The Puzzle of Periodontal Disease

Posted on June 1, 2018May 19, 2021 by Diane Larson RDH, BSDH

As children, we are constantly exploring to see how things work. We are given books to explore what others have learned and puzzles help us to see how things fit together. As a dental hygienist, I use the puzzle analogy often when referring to periodontal disease. As oral health care professionals, we are trying to put pieces together to resolve or at minimum reduce the patient’s inflammation. To do so in a timely manner, we need to know as many of the pieces as possible. We all know the fru...

Interview with Dawnie Kildoo, DDS, MAGD

Posted on May 25, 2018May 19, 2021 by Dawnie Kildoo, DDS, MAGC

Dr. McGlennen: Tell me how do you use OralDNA® salivary diagnostics. Dr. Kildoo: We perform a MyPerioPath® on every patient with signs of periodontal disease. It gives us a more accurate diagnosis and helps us understand possible risk factors for other systemic diseases, such as Alzheimer’s, diabetes and strokes. Recently, we have been sending the results to the patient’s physician to help them understand the oral-systemic connection, too. Dr. McGlennen: What has been the physician’s ...

Stop Diagnosing the Pocketbook

Posted on May 18, 2018May 19, 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 ...

Where Does the HPV Go?

Posted on April 27, 2018May 19, 2021 by Ronald C. McGlennen, MD

The alarming incidence of oral cancer connected to oral infections caused by the human papillomavirus, HPV, should rightly raise concern. For too long healthcare has overlooked the potential of HPV to cause serious disease in the oral cavity, the pharynx and larynx. Fortunately, early detection is key, and there is now a highly sensitive test that can identify early HPV infections called OraRisk ® HPV. OraRisk ® HPV identifies the HPV infection often before any clinical symptoms can be se...

Definition: Collecting a Salivary Diagnostic Specimen

Posted on March 30, 2018May 28, 2021 by Diane Larson RDH, BSDH

According to an article written in the Journal of Clinical Microbiology, January 2009, “Saliva is a representative diagnostic specimen for an overall view of the oral microbiota, since bacteria from various sites and surfaces of the oral cavity are found in saliva and mouth rinses.”1 The OralDNA® salivary diagnostic collection is based on this principle, among several others, supporting saliva as a testing medium. Over the past decades, cumulative research has been instrumental in elevating ...

One Size Does Not Fit All

Posted on March 23, 2018May 19, 2021 by Sandra Lindo RDH

Periodontal disease is an inflammatory, polymicrobial, multifactorial disease that not only affects the periodontium but has also been linked with systemic diseases such as cardiovascular disease, rheumatoid arthritis, and diabetes. Periodontal disease is a silent disease that affects over 64 million Americans. Most are unaware they have it or possess the bacteria placing them at risk. The use of MyPerioPath® is essential in determining which bacteria are present. It is a key factor in pa...

Flu Season… Why Is This Any Different Than An Infection In The Mouth?

Posted on March 16, 2018May 19, 2021 by Kandra Sellers

Is your home plagued with the flu virus? It seems to be everywhere. The young and the elderly are those most commonly affected by it; in fact there have been many reports of death associated with the 2018 flu virus. Here’s the scenario: You bring your sick loved one to the doctor, and the doctor orders laboratory test(s) typically, by a blood and urine sample. From those lab results, a determination is made if your loved one has a virus or bacterial infection. With this valuable information ...

Managing Atherosclerotic Disease: Medical and Dental Collaboration- The New Standard of Care

Posted on February 23, 2018May 19, 2021 by John Kempton DDS

Medicine and dentistry have long been aware of the connection, association, and direct links between high-risk periodontal pathogens and cardiovascular disease. Knowledge alone has a limited potential to change chronic disease outcomes unless it leads to new clinical practices. Effective and proven new protocols to identify and mitigate virulent periodontal microbes are available today. A small percentage of dentists have implemented these practices and the majority of physicians are unaware...

Case Study: Class III Moderate Periodontitis with Halitosis

Posted on February 16, 2018May 19, 2021 by Jamie Griggs RDH

Background: The patient is a 61-year-old male who presented with concerns of halitosis. The home care routine consisted of daily tooth brushing and inconsistent flossing. Following the periodontal assessment, the patient was classified as Class III generalized periodontitis with localized Class IV due to pocket depth measurements, heavy bleeding on probing with inflamed, bulbous and erythematous tissue. The patient has a history of periodontal therapy and has maintained a 3-month recare inte...

Knowing Your Opponent-Biofilm

Posted on February 2, 2018May 19, 2021 by Annie-Laurie Harris, BSDH, RDHMP

According to Merriam-Webster, biofilm is defined as a thin usually resistant layer of microorganisms (such as bacteria) that form on and coat various surfaces. Environmental biofilms are found on the mountain stream rock beds, the dog’s water bowl, etc.. Oral biofilms are the slimy layer on retainers and night guards. They are present in the sulcus and depending on the composition of the biofilm can be very pathogenic. Biofilms are constantly responding to their environment and evolving. ...