Salivary Diagnostics

Establishing New Treatment Objectives for Periodontal Disease

Posted on by John Kempton DDS
The principles of leadership that drive achievement have the practitioner state the objectives prior to initiating an action plan. Success is more certain and predictable, while any short falls become measurable and remedies are tied to the metrics of the initial objectives. The traditional treatment objectives for periodontal therapy have revolved around certain soft and hard tissue architectural end points and bleeding on probing. These standards have been in place for about 100 years a...
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Oral HPV Awareness Campaign: Part 2

Posted on by Susan Maples DDS
Currently about 72% of all OPCs (Oropharyngeal Cancers) are the results of an oncogenic HPV infection—and very few of these cancers are found in the front of the mouth. HPV-Oral Pharyngeal Cancer (HPV-OPC) develops at the deep base of the tongue or behind of the curtains of the tonsillar pillars. Sadly, there is no effective screening method for early cancer detection. While we fumble with the words to say and the warnings to issue, we are literally watching the HPV epidemic unfold before...
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Oral HPV Awareness Campaign: Part 1

Posted on by Susan Maples DDS
As a Total Health Dental Practice, there was one particular oral disease my team was not comfortable discussing—even though it is deadly and its epidemic has escalated to horrific proportions. You guessed it…HPV-related Oral Pharyngeal Cancer (OPC). Don’t get me wrong; our responsibility to complete our 9-point screen for oral cancer is routinely completed. But we knew the screening exam—was completely ineffective in screening for the risk of HPV-OPC. In brainstorming about our weakness, ...
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The Puzzle of Periodontal Disease

Posted on by Diane Larson RDH, BSDH
As children, we are constantly exploring to see how things work. We are given books to explore what others have learned and puzzles help us to see how things fit together. As a dental hygienist, I use the puzzle analogy often when referring to periodontal disease. As oral health care professionals, we are trying to put pieces together to resolve or at minimum reduce the patient’s inflammation. To do so in a timely manner, we need to know as many of the pieces as possible. We all know the fru...
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Stop Diagnosing the Pocketbook

Posted on by Richard H. Nagelberg, DDS
Cost is a consideration for all of us, which we take into account when deciding whether or not to purchase a wide variety of goods and services. Our responsibility as clinicians is to make recommendations to help patients achieve the best health possible, without letting our preconceived ideas about the patient’s ability to afford treatment get in the way – what I refer to as diagnosing the pocketbook. One of the things we do not know and cannot predict is how much value the patient puts on ...
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Testing and Coding Improving Patient’s Health

Posted on by Patti DiGangi RDH BS
Periodontal disease starts with a biofilm-based infection that creates a wound that in turn, induces the inflammatory cascade responsible for the disease. This wound should be taken seriously! A variety of tests are available to determine risk, genetics, and the specific pathogens involved with periodontal disease. OralDNA® Labs salivary diagnostic testing helps improve oral health outcomes and enables patients to make more informed choices regarding their professional treatment and at-ho...
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The Co-management of an Esophageal Cancer Survivor

Posted on by Camille Luke RDH MSDH
Background: The patient is a 75-year-old female with a history of esophageal cancer in 2013. The origin of the cancer was determined to be lichen planus. Surgical removal of the lesion occurred and no reconstructive surgery was needed. However, post-surgery to present date, the patient experiences severe acid reflux and sleeps with her head elevated. She has great home dental care and follows a 3-month periodontal maintenance. During the head and neck exam, no significant findings were disco...
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What’s the difference between the two OraRisk® HPV testing options offered by OralDNA® Labs?

Posted on by Brianna Neil
One of the most commonly asked questions from patients and providers alike is  – “What’s the difference between the two OraRisk® HPV tests you offer?”  Simply answered: the main difference is the total number of HPV types tested. The OraRisk® HPV Complete Genotyping test option will analyze the oral rinse specimen for 51 different types of the Human Papilloma Virus (HPV), including high risk, low risk and unknown risk types. If the sample is positive for the presence of HPV, it will then ...
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Advancing Patient Care Through the Use of OraRisk® HPV Salivary Testing: An Interview with Camille Luke

Posted on by Camille Luke RDH MSDH
Dr. McGlennen: Tell me how and why you utilize OralDNA® salivary diagnostics. Camille RDH: Currently we use the OraRisk® HPV test in 5 different dental practices.  Our team members use this test as part of our oral cancer screening process.  At a continuing education course, we were introduced to the correlation between HPV and oral cancer, and felt this would be an important service to provide for our patients, especially with the increased risk of developing oral cancer associated with ...
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Definition: Collecting a Salivary Diagnostic Specimen

Posted on by Diane Larson RDH, BSDH
According to an article written in the Journal of Clinical Microbiology, January 2009, “Saliva is a representative diagnostic specimen for an overall view of the oral microbiota, since bacteria from various sites and surfaces of the oral cavity are found in saliva and mouth rinses.”1 The OralDNA® salivary diagnostic collection is based on this principle, among several others, supporting saliva as a testing medium. Over the past decades, cumulative research has been instrumental in elevating ...
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