As your dental practice opens its doors, answering questions of safety can be one of the many stressors on your mind. This blog will highlight ways to help take control and provide a sense of security. For example, during the mandated shut down dental practices were diligently working, securing limited personal protective equipment (PPE), and studying the ever-changing guidelines. Obtaining the appropriate PPE and conducting necessary training is one way of taking control and providing a sen...
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Salivary Diagnostics
Connecting the Mouth and the Brain Through Bacteria
There are many diseases that people never want to hear they have. Cancer is a gut-wrenching diagnosis and with it comes images of enduring chemotherapy and/or radiation. For many decades having cancer meant a probable death. Medicine has come a long way in cancer treatment and many who receive treatments become survivors. In addition to better survival rates from certain types of cancer, deaths from heart disease and stroke have also been reduced in recent years.
One diagnosis that has no...
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COVID-19: A Primer for the Dental Professional, Part 2
Tools for the Dental Professional: Testing for SARS-CoV-2
In response to the pandemic, the community of laboratories from across the globe have worked to develop new tests to diagnose COVID-19 and to identify persons who have successfully survived the infection. There are then 2 types of tests for these two conditions.
To diagnose COVID-19 a sample of nasal or oral secretions are collected to look for viral RNA, evidence of the presence of SARS-CoV-2 in that person. In short, laborat...
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COVID-19: A Primer for the Dental Professional Part 1
The pandemic caused by the virus, SARS-CoV-2, has descended upon us with a speed and seriousness unprecedented in our modern history. The virus causing the disease called COVID-19 has been revealed to be both stealthy as well as terribly dramatic. The virus and the disease have taken not only the health and lives of many in our country, but also, in the effort to stem the pandemic, our economy as well. As we look forward to an ebb in the number of newly afflicted persons, it is important to ...
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A Progressive Oral Wellness Center in Rural America
In our rural practice (McCreight Progressive Dentistry) in Northwest Colorado, we see periodontal disease on average in about one of every two patients, or around 46%. This is representative of the CDC statistic as posted in the May 2015 Journal of Periodontology. Whenever we read these statistics, we are puzzled. In an industrialized nation where home care tools and dental technologies are readily available, how can there be so much disease? Here are some measures (newer technologies) we ha...
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Communication is Key
Periodontal disease is one of the most prevalent chronic inflammatory diseases in the United States and it is a key indicator of other systemic diseases. Dentistry has a significant role in reducing the impact of chronic disease in patients who trust their dental teams to guide them to total body health. From the first call and through every step of the patient experience, such as reviewing the medical history, the conversation should include the oral systemic connection.
Dental teams a...
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Root Canal Therapy
“News flash! All root canal-treated teeth are infected!” If you are a licensed dentist or endodontist, that statement is likely to strike a nerve. Without question, our scientific understanding of bacterial infectious diseases in the oral microbiome has progressed more than ever in recent years. Testing services such as OralDNA® Labs, aid us by analyzing the pathogens living in the oral environment: I would call it a modern wonder. With so much progress in oral health care, it would stand to...
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Captain Your Ship and Business
In the forty-five years that I have been in dentistry, we have been directly hit by some unique storms such as Hepatitis B in the 70’s, inflation rates of 18% in the 80’s, AIDS/HIV 80’s-90’s, Gulf War 1990, 9/11 of 2001, SARS ’02, the Great Recession ’08-09, H1N1 ’09, MERS ’12, and now COVID-19 in 2020. This is not our first American storm; this is more like a tsunami/hurricane/and flood all rolled into a tiny 0.12-micron virus. It is a public health and an economic crisis combination. I pur...
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Critical Thinking: The Systemic Antibiotic Option
The MyPerioPath® test provides a wide variety of valuable information for the clinician to consider in the care of their patients. In one example, the Treatment Consideration section of the report provides a recommendation for a regimen of oral antibiotics when the test results show bacteria levels greater than the black lines, called the therapeutic threshold. Where did this recommendation come from? This choice of drug, along with the recommended doses, are based on published research of...
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Salivary Diagnostics for Gum Disease and Oral Cancer Risk Assessment
Clinical laboratory testing is a common practice for the medical professional. DNA testing, including genetic testing, has led to healthier patients. Cross over to dentistry, and let’s review 2 examples of what’s available. Presently, in my office, we perform MyPerioID® IL-6, a test for the genetic marker interleukin 6 (IL-6) to screen for genetic risk of periodontal disease and a viral DNA test for the human papilloma virus (HPV) to screen for risk of oral cancer. The collection is relativ...
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