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...

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...

Bell’s palsy is a temporary weakness or paralysis that affects the seventh cranial nerve, commonly known as the facial nerve.2 Also known as “acute peripheral facial palsy of unknown cause,”1 this condition is frequently referred to as idiopathic because it often arrives without any known cause.1,2 Dental patients who have experienced Bell’s palsy may have difficulty adapting to “normal” oral...

The vast majority of dental hygienists are familiar with melanoma and how devastating it can be to the skin and various other organs, but how familiar are we with how it can affect the oral cavity? Oral malignant melanoma represents a low percentage of all melanomas (thought to account for less than 1%). However, this variant tends to be more...

Both lateral and medial epicondylitis are afflictions that fall under the umbrella of musculoskeletal disorders (MSD). An MSD can be defined as "injuries affecting movement of the musculoskeletal system, which includes muscles, tendons, ligaments, nerves, discs, and blood vessels."1 Lateral Epicondylitis Lateral epicondylitis (LE) is caused by overuse and damage to both the extensor carpi radialis brevis (ECRB) muscle and tendon,...

Oral lichenoid lesions (OLL) refer to a group of lesions that appear as white ─ or a combination of red and white ─ and can be found on multiple surfaces in the oral cavity. They often look similar (and even identical) to oral lichen planus (OLP). One article stated, “Typically, the clinical presentation in both conditions can be reticular...

Dental hygienists are well-versed with oral cancer and the importance of early detection, but what about those lesions that are in limbo ─ the ones that are precancerous or have the potential to become precancerous? What are premalignant oral disorders or potentially malignant oral disorders? In 2017, the World Health Organization (WHO) defined oral premalignant disorders as "clinical presentations that...

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...