World Leaders in Proactive Healthcare Collaboration

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If You Fail to Look

Detecting oral cancer in its earliest stages saves lives, eases suffering, reduces morbidity, and ameliorates post-surgery recovery. Remember when you took driver’s education in high school?  I do! When I grew up, driver’s education students in Washington State were required to watch “shock” highway-safety films.[i]  These videos, depicting the aftermath of drivers’ actions, showed actual accident scenes, complete with audio recordings…

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AAOSH Responds to AHA Scientific Statement

AAOSH Response to AHA Scientific Statement on the Relationship between Periodontal Disease and Atherosclerotic Vascular Disease April 30, 2012 The medical and dental scientific communities along with their industry stakeholders and the public media at large have been justifiably intrigued for many years by the proposed connections that exist between oral inflammation and the general health…

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Bale/Doneen/Nabors response to the AHA and ADA statements regarding Periodontal Disease and Cardiovascular Disease

The issue of the relationship between chronic inflammatory periodontal disease (PD) and cardiovascular disease has, and continues to be, a subject of intense research as well as much debate. While the literature continues to show an independent relationship between these two diseases, the issue of causation was addressed in a recent and important article by…

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Snoring and Sleep Apnea – A Nuisance or a Disease Continuum?

Why the dental office should be the number one portal in screening and identifying patients at risk – the Hygienist and Dental team play a huge role! Two-thirds of partnered adults say their other half snores, while 6 out of 10 of all adults (59%) say they snore. Sleep Apnea may be present in 20-40%…

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Literature Report: Custom Tray Application of Peroxide Gel as an Adjunct to SRP

The Journal of Clinical Dentistry has published a recently completed study showing the positive effectiveness of using customized trays in the treatment of patients with moderate to advanced periodontitis. The primary treatment for periodontal disease has been traditional scaling and root planing, followed by surgery if necessary. The delivery of antimicrobial medicaments via customized treatment…

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The Role for Specific Bacteria for Both Periodontal Disease and Systemic Inflammation

The Role for Specific Bacteria for Both Periodontal Disease and Systemic Inflammation Our understanding of the role that specific microbes play in chronic inflammatory periodontitis has changed.1,2,3,4,5 Not long ago, most believed that all perio infections were basically the same. Thus, all perio infections were treated basically with the same goal in mind. Today, the evidence is clear: Periodontal…

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Mastering the Professional Referral, Part Five – Pre-staging the Referral

Our society is conditioned to view medical authority as amongst the highest levels of authority and direction possible. No one leaves a hospital without being officially “discharged”, and not doing what “the doctor ordered” is tantamount to insurrection and anarchy. A doctor’s prescription sets in play a powerful set of events that are to be…

Literature Review

Inflammation and Hypertension – Literature Review

Research has confirmed the existence of an independent association between hypertension and inflammation (1), and that CRP levels are associated with the future development of hypertension. This suggests that hypertension is in part an inflammatory disorder (2). Systemic inflammation and CRP is known to lead to endothelial dysfunction leading to arterial stiffness and wave reflection…

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Medical Testing in the Progressive Dental Office

Medical Testing in the Progressive Dental Office: A New Level of Care There are an overwhelming number of studies showing that your oral health is related to your body’s overall health. If your mouth isn’t healthy you may be twice as likely to die from a heart attack, three times as likely to die from…

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Identifying Health Conditions at Dental Visits; Interview with Dr. Shiela Strauss

AAOSH editor Dr. Lee Ostler recently interviewed Dr. Shiela Strauss, associate professor at New York University’s Colleges of Dentistry and Nursing, to discuss the recently published article in the American Journal of Public health which demonstrated the fact that dental practices can serve as valuable sites to identify systemic health concerns among a significant segment…

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Examining the Oral Systemic Connection: Series Part 1 – Biofilms and the Inflammatory Burden

Planktonic or not? That is the question that must be asked when treating microbial related diseases. From the time that Robert Koch put out his famous Postulates in the late 1800’s, the fields of medicine and microbiology achieved great success in the identification and treatment of infectious diseases.  The identification of a number of specific…

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Planning Joint Replacement Surgery? Check-in With Your Dentist First

Joint replacement surgery is a commonly performed surgery today. Seven percent of all joint replacement surgeries are revision procedures, meaning the surgeries have to be repeated. More and more, joint infections are becoming recognized as being one of the complicating factors in joint surgery failures, and new information is pointing to the systemic spread of…