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mart mouth


Texas Dental Association Patient Publication



Sleep Apnea Are you at risk?

Why are BABY TEETH important? Pg. 5

Your dentist is a TDA Member. What does that mean for you? Pg. 6

Pg. 7



How to text your dentist without using words Pg. 3

Sports Guards: A Home Run Pg. 9

Periodicals supplement to the Texas Dental Journal, August 2016

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. ©2016 Texas Dental Association Daniel L. Jones, DDS, PhD Editor Lee Ann Johnson Director of Member Services & Administration


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

Dental Emoji...............................................................3-4 What if you could text your dentist without using words?

Why Are Baby Teeth Important?........................5 Baby teeth have long-lasting effects--even after they fall out.

Your Dentist is a TDA Member............................6 What’s the TDA, why does your dentist belong, and what does that mean for you?

Billy Callis Managing Editor

Facts About Sleep Apnea...................................7-8

Hannah Atteberry Publications Coordinator

Sports Guards are a Home Run............... 9-10

Emoji images used on the cover and on page 3-4 are via EmojiOne, www.emojione.com. 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.

Learn about the risks--and what to do about it.

Being active in sports can mean broken or lost teeth. Adults and kids alike can benefit from mouthguards.

Look for the next issue of Smart Mouth, available only in your TDA member dentist’s office!


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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By Billy Callis, Texas Dental Association managing editor

They're little. They're colorful. They live in your texting, social media, and messaging apps. They’re emoji, and they can say a lot without using words. Communicating with your dentist is a must. But what if you could talk to your dentist using only emoji? Here’s how we imagine emoji-only conversations might go with your dentist... and how they translate to regular English.



Great job! ... But sweets can still cause decay.




Dentist: 3

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Since I did so well on my last exam, should I celebrate with cake?

Why is there fluoride in water? Is it a medication? What does it do?

Fluoride is a mineral that occurs in nature. It is added to water to help strengthen our teeth against cavities.


I’m excited for sports to start... But I’m a little worried about broken or lost teeth!


It’s a valid concern--and you came to the right place. I can help you get fitted for a comfortable, custom-made mouth guard.




You: Dentist:

How can I keep my baby’s teeth healthy, and safe from cavities? To start, never put your child to bed with a bottle of milk, formula, or anything but water. They contain sugar, which can cause cavities, especially when given overnight.

Thanks for the cool tips! I learned a lot. What’s next? Stay in touch. Don’t forget to make your next appointment. For more dental health tips and info, visit us online at SmartMouthTexas.org!

Communicating with your dentist is essential for your oral health... However you choose to do it!

The emoji images used in this article are courtesy of EmojiOne, www.emojione.com.

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Why are BABY TEETH important? By Stan Preece, DDS


rimary, or baby, teeth are extremely important to the overall health of children. Some of these areas of importance are: eating, esthetics, speech development, permanent tooth positioning and permanent tooth health.

If the teeth hurt or are missing, the child will have difficulty eating. If they are not eating, then, of course they are not healthy and growing. Esthetics is necessary to the socialization and self-esteem of the child. If the teeth are full of holes, or have had to be extracted due to infection, the child will notice they are different from the other children. Speech development can also be affected if the teeth, particularly the front ones, have to be removed too early. Speech delay, like esthetics, can affect socialization negatively. The primary teeth hold space for the permanent teeth. If the primary teeth are lost prematurely, then the teeth shift to fill in the vacancy and the permanent teeth cannot come into the correct positon. The final reason that primary teeth are important is that they dictate the environment into which the permanent teeth erupt. In other words, if the permanent teeth erupt into a mouth that has cavities, also called dental caries, then the cavities will spread to the permanent teeth. Dental caries is an infectious disease; it is caused by bacteria. It spread from tooth to tooth and even person to person. In conclusion, take care of those baby teeth so your child will have healthy permanent teeth. Dr Preece is a Texas Dental Association member dentist in Fort Worth, Texas.


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Your dentist is a TDA member. What does that mean The Texas Dental Association (TDA) is the professional organization for dentists in the state. TDA is aďŹƒliated with the American Dental Association (ADA). Dentists who join TDA are members of the ADA, and also their local group, called a component society. TDA has been helping dentists serve their patients since 1871.

Are all dentists TDA members? Dentists’ membership in TDA is voluntary. A majority of dentists in Texas are members, but not all.

Why choose a TDA member dentist? TDA members are required to abide by the ADA Principles of Ethics. That means they follow 5 general ideas: self-governance, do no harm, do good, fairness, and truthfulness. For more about the Principles of Ethics, and what that means, visit SmartMouthTexas.org. TDA members are informed and up-to-date. TDA member dentists have access to a wealth of research and continuing education available to them, helping them maintain and further their clinical knowledge. TDA members are connected. Dentists who belong to TDA also belong to the American Dental Association and their local society. That means they are accountable to a community of their peers. And if they need to refer a patient to another dentist, they have access to a network of trusted, known colleagues.

Visit us online at: SmartMouthTexas.org

Professional. Dedicated. Trusted.

Facts About SLEEP APNEA By Edward A. Glover IV, DDS


o you sleep well? Do you wake up rested? Are you able to sleep through the whole night without getting up for some reason? If the answer is “NO� to these questions, there is a good chance that you might be in the group of people who have Sleep Apnea. Since the family dentist sees patients more frequently and on a regular basis, most patients are evaluated with some form of Sleep Disturbed Breathing by their family dentist, and not their family physician. However, only a physician may diagnose Obstructive Sleep Apnea (OSA). Dentists who have been trained in the treatment of SDB are able to see many of the important signs of this disease by looking at the teeth and the oral cavity. Most physicians do not look in the oral cavity or at the teeth, and therefore do not address SDB unless a patient brings it to their attention. OSA refers to an obstruction or blockage which prevents air from entering the lungs. When air cannot enter the lungs, than the body is deprived of much needed oxygen which is transported in the blood to all the organs of the body. The most common cause of the upper airway obstruction is the base of the tongue. When a person is lying down, the tongue drops to the back of the oral cavity and blocks the passage of air into the lungs.


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Nighttime Signs and Symptoms of Sleep Apnea: Snoring Gasping during sleep as you try and take a breath Total stoppage of breathing (Apnea) Restless leg and arm syndrome Excessive sweating Increased frequency of urination GERD (Acid Reux, bitter taste in the mouth in the morning, sore throat) Grinding your teeth Not feeling rested upon waking Related consequences of Sleep Apnea: Daytime fatigue, tiredness, poor mental performance and poor judgment Risk of high blood pressure, coronary heart disease, stroke, heart failure Treatment: There are a variety of ways to treat Sleep Apnea and SDB. Depending on the patients situation, the treatments range from a simple MAS (Mandibular Advancement Splint), which moves the lower jaw forward and opens the airway allowing more oxygen to enter the lungs, a CPAP (Continuous Positive Air Pressure), which forces oxygen into the lungs, or a surgical procedure to remove dierent tissues which might be obstructing the airway. If you think you or your bed partner might have some of these signs or symptoms, talk to your dentist so that your dentist can collaborate with your physician on the best treatment options. Dr Glover is a Texas Dental Association member dentist in Greenville, Texas.

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Home Run By Joshua A. Austin, DDS


ecently, we have seen an increase in the amount of Americans staying active through exercise and sports. With this uptick in activity, we are also seeing an increase in traumatic injuries to the mouth and teeth during sports and exercise. Sports guards help protect and cushion the teeth and other oral structures fromserious injuries. Sports guards can prevent teeth from being knocked out, cracked, fractured or moved. Many sports like football require sports guards for participation. Other sports do not require sports guards but can have a high incidence of oral trauma making one recommended. There are several options for sports guards. Let’s review them:

1) Boil & Bite Sports Guard: These can be purchased at many sporting good stores. The

plastic is softened with hot water then the patient bites into them, roughly forming the guard around the teeth. Boil & Bite guards are inexpensive but are larger and more bulky than custom fit guards. This can make boil & bite guards uncomfortable, which leads to patients not wearing them during activity. Sports guards don’t do much good if they aren’t in the mouth!


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2) Custom Sports Guards: These are made from a custom mold of the patient’s teeth. A

custom guard will fit intimately to the patient’s teeth reducing bulk and allowing easier breathing during activity. Custom guards can be made out of various colors and logos and names can be added for that professional look and feel! Different sports may necessitate different thicknesses of the mouthguard material. Your dentist can easily determine what thickness of material should be used. The fabrication of a custom sports guard is quite simple. With a quick and easy impression, your dentist can fabricate a custom sports guard, usually within a few days. Sometimes a custom sports guard can be made in the dentist’s office and sometimes it must be sent to a dental lab for fabrication. Your dentist can let you know if they can make your sports guard in their office or if it needs to be done at a lab. Dr Austin is a Texas Dental Association member dentist in San Antonio and is chair of the American Dental Association Communications Committee.

Tooth Knock Out: What To Do In a T.K.O. According to the American Dental Association, mouth guards are estimated to prevent approximately 200,000 injuries each year in high school and college football. However, if you are one of the unlucky athletes—or non-athletes—who knock out a tooth, try not to panic and remember these steps:


Touch only the tooth crown (biting edge). Do not touch the tooth root. Only reinsert a permanent tooth, not a baby tooth. Rinse and gently reinsert it, applying careful pressure. Opt for immersing the tooth in whole milk or water, if you are unable to reinsert it. Time is critical! Head to your dentist or emergency room immediately!

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Your dentist is a member of the Texas Dental Association (TDA). With more than 9,000 members, the TDA is the state’s largest dental organization, and is affiliated with the American Dental Association. To find out more about oral health, and the TDA, visit us online at SmartMouthTexas.org. 1 9 4 6 S I H 3 5 S t e 4 0 0 A u s t i n , T X 7 8 7 0 4 P : 5 1 2 - 4 4 3 - 3 6 7 5 t d a . o r g

Profile for Texas Dental Association

Texas Dental Association Smart Mouth August 2016  

For more visit, www.smartmouthtexas.org

Texas Dental Association Smart Mouth August 2016  

For more visit, www.smartmouthtexas.org