Learning Objectives:

• Etiologies of periodontal disease including genetics, diabetes, nicotine addiction, occlusion and bacterial assay
• Pathogenesis from chronic periodontal inflammation to cardiovascular disease
• The bi-directional relationship between Type 2 Diabetes and periodontal disease
• When and how to monitor HbA1C for successful periodontal therapy
• How to test for and interpret pathogen saliva testing and how to support full mouth disinfection with antibiotic specificity
• What it takes for a successful tobacco cessation program in conjunction with full mouth disinfection

The old-school paradigm of treating periodontal disease with a sharp instrument and a string is gone for good. Now we recognize the root causes of this disease are multifactorial including the individual bacteria makeup of the biofilm, hyperglycemia, tobacco, food sensitivities, fungal infections and more. Plus, chronic inflammation and bacterial infiltration now have a proven causative relationship with a heart attack and stroke. It’s our turn to become sophisticated diagnosticians and learn the new paradigm of individualized treatment planning for full mouth disinfection.