additional comments:<\/strong> During the full course of therapy, the patient discontinued the use of medication for his ophthalmic problems and reported a stabilization on vision loss. The patient\u2019s ophthalmologist requested copies of our salivary diagnostics results to investigate further.<\/p>\n<p><a href=\"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/wp-content\/uploads\/2022\/03\/vigon-reduction.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-8750\" src=\"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/wp-content\/uploads\/2022\/03\/vigon-reduction.png\" alt=\"\" width=\"181\" height=\"190\" \/><\/a><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-8749 alignnone\" src=\"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/wp-content\/uploads\/2022\/03\/vigon-results.png\" alt=\"\" width=\"609\" height=\"274\" srcset=\"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/wp-content\/uploads\/2022\/03\/vigon-results.png 752w, https:\/\/www.oraldna.com\/trends-in-salivary-testing\/wp-content\/uploads\/2022\/03\/vigon-results-300x135.png 300w\" sizes=\"(max-width: 609px) 100vw, 609px\" \/><\/p>\n<p><strong>Results:<\/strong> There was generalized improvement in all 4 quadrants resulting in 1-3mm probing depths with no bleeding. The microbiological reduction of 67% resulted in his periodontal health. The patient has been able to maintain this periodontal health for one year and counting. The patient has been consistent with our recommendation of a 3-month hygiene care where a periodontal maintenance, irrigation and bacterial decontamination is performed each time.<\/p>\n<p>Although the patient was unable to have implants to replace missing teeth 8 and 10, the fixed bridge #6-#11, along with stabilization of his vision has restored his self-confidence. This case has taught me to be confident with our treatment protocols. Even though, this case had a twist&#8211;the vision impairment and the recognition of the loose anterior teeth\u2014our treatment protocol had a positive correlation. This case supports the information we currently know about the Mouth Body Connection\u2122 is just the tip of the iceberg.<\/p>\n<p>Would you like to view more case studies? Click <a href=\"https:\/\/www.oraldna.com\/case-study\/\" target=\"_blank\" rel=\"noopener\">here<\/a> and choose a category.<\/p>\n<p><a href=\"http:\/\/oraldna.com\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-8303 aligncenter\" src=\"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/wp-content\/uploads\/2021\/11\/JOIN-ODNA-TODAY-QR.png\" alt=\"\" width=\"1050\" height=\"300\" srcset=\"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/wp-content\/uploads\/2021\/11\/JOIN-ODNA-TODAY-QR.png 2828w, https:\/\/www.oraldna.com\/trends-in-salivary-testing\/wp-content\/uploads\/2021\/11\/JOIN-ODNA-TODAY-QR-300x86.png 300w, https:\/\/www.oraldna.com\/trends-in-salivary-testing\/wp-content\/uploads\/2021\/11\/JOIN-ODNA-TODAY-QR-1024x293.png 1024w, https:\/\/www.oraldna.com\/trends-in-salivary-testing\/wp-content\/uploads\/2021\/11\/JOIN-ODNA-TODAY-QR-768x219.png 768w, https:\/\/www.oraldna.com\/trends-in-salivary-testing\/wp-content\/uploads\/2021\/11\/JOIN-ODNA-TODAY-QR-1536x439.png 1536w, https:\/\/www.oraldna.com\/trends-in-salivary-testing\/wp-content\/uploads\/2021\/11\/JOIN-ODNA-TODAY-QR-2048x585.png 2048w\" sizes=\"(max-width: 1050px) 100vw, 1050px\" \/><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>This case has taught me to be confident with our treatment protocols. Even though, this case had a twist&#8211;the vision impairment and the recognition of the loose anterior teeth\u2014our treatment protocol had a positive correlation.<\/p>\n","protected":false},"author":154,"featured_media":8746,"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":[60,10],"tags":[61,76],"class_list":["post-8529","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-case-study","category-periodontal-disease","tag-case-study","tag-periodontal-disease"],"jetpack_featured_media_url":"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/wp-content\/uploads\/2022\/03\/994-Logo.webp","jetpack_sharing_enabled":false,"jetpack_shortlink":"https:\/\/wp.me\/p7W16z-2dz","_links":{"self":[{"href":"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/index.php\/wp-json\/wp\/v2\/posts\/8529"}],"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\/154"}],"replies":[{"embeddable":true,"href":"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/index.php\/wp-json\/wp\/v2\/comments?post=8529"}],"version-history":[{"count":7,"href":"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/index.php\/wp-json\/wp\/v2\/posts\/8529\/revisions"}],"predecessor-version":[{"id":8797,"href":"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/index.php\/wp-json\/wp\/v2\/posts\/8529\/revisions\/8797"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/index.php\/wp-json\/wp\/v2\/media\/8746"}],"wp:attachment":[{"href":"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/index.php\/wp-json\/wp\/v2\/media?parent=8529"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/index.php\/wp-json\/wp\/v2\/categories?post=8529"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.oraldna.com\/trends-in-salivary-testing\/index.php\/wp-json\/wp\/v2\/tags?post=8529"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}