How do you speak Risk of Cancer and Periodontal Disease with your patients?

Posted on September 6, 2019August 14, 2024 by Michael C. Rogers, DDS

Dr McGlennen: Cancer is a word that receives a lot of attention. There are walks, runs and bike rides every day to raise awareness of various types of cancers and billions of dollars are spent on research directed to improve diagnosis and treatments. As health care professionals, we should perform a cancer risk assessment for each patient with a goal to reduce the patient’s risk and to find cancers earlier when cure is more likely. One way that the dental office can contr...

Interview with Richard Zbaraschuk DDS

Posted on August 23, 2019May 20, 2021 by Richard Zbaraschuk DDS

Dr. McGlennen: Tell me how you use OralDNA® salivary diagnostics. Richard Zbaraschuk, DDS: For each patient we utilize chairside microscopy. When I see mature biofilms and/or Fn (Fusobacterium nucleatum), yeast, white blood cells (WBC), or spirochetes with the aid of the microscope, or the patient has consistent bleeding upon probing, I’ll make the recommendation of OralDNA® testing. All new patients are given the MyPerioPath® brochure so they know all the options for testing that our of...

How do you speak Metabolic Health/Diabetes and Periodontal Disease to Your Patients?

Posted on August 9, 2019August 14, 2024 by Elizabeth Farber RDH

Dr. McGlennen: Many resources confirm a bi-directional relationship between periodontal disease and Type II diabetes; which in simple terms means if you have one, you will most likely have the other. Elevated levels of periodontal bacteria can directly cause hyperglycemia.1 Long term, the inflammation associated with increased pathogen burden can affect the health of the pancreas. Specifically, there is the risk of the loss of beta cells that produce insulin and respond to elevated blood glu...

A Periodontist’s Nonsurgical Approach to Periodontal Disease: Part 2

Posted on June 21, 2019May 20, 2021 by Lee Sheldon DMD PA

Last week I wrote on how MyPerioPath® testing impacts patient diagnosis. Now I will address another aspect of the report, the systemic antibiotic option. There are some “purists” out there who say they don’t need antibiotics, and that they only need clinical evaluation to treat a periodontal infection. I can’t see the bacteria. I don’t know the involvement or virulence of these pathogens. While I strongly believe that antibiotics are overused in health care, when there is a true infection of...

Periodontal Patient with Poor Diabetic Control Combined with Poor Home Care

Posted on May 17, 2019May 20, 2021 by Carter Lamb RDH

Challenge: A periodontal patient of record is diagnosed with active periodontal disease. Therapy is needed to achieve a healthier oral state; however the patient has uncontrolled diabetes combined with poor home care that may be contributing to the patient’s oral health status. Background: A female patient of record, age 48, presented for periodontal maintenance on 11/19/2018. Upon periodontal assessment, the patient exhibited oral inflammation with bleeding, moderate calculus deposits a...

Flower Power: A Less Aggressive Approach

Posted on May 3, 2019May 20, 2021 by Ellie Phillips DDS

When OralDNA® testing indicates worrisome levels of periodontal pathogens, we may want to consider a dentally counter-cultural idea that can help avoid the need for aggressive antibiotics and antiseptics. Most dental professionals believe periodontal disease cannot be cured, yet a more holistic approach has been shown to overcome periodontal pathogens and may offer a way to avoid the continuous cycles of treatment to control re-infection. Our understanding of human bacteria changed as the Human ...

3 Surefire Ways To Make 2019 Your BEST Year Ever

Posted on April 26, 2019May 20, 2021 by Tanya Brown, DMD

WOW! How time flies! It’s hard to believe that the first quarter of 2019 is over. Every day there are countless opportunities to enhance our patient care, create more efficiency, increase our production, and improve team morale. If you are one of those people, like me, who enjoys setting goals and celebrating when you reach them; then you will love these 3 surefire ways to make 2019 your BEST year ever! 1. Get the RIGHT People in the “RIGHT SEATS” on your bus! There have been days when...

Do You Speak HPV? Part 3

Posted on April 19, 2019May 20, 2021 by Kimberly Babauta, RDH, BS, BCPA

In my previous blog, I explored three common positive responses I’ve encountered from patients when offering a test for oral HPV and how I would respond to them. In this blog, I will address some of the objections from patients and how I would further educate the patient about oral HPV and testing options. Patient 1: I don’t think I need that test. I’ve never been exposed. Response 1: I understand but in case you’re ever curious, remember we have this potentially life-saving service ...

Do You Speak HPV? Part 2

Posted on April 12, 2019May 20, 2021 by Kimberly Babauta, RDH, BS, BCPA

Dental clinicians have been on the front lines of oral cancer prevention and early detection for many years. We have been trained to do very thorough oral cancer exams and to use various light systems to visualize tissue changes; however, according to the Oral Cancer Foundation, the death rate for oral cancers has remained higher than that of many other types of cancers which we hear about routinely.1 Many studies support that the human papilloma virus (HPV) is responsible for a large number...

Do You Speak HPV? Part 1

Posted on April 5, 2019May 20, 2021 by Kimberly Babauta, RDH, BS, BCPA

Dental professionals are often uncomfortable approaching patients on topics that are unfamiliar or that feel outside the realm of “traditional” dentistry. One such topic is Human papillomavirus (HPV). As a hygienist of 40 plus years, I can tell you this topic never came up in my education. Several years ago, I had to educate myself about this near epidemic viral infection. Most importantly, I had to step out of my comfort zone to find a way to share this crucial knowledge with my patients...