Are you tired of the “Are you flossing?” song and dance? Find the Root Cause Instead: An Interview with Angie Bays

Dr. McGlennen: What are the biggest benefits to using salivary diagnostics? Angie RDH: The biggest benefit with offering MyPerioPath® is it gives the clinician another platform for educating the patient. I know patients are fed up of hearing about brushing and flossing, just as much as hygienists are weary of saying it. Don’t get me wrong brushing and flossing are important but OralDNA® takes care to another level. We can now show the patient the root cause of the infection, maybe even ti...
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Salivary Diagnostic Implementation with a Holistic Approach: An Interview with Sandra Lindo

Dr. Nagelberg: Tell me how you use Oral DNA salivary diagnostics? Sandra RDH: I use OralDNA® as an essential diagnostic tool on all patients; it serves as a base line to determine their risk factor for periodontal disease and the development of other systemic diseases. It is an adjunct tool that helps customize patient care. Dr. Nagelberg: What are the top two things to consider when you select a patient for testing? Sandra RDH: The top two things to consider when selecting a patien...
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Saving Patient’s Time and Money: An Interview with Lori Appehans

In many, if not most dental offices, the dental hygienists are the engine that makes the practice go. Clinicians like Lori Appehans are providing optimal treatment by choosing to utilize salivary diagnostic technology. It is my sincere hope that her patients understand how well they are being taken care of. It was certainly my pleasure to discuss the impact of salivary testing with Lori. Dr. Nagelberg: Tell me why you started to use OralDNA salivary diagnostics. Lori, RDH: We were frus...
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We Were Always Taught

Dentists who were trained in the 70’s were always taught that the first instrument used in an operative procedure was the enamel hatchet. Caries excavation was done with spoon excavators and a belt driven low speed handpiece. We were always taught that reversible hydrocolloid was an excellent impression material, especially since you could use the same material on multiple patients. You just had to warm it back up in the water bath. We were always taught that we only needed to use a mask and...
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A Total Health Approach at a Reasonable Price: An Interview with Dr. Isaac Comfortes DDS

Dr. Nagelberg: Tell me how you use OralDNA salivary diagnostics. Dr. Comfortes: I started utilizing salivary diagnostics in 2013. Since then my approach has concentrated on total health, which I discuss this during every patient consult. Without the use of OralDNA® salivary diagnostics, the total health conversation would be difficult. First, I ask the patient if they understand the importance of the test. Then I address the levels of bacteria and how that is expressed in their gum health...
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Where to Start

A common dilemma among many dental practices is how to transition the hygiene department from prophylaxis to comprehensive periodontal diagnosis and treatment. Among the concerns is the perception that if we are starting something new, does that imply that up until now patient needs have been inadequately addressed? The simple solution to this dilemma is referring to the constantly evolving knowledge in healthcare. Using phrases such as “Research has shown” or “We now know” , can help with t...
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A Progressive Oral Wellness Center in Rural America

In our rural practice (McCreight Progressive Dentistry) in Northwest Colorado, we see periodontal disease on average in about one of every two patients, or around 46%. This is representative of the CDC statistic as posted in the May 2015 Journal of Periodontology. Whenever we read these statistics, we are puzzled. In an industrialized nation where home care tools and dental technologies are readily available, how can there be so much disease? Here are some measures (newer technologies) we ha...
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Connecting the Dots: A Role for Inflammation in Oral and Pharyngeal Cancers

September is sexual health awareness month. In recognition, enjoy a previous post by Dr McGlennen regarding oral health and sexual health. It is important to understand the role of human papillomavirus (HPV) in the development of squamous cancers of the head and neck. But it seems there is missing a fuller appreciation of other key risk factors at work with the virus, to cause bad things to happen to cells in the mouth and throat. HPV infection is very common, and with the sensitive molecular...
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Systemic Antibiotics can be Bad but Heart Attacks are Worse

I am going to ask the question, would you agree antibiotics can be bad but heart attacks are worse? As this is part 3 of my series, I hope I am hearing a unified “Yes”. In my opinion, systemic antibiotic should be used in an attempt to lessen the translocated pathogens. The high-risk patient is no longer capable of fighting, resisting, or diminishing the pathogenic loads on their own and the systemic antibiotic is an option. Yes there is a risk of antibiotic adverse reaction but a heart atta...
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Dentistry is Medicine

In the previous blog, we discussed that the use of systemic antibiotics, for high-risk patients may currently be the most effective method to treat the systemic impact of translocated periodontal pathogens. As periodontal treatment plans are formatted, utilizing a MyPerioPath test assists in determining the pathogen profile of the periodontal infection and provides  evidence- based systemic antibiotic selection. If dentistry is medicine, then utilizing a test to confirm the presence of bacte...
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