We know that the new model of periodontal disease is called polymicrobial synergy and dysbiosis. We also know some of the details of the mechanism of periodontal disease development and progression, but what does this mean on a clinical level? In his DentistryIQ blog, “Making the Oral-Systemic Connection,” Richard H. Nagelberg, DDS, explains how we can enhance the level of care we give to our patients—i.e., who should be tested for periodontal disease, how they should be tested, and what types of recommendations we should be making to our patients. He also discusses how we should modify our approach to exploit the research conclusions we’ve gained from the new model of periodontal disease.

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