Oral Health september 2009 Your guide to healthY smiles, performance mouthwear and treatment of snoring and sleep apnea Can brushing keep you healthy? special supplement
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Oral Healthseptember 2009 Your guide to healthY smiles, performance mouthwear and treatment of snoring and sleep apnea
Can brushing keep you healthy?
special supplement
oral health
2 special supplement
CONTENTS2 BrushForHealth
4 YourWake-UpCall
4 TreatingSnoringandObstructive
SleepApnea
5 NewDietaryTools
5 IsYourDentalAssistantDANB
Certified?
6 ACoolAnswerforLong-Term
Whitening
7 OralHygiene’sSilverBullet
8 OralHealthCan’tWait
9 DentalImplantsUsing
ComputerizedRoadmaps
9 JawDroppingPerformance
10 Sugar-FreeGum
10 PlanfortheUnexpected
11 CalledtoServeandMovedToHeal
ORALHEALTH‘Oral Health’ is a special supplement produced by Mediaplanet and distributed by the Chicago Sun-Times.
Publisher: Lee Auerbach [email protected] 1 312 337 4125
Contributor: Richard Sharp Marlene Piturro Kirk Van Hyning
Design: Carrie Reagh [email protected]
Photos: ©iStockphoto.com
Printer: Chicago Sun-Times
Mediaplanet is the leading publisher in providing high quality and in-depth analysis on topical industry and market issues, in print, online and broadcast.For more information about supplements in the daily press, please contact Allan Chiu, 1 312 337 4000 [email protected]
www.mediaplanet.com
a very special thanks to...
Dental Implant Institute of Chicago
Focusing on Dental Implants• Implants and “Teeth-in-a-Day”• Single and Multiple Missing Teeth Replacements• Denture Alternatives• All Work Performed in One Facility• Concentration on Individual Customer Care
Learn more about UAD at: www.uadchicago.com
222 N. LaSalle Suite 230 Chicago 312.704.5511
Research shows that mouth prob-
lems can create other health
problems. Cavities and gum dis-
eases are caused by germs that we can
pass on to our family and friends. Gum
disease is linked to blood sugar prob-
lems in diabetics, as well as heart disease,
stroke, premature birth and an increased
risk of other illnesses.
Many people with mouth diseases live
with pain, infection, tooth loss and poor
appearance. But teeth shouldn’t hurt
and gums shouldn’t bleed.
So what can you do? First, begin
practicing healthy dental care habits.
Brush your teeth at least twice a day and
floss every day. Also, to keep your teeth
healthy, limit sugary and starchy snacks,
including soda, use products with fluo-
ride and quit using tobacco in any form.
Seek help in finding a dentist or health
clinic that provides dental care, where
you can have your mouth, teeth and
gums examined regularly for disease. It is
important to visit your dentist regularly
each year for a routine check-up. Commit
yourself to completing recommended
treatment and work with a provider that
understands your concerns and gives
you individualized and on-going care to
maintain your oral health.
Teach your children how to brush
their teeth. Do not expect that young
children will be able to brush on their
own. Make brushing fun and praise your
children for taking care of their mouths.
Babies and children of all ages should
also have regular dental visits. Be sure to
ask your dentist about dental sealants, a
thin plastic coating that can be applied
to the chewing surfaces of children’s
teeth to keep them free of decay.
If you are looking for a new dentist,
the Chicago Dental Society (CDS) can
help. CDS helps patients find dentists
that fit their needs. Visit www.cds.org to
search for a CDS member dentist. You
can search for dentists by the special
services they offer, the neighborhood
they work in, the payments and insurances
they accept, or the languages they speak.
If payment is a concern and it’s a
dental clinic you’re looking for, CDS also
maintains a list of dental clinics with
reduced-fee services in and around
the Chicago area. Find this information
online at www.cds.org.
The Chicago Community Oral Health
Forum is a project of Heartland Alliance
for Human Needs & Human Rights and
is funded by the Otho S. A. Sprague
Memorial Institute. This project works
to improve the oral health of Chicago-
ans through assessment and program
development and works with other
organizations to provide improved oral
health access, education, and
services.
Oral Health America is
based in Chicago and works
to improve our nation’s oral
health by increasing access to
care and oral health education,
and by advocating for effective
oral health policies. Oral Health
America’s Smiles Across America®
program helps communities build
dental programs in schools. In
Chicago, Smiles Across America is
supporting the Chicago Department
of Public Health’s School Oral Health
Program. Last year, the program pro-
vided dental services to over 61,000
school children. Find out more at www.
oralhealthamerica.org.
Established in 1864, the Chicago Den-
tal Society represents more than 4,000
dentists working in the Cook, Lake and
DuPage counties.. The society advocates
for improving oral health care for all and
represents the interests of its members
and the public they serve.
Brush for HealthMaintaining a healthy smile should be at the top of your list when taking care of yourself. Changes in your oral health can affect your overall health.
FACTS• Most people do not know that cavities
are caused by bacteria (or germs) that
can be passed from person to person.
• 30 percent of Chicago adults have
lost at least one tooth.
• Children suffer from cavities more
than any other childhood illness.
• In Chicago, 59 percent of third graders
have tooth decay.
• 41 percent of Chicagoans have no
dental insurance.
• 19 percent of Chicagoans report that
they avoided the dentist due to cost.
• Adults lose millions of hours of work
each year due to dental disease, and
children lose more than 51 million
school hours to dental illness.
oral health
4 special supplement
OSAHS is a chronic, progres-
sive disorder that can disrupt
breathing as often as 40 to 60
times an hour or more throughout the
night. In addition to leading to oxygen
deprivation, OSAHS induces changes in
cardiovascular function and prevents
patients from entering the deep stages
of sleep, even in mild cases. Sleep de-
prived, OSAHS sufferers often feel le-
thargic during the day and may also
experience weight gain, hypertension,
poor concentration, irritability, depres-
sion, and sexual dysfunction.
Michael Friedman, MD, Professor of
Otolaryngology-Head and Neck Surgery
and Chairman of Sleep Surgery at Rush
University Medical Center, is an expert
on OSAHS. He notes that myths abound
regarding this widespread disorder:
“One of the biggest myths is that the
respirator-like apparatus known as the
CPAP (continuous positive airway pres-
sure) is the only available treatment for
OSAHS. Many people avoid diagnosis
and treatment because they are un-
aware that other options for treatment
exist.”
In fact, Dr. Friedman points out that
his studies have shown that the vast
majority of patients can be treated with
minimally invasive procedures which
obviate the need for CPAP or aggressive
surgery.
Another commonly held myth is
that snoring is innocuous. According
to Dr. Friedman, many people are not
concerned about their snoring because
they have not been observed to stop
breathing. The truth of the matter,
however, is that snoring, even without
the complete cessation of breathing,
may be the result of a partial obstruc-
tion of airflow known as a hypopnea.
Hypopnea leads to oxygen deprivation
and can have the same sequelae as
apnea. Dr. Friedman emphasizes the
importance of diagnosis and treatment:
“Patients assume they’re healthy and
ignore the symptoms of OSAHS, not
realizing that if left untreated, they have
a three times greater chance of death.”
He goes on to add that, in addition to
minimizing the significance of snoring,
patients often mistake their OSAHS
symptoms for depression or fatigue.
Other myths stem from the stereo-
typical image of OSAHS patients as
overweight, middle-age men who snore
heavily. “The National Sleep Foundation
estimates that six million American
women have OSAHS, which often mani-
fests as depression and sexual dysfunc-
tion. OSAHS is also quite common in
children and has been correlated with
hyperactivity, attention deficit disorder,
poor school performance, and bedwet-
ting,” Dr. Friedman notes.
He goes on to point out that not all
patients with OSAHS snore and further
explains that genetic factors that
determine the shape of the throat and
structures such as the palate and epi-
glottis are the main causes of OSAHS.
Thus, people of all ages, sizes, and both
genders can develop OSAHS. Being
overweight is a risk factor. Weight gain
following successful treatment with
surgery, CPAP, or a dental device can
lead to recurrence of OSAHS.
In conclusion, OSAHS is a highly
prevalent, serious condition that often
goes undiagnosed and untreated for a
number of reasons. People erroneously
attribute their daytime sleepiness and
lack of focus to psychological factors
or simple fatigue, when they actually
suffer from OSAHS. Those who do not
fit the stereotype of an overweight,
middle-age man who snores like a buzz
saw may still have OSAHS. Early diagno-
sis and treatment, whether by CPAP or
minimally invasive procedures, can give
OSAHS sufferers a good night’s sleep.
Although most prevalent among
overweight middle-aged men,
particularly those who snore,
other people are also at risk. According
to researchers at the Cleveland Clinic
Sleep Center, approximately 4 percent
of adult males and 2 percent of adult
females have OSA, which is roughly the
same incidence as asthma. However,
OSA often goes unrecognized. Undi-
agnosed and thus untreated, an esti-
mated 38,000 people die annually from
conditions associated with OSA, such
as uncontrolled hypertension, stroke,
heart attack, and cardiac arrhythmias,
according to the National Commission
on Sleep Disorders.
Michael Friedman, MD, Professor of
Otolaryngology-Head and Neck Sur-
geon and Chair of Sleep Surgery at Rush
University Medical Center, explains that
though snoring may be common, it is
never normal. Snoring is an indication
of turbulence within the airway due
to partial obstruction of airflow. This
obstruction results in oxygen depriva-
tion. If left untreated, OSA can lead
to numerous debilitating symptoms
including fatigue, weight gain, poor
concentration, sexual dysfunction, and
depression.
OSA is diagnosed by an overnight
sleep study. Treatment for mild OSA
includes customized dental appliances,
weight loss, avoidance of alcohol and
sedatives, smoking cessation, not sleep-
ing on one’s back, and nasal sprays. Con-
tinuous positive airway pressure (CPAP)
therapy consists of a mask fitted to the
nose and/or mouth which is attached
to a machine that delivers a constant
stream of air to keep the airway open
as the patient sleeps. Dr. Friedman
notes that only about 25 to 50 percent
of OSA patients and their bed partners
can tolerate the excess noise and addi-
tional disruption of the CPAP to already
abnormal sleep patterns.
The limitations of CPAP therapy
have led to the development of new
techniques for treating OSA such as
multilevel minimally-invasive single-
stage treatment. Often combining pro-
cedures such as palatal implants and ra-
diofrequency volume reduction of the
tongue base, this technique corrects
a number of anatomical defects that
contribute to OSA. Oftentimes, redun-
dant soft tissue is reduced or removed
to widen the airway, and nasal obstruc-
tion, if present, is corrected. Researchers
led by Dr. Friedman have published the
results of this new approach, conclud-
ing that multilevel minimally-invasive
single-stage treatment is a valid option
for selected patients with mild to mod-
erate OSA. “This approach corrects the
anatomical problems that cause OSA
and improves the airflow. It has proven
to be an effective long-term solution,”
Dr. Friedman concludes.
Your Wake-Up Call: Sleep apnea MythsSnoring is a common problem that can sometimes be more than simply an auditory nuisance. In many cases, snoring is a sign of a more serious medical condition known as Obstructive Sleep Apnea-Hypopnea Syndrome (OSAHS).
Treating Snoring and Obstructive Sleep Apnea: New Minimally Invasive options Can Solve a Serious ProblemSleep can be frightening for the estimated 12 to 20 million American adults whose breathing is interrupted for 10 to 30 seconds as often as 40 to 60 times per hour or more throughout the night. These individuals suffer from obstructive sleep apnea (OSA), a chronic, progressive disorder that disrupts sleep and can produce chang-es in heart rate, blood pressure, and blood oxygen saturation.
BY: MARLENE PITURRO, PHD AND KIRK VAN HYNING
BY: MARLENE PITURRO, PHD AND KIRK VAN HYNING
Michael Friedman, MD, FACS, is a professor of Otolaryngology-Head and Neck Surgery and the Chairman of Sleep Surgery at Rush University Medical Center, as well as the
Chairman of Otolaryngology at Advocate Illinois Masonic Medical Center in Chicago, IL.
Dr. Friedman practices at the Advanced Center for Specialty Care which has two loca-tions in Chicago: 3000 N. Halsted, Suite 400, (773) 296-5500, and 30 N. Michigan Ave.,
Suite 1107, (312) 236-3642; www.chicagoent.com.
oral health
special supplement 5
Generally, it is the dental assis-
tant who takes and develops
X-rays, sterilizes the dental in-
struments and dental operatory space
and equipment, and assists the dentist
at the chairside. Although most pa-
tients assume the entire dental team is
required to complete formal education
beyond high school, and to be licensed,
in actuality, regulations for dental assis-
tants vary widely by state.
The American Dental Association rec-
ognizes the Dental Assisting National
Board, Inc. (DANB) as the national cer-
tification agency for dental assistants.
Thirty-seven states plus the District of
Columbia recognize or require dental
assistants to be DANB Certified Dental
Assistants (CDAs). DANB CDAs have
met education or work experience
prerequisites, have passed a national
board certification exam, and hold CPR
certification. DANB CDAs have demon-
strated knowledge in dental radiation
health and safety, occupational safety,
infection control, and chairside dental
assisting. DANB CDAs must earn at least
12 hours of continuing dental education
annually, so their knowledge is current.
“An important aspect of DANB’s
mission is to protect the public by iden-
tifying qualified and competent dental
assistants,” DANB’s Executive Director
Cindy Durley, MEd, MBA, said. “DANB
CDAs have passed national exams in
areas that directly impact patient care
and safety.”
DANB CDAs are lifelong learners who
tend to remain in the dental assisting
profession for an average of nearly 17
years, and with the same dental office
for an average of over 9 years. Con-
sistency in dental office staff leads to
patient comfort and enhances practice
efficiency.
Ask the dental assistants in your den-
tal office if they are DANB CDAs. If so,
congratulate them on this achievement
and their decision to maintain their
professional edge through continuing
education. For more information about
DANB Certification or dental assisting
requirements and allowable duties in
your state, visit www.danb.org/Certi-
fied.asp.
DANB CDAs are professionally certified by the Dental Assisting National Board, Inc. They have met education or work experience prerequisites, have passed a national board certification exam, and hold CPR certification.
DANB CDAs have demonstrated knowledge in dental radiation health and safety, occupational safety, infection control, and chair-side dental assisting. DANB CDAs maintain their professional edge through continuing dental education and annual recertification.
If the dental assistants in your office are DANB CDAs, congratulate them on this achievement!
Learn more about the DANB Certified difference.
Call 1-800-FOR-DANB or visit www.danb.org/Certified.asp.
Q: Is your dental assistant a DANB Certified Dental Assistant?
A: If so, say congratulations!
Is Your Dental Assistant DANB Certified?When choosing a dentist, patients should carefully consider the qualifications of the entire dental team. The dentist, the dental hygienist and the dental assis-tant all play an important role in the overall quality of your oral health care.
“With the increased use
of antibiotics (anti-life)
in modern medicine,”
says Dan Kaline, Research and Devel-
opment Manager for MicroNutra-Ionx,
“health care practitioners soon real-
ized a down side to the over use of pre-
scribed antibiotics because, while de-
signed to attack harmful bacteria, it was
also destroying certain types of benefi-
cial bacteria in the body causing other
problems, most notably in the digestive
system, which starts in the mouth.”
“Probiotics help rebalance these is-
sues by reintroducing ‘friendly bacteria’
into the digestive system to improve
overall health.”
In the dental world, studies have
shown that while techniques like ultra-
sonic cleaning, bleaching, and even rins-
ing with mouthwash containing alcohol
are effective at reducing the level of
harmful bacteria, they equally deplete
the friendly flora naturally needed in
the mouth to support over all dental
hygiene.
MicroNutra-Ionx decided to utilize
their knowledge of probiotics to address
this concern directly with their innova-
tive new product Dentazyne™. A dietary
tool, much like a supplement, Denta-
zyne introduces a proprietary blend
of all-natural probiotics that directly
combats the bacteria in the mouth that
causes periodontal pathogens leading
to poor oral health.
Though the results can be remark-
able, how it works is fairly simple.
After cleaning teeth and mouth at
least twice daily by brushing, flossing
and rinsing, users slowly chew the
strawberry flavored Dentazyne tablet,
swishing and holding the tablet con-
tents and saliva in the mouth as long as
possible to build up a good coating of
“friendly” bacteria.
After swallowing Dentazyne it will
work in your mouth while you sleep or
as you go about your daily activities -
directly attacking the bacteria that are
known to cause cavities, gingivitis and
halitosis and gastric ulcers.
“In oral health, there is no magic bul-
let,” says Kaline.
“We believe what dentists have told
us for years, that brushing, flossing and
regular dental visits are key to excellent
oral health. We believe that Dentazyne
is one additional step you can take, like
an insurance policy, to help protect your
teeth and gums against the unseen
variables that you and your dentist can’t
control.”
New Dietary Tools: Probiotics in Fight for oral health While dentists across the country urge thorough brushing, flossing, rinsing and using treatments to fight the bacteria that cause plaque build up and tooth decay, a new breed of products called probiotics (pro-life) actually supports the development of healthy bacteria—the good kind—to help promote and maintain oral health.
...DaNB’s mission is to protect the public by identifying qualified and
competent dental assistants...
oral health
6 special supplement
Developed by Dr. Rod KurthyNothing says confidence more than a smile. And the whiter the smile, the more you command the attention you deserve. Get your teeth head-turning white—permanently. Ask your dentist for KöR Whitening Deep Bleaching™—the ONLY permanent teethwhitening process available.
www.KORpermanentwhitening.com
EV20-104555_ChicagoAd-v7.indd 1 9/10/09 1:56:01 PM
“Occasionally there are
patients that respond
very well, but the norm
is minimal results that don’t last long,
chilling sensitivity of the teeth and the
inability to eat and drink the things we
love like coffee, tea and red wine to
make the minimal color change last as
long as possible.”
New advancements in whitening
technology could turn those
frustrations into a thing of the
past.
After spending over 20 years
of scientific research and dental
practice examining the way
teeth are lightened, Dr. Kurthy
discovered that one of the keys
to success, strangely enough, is
refrigeration.
He discovered that whiten-
ing gels that are constantly
kept under refrigeration start
out with more potency and
effectiveness, and maintain
their effectiveness for many
hours. Using refrigeration to
stabilize whitening gels instead
of chemicals that irritate teeth
allowed Kurthy to formulate
gels, resulting in much less, and
often no sensitivity whatsoever.
When a dentist receives the
KöR Whitening Deep Bleach-
ing™ System, it has come directly from
a factory where it has been kept at the
ideal temperature, was placed on a
refrigerated truck, delivered in refriger-
ated containers and stored in refrigera-
tion on premises by the doctor.
While most standard whitening
treatments limit the bleaching process
to a relatively short period of time due
to less potent gels and teeth sensitivity,
the refrigeration process minimizes
sensitivity, providing increased gel
potency and allowing patients the time
they need to get permanent results.
The system’s Deep Bleaching Trays
also provide a unique design that fits
the teeth precisely, sealing the bleach
inside the trays, and preventing dam-
aging saliva from entering. The result is
oxygen factors penetrating the crystals
of teeth all night long, instead of for just
half an hour.
“We like to call this ‘the fallacy of
fast,’” says Dr. Kurthy.
“It’s certainly nice to have teeth whit-
ened in an hour, but the reality is that
one hour is not nearly sufficient to get
oxygen factors deeply into the crystals
of the teeth.”
Because the KöR Whitening Gel is
consistently refrigerated, there is no
need to use irritating stabilizers, which
means it maintains 100 percent of the
effectiveness of its original state, yet
greatly reduces typical sensitivity. The
powerful whitening system is so ef-
fective that it can whiten tetracycline
stained teeth, which has never before
been possible.
The overall result, says Kurthy, is a
whitening system “that allows you to
get permanent results—whether you’re
14 years old or 90—and still be able to
eat or drink whatever you want.”
A Cool Answer for Long-Term WhiteningThe science of teeth whitening has continued to improve by leaps and bounds over the years, but one persistent issue dentists and patients have shared is permanence. Modern techniques have given dentists the ability to make dramatic improvements in the appearance of their patients’ teeth, but the typical result, says Dr. Rod Kurthy of Evolve Dental Technologies, is frustration.
...the refrigeration process minimizes
sensitivity, providing increased gel potency and
allowing patients the time they need to get permanent
results.
oral health
special supplement 7
5,000X Magnification Photosafter 3 weeks in the mouth.
Revolutionary Smile Protection
For more information call 1.800.343.5291 or visit our website at www.selectdefense.com
1 Data from “Simulated Mouth Study” by Bennett Amaechi BS, DDS, MS, PhD Associate Professor & Director of Cariology, Department of Community Dentistry University of Texas Health Science Center at San Antonio. 12/08.
TM
The Future of Oral Hygiene ... NOW!
Now Available Through a Dental Professional
Improves oral hygiene
Decreases plaque
Reduces decalcification and whitespots! 1
After over 19 years of research
on the subject at Texas Tech
University and Texas Tech Uni-
versity Health Sciences Center, studying
the inherent antimicrobial properties of
the naturally occurring trace mineral,
he’s come to see it as a potential “silver
bullet” with a wide potential for use,
and immediate and powerful applica-
tions regarding oral health.
“It’s pretty amazing, actually. We’ve
found a wide range of uses for this
technology, from preventing buildup
of bacteria during the use of catheters
to preventing the buildup of algae on
Navy boats. So far, the environment
where it has been most effective
though is in the mouth, as a safe but
powerful tool for preventing the
buildup of plaque on teeth and around
orthodontic appliances,” says Reid.
Dr. Reid works closely with ClassOne
Orthodontics and selenium is the basis
for their innovative new FDA-Cleared
tool for dental hygiene called SeLECT
Defense™. This new formula eliminates
or greatly reduces bacteria that cause
plaque build-up and tooth decalcifica-
tion and makes the removal of plaque
much easier.
Essentially, the surface of a patient’s
teeth or orthodontic device is treated
with this selenium solution, and when
bacteria attempt to colonize, they
have nothing to bond to, and are thus
unable to grow on the coated surface.
The technology utilizes properties that
arrest local cellular growth by creating
short-lived, localized, non-toxic radicals.
While coating your teeth with radi-
cals might sound, well, radical, Dr. Reid
emphasizes that the type found in
elemental selenium have “already been
present in our diets for centuries,” and
that we consume as much naturally on
a regular basis than would be present in
a typical treatment.
After completing initial research and
testing, ClassOne received clearance
from the FDA in July of 2008 to mar-
ket and sell SeLECT Defense™ to the
public. Part of the independent testing
procedure included a 28 day simulated
mouth study conducted by Dr. Bennett
T. Amaechi at the University of Texas
Health Science Center in San Antonio.
“We used a custom made Artificial
Mouth that simulates the physiological
and microbial conditions in mouth. This
device enables the growth of bacterial
plaque on teeth surfaces,” said Dr.
Amaechi.
The new selenium based platform
offered “100 percent prevention from
the development of clinically visible
whitespot lesions around orthodontic
brackets with elastomeric ring,” said
Amaechi, “while a commonly used 40
percent chlorhexidine varnish offered
only limited protection.”
Microscopic examination of the
teeth surfaces also showed that
SeLECT™ Defense reduced enamel
demineralization (whitespot
formation) around the orthodontic
bracket by 86 percent.
In laymen’s terms, says Dr. Reid,
“it worked—the results were even
better than we had expected, and the
difference between the teeth that
had been treated with SeLECT De-
fense™ and those that had not was like
the difference between night and day.”
Oral Hygiene’s Silver Bullet: Plaque Prevention Gets elementalThere’s no question Dr. Ted Reid is excited about elemental selenium, and for good reason.
this new formula eliminates or greatly reduces bacteria that cause plaque build-up and tooth decalcification...
oral health
8 special supplement
Oral Healthcare Can’t Wait™
© 2009 Dental Trade Alliance. Oral Healthcare Can’t Wait and Visit Your Dentist Now are trademarks of Dental Trade Alliance. Dental Trade Alliance
Do I have to
lose my teet
h?
These days, people are cutting back on a lot. Make sure your dentist visits aren’t one of them. The excuses to postpone appointments can go on forever, but unfortunately so can ignored dental
problems. Making regular dental appointments—and keeping them—is key to a healthy mouth and
may even contribute to a healthier body. Prevent potential dental problems from arising or worsening.
Make your dentist appointment today—and keep it.
Learn more at VisitYourDentistNow.com
“The new problem when we
talked to dentists was that
they felt like there were a
significant number of people who have
the resources for dental care, includ-
ing some kind of dental insurance, that
weren’t getting care. While we knew
there was a significant issue with access
to care, we also knew this was a grow-
ing problem that we needed to learn
more about.”
From April 29, 2009 through May 3,
2009, over 1,000 individuals across
the country were queried by the DTA
on issues related to dental health and
dental benefits and the extent to which
the economy has affected their pursuit
of dental care.
A vast majority of survey respon-
dents had a dentist and some sort of
dental benefit, and the majority knew
that lack of proper dental care could
lead to overall poor health. Almost one
out of every six people reported hold-
ing off going to the dentist because
of uncertainty about their job and/or
the economy. Amongst lower income
groups, the results were even more
alarming, with almost one-third of
those with low incomes holding off
on seeing the dentist, even though
the unmet needs of both groups were
identified as significant.
“There are a staggering number of
people with resources who are post-
poning care because of concerns in the
economy,” says Price.
“What they may not realize is that
those who postpone care are making it
worse, that the problems are not going
to get better on their own.”
In response to the data, the DTA
recently set about launching its “Oral
Care Can’t Wait” program, educating
Americans on the clear detrimental
effects of delaying care. Untreated
dental problems can lead to more
serious health concerns like infection,
abscesses and in extreme cases, death.
Mounting evidence also continues to
show a possible correlation between
oral healthcare neglect and adverse
overall body health such as cardiovas-
cular disease, stroke and delivery of pre-
term and/or low birth-weight babies.
A paper on the relationship between
heart disease and gum disease, for
example, was recently published
concurrently in the online versions of
two leading publications, the American
Journal of Cardiology and the Journal of
Periodontology.
Price emphasizes that while it’s
understandable that people are
cutting back a lot in a tough
economy, making regular den-
tal appointments and keeping
them should remain a priority.
“It never pays to wait. Prob-
lems will only get worse over
time. In the long run, by ad-
dressing oral health concerns
early on, you may even be saving
money, or it might even save
your life.”
Oral Health Can’t Wait: Dental Professionals Urge americans Not to Ignore oral health Concerns in a Challenging economyWhen the Dental Trade Alliance queried its members’ customers earlier this year about how the economy was affecting their patients, says DTA CEO Gary Price, the comments were surprising.
Dental Salon is a full service
dental practice open extended
hours seven days a week as well as
most holidays. We offer a complete
range of services in one convenient
location. From routine check-ups
and cleanings to full mouth reha-
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Parking is attached to our building
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oral health
special supplement 9
“When implants were
first placed, there was
a healing period, leav-
ing the patient without teeth. Now
teeth can be extracted, implants placed
immediately with natural looking teeth
during the healing period, never leaving
the patient without teeth. The patient
is immediately able to eat and smile
confidently. In fact, it is now 12:30 and
I completed a procedure an hour ago”,
stated Dr. Russell Baer from University
Associates in Dentistry.
A dental implant is a small titanium
screw that serves as a replacement for
the root portion of a missing tooth.
Dental implants are the modern day
solution to missing teeth and are recog-
nized as a more effective treatment as it
does not compromise the surrounding
teeth like bridges do or the slippage
caused by dentures. The implant actu-
ally integrates with the jawbone,
giving you a natural looking
third set of teeth.
CT Scans have opened
the door for patients
with more complicated
cases. The scan allows
the dentist to view
the data in 3-D
through com-
p u t e r i z e d
software. The scan shows the important
anatomy, sinuses, nerves and arteries
and will determine the precise position
of where the implants will be placed. A
special computerized guide is created
to ensure this accuracy and is used dur-
ing the actual surgery. “I have created
the exact surgical procedure before I
have even touched the patients mouth”,
stated Dr. Baer.
“While the traditional dental implant
can take months and multiple dental
appointments to complete, and can
require incisions in the gums,” says Dr.
Martin Marcus, from University Associ-
ates in Dentistry, “the computer-guided
system we use eliminates that step, and
the pain and associated recovery time
that comes with it. Also, the connection
of new teeth to these implants allows
patients to throw away their dentures
immediately.”
Dr. Baer, who regularly travels the
country teaching and lecturing on
implantology, states, “Whenever I speak
to my colleagues in the dental field,
I’m always amazed at how few of them
actually use this technology. Many of
them are astonished to learn how this
technology can help patients by reduc-
ing pain, shortening the procedure time
and ultimately providing a long-term
solution that also allows them to return
to their normal life right away.“
Dental Implants Using Computerized RoadmapsThrough patient education and the advancement of technology, even complicated cases can benefit from dental implants. The suffering and uncomfortable res-torations period has been eliminated with immediate results and often in just an hour.
All three NFL players are
amongst a growing number
of elite athletes around the
world sporting custom fit performance
mouthwear to help them achieve jaw-
dropping performance in their respec-
tive positions.
This new hyper-sophisticated mouth-
gear improves strength, endurance and
reaction time, reduces athletic stress,
and can reduce impact from blows to
the jaw. This advanced custom mouth-
gear is sold through authorized dentists
nationwide.
As Bite Tech scientists discovered in
their research, says the company’s CEO
Bob Molhoek, “when athletes exert
themselves, they tend to clench their
jaws, triggering the excess production
and release of hormones like cortisol,
which can produce stress and fatigue
and hinder their performance.”
Created by Bite Tech, the Armour-
Bite™ Technology in Under Armour
Performance Mouthwear™ prevents an
athlete’s teeth from clenching, relieves
pressure on the temporomandibular
joint (TMJ), and prevents the excessive
production of performance-sapping
hormones. While developed using
modern technology and advanced
scientific research, this revolutionary
Performance Mouthwear is actually
grounded in a very ancient idea, says
Molhoek.
“In ancient times, soldiers would
prevent their teeth from clenching
together with a leather strap or bullet,
giving them an edge when they went
into battle. Today, many elite athletes
place their jaw into the optimal posi-
tion instinctively, but without the right
kind of device in place, there’s no way
to sustain it.”
“As Rocket Ismail, an investor in
Bite Tech, likes to say, ‘the difference
between being world-renowned and
being second place is a fingernail.’ Elite
athletes around the world are staying
away from steroids, but they know
that Performance Mouthwear is one
legal option for natural performance
enhancement that just might give them
that slight edge they need to make it to
the top,” says Molhoek.
Jaw Dropping Performance: elite athletes turn to high-tech Mouthwear for Natural Performance enhancement When the Chicago Bears and Minnesota Vikings meet this November in Minneapolis for a gridiron battle of NFC North favorites, three of the fastest men in the sport from both teams—Devin Hester, Adrian Peter-son and Bernard Berrian—will each be using a new piece of equipment designed to help them blaze by the competition.
the patient is immediately able to eat and smile
confidently.
oral health
10 special supplement
The gum-obsessed girl from
Roald Dahl’s classic Willy Wonka
and the Chocolate Factory fa-
mously proclaimed she chewed gum
“all day, except for dinner, when I stick
it behind my ear.”
While she eventually turned into
a blueberry after trying a not-quite-
ready-for-primetime experimental
“three-course” gum made by Willy
Wonka, she may have had better luck
had she stuck to sugar-free gum, as
recent evidence shows regular chew-
ing can be good for overall health and
dental well-being.
“Chewing sugar-free gum after
eating is clinically proven to be an
important part of good oral health,”
says Rob Peterson, Wrigley’s Senior Vice
President & Chief Innovation Officer.“It
stimulates the most important natural
defense against tooth decay—saliva
—which, in turn helps fight cavities,
neutralizes plaque acids and remineral-
izes enamel to strengthen teeth and
wash away food particles.”
In 2007, Wrigley’s Orbit® and Extra®
were the first sugar-free chewing gums
to be awarded the American Dental
Association’s Seal of Acceptance, a
respected symbol of oral healthcare
safety and effectiveness for more than
75 years.
The organization “awarded its Seal of
Acceptance to Wrigley after a thorough
analysis of nearly 20 years’ worth of
independent proprietary scientific
research which demonstrated that
chewing these Wrigley gums helped to
improve oral health.”
On a basic level, chewing sugar free
gum helps increase the production of
saliva about ten times the normal flow
rates. This helps clear out food debris
and dietary carbohydrates, neutralizing
plaque acids and reducing and prevent-
ing stains in the process.
Normally, humans produce about
500ml of saliva each day. When we eat,
the taste of food and the chewing ac-
tion stimulates a greater flow of saliva
than at rest. When saliva is stimulated
through chewing, its composition
changes, making it even more effective
at fighting tooth decay.
On a more scientific level, chewing
sugar-free gum causes the pH in the
mouth to rise above the critical 5.7 level,
below which mineral loss in the enamel
occurs. Key components of teeth like
calcium, phosphate, hydroxyl ions, and
fluoride are super saturated in the saliva
and help enhance remineralizations of
tooth enamel. This favors the reminer-
alization and strengthening of teeth
to help reduce the incidence of dental
caries.
How well does chewing sugar free
gum after eating work for improving
oral health? Research suggests the
improvement can be dramatic.
A two-year study conducted in Hun-
gary compared children who chewed
sugar-free gum daily after meals to
those who did not. The results were
remarkable, showing a reduction of up
to 40 percent from the number of de-
cayed, missing or filled teeth from those
children who had chewed sugar-free
gum for 20 minutes after every meal.
Similar studies were also conducted
in different countries and populations
with similar results for cavity reduction;
those who chewed sugar-free gum
on a regular basis after eating had
significantly fewer cavities than those
who did not.
Perhaps just as importantly, recent
research has suggested a clear link
between oral health and overall health,
including links between inflammation
and bacteria in the mouth and heart
disease and diabetes.
While sugar-free gum might not be
the “golden ticket” to complete health,
it’s clear that chewing after meals
in conjunction with a proper dental
regimen might very well be the ticket
to improved oral health.
Perhaps Violet Beauregarde was on to something.
Lost fillings and loose caps always seem to happen at the worst time. But with Dentemp® O.S. it’s easy to temporarily repair them yourself and get on with your day...pain free!
You Can Eat On It!®
Found from website recreated PMS
Available at
© 2009 Majestic Drug Co., Inc. 800-238-0220 www.dentemp.com
An over the counter temporary
dental repair is one simple way
to deal with this painful dilemma.
FDA-approved Dentemp O.S., a dental
repair, was developed by a dentist and
uses a material that many dentists use.
Larry Fishman, President of Majestic
Drug Company, the manufacturer of
Dentemp O.S., explains: “back in 1978
a dentist came to me with the idea of
preparing an over the counter product
he could give his patients after they
got a filling or cap so that if something
happened to them while he was out of
the office, they would have a temporary
solution that they could use until they
got in to see him.”
“The number of people who experi-
ence this problem is substantial—this
is one of the 5 top selling products in
the oral pain relief market, yet many
people don’t even know that this type of
product exists. A survey we recently did
found that 1 in 2 people who have caps,
crowns or fillings have no idea this kind of
temporary repair exists.”
Using a simple applicator, you apply
the repair according to directions and the
tooth is ready to eat on in about an hour.
While it’s not meant to be used as a
permanent solution, temporary dental
repairs, like Dentemp O.S., are a useful
tool for your first aid kit to prevent both
pain and an awkward situation.
Plan for the Unexpected: temporary Dental repairIt can happen—on vacation, at work, eating dinner, even chewing gum. Losing a crown or filling is not only embarrassing but can be painful. Not to mention the inconvenience of having to find a dentist at a mo-ment’s notice. If you like to be prepared for the un-expected, having a temporary dental repair on-hand could be a lifesaver.
Sugar-Free Gum: the Golden ticket to Improved oral health?
oral health
special supplement 11
THE STRENGTH TO HEAL while getting paid to learn.
©2009. Paid for by the United States Army.All rights reserved.
In addition to experience with the latest technology, theArmy Reserve offers substantial financial benefits.General dentists, comprehensive dentists, prosthodontistsand oral surgeons receive up to $50,000 for educationloan repayment and qualify for $75,000 in Special Pay.What’s more, they can continue to practice in theircommunity and serve when needed.
To learn more about the U.S. Army Health CareTeam, call Sgt. 1st Class Arturo Crosby at 847-541-3685,email [email protected], orvisit healthcare.goarmy.com/info/e931.
Dr. Hale learned about medicine
and life as a soldier at his fa-
ther’s elbow. “I always wanted
to help people,” says Dr. Hale, Program
Director of the Oral and Maxillofacial
Surgery Residency Program at Brooke
Army Medical Center and Craniofacial
Consultant to the U.S. Army Institute of
Surgical Research and the Armed Forces
Institute of Regenerative Medicine. “My
father was a career Army medical offi-
cer, so it was natural for me to step into
the healing arts in the Army. I picked
dentistry because I was intrigued by
maxillofacial prosthetics. Once I was ex-
posed to oral and maxillofacial surgery,
however, I knew I was meant for it.”
From Army Childhood to
Combat Surgeon
Dr. Hale received his undergradu-
ate degree from UCLA and attended
Emory University School of Dentistry
in Atlanta on an Army scholarship
he received by joining the U.S. Army
Reserves in the post-Vietnam War era.
He inquired about entering active-duty
Army service following surgical training,
but was refused due to downsizing. He
eventually returned to Los Angeles and
opened a private practice in oral and
maxillofacial surgery. “I had a success-
ful practice for 15 years, but surgery
eventually became limited to those
who could pay, which I disliked,” he ex-
plains. “In 2003, I was asked to serve my
country, and I deployed for nearly a year
to Kuwait and Afghanistan. It was a life-
changing experience that ultimately
led me to re-enter active duty in 2005
at age 48.”
Providing Hope to Wounded Warriors
The proliferation of improvised
explosive devices in the Iraq and Af-
ghanistan wars has led to an alarming
incidence of wounds to the head and
neck. Though face transplants are now
a reality, Dr. Hale believes the future of
facial reconstruction lies in regenerative
medicine. The Department of Defense
(DoD) seems to concur: the Armed
Forces Institute of Regenerative Medi-
cine (AFIRM) has received $85 million
from the DoD to accelerate research on
the topic, and Dr. Hale serves as AFIRM’s
maxillofacial consultant.
In the meantime, Dr. Hale focuses on
procedures such as allotransplantation
of the face and remains excited about
the prospect of resurfacing burned
faces, reconstructing previously uncor-
rectable facial injuries and sparing sol-
diers the feelings of loss and depression
experienced by similarly wounded ser-
vicemen of earlier conflicts. “The work I
perform is extremely satisfying,” he says.
“Every job has its frustrations, but in the
Army, I have the deepest satisfaction of
helping our country’s finest.”
Called to Serve and Moved to HealMost people are fortunate if they’re able to fulfill one dream in life, but Colonel Robert G. Hale, D.D.S., U.S. Army Dental Corps, gets to live two dreams everyday: serving his country and his fellow soldiers by offering those disfigured by facial injuries the chance to be whole again.
2ej1 Q1 Q2Cosmos Communications 718.482.1800
12498a 09.17.09 133C M Y K
The ADA Council on Scientifi c Affairs’ Acceptance of Orbit® is based on its fi nding that the physical action of chewing Orbit® sugarfree gum for 20 minutes after eating stimulates saliva fl ow, which helps to prevent cavities by reducing plaque acids and strengthening teeth.
* When you chew Orbit sugarfree gum for 20 minutes after eating.
Reference: 1. Szöke J, Bánóczy J, Proskin HM. Effect of after-meal sucrose-free gum-chewing on clinical caries. J Dent Res. 2001;80:1725-1729. © 2009 Wm. Wrigley Jr. Company. All Rights Reserved. Orbit and all affi liated designs are registered trademarks of the Wm. Wrigley Jr. Company.
Chewing Orbit® sugarfree gum helps fight cavities.After eating, harmful plaque acids begin to attack your teeth, causing cavities over time. Chewing Orbit sugarfree gum stimulates the production of saliva — your mouth’s natural defense against decay — to strengthen teeth and reduce cavities by up to 40%.1*
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