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Periodontal Endoscopy: Seeing What Stops Periodontal Disease

Posted on by Lee Sheldon DMD PA
“The critical determinant in periodontal therapy is not the technique (surgical or non-surgical) used for the treatment of the periodontal pocket, but the quality of the debridement of the root surface." — Jan Lindhe, Journal of Clinical Periodontology (1984) That statement is not philosophical; it is clinical reality. Root surfaces must be truly clean for inflammation to resolve and for periodontal stability to occur. Multiple studies have shown that clinicians cannot reliably clean b...
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When Data Changes Minds: How Chlorhexidine Irrigation and Non-Surgical Laser Therapy Transformed a Resistant Microbiome in a Reluctant Patient

Posted on by Robert Benavides DDS
    A patient presented for a new patient exam to our practice after many years of “routine” and “regular” cleanings elsewhere. Although clinical and radiographic findings indicated chronic infection and the need for comprehensive non-surgical therapy including scaling and root planing, irrigation, and bacterial decontamination, the patient declined adjunctive care and requested to receive scaling alone. Local anesthesia was administered, and scaling and root planning w...
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Virtual Interview with Dr. Rob Frey

Posted on by Rob Frey, DDS, MPH
Dr. Ron McGlennen: Tell us a little bit about yourself and how you started in your profession. What is your driver to do what you do? Dr. Rob Frey: I have a passion for blending esthetic dentistry, functional dentistry, and whole-body health. My journey into dentistry started with a desire to work in healthcare in a way that combined science, artistry, and meaningful human connection. I was drawn to the idea that dentistry allows you to not only restore health, but also confidence, comfort,...
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The Secret Weapon – Part Two

Posted on by Michael Goldberg DMD
In Part One, we explored how salivary analysis changes the patient conversation – helping patients better understand their health and why treatment matters. But its impact goes even further – empowering both the clinical team and the practice, which we explore below in Part Two. The Real Secret Salivary analysis isn’t powerful because it’s advanced. It’s powerful because it changes the story. It moves dentistry from:“Here’s what you need.” To: “Here’s what your body is telling us—...
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The Secret Weapon – Part One

Posted on by Michael Goldberg DMD
Every practice owner I know is chasing the same three outcomes—whether they admit it out loud or not. Better patients. Higher acceptance of the right care—free from insurance constraints. And referrals that happen naturally, because marketing has become expensive, exhausting, and unpredictable. Yet most practices are still reaching for the same familiar tools to get there: Better scripts. Prettier brochures. Tighter financial conversations. Hel...
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Hormonal Contraceptives and the Oral Microbiome: The Missing First Signal in Salivary Diagnostics

Posted on by Dr. Neusha Najafi
We’re Having the Wrong Conversation The debate around hormonal contraceptives has grown louder and more polarized. Mood changes. Inflammation. Fertility concerns. Some of these concerns are valid. Much is oversimplified. But almost all of it misses the starting point. We are debating hormones while ignoring the environment they enter. We keep focusing on hormones in isolation. Ovaries, cycles, receptors. More recently, the gut microbiome has entered the discussion through the estrobo...
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Most of My Career, I Measured the Wrong Thing (And How OralDNA Forced Me to Change My Scorecard) – Part Two

Posted on by Jonathan Evans
Last week, we explored the awakening that comes from seeing the unseen. This week, Jonathan dives into the hard truth: a technically perfect Scaling and Root Planing (SRP) doesn’t always equal success. We’ll see how embracing an outcome-focused mindset changes not just the approach to care, but the results and the satisfaction hygienists and patients alike experience. The Hard Truth: Great SRP With Bad Outcomes Is Not a Win This is where my mindset truly flipped. I had to admit to myself: ...
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Most of My Career, I Measured the Wrong Thing (And How OralDNA Forced Me to Change My Scorecard) – Part One

Posted on by Jonathan Evans
For most of my 32 years as a hygienist, my “success” lived in my treatment notes. How many quads of Scaling and Root planing (SRP) did I do this week? How much calculus did I remove? How clean did those roots look and feel when I finished? If I walked out of a room drenched in sweat with polished roots and detailed charting, I felt like I’d done my job. Box checked. Next patient. But there was always this low-level itch in the back of my mind: If I’m doing such great work, why do...
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The Oral–Gut–Cancer Connection: Why the Mouth Is a Gateway to Systemic Health

Posted on by Tabatha Pittman, PA-C
Emerging research confirms that the oral cavity is not biologically isolated from the rest of the body. The mouth serves as a primary gateway to the gastrointestinal tract and immune system, continuously introducing microbes, inflammatory signals, and immune-modulating compounds into systemic circulation. Each day, approximately 1–1.5 liters of saliva containing oral bacteria is swallowed, creating a direct microbial bridge between the oral microbiome and gut microbiome. This oral–gut axi...
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The Link Between RA and Periodontal Disease: Bidirectional Cycle/Shared Inflammation

Posted on by Dr. Jinita Parekh
The Challenge: A 29 year old female patient came in extremely concerned with her bleeding gums and wondering if that is also related to her diagnosis of rheumatoid arthritis. The Background: Age: 29 Sex: Female Medical History: Elevated Rheumatoid factor and undergoing further diagnosis to conclude diagnosis for RA  Last Dental Exam: 2021 Home Care: Manual toothbrush 2x daily, floss occasionally Chief Complaint: bleeding gums, sensitive gums Clinical Assessment: ...
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