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Texas Dental Association Patient Publication

Winter 2015-16 INSIDE:

E-CIGARETTES Kids, “Vaping,” and the Shocking Spread of this Tobacco Trend





POP QUIZ: Dentistry in Movies and Music NO SUGAR ADDED: Fun, Fresh Winter Fruit Tree Recipe Periodicals supplement to the Texas Dental Journal, December 2015

W hat’s Smart Mouth™, a publication of the Texas Dental Association (TDA), is produced for the purpose of providing oral health information to the public. Member dentists can access electronic versions of Smart Mouth™ on tda.org. The material contained herein is for educational purposes and is not intended for diagnostic or treatment decisions. Please contact your dentist for oral health concerns and questions. Visit tda.org for more oral health information and resources. For comments and suggestions about Smart Mouth™, please contact the Texas Dental Association, attn Managing Editor Billy Callis, 1946 S IH 35 Ste 400, Austin, TX 78704; Phone 512-443-3675; Email bcallis@tda.org. ©2015 Texas Dental Association Daniel L. Jones, DDS Editor Lee Ann Johnson Director of Member Services & Administration Staff Liaison to Council on Membership Billy Callis Managing Editor Staff Liaison to Communications Committee


contents Meet the Dental Team............................................. 2 Who are these people, and what are they doing in my dentist’s office?

Fluoride Myths Debunked............................ 3-4 Separating Myth From Fact

E-Cigarettes: In the News............................. 5-6 Use among middle and high school students tripled last year. Learn about this disturbing tobacco trend.

Tooth-Friendly Recipe: Winter Fruit Tree ...............................7-8 This fun, fresh recipe has no added sugar

Dentistry in Movies and Music............ 9-10 Test your pop culture knowledge.

Hannah Atteberry Publications Coordinator Look for the next issue of Smart Mouth, available only in your TDA member dentist’s office! The persons shown in photographs in this publication are stock photography models (Models) and are not actual patients of, nor are they affiliated with, the Texas Dental Association and indirect parent companies, subsidiaries, or subsidiaries of its parent companies ("Affiliates"). Texas Dental Association has obtained the rights to use the photographs via license agreements with certain third party stock photography companies, and Texas Dental Association's use of the photographs is in compliance with the terms of those license agreements. The photographs showing the Models are used in this publication for illustrative purposes only. The Models do not personally endorse Texas Dental Association, or any products, services, causes, or endeavors associated with, or provided by, Texas Dental Association or any of Texas Dental Association's Affiliates. The context in which the photographs are used in this publication is not intended to reflect personally on any of the Models shown in the photographs. Texas Dental Association, its respective officers, directors, employees, agents, and/or independent contractors assume no liability for any consequence relating directly or indirectly to the use of the photographs showing the Models in this publication.


Who are these people, and what are they

doing in my dentist’s office?

Meet the DENTAL TEAM A healthy mouth is a smart mouth, and it takes a team of health care professionals to care for your teeth – all 20


appointments, I coordinate comfortable from the beginning.

As the OFFICE MANAGER, I oversee When you check out, I make sure your easy, and I am involved in the day-to-

PATIENT CARE TEAM I am the head of the dental team. I am the DENTIST

training. I’m the DENTAL HYGIENIST. As a dental hygienist I can take x-rays and do any of the work of a dental assistant. My primary duty is to perform dental prophylaxis, cleaning and polishing of teeth during recall visits. I may also talk to you about how to care for your teeth properly. I’m a dental hygienist in Texas, I have completed at least 2 years of dental hygiene training and passed several training requirements. I am a great so please feel free to ask how you can improve your oral health!

I am the DENTAL ASSISTANT! Dental assistants have many important jobs in a dental the front desk, maintain In fact, the work of an assistant varies greatly. In will teach the assistant how to complete his or her tasks, and assistants in Texas do not need to although some may.

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It’s in your toothpaste. It’s in your water. And it might be on your Facebook or Twitter feed, your local news station, or your city council’s agenda. It’s fluoride, and it’s gaining a lot of publicity--even though water fluoridation has been widespread in the US since at least 1960. (1) With all the information out there, how do you know what’s true--and what’s just a myth?



l hemica c a s i e Fluorid edication). (or a m


Fluoride is a naturally occurring mineral. And numerous scientific studies have shown that community water fluoridation is completely safe. (2)



d sts, an s ti n e d ubt sts, Scienti ave their do . rs h docto out fluoride ab


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The World Health Organization, American Dental Association, American Medical Association, Centers for Disease Control, US Public Health Service, and more than 125 other organizations and institutions across the world recognize the benefits of fluoridation. (3)


sts Fluoride co too taxpayers much.


It costs less per person to fluoridate water for a lifetime than it does to get one cavity filled. In most cities, every $1 invested in fluoridation means $38 saved in dental treatment costs. (4)


oesn’t Fluoride d dy. help anybo


The Centers for Disease Control named water fluoridation one of the 10 great public health achievements of the 20th century--along with seatbelts, reducing tobacco use, food safety laws, and lowered infant mortality. (5)

1: "One in a million: the first community trial of water fluoridation." ncbi.nlm.nih.gov/pmc/articles/PMC2627472/pdf/17128347.pdf 2: "Fluoridation Safety." cdc.gov/fluoridation/safety/ 3: "ADA Fluoridation Facts Compendium." ADA.org/4378.aspx 4: "An economic evaluation of community water fluoridation." ncbi.nlm.nih.gov/pubmed/11474918 5: "Ten Great Public Health Achievements in the 20th Century." cdc.gov/about/history/tengpha.htm




urrent e-cigarette use (vaping) among middle and high school students tripled from 2013 to 2014 (1). Findings from the 2014 National Youth Tobacco Survey (NYTS) show that current e-cigarette use among high school students increased from 4.5% in 2013 to 13.4% in 2014. Current e-cigarette use in middle school students also tripled from 1.1% in 2013 to 3.9%. This is the first time since the NYTS started collecting data on e-cigarettes in 2011 that current e-cigarette use has surpassed current use of every other tobacco product,including conventional cigarettes (1). Of the more than 1.78 million middle and high school students who used e-cigarettes, 76.3% also smoked K. Vendrell Rankin, DDS conventional cigarettes in the same period. CDC Director Dr Tom Frieden has said, “The increased use of e-cigarettes by teens is deeply troubling. Nicotine is a highly addictive drug. Many teens who start with e-cigarettes may be condemned to struggling with a lifelong addiction to nicotine and conventional cigarettes.” The number of calls to poison centers involving e-cigarette liquids containing nicotine rose from one per month in September 2010 to 215 per month in February 2014. More than half (51.1%) of the calls to poison centers due to e-cigarettes involved children under age 5, and about 42% of the poison calls involved people age 20 and older (2). A host of large population and laboratory research is ongoing to elucidate the health effects of short-term and long-term e-cigarette use. Data from recent in-vitro research suggests that components found in e-cigarette solutions and the vapors generated by heat may cause lung inflammation, which suggests a potential role in COPD-emphysema (2). Some of the flavorings, which are added to the base mixture of nicotine and glycerol, have also been found to have deleterious effects on lung tissue (3). Public health officials continue to debate whether e-cigarettes are a threat to the progress made in reducing smoking, or a new tool to help smokers quit or at least reduce the harm of smoking. In the report of a year-long study of 1,000 California smokers, researchers found that those who used e-cigarettes were almost 60% less likely to quit smoking. Study participants were also only half as likely to reduce the number of cigarettes they smoked (4). A wide range of electronic cigarette (EC) devices, from small cigarette-like (first-generation) to new-generation high-capacity batteries with electronic circuits that provide high energy to a refillable atomizer, are available for e-cigarette users. Plasma nicotine levels were higher by 35–72% when using the new generation device compared to the first-generation device (6).


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e-cigarette e-cigarette use use (vaping) (vaping) among among middle middle and and high high school school students students

from 2013 2013 to to 2014 2014 tripled from

A new and disturbing trend in e-cigarette use is a phenomenon known as “cloud chasing.” Using e-cigarettes, contestants vie to create the biggest “clouds.” Contests called “cloud competitions” are being held across the US (7). The research on e-cigarettes is rapidly expanding, and the debate continues as to the safety of e-cigarettes, and whether they offer a safe method and efficacious adjunct for smoking cessation.

Dr Rankin is professor, Department of Public Health Sciences, Texas A&M Baylor College of Dentistry, and associate editor of the Texas Dental Journal, the Texas Dental Association’s scientific journal, and the oldest dental periodical in the country. This article originally appeared in the August 2015 issue of the Texas Dental Journal. References 1. http://www.cdc.gov/media/releases/2013/p0905-ecigarette-use.html [accessed May 2015]. 2. http://www.cdc.gov/media/releases/2014/p0403-e-cigarette-poison.html [accessed May 2015]. 3. Prashanth S Shivalingappa, Westphal C, Vij N. Airway exposure of e-cigarettevapors impairs autophagy and induces aggresome-formation. FASEB J April 2015 29:LB631. 4.http://www.atsjournals.org/doi/abs/10.1164/ajrccmconference.2015.191.1_MeetingAbstracts.A2896 [accessed June 2015]. 5. Al-Delaimy WK, Myers MG, Leas EC, Strong DR, Hofstetter CR. E-Cigarette Use in the Past and Quitting Behavior in the Future: A Population-Based Study. American Journal of Public Health: June 2015,105 (6):1213-1219. 6. http://www.nature.com/srep/2014/140226/srep04133/full/srep04133.html 7. Wall Street Journal, April 22, 2015.

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Ingredients: 1 box round toothpicks 1 pound red grapes 1 pound green grapes 1 pound strawberries 1 pound blackberries 2 kiwis (sliced) 1 foam cone


The finished product!

Step 1: Wash and dry all fruit Step 2: Begin near the top and stick half a toothpick in the fruit, and then stick the other half in the cone. (Stick in at a downward angle) This is a simple and healthy way to add festive affect to your holidays!

Jaida Langston is the office manager for the Texas Dental Association. She loves to get creative in the kitchen and turned that passion into a blog in 2011. Her blog, Sweet Beginnings, showcases everything from cocktails to healthy meals for the whole family to enjoy. She recently attended a food blogger conference in the Woodlands where she learned more about photography and food styling. When she’s not in the TDA office or in the kitchen, Jaida enjoys spending time with her husband, two dogs, and cat. Follow Jaida on Twitter: @sweetbeginblog Instagram: _sweet.beginnings_ Facebook: facebook.com/Sweet-Beginnings-129192807182721 Follow the Texas Dental Association on Twitter: @TheTDA Facebook: facebook.com/TexasDentalAssociation

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MOVIES 1. In what popular comedy does dentist Dr Stu Price pull out his own tooth?

2. What movie stars former WWF wrestler Dwayne “The Rock” Johnson?

3. In what 2003 Disney animated movie does a character play a dentist in Sydney, Australia?

4. What is the name of the 2011 comedy starring Jennifer Aniston as a dentist?

5. In the Harry Potter series, which character’s parents were both dentists?

DENTISTRY IN MOVIES - ANSWERS: 1. The Hangover 2. The Tooth Fairy 3. Finding Nemo 4. Horrible Bosses 5. Hermione Granger

HOW did you DO?

Tally up how many answers you got right. 0-3: Better brush up!


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4-6: Not too shabby.

7-9: You rock!

10: We’re not worthy!



6. What is the title of the song by One Direction that contains these lyrics: “Said her name was Georgia Rose… And her daddy was a dentist”?

7. What is the name of the band whose hits include: “Allstar,” “Walking on the Sun,” and “I’m a Believer”?

8. What artist sings “Can’t Feel My Face”?

9. What is the name of the smiley song recorded by Pharrell Williams for the animated film Despicable Me 2?

10. What is the name of the song where Vance Joy sings that he was afraid of dentists and the dark?

Dentistry in Music - Answers: 6. "Best Day Ever" 7. Smash Mouth 8. The Weeknd 9. "Happy" 10. "Riptide"

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Smart Mouth 2015  

Texas Dental Association's patient focused publication.

Smart Mouth 2015  

Texas Dental Association's patient focused publication.