Flower Power: A Less Aggressive Approach

When OralDNA® testing indicates worrisome levels of periodontal pathogens, we may want to consider a dentally counter-cultural idea that can help avoid the need for aggressive antibiotics and antiseptics. Most dental professionals believe periodontal disease cannot be cured, yet a more holistic approach has been shown to overcome periodontal pathogens and may offer a way to avoid the continuous cycles of treatment to control re-infection. Our understanding of human bacteria changed as the Human ...
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3 Surefire Ways To Make 2019 Your BEST Year Ever

WOW! How time flies! It’s hard to believe that the first quarter of 2019 is over. Every day there are countless opportunities to enhance our patient care, create more efficiency, increase our production, and improve team morale. If you are one of those people, like me, who enjoys setting goals and celebrating when you reach them; then you will love these 3 surefire ways to make 2019 your BEST year ever! 1. Get the RIGHT People in the “RIGHT SEATS” on your bus! There have been days when...
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Do You Speak HPV? Part 3

In my previous blog, I explored three common positive responses I’ve encountered from patients when offering a test for oral HPV and how I would respond to them.  In this blog, I will address some of the objections from patients and how I would further educate the patient about oral HPV and testing options. Patient 1: I don’t think I need that test.  I’ve never been exposed. Response 1: I understand but in case you’re ever curious, remember we have this potentially life-saving service ...
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Do You Speak HPV? Part 2

Dental clinicians have been on the front lines of oral cancer prevention and early detection for many years. We have been trained to do very thorough oral cancer exams and to use various light systems to visualize tissue changes; however, according to the Oral Cancer Foundation, the death rate for oral cancers has remained higher than that of many other types of cancers which we hear about routinely.1 Many studies support that the human papilloma virus (HPV) is responsible for a large number...
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Do You Speak HPV? Part 1

Dental professionals are often uncomfortable approaching patients on topics that are unfamiliar or that feel outside the realm of “traditional” dentistry.  One such topic is Human papillomavirus (HPV).  As a hygienist of 40 plus years, I can tell you this topic never came up in my education.  Several years ago, I had to educate myself about this near epidemic viral infection. Most importantly, I had to step out of my comfort zone to find a way to share this crucial knowledge with my patients...
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Active Periodontal Disease with Multiple Medical Complications

Challenge: A patient with Multiple Sclerosis (MS) and active periodontal disease, most recently was diagnosed with Type II diabetes, will receive periodontal therapy. Currently, proper home care is limited to the physical difficulties of MS. Background:  A 58-year-old female presented on 4/17/2018 with a chief complaint of xerostomia and physical difficulties challenging a proper home care regimen. Due to living with MS for several years, the patient has partial left-side paralysis result...
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Salivary Diagnostics: Your Molecular X-Ray

According to Merriam-Webster, one of the definitions of technology is a manner of accomplishing a task especially using technical processes, methods, or knowledge. This definition rings true for the introduction of clinical laboratory testing for the health care professions. It was noted in research by the NIH, “…it was not until 1896 that the first clinical laboratory was opened, a twelve-foot-by-twelve-foot room equipped at a cost of $50 at Johns Hopkins Hospital.”1 So for over a century, ...
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MyPerioProgress® – Curve Up Ahead

When utilizing salivary diagnostic testing, most cases we encounter will “fit the mold”. We will also encounter many unique cases where we must expand our horizons and consider other possibilities for our patients’ responses to treatment. In my career, I have found these types of cases to be the most rewarding.  In my recent blog, MyPerioProgress®-Your Road Map, we reviewed a scenario where a patient’s periodontal therapy outcome and the bacterial profiles were not aligned after treatment - ...
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Classic Periodontal Disease Reaches Remission

Challenge: Several years of periodontal neglect revealed significant disease. Background:  A 48-year-old female, new patient presented with the chief complaint of a broken mandibular molar with swelling that resolved temporarily when taking antibiotics for a sinus infection. The patient reported it has been several years since receiving dental care. The CT scan showed several teeth with periapical abscesses and furcation involvements. The periodontal assessment, including radiographs reve...
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My Visit to OralDNA® Labs

Have you ever wondered what happens to your patient’s saliva sample once it arrives at OralDNA® Labs?  Many PDS®-supported offices have been using OralDNA® Labs to analyze the saliva of their patients, relative to the patient’s periodontal infection.  This service gives them more information about the types and severity of a patient’s infection, which is the cause of periodontitis.  Additionally, however, it tells us something about the bacterial load and a patient’s inflammatory response, w...
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