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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Daily Dental Care™: Interview with Dr. Emily Stein

Dr. McGlennen: What is the mission for Daily Dental Care™? Dr. Emily: Daily Dental Care™ is committed to addressing public health issues by creating safe and consumable oral care products that target the root cause of dental disease- Oral bacteria. We are a life sciences company that leverages our microbiology expertise to create oral care products that promote strong teeth, healthy gums, and fresh breath. Our lozenges safely and effectively neutralize harmful bacteria and their diseas...
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Knowing Your Opponent-Biofilm

According to Merriam-Webster, biofilm is defined as a thin usually resistant layer of microorganisms (such as bacteria) that form on and coat various surfaces. Environmental biofilms are found on the mountain stream rock beds, the dog’s water bowl, etc.. Oral biofilms are the slimy layer on retainers and night guards. They are present in the sulcus and depending on the composition of the biofilm can be very pathogenic. Biofilms are constantly responding to their environment and evolving. ...
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Case Study: Dental Hygienist with Type II Diabetes

Background: This patient is a 38-year-old female, who works as a dental hygienist. She was recently diagnosed with Type II Diabetes. In agreement with her medical doctor, she has committed to diet and lifestyle changes to control her diabetes before the consideration of medication. These lifestyle changes include regular exercise and eliminating sugar. When this hygienist presented in my chair, her chief complaint was “When it comes to my diabetes, I know what to do, I just need to do it! As...
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Case Study: Class II Periodontitis

Background: The patient is a 54 year old female who presented with the chief complaint “My gums bleed when I brush, there are possible cavities and I don’t like the tooth crowding.” Her last dental visit was about 6 years ago. There is a family history of diabetes, cardiovascular disease, stroke and cancer. The home care consisted of manual tooth brushing 1-2 times per day with occasional antibacterial mouth rinse. During the clinical assessment, it was discovered that several amalgam restor...
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An Interview with Sue Baughman

  Dr. McGlennen: What are the top 2 things to consider when you select a patient for testing? Sue RDH: I do not filter who I share this valuable information with. ALL patients have the right to know that there are tests to determine what type of bacteria is in their mouth that may be harmful to their overall health. In other words, I educate all patients on what they need and then it is up to the patient to decide. I have patients who take their total health and well-being very seri...
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The True Cost of Clinical Lab Testing

As an in-office coach I often hear the following objection, “Clinical laboratory testing is too expensive. My patients won’t want to spend the money.” Taking into consideration the latest research, released in the online British Medical Journal November 29, 2016, which states that periodontal disease with high risk pathogens (Aa, Pg, Tf, Td, Fn) is causal for arterial sclerotic vascular disease, the patient can’t afford NOT to test for the presence of these dangerous bacteria. (1) As a pr...
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What is “Differential Diagnosis”?

There is an old adage in medicine that says “When you hear hoof beats, think horses. Don’t think zebras.” This phrase can be applied to every patient and case; your eyes don’t tell the whole story. It is usually good advice to confirm the obvious, rather than spending time and resources investigating rare things. Consider the virtue of the “differential diagnosis”. In medicine, the differential diagnosis is a process by which the consideration of diagnosing one disease is distinguished fr...
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A Higher Standard of Care

For many years now, research has shown that there is a mouth body connection. In other words, what is happening in the mouth can impact what is happening with the body! In order for someone to have good health, they need to have good oral health. Unfortunately, periodontal disease is silent, as it does not hurt until it is severe. The minimal pain factor, as periodontal disease develops, may be why 80% of the United States population is suffering from periodontal disease. In the next paragra...
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Case Study: Pregnancy and Periodontal Pathogens

Background: Patient is a 31 year old female, who presented with the chief complaint "My gums are swollen and painful." The last dental visit with exam was about 6 months ago. The radiographic examination including bitewings revealed horizontal bone loss and heavy amounts of generalized subgingival calculus. The patient's gums were erythematous with probe depths between 5-9 mm. Patient was diagnosed with generalized severe chronic periodontal disease. The additional challenge was that the patie...
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