Challenge: Our case study represents an example of the emerging evidence from interventional and, more recently, animal studies showing how seemingly unrelated diseases such as periodontal disease and rheumatoid arthritis can be related through similar genetic, biological, and clinically consistent mechanisms.1,2,3,4
Background: The initial medical assessment for a 57-year-old female diagnosed with palindromic rheumatoid arthritis was conducted at our functional medicine clinic....
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Patient with Dental Pain, Periodontal Disease & High Blood Pressure
Challenge: To address the dental concerns to resolve patient’s dental pain. To educate the patient on the connection between dental health and overall health.
Background: The patient is a 37-year-old male who presented with a dental pain emergency. The home care is poor and patient has history of only seeking dental care for emergencies. Medically, the patient has hypothyroidism, hypertension, high cholesterol, and significant difficulty breathing while asleep. The blood pressure reading ...
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immun19™: OralDNA® Lab’s NEW COVID-19 Neutralizing Antibody Test
In the ever-changing world of COVID, we know that the more knowledge and up-to-date information we have at our fingertips, the more peace of mind and increased security we have. The past year and a half has been a trying time for everyone. Have you wondered if you are protected against the virus? You got the vaccine, but how effective was it? Will a previous infection mount the correct response when you encounter the virus again? I’m sure many, if not all, of us have had these questions go t...
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Training and Upcoming Events
Continuing your education after graduation is a must. This helps you keep in touch with new discoveries in your field and is generally required to maintain licensure for many health care professionals. A great option for providing additional training for your team is to request an OralDNA® webinar with Clinical Specialist Diane Larson, RDH by emailing support@oraldna.com. The training session is typically about 30 minutes in length and provides valuable information about OralDNA® Labs’ testing s...
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How to Share a Case Study
An article written by Crowe, Cresswell et al. states a case study is a research approach that is used to generate an in-depth, multi-faceted understanding of a complex issue in its real-life context.1 Periodontal disease fits this definition because it is a complex issue with real-life context. Personally, case study presentations have been a huge benefit in establishing my approach to periodontal therapy. What I learned in school is that the one size fits all approach should work, however I’...
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A Physician’s Treasure Trove
My journey into oral systemic health began when a very dear patient suffered a fatal stroke. Following the best evidence-based medical practices was not enough, so I studied hard to learn more. That journey led me to a treasure trove of knowledge from Bradley Bale MD and Amy Doneen DNP, ARNP, founders of the BaleDoneen Method®, and then to the American Academy for Oral Systemic Health. More than ever, I can emphatically pronounce that NO cardiovascular prevention program is complete without ...
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How Do you Speak Testing? With Becky Comstedt RDH
“How Do You Speak Testing” provides insight into how to talk with your patients about optimal care. The guest author has been given a fictitious patient with background information and clinical signs along with a randomly selected test result(s). The guest author will share their expertise in communicating OralDNA® Labs testing with patients.
Hypothetical Patient Bio: An 82-year-old female patient has been seeing you for periodontal maintenance. She has cardiovascular disease, takes lisinopri...
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Oral Health and Leaky Gut: The Surprising Connections
Helping dental professionals recognize the interconnectedness between oral health, the gastrointestinal (GI) system, and overall wellness is my passion. As dental clinicians, it’s imperative to understand these connections because what happens in the mouth doesn’t stay in the mouth. Numerous health issues can be detected by educated and observant dental professionals—thus alerting patients to avoidable negative health consequences down the road.
Does bad oral health affect the rest of the...
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Classic Periodontal Disease
Challenge: A new patient with poor home care and lack of dental attention presented wanting whiter teeth along with a cleaning.
Background: A male 40-year-old new patient whose last dental appointment was 3/8/2017 presents with adult chronic periodontal disease, severe wear on anterior teeth and decay on #19. The patient appears generally healthy (BP 118/79) with no medical conditions or medications. There is a suspicion of sleep disordered breathing along with an anterior tongue tie.
Solu...
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Classification of Periodontal and Peri-Implant Diseases and Conditions
As a periodontist, there are two topics that other clinicians frequently ask me about. The first is the updated Classification of Periodontal and Peri-Implant Diseases and Conditions. The second is my experience of working with salivary diagnostics. Both of these initiatives have become an essential part of my daily practice in periodontics.
I moved to Dubai in 2010 to work as a specialist periodontist at a well-known private clinic. During my time in Dubai, it became increasingly clear that ...
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