Meghan Greening, RDH, BSDH, EFDA

Panoramic (PAN) and three-dimensional radiographs such as cone beam computed tomography (CBCT) provides invaluable information for clinicians for various reasons. These types of imaging can be utilized daily in many types of dental practices, including general dentistry, endodontics, periodontics, oral surgery, dental imaging centers, and orthodontics. These images provide not only an enormous amount of dental information but also a...

The concept of dental implants is not new. Evidence of dental implants has been dated all the way back to 600 AD and the Mayan population. While materials, techniques, and technologies have been improved upon, implants placed today and their predecessors both rely on the same process of osseointegration.1 Osseointegration is defined as "direct structural and functional connection between...

A connective tissue disease or disorder is one that affects the elastin and collagen proteins within connective tissues. Connective tissues are responsible for joining different body parts and structures together. Dental hygienists often have to think outside of the box and change their "normal" appointments to care for patients who suffer from a connective tissue disease. To date, more than 200...

The American Academy of Periodontology defines periodontitis (periodontal disease) as “Inflammation of the periodontal tissues resulting in clinical attachment loss, alveolar bone loss, and periodontal pocketing.”1 The disease is the leading cause of tooth loss in the United States. It is estimated that 47% of people older than age 30 have some form of periodontal disease, and this is even...

Addison’s disease is a disorder that was first discovered by Thomas Addison in 1885. It is defined as an endocrine disease that targets the adrenal glands that are found on top of the kidneys. This disease causes a decrease in the production of the aldosterone and cortisol hormones.1 Cortisol is known as the “stress hormone” and is responsible for increasing...

According to the United Network for Organ Sharing (UNOS), 39,719 organ transplants were completed in the United States during 2019, including donations from both living and deceased donors. Even with this large amount, 113,000 people are currently awaiting transplants.1 The American Transplant Foundation states that one person is added to a transplant waiting list every 10 minutes. They also state...

Xerostomia can be described as a “subjective sensation of oral dryness”1 with numerous causes. The most common are as a side effect from certain medications, Sjogren’s syndrome and other autoimmune disorders, and radiation therapy.1 Older patients are generally taking more medications, and so we tend to see xerostomia in this population more frequently than any other. However, anyone taking medications...

“Preeclampsia is a disorder that occurs only during pregnancy and the postpartum period and affects both the mother and the unborn baby,” the Preeclampsia Foundation states, “Preeclampsia affects at least 5-8% of all pregnancies and is a rapidly progressive condition characterized by high blood pressure and usually the presence of protein in the urine.” The condition usually occurs after 20...

The potential for three-dimensional imaging in dentistry is widespread. Hygienists use two-dimensional images on a daily basis, but they do not provide the amount of detail that the three-dimensional counterpart does. According to one source, “In two-dimensional imaging, evaluation of bone craters, lamina dura, and periodontal bone level is limited by projection geometry and superpositions of adjacent anatomical structures.” Two-dimensional...

Gingival recession is something most of us see in our patients’ on a daily basis. It is defined as the apical migration of gingiva,1 which can cause various problems for our patients that include sensitivity, periodontal complications, esthetic concerns, and decay. Gingival recession results from many different factors such as patient habits (brushing too hard/using the wrong technique, picking...