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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Salivary Diagnostics
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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Interview with Brooke Armour, RDH
Dr. McGlennen: Tell me how you use OralDNA® salivary diagnostics.
Brooke RDH: I use OralDNA® salivary diagnostics to test new patients, patients that have clinical signs of periodontal disease, or patients with a complex medical history.
Dr. McGlennen: What are the biggest benefits to using salivary diagnostics?
Brooke RDH: The benefits of salivary diagnostics are being able to quantify periodontal disease, having something to physically show the patient about their periodontal dise...
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How do you speak Pregnancy and Periodontal Disease with your patients?
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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Interview with the Searcy Dental Team
Dr. McGlennen: Please tell me how you use OralDNA® salivary diagnostics in your practice.
Searcy Dental team: We use salivary diagnostics as standard protocol in our periodontal therapy program, especially MyPerioPath®. These results help us, and patients, understand exactly which pathogens are present and at what levels. When a patient has responded to our applied therapy, we are able to measure the amazing results by post treatment testing.
Dr. McGlennen: What are the top two thing...
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Soft Tissue Program with a Microscope & MyPerioPath®
As with most dental practices we have a soft tissue program in place to help treat periodontal disease as well as gingivitis. We use the traditional x-rays and periodontal probing exams that allow us to assess periodontal damage that has already occurred within the soft tissues and bone. We have also implemented a new type of exam that can show us bacteria that is present in the gum tissues.
Our team recently received training on the use of a microscope and Dr. Hawkins decided to purchase...
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Case Study: Periodontal Disease and Cardiovascular Disease
Challenge: A new patient who has neglected dental care for 20 years with a chief complaint of broken teeth and bleeding gums appoints to address his dental concerns.
Background: A 70-year-old male patient with broken teeth and bleeding gums appoints to our office. His last dental visit was estimated to be 20 years ago. Surprisingly the patient was not experiencing dental pain. The periodontal assessment revealed generalized 4-6 mm pockets with localized 7-9 mm pockets, inflamed and bulbo...
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