Beyond the Practice: Managing Misinformation
In a world where information is distributed constantly through a multitude of channels, periodontists are increasingly finding themselves not only clinicians, but interpreters and guides. Online platforms that are filled with mixed-quality advice and trending treatments have reshaped the kinds of questions patients bring to the table. Curiosity and engagement can be positive, but misinformation can create confusion and hesitation, and even mistrust if not approached thoughtfully.
For this issue’s theme of Managing Misinformation, we spoke with three AAP members about how they navigate these conversations with their patients. They shared how often misinformation surfaces in their practices, the communication approaches that help keep discussions constructive, the strategies they use to break down complex periodontal science into patient-friendly language, how misinformation has changed how they communicate within their practice, and what advice they would give to other periodontists facing similar challenges.
Dr. Madison Miles:
This is a daily occurrence in our practice. We have a highly educated patient population who do their “homework” before they come in.
I start by listening without interrupting. I acknowledge what they’ve heard and try to understand where the information came from. Then I offer a clear, evidence-based explanation of the topic, framed in a positive way. I never dismiss their source or beliefs. Instead, I give them a more accurate perspective and explain the reasoning behind it, so they feel supported and informed rather than corrected or challenged.
My “super-power” is taking complex concepts and translating them into everyday language. I rely heavily on models, visuals, and analogies so patients can see what I’m describing rather than just hearing it. I walk them through each step, check in frequently to make sure I’m not moving too quickly, and ask them to tell me in their own words what they’re understanding. That way, the conversation stays interactive, and they feel confident and informed about the care we’re discussing.
Misinformation has influenced the way I communicate during consultations. I’m more proactive now in addressing common myths before they have a chance to take hold. If I know a topic is something patients often read conflicting or misleading information about, I’ll bring it up directly and provide a clear, evidence-based explanation. This way, if they do further research later, they’re already grounded in accurate context and less likely to be confused by misinformation they might encounter online.
A piece of advice I would give periodontists facing similar challenges is to stay familiar with the misinformation that’s circulating, so you know what your patients may be hearing. Be transparent and straightforward in your discussions. And make sure you’re consistently up to date with current literature and clinical guidelines. When patients sense that you’re informed, confident, and grounded in evidence, you naturally become the trusted source they turn to — the authority who can help them navigate the noise.
Dr. Priscilla Sosa:
Patients today are exposed to an overwhelming amount of dental content on TikTok, Instagram, Google, and online forums, and they bring it into the dental office almost daily! Much of the information that they see online is either oversimplified, taken out of context, or based on trends or pseudoscience rather than evidence.
I start by validating their efforts to learn about their health. In general, our patients seek out online information because they are trying to make the right decisions. Next, I gently ask questions to understand exactly what they heard or read and what their underlying initial concerns were that sparked them to seek out answers online. This opens the door for me to clarify the science without dismissing their concerns. I try to focus on reinforcing evidence-based answers to their primary concerns, using relatable, accessible language.
I use CBCT images, intraoral photographs, models, and simple illustrations to break down concepts like bone loss, periodontal phenotype and modification therapy, graft integration, and why biologics are indicated. I also use relatable analogies, like comparing bone graft maturation to healing after planting a seed, or describing keratinized tissue like the “protective tissue barrier” around implants. Simplifying the language, avoiding jargon, and repeating key points helps reinforce understanding and builds rapport. I always encourage questions so the patient feels included in the decision-making process.
The spread of misinformation has made me much more proactive during consultations. I now anticipate common myths, such as “gum disease can be reversed with oil pulling” or “implants never get infections,” and I address these early before they influence treatment decisions. I’ve also become more structured in my explanations, providing step-by-step guidance and ensuring patients understand the rationale behind surgical or regenerative procedures. This approach has strengthened patient trust and improved adherence to treatment and maintenance recommendations.
My biggest advice is to stay patient and empathetic. Meeting patients where they are, acknowledging their fears and the sources they trust, opens the door for meaningful dialogue. Consider the tools available to you—including resources from the AAP to aid in your explanations. Use visuals, simple explanations, and transparent reasoning to anchor the conversation in credible science. When patients feel their periodontist is approachable and trustworthy, they’ll start coming to you first instead of the internet. Over time, this creates a stronger, more informed patient community and reduces the influence of misinformation altogether.
Dr. Jake Zellner:
Unfortunately, misinformation about periodontal and dental care is extremely common. Many patients arrive for their evaluations having already formed opinions based on what they’ve seen online.
In recent years, I’ve noticed a significant increase in patients referencing videos from TikTok and Instagram. These platforms often oversimplify or sensationalize dental treatments, which can lead patients to misunderstand what’s appropriate or evidence-based.
Clear, respectful, and direct communication is essential—not only with patients, but also with referring dentists who may themselves have incomplete or inaccurate information. My approach is to first acknowledge the patient’s concerns or beliefs to show that I’m listening. I then clearly explain the correct information, outline the evidence behind it, and provide treatment options that best fit their diagnosis. In most cases, patients are receptive once they understand the rationale behind the recommendation.
Occasionally, a patient may still disagree after receiving accurate information. When that happens, I gently encourage them to seek a second opinion. It’s important for clinicians to avoid feeling pressured into performing treatments that are not appropriate.
When discussing periodontal research or clinical decision-making, I focus on summarizing key evidence such as prognosis, success rates, and realistic treatment expectations—whether we’re discussing saving teeth with endodontic or periodontal therapy, or replacing them with implants.
Complex concepts can be challenging for patients to grasp, so I avoid technical jargon, use visual aids whenever possible, and provide credible resources for further reading. The goal is not to overwhelm patients with data but to offer a clear rationale for the recommended treatment.
The prevalence of dental myths and misconceptions has made me more intentional, patient, and empathetic in how I communicate. Understanding the volume of misleading “clickbait” content online helps me approach these conversations with more compassion.
Instead of reacting with frustration, I view these interactions as opportunities to identify knowledge gaps and tailor my communication to support clearer understanding. This approach not only improves the patient’s experience but also strengthens trust
I recommend that all periodontists—especially residents—familiarize themselves with the most common myths and debated topics that patients frequently encounter.
Preparing quick, evidence-based, patient-friendly explanations for these topics can significantly improve confidence and communication during challenging conversations.
Equally important is maintaining patience. At the end of the day, patients will make decisions they feel are best for themselves—even when those decisions differ from what we, as clinicians, believe is ideal. Recognizing this helps protect the provider-patient relationship and leads to more constructive discussions overall.
In a world where information is distributed constantly through a multitude of channels, periodontists are increasingly finding themselves not only clinicians, but interpreters and guides. Online platforms that are filled with mixed-quality advice and trending treatments have reshaped the kinds of questions patients bring to the table. Curiosity and engagement can be positive, but misinformation can create confusion and hesitation, and even mistrust if not approached thoughtfully.
For this issue’s theme of Managing Misinformation, we spoke with three AAP members about how they navigate these conversations with their patients. They shared how often misinformation surfaces in their practices, the communication approaches that help keep discussions constructive, the strategies they use to break down complex periodontal science into patient-friendly language, how misinformation has changed how they communicate within their practice, and what advice they would give to other periodontists facing similar challenges.
Dr. Madison Miles:
This is a daily occurrence in our practice. We have a highly educated patient population who do their “homework” before they come in.
I start by listening without interrupting. I acknowledge what they’ve heard and try to understand where the information came from. Then I offer a clear, evidence-based explanation of the topic, framed in a positive way. I never dismiss their source or beliefs. Instead, I give them a more accurate perspective and explain the reasoning behind it, so they feel supported and informed rather than corrected or challenged.
My “super-power” is taking complex concepts and translating them into everyday language. I rely heavily on models, visuals, and analogies so patients can see what I’m describing rather than just hearing it. I walk them through each step, check in frequently to make sure I’m not moving too quickly, and ask them to tell me in their own words what they’re understanding. That way, the conversation stays interactive, and they feel confident and informed about the care we’re discussing.
Misinformation has influenced the way I communicate during consultations. I’m more proactive now in addressing common myths before they have a chance to take hold. If I know a topic is something patients often read conflicting or misleading information about, I’ll bring it up directly and provide a clear, evidence-based explanation. This way, if they do further research later, they’re already grounded in accurate context and less likely to be confused by misinformation they might encounter online.
A piece of advice I would give periodontists facing similar challenges is to stay familiar with the misinformation that’s circulating, so you know what your patients may be hearing. Be transparent and straightforward in your discussions. And make sure you’re consistently up to date with current literature and clinical guidelines. When patients sense that you’re informed, confident, and grounded in evidence, you naturally become the trusted source they turn to — the authority who can help them navigate the noise.
Dr. Priscilla Sosa:
Patients today are exposed to an overwhelming amount of dental content on TikTok, Instagram, Google, and online forums, and they bring it into the dental office almost daily! Much of the information that they see online is either oversimplified, taken out of context, or based on trends or pseudoscience rather than evidence.
I start by validating their efforts to learn about their health. In general, our patients seek out online information because they are trying to make the right decisions. Next, I gently ask questions to understand exactly what they heard or read and what their underlying initial concerns were that sparked them to seek out answers online. This opens the door for me to clarify the science without dismissing their concerns. I try to focus on reinforcing evidence-based answers to their primary concerns, using relatable, accessible language.
I use CBCT images, intraoral photographs, models, and simple illustrations to break down concepts like bone loss, periodontal phenotype and modification therapy, graft integration, and why biologics are indicated. I also use relatable analogies, like comparing bone graft maturation to healing after planting a seed, or describing keratinized tissue like the “protective tissue barrier” around implants. Simplifying the language, avoiding jargon, and repeating key points helps reinforce understanding and builds rapport. I always encourage questions so the patient feels included in the decision-making process.
The spread of misinformation has made me much more proactive during consultations. I now anticipate common myths, such as “gum disease can be reversed with oil pulling” or “implants never get infections,” and I address these early before they influence treatment decisions. I’ve also become more structured in my explanations, providing step-by-step guidance and ensuring patients understand the rationale behind surgical or regenerative procedures. This approach has strengthened patient trust and improved adherence to treatment and maintenance recommendations.
My biggest advice is to stay patient and empathetic. Meeting patients where they are, acknowledging their fears and the sources they trust, opens the door for meaningful dialogue. Consider the tools available to you—including resources from the AAP to aid in your explanations. Use visuals, simple explanations, and transparent reasoning to anchor the conversation in credible science. When patients feel their periodontist is approachable and trustworthy, they’ll start coming to you first instead of the internet. Over time, this creates a stronger, more informed patient community and reduces the influence of misinformation altogether.
Dr. Jake Zellner:
Unfortunately, misinformation about periodontal and dental care is extremely common. Many patients arrive for their evaluations having already formed opinions based on what they’ve seen online.
In recent years, I’ve noticed a significant increase in patients referencing videos from TikTok and Instagram. These platforms often oversimplify or sensationalize dental treatments, which can lead patients to misunderstand what’s appropriate or evidence-based.
Clear, respectful, and direct communication is essential—not only with patients, but also with referring dentists who may themselves have incomplete or inaccurate information. My approach is to first acknowledge the patient’s concerns or beliefs to show that I’m listening. I then clearly explain the correct information, outline the evidence behind it, and provide treatment options that best fit their diagnosis. In most cases, patients are receptive once they understand the rationale behind the recommendation.
Occasionally, a patient may still disagree after receiving accurate information. When that happens, I gently encourage them to seek a second opinion. It’s important for clinicians to avoid feeling pressured into performing treatments that are not appropriate.
When discussing periodontal research or clinical decision-making, I focus on summarizing key evidence such as prognosis, success rates, and realistic treatment expectations—whether we’re discussing saving teeth with endodontic or periodontal therapy, or replacing them with implants.
Complex concepts can be challenging for patients to grasp, so I avoid technical jargon, use visual aids whenever possible, and provide credible resources for further reading. The goal is not to overwhelm patients with data but to offer a clear rationale for the recommended treatment.
The prevalence of dental myths and misconceptions has made me more intentional, patient, and empathetic in how I communicate. Understanding the volume of misleading “clickbait” content online helps me approach these conversations with more compassion.
Instead of reacting with frustration, I view these interactions as opportunities to identify knowledge gaps and tailor my communication to support clearer understanding. This approach not only improves the patient’s experience but also strengthens trust
I recommend that all periodontists—especially residents—familiarize themselves with the most common myths and debated topics that patients frequently encounter.
Preparing quick, evidence-based, patient-friendly explanations for these topics can significantly improve confidence and communication during challenging conversations.
Equally important is maintaining patience. At the end of the day, patients will make decisions they feel are best for themselves—even when those decisions differ from what we, as clinicians, believe is ideal. Recognizing this helps protect the provider-patient relationship and leads to more constructive discussions overall.