PerioPeak Innovations

18/09/2026

A whole new standard for dental hygiene is coming soon. Hygiene dedicated bone regeneration and extraordinary diagnostic skills...dental hygiene is about to skyrocket to a whole new level! Have a listen to my recent podcast with Jessica and Dave on "A Tale of Two Hygienists". So grateful to Endeavor Media for providing this valuable platform for our rapidly evolving profession! 😁

https://offthecusppodcast.libsyn.com/556-the-endoscope-seeing-what-weve-been-missing-in-dental-hygiene?fbclid=IwY2xjawUaN5ZwZG9mBWV4dG4DYWVtAjExAHNydGMGYXBwX2lkEDIyMjAzOTE3ODgyMDA4OTIAAR6AJU4MWO06nI-kZrozwrM0pLg7FVxRVtsNrDIbttO5eLstfWI5LzrIpIlLqw_aem_KnVmQNUtf0ek-PanCNrwfA

Jessica and Dave welcome Judy Carroll, RDH, Founder and Clinical Director of PerioPeak Innovations, to discuss how periodontal endoscopy is changing the way hygienists assess and treat periodontal disease.   With 36 years of clinical experience, Judy shares her expertise on:   How periodon...

04/09/2026

Big day at Peninsula College with the ribbon cutting ceremony for the new Dental Hygiene Program.

Kudos to all the donors and the amazing individuals who worked so hard to bring this program to fruition.
This is such a huge gift for all of Clallam County! They will start seeing patients this winter! 🙏🥰

And bonus, the endoscope technology will be introduced next year 😁

29/08/2026

Lately I've been seriously questioning WHY I keep going on this very difficult journey of PerioPeak. It has never been an easy path to do this work and stay the course. But this morning I had to remind myself of my decades old intention to bring non surgical options to patients like this routinely and how I was told I would never be allowed to do this work in the periodontal specialty practices I worked in.

I did this case in general practice as PerioPeak over 20yrs ago to uphold the gold standard of non surgical periodontal therapy and provide a place of patient autonomy (the right to choose non surgical therapy over extractions and surgery). Obviously this patient did not want to extract this molar. This defect healed nicely in only 3 months after RPE. I haven't looked back since. I have treated thousands of severe case successfully that would otherwise have had expensive surgery, extractions and implants. Many of them full mouth extractions. We don't find out what is possible by staying some comfortable, claustrophobic box.

But I am once again feeling at the end of my short rope to abandon this intention because it has been so incredibly difficult to find a place that will let me do this important work and respectfully run my business. I cannot give up, and I won't! 😁

19/08/2026

Today is the 25th anniversary of my Mt Rainier summit and the inspiration and beginning stages of PerioPeak Innovations. Woo hoo! ✨🙏😁

I just wanted to share a little of this story because I feel it's important. I grew up in the foothills of Mt Rainier and always wanted to climb it, so when the opportunity came to take a glacier climbing course with a great group of people I jumped on it. Six months of hard core training and learning to be uncomfortable and driven made me a stronger person. I noticed that my experience and courage on the mountain had enormous impact in my clinical and professional pursuits (it permeated my entire life really). At the same time I was learning these new mountaineering skills I was teaching myself to use the dental endoscope, trying different methods, creating protocols, doing severe cases, always pushing the envelope, etc. and in time I wanted to shout from the mountain tops that all of my colleagues could do this new treatment method. If I could do it, anyone could do it! I formed PerioPeak with the purpose of teaching these new found skills and protocols to the masses. Little did I know that there would be very little to no interest at that time and that the endoscope technology itself would struggle to survive (and we are now on the 6th company about to give it a go). Since I did not have enough business for a consulting/teaching business model, I switched gears and created a business model aimed at helping patients myself. It just so happened that my patients would all be flying in from all around the globe. This wasn't my original intention but it's interesting how it turned out because I have learned so much in 25 years from my thousands of traveling patients. Doing ever more difficult cases (especially traveling patients) teaches you so much... how to be a thorough and highly efficient clinician, and discovering what is actually possible in non surgical periodontal therapy in severe cases.
I realize now that I had to go through this journey just as it happened to get to where I am now (and oh boy what a challenging journey its been - 2008 recession, winning a law suit against the DOH in 2013, and covid in 2020).
PerioPeak survived and I am still here helping patients traveling the globe. It's been my sincere honor and I greatly appreciate all the referrals and trust all these years. 🥰🙏 Integrity and results are very important to me.
Thank you world for 25 years! 😁

28/07/2026

I have a husband and wife flying in next week for treatment (they are both severe cases). I always tell my married patients that when I do salivary pathogen testing on couples, the test results are almost always identical. True again! very predictable...
where do you see a very slight difference? 😅

17/07/2026

Hygienists! There's no reason you should have to work so hard to achieve a biocompatible root surface. It's easy! 😊

My tray set up 26 years ago vs my tray set up I've been doing for the past 25 years now. Notice, no hand instruments at all. My endoscope taught me this very efficient systematic approach by treating thousands of severe cases. It's incredibly fast and easy on your body. It's also completely non invasive for your patients tissues and roots, hence faster healing and better overall results. This technique requires training. All hygienists should learn this (it's a win-win-win), there's no reason for you to have to work so hard to achieve a biocompatible root surface. I am speaking with Noel Paschke next week about all this since she just published an article in RDH and it's probably fresh on hygienists minds. If you want to come shadow me and learn this please reach out. Otherwise I am still planning to do an educational video (I have created several but they are not professional enough and I am a bit of a perfectionist, LOL).

Also note that the endoscope explorers on my tray are not the current crappy ones being sold. These are from waaaay back when the explorers were higher quality and were bendable to see all deep distal defects. You only need 2! The current training and equipment is not efficient and wears out the fiber way too fast. Of course the new endoscope will be entirely different as I have mentioned so there will only be one explorer for all surfaces. 😁

Also note that the only dental explorer on my tray is for the dentist to do his/her exam. ☺️

The pref gel and Emdogain are the icing on the cake! There is no need for other things (desiccation, Arestin, etc.

16/07/2026

Love this text from this amazing dental hygiene student. I realized the power of clinical observation when she shadowed me recently. I told her that watching the RPE procedure and learning this comprehensive care would help with her entrance interview for dental hygiene and I feel it did. She got to witness the future of definitive dental hygiene and holistic periodontal therapy. This student is the future of the dental hygiene profession and I couldnt be more thrilled!! I do hope to hire her to work with Periopeak in the near future. If you know anyone applying for dental hygiene school please send them my way for shadowing this important work. Thank you! 🥰🙏

"This is Karinn. 👋 I want to tell you how much I appreciate you making room for me to shadow you. Yourself, and the work you do are an inspiration. My time with you was invaluable during my interview last week. Also.... I have been accepted to the DH program starting this fall!! Thank you so much for your guidance and encouragement. ❤️ "