Communication is Key

Periodontal disease is one of the most prevalent chronic inflammatory diseases in the United States and it is a key indicator of other systemic diseases.  Dentistry has a significant role in reducing the impact of chronic disease in patients who trust their dental teams to guide them to total body health.  From the first call and through every step of the patient experience, such as reviewing the medical history, the conversation should include the oral systemic connection. Dental teams a...
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Captain Your Ship and Business

In the forty-five years that I have been in dentistry, we have been directly hit by some unique storms such as Hepatitis B in the 70’s, inflation rates of 18% in the 80’s, AIDS/HIV 80’s-90’s, Gulf War 1990, 9/11 of 2001, SARS ’02, the Great Recession ’08-09, H1N1 ’09, MERS ’12, and now COVID-19 in 2020. This is not our first American storm; this is more like a tsunami/hurricane/and flood all rolled into a tiny 0.12-micron virus. It is a public health and an economic crisis combination. I pur...
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Salivary Diagnostics for Gum Disease and Oral Cancer Risk Assessment

Clinical laboratory testing is a common practice for the medical professional. DNA testing, including genetic testing, has led to healthier patients. Cross over to dentistry, and let’s review 2 examples of what’s available. Presently, in my office, we perform MyPerioID® IL-6, a test for the genetic marker interleukin 6 (IL-6) to screen for genetic risk of periodontal disease and a viral DNA test for the human papilloma virus (HPV) to screen for risk of oral cancer.  The collection is relativ...
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Interview with Brooke Armour, RDH

Dr. McGlennen: Tell me how you use OralDNA® salivary diagnostics. Brooke RDH: I use OralDNA® salivary diagnostics to test new patients, patients that have clinical signs of periodontal disease, or patients with a complex medical history. Dr. McGlennen: What are the biggest benefits to using salivary diagnostics? Brooke RDH: The benefits of salivary diagnostics are being able to quantify periodontal disease, having something to physically show the patient about their periodontal dise...
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Case Study: Periodontal Disease and Cardiovascular Disease

Challenge: A new patient who has neglected dental care for 20 years with a chief complaint of broken teeth and bleeding gums appoints to address his dental concerns. Background:  A 70-year-old male patient with broken teeth and bleeding gums appoints to our office. His last dental visit was estimated to be 20 years ago. Surprisingly the patient was not experiencing dental pain. The periodontal assessment revealed generalized 4-6 mm pockets with localized 7-9 mm pockets, inflamed and bulbo...
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American Academy of Oral Medicine: The Past, The Present, and The Future

On April 29-May 2, 2020, the American Academy of Oral Medicine (AAOM) celebrates its 75th annual meeting in Orlando, Florida. The theme of our meeting is “Oral Medicine: The Past, The Present, and The Future.” In 1945, “The Past,” Dr. Samuel Charles Miller founded the academy with a keen intent to integrate dental and medical issues. This inspiration has formed a strong foundation, “The Present,” that over the years, through education, collaboration, and research, has set standards for mana...
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Up Your Oral Health Game with Salivary Testing: Part 2

The Path of Pathogen Destruction Cardiovascular Disease We know that the oral pathogens Aggregatibacter actinomycetemcomitans (Aa), Porphyromonas gingivalis (Pg), Tannerella forsythia (Tf), Treponema denticola (Td), and Fusobacterium nucleatum (Fn) are directly connected to atherosclerosis.1  We know cardiovascular disease is the number one cause of death and disability in the United States.  Gastrointestinal and colorectal cancers, as well as adverse pregnancy outcomes and aspiration pn...
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Up Your Oral Health Game with Salivary Testing: Part 1

Aren’t you tired of the same old drill and fill, pumice-pushing lecture about tooth decay, flossing, and bleeding gums?  Yet, patients still come back infected and full of plaque.  All our great suggestions are for naught.  We keep lecturing, hoping for different results.  It becomes discouraging and frustrating for our patients and leads to burnout and career changes for us.  On top of that - despite all of our efforts, all of our breath, and all of our floss - periodontal disease is still ...
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The Insights Provided by Salivary Testing

Without salivary testing we have no way of knowing the cause of the periodontal disease in the patients under our care. The insights provided by salivary testing include: Identification of the causative bacteria Therapeutic endpoint Risk assessment Outcomes assessment Risk of recurrence Appropriate antibiotic Incorporating the information from the salivary bacterial test into the periodontal patient’s treatment plan enables personalized care. Forget the one-size-fit...
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Interview with Charissa Wood, RDH

Dr. McGlennen: Tell me how you use OralDNA® salivary diagnostics. Charissa Wood RDH: At Atlanta Dental Spa, we utilize OralDNA® salivary diagnostics to help our patients achieve optimal oral health. We take a complete health approach to our patients’ care and salivary diagnostics helps us assess our patients’ genetic predispositions to inflammation as well as the perio-pathogen load levels. OralDNA® lab reports allow us to truly tailor patient care based off the information we get from test...
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