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 o...
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Interview with Dr. Lisa Marie Samaha

Dr. McGlennen: Tell me how you use OralDNA® salivary diagnostics. Dr. Samaha: OralDNA® testing has been a standard and integral part of our intake of all patients with periodontal disease since early 2007. Our practice is well known for our protocol of diagnosing and treating periodontal disease and increasing total health profiles. Although I am a general dentist, over 95% of our new patients have some form of periodontal disease, from gingivitis to advanced, aggressive levels and we do ...
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An Uncontrolled Diabetic Patient – Referred by Physician

Background: The patient is a 41-year-old female who has not been seen by a dental professional since 2008 (10 years). The patient stated her chief concern as “My doctor said my uncontrolled diabetes could be caused by my mouth.” Other medical concerns are high blood pressure and acid reflux. The home care routine consisted of manual tooth brushing only. Following the periodontal assessment, the patient was diagnosed with active, localized, chronic periodontitis due to the present sub-gingiva...
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Simple Strategies to Enhance Oral & Overall Health

As dental professionals, we all take the responsibility to present treatment cases to patients. Most often, the dental hygienist presents periodontal treatment plans to patients, but in reality, any team member could present this type of case. For example, if a new patient is seen on the doctor’s schedule and periodontal disease is the diagnosis, the dental assistant could have the opportunity to present the case. It is important that with any case presentation, the team is on the same page....
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Everyone Has A Story

Every patient that sits in your dental chair has a story. All stories have a beginning, middle, and end, as does life. We have the wonderful opportunity to help our patients be able to live a long and productive one. Jumping to the middle of my story, my mom died at the age of 58 and my dad at age 60, both from end stage vascular diseases. They didn’t get a chance to enjoy their children into their adult years, get time with their grandchildren, or even meet their great grandchildren.  I, li...
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Establishing New Treatment Objectives for Periodontal Disease

The principles of leadership that drive achievement have the practitioner state the objectives prior to initiating an action plan. Success is more certain and predictable, while any short falls become measurable and remedies are tied to the metrics of the initial objectives. The traditional treatment objectives for periodontal therapy have revolved around certain soft and hard tissue architectural end points and bleeding on probing. These standards have been in place for about 100 years a...
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Interview with Dawnie Kildoo, DDS, MAGD

Dr. McGlennen: Tell me how do you use OralDNA® salivary diagnostics. Dr. Kildoo: We perform a MyPerioPath® on every patient with signs of periodontal disease.  It gives us a more accurate diagnosis and helps us understand possible risk factors for other systemic diseases, such as Alzheimer’s, diabetes and strokes. Recently, we have been sending the results to the patient’s physician to help them understand the oral-systemic connection, too. Dr. McGlennen: What has been the physician’s ...
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An Interview with Kristen King

Dr. McGlennen: Tell me how you use OralDNA® salivary diagnostics. Kristen RDH: We recommend OralDNA® saliva testing on all patients that have bleeding/inflammation regardless of probe depths. We utilize MyPerioPath® for these patients to customize treatment plans and target the cause of the inflammation. We utilize a post MyPerioPath®, called MyPerioProgress®, to measure the effectiveness of the therapy we provided. It is awesome to use an approach where we can have objective measurements t...
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Flu Season… Why Is This Any Different Than An Infection In The Mouth?

Is your home plagued with the flu virus? It seems to be everywhere. The young and the elderly are those most commonly affected by it; in fact there have been many reports of death associated with the 2018 flu virus. Here’s the scenario: You bring your sick loved one to the doctor, and the doctor orders laboratory test(s) typically, by a blood and urine sample. From those lab results, a determination is made if your loved one has a virus or bacterial infection. With this valuable information ...
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Managing Atherosclerotic Disease: Medical and Dental Collaboration- The New Standard of Care

Medicine and dentistry have long been aware of the connection, association, and direct links between high-risk periodontal pathogens and cardiovascular disease. Knowledge alone has a limited potential to change chronic disease outcomes unless it leads to new clinical practices. Effective and proven new protocols to identify and mitigate virulent periodontal microbes are available today. A small percentage of dentists have implemented these practices and the majority of physicians are unaware...
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