The Medical History Form and Salivary Diagnostics

Posted on July 28, 2017May 19, 2021 by Traci Warner, RDH

A medical history form is a starting point to guide conversations and to make connections between oral health and overall health. Consider re-configuring your current medical history form to quickly be able to visualize oral systemic connections and/ or concerns. These 5 questions should be asked on your current health history form. 1) Has a parent, sibling or grandparent had a heart attack or stroke? Yes__ No__ 2) Has a parent, sibling or grandparent had diabetes? Yes__ No__ 3) Has a p...

“Seeing” What Can’t Be “Seen”

Posted on July 7, 2017May 19, 2021 by Tanya Brown, DMD

Can you think of a patient who, despite all your efforts, continues to struggle with their periodontal health? Do you ever wish that you could “see” that which you cannot “see”? Well, here’s the good news: You can! In addition to a complete professional prophylaxis or periodontal therapy, part of your mission as a healthcare provider is to partner with your patients to achieve better health. When you identify the oral-systemic link for your patients in addition to identifying risk f...

Reduce Dental Benefit Hassles and Help Your Patients Say Yes

Posted on June 23, 2017May 19, 2021 by Tanya Brown, DMD

Wouldn’t it be great if you never had to deal with a denied claim again? One way to help prevent these hassles is by having more diagnostic information from the beginning! The quantitative results that you receive in a salivary diagnostics report gives you a measurable overview of a patient’s bacterial profile as well as risk level—both of which provide crucial evidence for your best chance at insurance coverage. (You’ll also have a great baseline from which you can assess the efficacy of tr...

Perio Pathogens CAUSE Rheumatoid Arthritis– Now What?

Posted on June 9, 2017May 19, 2021 by Richard H. Nagelberg, DDS

“Rheumatoid arthritis is a chronic disease affecting over 1.3 million Americans and as much as 1% of the worldwide population.” (www.rheumatoidarthritis.org) There is a growing body of research indicating a causal association between specific periodontal pathogens and rheumatoid arthritis (RA). In a 2009 study, in Compendium of Continuing Education in Dentistry, the authors indicate that a specific perio pathogen, Porphyromonas gingivalis (P.g.), produces an enzyme capable of modifying specifi...

Gum Disease and Pregnancy

Posted on May 12, 2017May 19, 2021 by Richard H. Nagelberg, DDS

In recognition of National Women’s Health week that begins May 14, I encourage all readers to view the 3 minute attached video. Kim Miller has recorded a highly informative video on pregnancy and periodontal disease. Among the central points in this discussion is that healthy gums do not bleed. Kim makes the point that periodontal bacteria can enter the mother’s bloodstream, cross the placental barrier and potentially have an adverse effect on the developing fetus. There is also a recommendati...

5 Medical Facts that Every Dentist Simply Must Know

Posted on May 5, 2017May 19, 2021 by Jennifer Rankin DDS

5 Medical Facts that Every Dentist Simply MUST Know. . . There is a well-substantiated link between oral health and certain systemic diseases.1 Diseases can lower the body’s resistance to infection, making it more susceptible to developing or exacerbating periodontal disease. Pregnant women with periodontal disease tend to have earlier term babies and babies of lower birth weight.2 Rheumatoid arthritis, Sjogren’s Syndrome and even Alzheimer’s can affect oral health.3 Recent ...

Diabetes Screening in Dental Offices: Part 2

Posted on April 21, 2017May 19, 2021 by Richard H. Nagelberg, DDS

Diabetes is completely out of control in this country. The CDC estimates that one in three adults in the U.S. will be diabetic by 2050. Today, there are 79 million pre-diabetics in the U.S.; which is three times greater than the number of presently diagnosed diabetics. This is a diabetic avalanche; we can’t see the snow roaring down the mountainside, but it is coming. The dental profession needs to be better prepared to assist, as the medical profession is clearly overwhelmed. N...

Diabetes Screening in Dental Offices: Part 1

Posted on April 14, 2017May 19, 2021 by Richard H. Nagelberg, DDS

In 2014, the New Jersey State Board of Dentistry ruled that dentists in New Jersey could screen at-risk patients for diabetes, and although such in-office screening is within the scope of licensure in the state, this testing is not to be presumed to be the standard of care. This can be interpreted to mean that the screening needs to be followed by referral to a physician for definitive diagnosis. The glycated hemoglobin (HbA1c) screening can be performed as a finger stick and analyzed in the den...

Gum Disease and Alzheimer’s Disease

Posted on March 3, 2017May 19, 2021 by Richard H. Nagelberg, DDS

A 2016 study published in PloS One1 examined the impact of periodontitis on the rate of cognitive decline in individuals with Alzheimer’s disease (AD). Sixty community dwelling patients with mild to moderate AD were cognitively assessed and blood samples were taken for detection and quantification of systemic inflammatory markers. Initial clinical assessments of periodontal health were conducted and the same assessments were repeated six months later. The study data revealed that periodontit...

Perio Pathogens CAUSE Atherosclerosis – Now What?

Posted on February 24, 2017May 19, 2021 by Richard H. Nagelberg, DDS

“[It is reasonable to state PD, due to high-risk pathogens, is a contributory cause of atherosclerosis. Distinguishing this type of PD as causal provides a significant opportunity to reduce arterial disease.]” This quote was cited in a previous blog post discussing the first journal article that demonstrated perio pathogens cause atherosclerotic plaques, which lead to cardiovascular events including heart attacks and strokes. The last half dozen words in the quote above are the most impactful; “...