How Do You Speak

How do You Speak Testing? With Dr. Michael Perpich

Posted on by Michael Perpich DDS
Patient Bio: A 24-year-old male new patient, who recently graduated is seeking treatment. His chief complaint is crowding and a bothersome #14 which had endodontic treatment 7 years prior. His periodontal clinical signs are listed below. The patient hasn’t seen a medical doctor in two years as his studies were very demanding. His blood pressure today is 108/73. How would you introduce therapy including Alert 2™ to this patient? In reviewing your exam, it looks like you have several a...
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How Do You Speak Testing? With Lisa Proffitt RDH

Posted on by Lisa Proffitt, RDH, BS
Hypothetical Patient Bio: Your 57-year-old male patient of 12 years presents today with the clinical signs listed below. His updated medical history includes medication for coronary artery disease. The implant on #8 was placed 2 years ago and seems stable. However, his wife states that he has had several months of bad breath. How would you introduce therapy including MyPerioPath® to this patient? As a dental hygienist with extensive periodontal experience, the bacterial levels for th...
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How Do You Speak Testing? With Rosse Lustina RDH

Posted on by Rosse Lustina RDH
Patient Bio: Mr. Joe Doe is 64 years old and has been a patient of record for 25 years. He complies with 3-month periodontal maintenance since his active therapy 5 years ago. His home care consists of brushing with an electric toothbrush in the evening and flossing 5x/week. He takes a blood pressure medication and several for cholesterol. His deceased father had cardiac bypass surgery at age 67. How would you introduce therapy including MyPerioPath® to this patient? First, following t...
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How Do You Speak Testing? With Donna Shook RDH

Posted on by Donna Shook RDH
  Patient Bio: New patient is a 66-year-old female. Per her records, her last active periodontal therapy was over 10 years ago. Her previous dentist just retired, and she is looking for a new dental home. Her home care consists of brushing twice a day with occasional flossing. The patient started smoking at age 18 and currently smokes 1 pack per day. She has expressed an interest in quitting. Medical history includes osteoporosis. How would you introduce therapy including MyPe...
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How Do you Speak Testing? With Becky Comstedt RDH

Posted on by Becky Comstedt RDH, BS
“How Do You Speak Testing” 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® Labs testing with patients. Hypothetical Patient Bio: An 82-year-old female patient has been seeing you for periodontal maintenance. She has cardiovascular disease, takes lisinopri...
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How Do You Speak Testing? With Janice Kaeley DDS, MSD

Posted on by Janice Kaeley DDS, MSD
Patient Background: A 41-year-old female patient is seen for a new patient exam. Her last dental appointment was 10 months ago. Today her primary concern is occasional bleeding gums with brushing. Currently, there are no medical conditions reported and no medications or supplements reported. The patient indicated she may be experiencing peri-menopausal symptoms, but this is not confirmed by a medical doctor. Upon dental examination, generalized 4mm to 6mm pockets were revealed with generaliz...
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How Do You Speak Testing?

Posted on by Leslie I. Bautista RDH
  A common question of everyone doing something for the first time is “How?” Clinical laboratory testing is standard of care in the medical profession and while completing their degrees, our medical colleagues learned the “How.” For dental professionals, clinical laboratory testing is a newer concept. Clinical lab testing in dentistry marks a paradigm shift. We hope this series “How to Speak” provides insights into how to talk with your patients about optimal care. The guest author has...
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How do you speak Pregnancy and Periodontal Disease with your patients?

Posted on by Nancy Wahl RDH, BS MC
Dr. McGlennen: The oral microbiota changes when women become pregnant, and levels of periodontal pathogens increase1. During pregnancy, periodontal inflammation worsens, mostly due to increased levels of A.a., P.g., F.n. and P.i.2. Among these oral pathogens, there is a marked risk of infection of the maternal blood and the placenta, which leads to an increase in pre-term labor, lower birth weight and even the chance of fetal loss due specifically to the bacteria P.g. and F.n.3,4. Further, the...
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How do you speak Dementia/Brain Health and Periodontal Disease with your patients?

Posted on by Steven Ritzi DDS
Dr. McGlennen: Concerning dementia and brain health, recent medical studies point to poor oral health, and high levels of the bacteria in our gums with the increased risk to develop Alzheimer’s and other types of dementia1-3. Specifically, there is now evidence of the oral pathogen, Porphyromonas gingivalis (Pg), present in brain tissue and cerebrospinal fluid and it may be involved with the production of the abnormal proteins that are characteristic of Alzheimer’s disease4.  Additionally, t...
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How do you speak Joint/Musculoskeletal Health and Periodontal Disease to your patients?

Posted on by Jill Wade DDS, MAGD
Dr. McGlennen: Like periodontitis, rheumatoid arthritis (RA) is a chronic inflammatory condition.  But unlike periodontitis, where the genesis of the inflammation is the complex infections in the gingival sulcus, the cause of RA is unknown.  Recent studies, however, provide insights that, in part, oral bacteria play a role in evoking an abnormal immune response that then leads to joint disease.  In a recent meta-analysis of 21 separate studies, there was a significantly increased risk of per...
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