More Hygiene Articles

periodontal disease, dental insurance

The new classification of periodontal disease that you, your patient, and your insurance company can understand

In this carefully reviewed article, Perio-Implant Advisory's Editorial Director Dr. Scott Froum provides a simple summary of the new classification of periodontal disease and peri-implant disease, as well as a discussion of the staging and progression of periodontitis. This information can be used to explain treatment needs to both patients and dental insurance companies.

margin elevation, matrix band, caries, dental implants

An alternative to surgical crown lengthening: Margin elevation using a two-matrix system

Subgingival caries is a challenge to the restorative dentist. Creating a biologically sound emergence profile, contour, and adjacent tooth contact rely heavily on the presence of a supragingival tooth structure to avoid open contacts and other complications. Dr. Alisa Neymark explains how a deep margin elevation using a two-matrix system can be used as a new protocol to restore carious teeth adjacent to dental implants.

teeth, periodontal therapy, periodontal regeneration, dental insurance

Saving your sanity while saving teeth: 3 ways to make dental insurance approval easier for periodontal therapy

With the advent of new technology, teeth that previously were considered hopeless can now be saved through periodontal therapy. However, sometimes an obstacle arises and it's not the patient or the disease—it's the dental insurance company. Kyle L. Summerford shares three time-tested ways he uses to ease the insurance approval process for periodontal regeneration therapy.

implant, dental implant, tooth decay, decay caries

Implant-induced decay: A problem bigger than you think

Although dental implants have a high survival rate, complications can occur. One of those is the migration of natural teeth adjacent to an ankylosed implant, causing interproximal contact loss (ICL) or an open contact. Because ICL between a dental implant restoration and an adjacent tooth has been highly correlated with the development of dental caries, health-care professionals must be aware of the factors that contribute to implant-induced tooth decay and predispose patients to open contacts.

: dental implants, dental implant maintenance, implant therapy, evidence-based research

Dental implant maintenance: So many recommendations, but which one is right?

As dental clinicians, how does one choose from among the many options available which dental implant maintenance techniques to use and what evidence-based research to believe? Likewise, which is the best protocol for implant therapy? Michelle Strange, RDH, MSDH, explains how she sorts through the enormous amounts of information.

postsurgical discomfort, at-home recovery, oral care, oral health

Postsurgical discomfort and at-home recovery: 4 ways to make oral care easier

Sometimes, patients find oral care to be incredibly uncomfortable, whether it's from postsurgical discomfort or pain during at-home recovery from orthodontics, autoimmune breakouts, or undergoing cancer treatments. B. Michelle Strange, RDH, MSDH, says there are some helpful products and ways to make maintaining oral health at home easier for your patients.

dental implants, oral hygiene, tooth decay

Implant-induced decay or just poor oral hygiene?

When discussing pros and cons of dental implants, many dentists claim that implants are impervious to tooth decay as a treatment benefit. But they often don't discuss the possibility of adjacent teeth getting decay from poor oral hygiene. Dr. Jonathan Ford stresses that each case has different contributing factors and thus warrants different treatment options.

dentistry, dental profession, floss, dental implants

5 routine things we do in the dental profession that do not make sense

B. Michelle Strange, RDH, MSDH, talks about five areas that have become routine in the dental profession—including telling people to floss and placing dental implants in patients who cannot manage to clean their natural teeth—that, when analyzed, are pretty ludicrous. She says, “If the recommendations that we give patients time and time again are not producing needed results, why continue to give them? Helping patients find the best way to achieve their oral health—on an individual basis—will help redefine the future of dentistry.”

Dental hygiene nightmares no more: At-home maintenance for success with dental implants

It is no secret that the benefits of plaque reduction around teeth and dental implants can improve oral and overall systemic health. Michelle Strange, RDH, MSDH, says it’s imperative to spend time with patients to find the best dental hygiene tool(s) for their specific appliance and capabilities. She explains how interdental brushes can be used as an alternative to floss and an effective interproximal cleaner, as well as suggests tips to add to the hygiene armamentarium to customize the at-home maintenance routines for your patients.

halitosis, bad breath

Halitosis: Etiology, diagnosis, and treatment

Halitosis, also commonly known as “bad breath,” is a concern of many patients seeking help from health-care professionals. Scott Froum, DDS, editorial director of Perio-Implant Advisory, discusses the etiology, diagnosis, and treatment of halitosis. Due to its multifactorial complexity, patients should be treated individually, rather than categorized. Diagnosis and treatment needs to be a multidisciplinary approach involving the primary health-care clinician, dentist, an ENT specialist, nutritionist, gastroenterologist, and clinical psychologist.

A novel approach for the treatment of desquamative gingivitis

Periodontal conditions vary in their level of pain and severity, but desquamative gingivitis (DG) is one of those delicate gingival conditions that can be extremely painful for sufferers and may limit their ability to eat and perform basic oral hygiene care. Robin D. Henderson, DMD, MS, explains a technique he uses in his practice that involves Perio Trays custom-fabricated tray delivery system to deliver multiple medications precisely to the affected tissues. The process helps effectively manage both the periodontal and autoimmune symptoms of DG, while empowering patients to have a part in co-managing their disease.

periodontal disease, periodontitis, type 2 diabetes, inflammation uqzfwuavrquzvyaybzvtxadfe

Periodontitis and its association with type 2 diabetes

Type 2 diabetes and periodontal disease are separate inflammatory diseases that augment each other. A complication such as type 2 diabetes makes people more likely to have problems with oral health and has been shown to promote periodontal disease. In turn, periodontal disease appears to exacerbate type 2 diabetes. Duane C. Keller, DMD, FAGD, explains how cellular inflammation from immune cells appears to be the common biological denominator linking type 2 diabetes and periodontal complications such as periodontitis.

flossing, oral hygiene, dental hygiene, interproximal cleaners

Lies, damned lies, and statistics: The truth behind the importance of flossing

Last week the Associated Press released an investigative report citing “weak evidence” behind the importance of flossing. This week Scott Froum, DDS, editorial director of Perio-Implant Advisory, gives the history behind this investigative report, examines what the term “weak evidence” means in the larger scheme of things, and offers dental professionals talking points when patients ask about the importance of flossing.

street drugs, narcotics, periodontal disease, dental caries, Scott Froum, DDS, Joseph Palamar, PhD, MPH

The new street drugs some of your patients may be using that you have never heard of

Perio-Implant Advisory’s Editorial Director Scott Froum, DDS, teams up with Joseph Palamar, PhD, MPH, to highlight how some of the more well-known street drugs are being adulterated by new synthetics that are less expensive to make yet cause even greater damage to the person taking them. They discuss a few of the more potentially deadly street drugs that your patients may be taking with or without their knowledge—a synthetic opiate that produces a heroin-like high but is thought to be 10,000 times more powerful than morphine, a new psychedelic with stimulant properties much more dangerous than LSD, and the very potent $5 insanity. You’ll learn to spot the signs and symptoms of drug abuse on the oral cavity.

Antibiotic resistance and periodontitis by Duane C. Keller, DMD, FAGD - antibiotic resistance, periodontitis, periodontal disease, wound care

Antibiotic resistance and periodontitis

Bacteria dividing every 20 minutes can form more than 5,000 billion, billion bacteria in 24 hours, and this number of divisions fosters the possibility of mutations, some of which can enable the bacteria to produce enzymes that inactivate antibiotics while other mutations protect the bacteria from the antibiotic—for example, modifying the entry point on the bacteria. The New York Times recently reported on infectious bacteria resistant to all antibiotics, and the CDC has long raised awareness that antibiotic resistance is a danger, calling it the “public health’s ticking time bomb.” Duane C. Keller, DMD, FAGD, details how antibiotic resistance acts in the sulcus, making treatment of periodontitis extremely difficult, and talks about what you can do to overcome the challenges.

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