I Don’t Need That, We’re Already Getting Good Results

Posted on November 29, 2019May 20, 2021 by Richard H. Nagelberg, DDS

The enemy of optimal patient care is complacency. Why would anyone settle for good results when optimal results are so easily achieved? Put yourself in your patient’s place in the exam chair: would you then want only good enough? Patients trust their dental professionals to provide the voice in decision regarding their care. If given the choice between practicing blindly, with no information about the specific bacterial cause of their individual case of periodontal disease, and having the ...

Identify & Destroy! Synergistic Pathogenic Biofilm Management

Posted on November 22, 2019May 20, 2021 by Karen Davis RDH, BSDH

Synergy is the combined effect of two things being greater than either one independently. As a veteran of managing periodontal diseases, that is how I view salivary diagnostics and Guided Biofilm Therapy (GBT). With salivary diagnostics I can identify specific pathogens thriving in my patient’s biofilm, and through the process of GBT I am able to dismantle and destroy those pathogens. This is synergy at its best. Quick review of pathogenic biofilm, then we can focus on GBT and salivary...

Relapsed Periodontal Maintenance Patient with Breast Cancer

Posted on November 15, 2019May 20, 2021 by Maria Teague RDH

Challenge: A periodontal maintenance patient of record presented past due for recare. The initial exam revealed signs of active periodontal disease indicating that the patient is no longer in periodontal remission. Medically, the patient is undergoing treatment for breast cancer. Background: A 54-year-old female patient of record, with history of successful periodontal therapy, has relapsed due to missed recare and decreased oral home care. A diagnosis of breast cancer in Spring 2019 has ...

Systemic Inflammation, Elevated hs-CRP, and Oral Bacterial Pathogens Decrease After Two Years of Natural Dental Health Treatments: A Case Study

Posted on November 8, 2019May 20, 2021 by Cass Nelson-Dooley MS, Ellie Campbell DO

Heart Disease Begins in the Mouth High sensitivity C-reactive protein (hs-CRP) is the most clear, quantifiable, and readily accessible marker of the oral-systemic connection. We present a case study of an otherwise healthy 62-year-old woman with elevated hs-CRP who had abundant numbers of pathogenic oral bacteria. A natural dental health treatment over two years lowered hs-CRP and lowered oral pathogens. Given the links between oral disease, inflammation, and heart disease, it is wise to ...

How do you speak Joint/Musculoskeletal Health and Periodontal Disease to your patients?

Posted on November 1, 2019May 20, 2021 by Jill Wade DDS, MAGD

Dr. McGlennen: Like periodontitis, rheumatoid arthritis (RA) is a chronic inflammatory condition. But unlike periodontitis, where the genesis of the inflammation is the complex infections in the gingival sulcus, the cause of RA is unknown. Recent studies, however, provide insights that, in part, oral bacteria play a role in evoking an abnormal immune response that then leads to joint disease. In a recent meta-analysis of 21 separate studies, there was a significantly increased risk of per...

The Doctor-Hygienist Hand-Off

Posted on October 25, 2019May 20, 2021 by Jeanette Kern DDS

As a formerly practicing hygienist and now a dentist, I am respectfully sensitive to the time constraints and importance of the information exchange during a periodic exam in the hygienist’s treatment room. My team and I developed, practice, and teach this exchange for thoroughness, patient benefit, and emphasis of our professionalism. When the doctor enters the hygienist’s treatment room, the hygienist is to highlight and summarize her findings in the most efficient and effective verbiag...

Interview with Jessica Clarke, RDH

Posted on October 18, 2019May 20, 2021 by Jessica Clarke RDH

Dr. McGlennen: Let’s talk about how you use OralDNA® salivary diagnostics in your practice. Jessica Clarke RDH: We are currently using the OralDNA® MyPerioPath® test as standard protocol for all active non-surgical periodontal treatment in our office. Dr. McGlennen: What are the top two things you consider when selecting a patient for testing? Jessica Clarke RDH: We stick with the traditional signs of periodontal disease (PD) such as bleeding gums, and when we review the patient’s m...

Be the Guide, Not the Hero

Posted on October 11, 2019May 20, 2021 by Debbie Ozment DDS MS, NBC-HWC, ABAAHP

We care deeply for our patient family and are oral-systemic experts. Because we have invested enormous amounts of time and money in quality education, we know best what people need for strong teeth and a long health span. Our patients appreciate this and always listen intently to what we tell them they need to do. They happily reach into their wallets and hand us their credit card. Right? In my 34 years of clinical experience: Wrong! People buy what they want, not necessarily what they ...

How do you speak Cardiovascular Disease and Periodontal Disease to your patients?

Posted on October 4, 2019May 20, 2021 by Barb McClatchie DDS

Dr. McGlennen: There is consensus within the medical and dental community that periodontal bacteria contribute to the initiation, progression and prognosis of cardiovascular disease. From key studies, including prospective, retrospective and even meta-analysis studies, persons with untreated periodontal infections have up to a 20% increase in their risk of coronary vascular disease.1 The multiple of risk for stroke (1.74-2.85 fold) and peripheral vascular disease (1.41-2.27 fold) is equal or...

Nobody Has Ever Done that Before

Posted on September 27, 2019May 20, 2021 by Lee Sheldon DMD PA

In this era of trying to differentiate yourself from the provider down the street, a simple solution is incorporating OralDNA® salivary testing services. Imagine a patient who has had periodontal disease and has seen several dentists and periodontists in the past. They may have been told they have pockets, but what do pockets mean to a patient? Perhaps a lot, but only if they have been properly educated about the consequences of a pocket deepening. Let’s look at this from another persp...