Every clinician has experience with patients who do not respond to periodontal therapy. Why is it that some sites do not heal while the adjacent site does? It’s difficult to know for sure, but one possibility may be the bacterial and host processes that occur when periodontal disease is present. In his DentistryIQ blog, “Making the Oral-Systemic Connection,” Richard H. Nagelberg, DDS, explains what’s at work in the microbial community and how we can address these issues with our patients. As he says, “Periodontal disease cannot be brushed away, but treatment outcomes should improve when the bacterial challenge is reduced.”

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