Periodontal Disease & Pregnancy

Posted on May 10, 2019May 20, 2021 by Carmeliza dela Paz DDS

Challenge: The patient is expressing oral inflammation and is pregnant. The clinical signs of periodontal disease due to pathogenic bacteria look identical to the clinical signs produced by pregnancy hormones. Background: A 21-week pregnant patient, age 34, presented for care. Upon periodontal assessment, there was generalized marginal inflammation with moderate bleeding on probing. The probe depth readings were generalized 3-4mm. The patient’s oral homecare consisted of twice daily brus...

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 ...

Active Periodontal Disease with Multiple Medical Complications

Posted on March 29, 2019May 20, 2021 by Brie Eickhoff RDH

Challenge: A patient with Multiple Sclerosis (MS) and active periodontal disease, most recently was diagnosed with Type II diabetes, will receive periodontal therapy. Currently, proper home care is limited to the physical difficulties of MS. Background: A 58-year-old female presented on 4/17/2018 with a chief complaint of xerostomia and physical difficulties challenging a proper home care regimen. Due to living with MS for several years, the patient has partial left-side paralysis result...

MyPerioProgress® – Curve Up Ahead

Posted on March 15, 2019May 20, 2021 by Kimberly Babauta, RDH, BS, BCPA

When utilizing salivary diagnostic testing, most cases we encounter will “fit the mold”. We will also encounter many unique cases where we must expand our horizons and consider other possibilities for our patients’ responses to treatment. In my career, I have found these types of cases to be the most rewarding. In my recent blog, MyPerioProgress®-Your Road Map, we reviewed a scenario where a patient’s periodontal therapy outcome and the bacterial profiles were not aligned after treatment - ...

Classic Periodontal Disease Reaches Remission

Posted on March 8, 2019May 20, 2021 by Kristi Case-Williamson RDH

Challenge: Several years of periodontal neglect revealed significant disease. Background: A 48-year-old female, new patient presented with the chief complaint of a broken mandibular molar with swelling that resolved temporarily when taking antibiotics for a sinus infection. The patient reported it has been several years since receiving dental care. The CT scan showed several teeth with periapical abscesses and furcation involvements. The periodontal assessment, including radiographs reve...

Interview with Ashley Leiterman

Posted on February 22, 2019May 20, 2021 by Ashley Leiterman RDH

Dr. McGlennen: Tell me how you use OralDNA® salivary diagnostics. Ashley RDH: I use OralDNA® salivary diagnostics to assist with the diagnosis and treatment planning of periodontal disease. The MyPerioPath® and Alert 2™ testing options are typically the tests we recommend most frequently. Dr. McGlennen: What are the top two things to consider when you select a patient for testing? Ashley RDH: I consider the history of their disease. I routinely recommend testing for any patient who ...

30 Years of Periodontal Maintenance with Relapse and Cardiovascular Complications

Posted on February 15, 2019May 20, 2021 by Kendra Linders RDH

Challenge: After decades of periodontal stability, the patient presented with a rapid advancement of pocketing and inflammation over a period of only 9 months. Background: A 60-year-old male maintaining periodontal health for over 30 years started to relapse. Upon periodontal assessment, there were increasing pockets throughout, especially around an implant, of 9mm. The gingiva was generally medium pink with rolled margins and spongy, erythematous papilla with isolated severe inflammatio...

MyPerioProgress® – Your Road Map

Posted on January 25, 2019May 19, 2021 by Kimberly Babauta, RDH, BS, BCPA

Several years ago, Dr Herb Bader wrote: “The literature supports the advantages of determining the causative organisms in the biofilm, that induces the destructive inflammatory response (Haffajee, Tanner, Teles andSocransky, 2006). In addition, there is a considerable body of evidence supporting the accuracy and sensitivity of salivary testing as being virtually identical to sulcular samples. Work by Giannoble, Wong and others (2008) have confirmed this. Data from thousands of such tests has...

Genetic Testing with OralDNA® Labs

Posted on January 4, 2019May 19, 2021 by Diane Larson RDH, BSDH

Genetic testing refers to the analysis of human DNA, and has become commonplace in the practice of medicine. According to the National Institute of Health, in the future “genetic testing will be an important part of health care for many individuals…we will live in a time of more effective ‘personalized medicine’. Information from genetic testing will help to detect risk for disease, guide strategies for maintaining health, offer more accurate diagnosis, and guide treatment choices for a wide...

“New Hat” for the RDH— Oral Systemic Health Educator & Certified Lifestyle Coach

Posted on December 14, 2018May 20, 2021 by Rick Hutchins DDS

Why would the Complete Health Registered Dental Hygiene team find themselves in inter-professional collaboration with the Certified Lifestyle Coach? The answer begins with understanding that the war raging inside of us is between chronic inflammation and the body’s own host response. We’re not aware of this war because it doesn’t hurt, and we can’t see its effects since it’s going on at a cellular, even a molecular level. The mouth happens to be a major battleground in this war. Unlike a ...