Classification of Periodontal and Peri-Implant Diseases and Conditions

As a periodontist, there are two topics that other clinicians frequently ask me about. The first is the updated Classification of Periodontal and Peri-Implant Diseases and Conditions. The second is my experience of working with salivary diagnostics. Both of these initiatives have become an essential part of my daily practice in periodontics. I moved to Dubai in 2010 to work as a specialist periodontist at a well-known private clinic. During my time in Dubai, it became increasingly clear that ...
Read More

Life and Death of a Saliva Test

  Sometimes I get so frustrated with the profession of dentistry. Here is my case in point: Five oral originating pathogens have been identified as causative in the development of atherosclerosis by the BaleDoneen™ peer reviewed study published in the British Medical Journal. Wait a minute, so they concluded that these oral bacteria are causative of atherosclerosis? Seriously? Yes!! And in the last one hundred years, atherosclerosis has killed more Americans than any other disease. A...
Read More

Interview with Michael Carter MD

Dr. McGlennen: Who/what introduced you to OralDNA® Labs’ services? Michael Carter MD: I was introduced to OralDNA® Labs testing during an oral health summit about 3-4 years ago. As I listened to Dr. Bale and Dr. Doneen express how important testing for periodontal pathogens is, I became inspired to learn more about the oral microbiome and the oral connection with systemic diseases such as cardiovascular disease, arthritic conditions, and neurodegenerative processes. Many people think b...
Read More

Interview with Brittany Blue DDS

Dr. McGlennen: Tell me how you use OralDNA® salivary diagnostics. Brittany Blue DDS: We use MyPerioPath® to determine the levels of aggressive periodontal pathogens present in our patients’ oral flora.  Traditional periodontal therapy will not be as effective and is certainly more prone to relapse if these harmful bacteria remain in the mouth.  The bacterial diagnostics allow us to target the specific harmful bacteria with the specific systemic antibiotic that will help control the level of i...
Read More

How Do You Speak Testing? With Janice Kaeley DDS, MSD

Patient Background: A 41-year-old female patient is seen for a new patient exam. Her last dental appointment was 10 months ago. Today her primary concern is occasional bleeding gums with brushing. Currently, there are no medical conditions reported and no medications or supplements reported. The patient indicated she may be experiencing peri-menopausal symptoms, but this is not confirmed by a medical doctor. Upon dental examination, generalized 4mm to 6mm pockets were revealed with generaliz...
Read More

Interview with Rosie Jimenez RDH

Dr. McGlennen: Tell me how you use OralDNA® salivary diagnostics. Rosie RDH: Let me begin by sharing; I have been very fortunate to work in practices that support my passion for treating periodontal disease. My patients have benefited through the communication, assessment, and treatment I provide. I know there are hygienists who work under different conditions. My advice: stay strong, keep educating yourself on new technologies and keep asking to use these technologies. Our patients deser...
Read More

Why Join the American Academy for Oral Systemic Health (AAOSH)?

The length of my dental career has been shadowed by the declining health of our population. With great sadness, I have witnessed my patients arriving with new lists of lifestyle-related diagnoses and an assortment of medications, prescribed as “band-aids” for those ailments. In congruence, the ever-increasing prevalence of oral disease (caries, periodontitis, oropharyngeal cancer, and occlusal disease) has not surprised me. As a dedicated friend to my declining patients, I started looking fo...
Read More

Part 2: Build the Microscopic Army in Your Mouth to Fight Oral Cancer and Improve Dental Health

Last week in part 1, oral cancer was defined with a potential cause being oral dysbiosis identified. This week, I will give supporting evidence of this connection along with strategies to avoid this dysbiosis. When we talk about an unhealthy microbiome, we often use the word, “dysbiosis.” Oral dysbiosis is a mouth that is unhealthy because the microorganisms are out of balance. An imbalanced microbiome may lead to symptoms or disease. Symptoms of Oral Dysbiosis: Bad breath Blee...
Read More

The Co-management of an Esophageal Cancer Survivor

Background: The patient is a 75-year-old female with a history of esophageal cancer in 2013. The origin of the cancer was determined to be lichen planus. Surgical removal of the lesion occurred, and no reconstructive surgery was needed. However, post-surgery to present date, the patient experiences severe acid reflux and sleeps with her head elevated. She has great home dental care and follows a 3-month periodontal maintenance. During the head and neck exam, no significant findings were disc...
Read More

How Investing in Your Staff Pays Off in a Big Way

Payroll is one of the biggest expenses for any dental practice owner, taking up 24-28% of a standard practice’s income.1 If you are trying to increase your income and reduce your costs, you might be tempted to achieve this by hiring lower wage dental staff. While this notion might look great on paper, it does not work out as well in reality. In fact, it is likely to cost you more money overall. Instead, you should consider investing in quality staff to boost your practice’s revenue. No...
Read More