2020 - Reception Room TFDA

TOP 10 REASONS TO WEAR A MOUTHGUARD

FLORIDA'S ADVOCATE FOR ORAL HEALTH VOL. 32, NO. 3 • RECEPTION ROOM ISSUE 2020

A PUBLICATION OF THE FLORIDA DENTAL ASSOCIATION

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Your FDA Dentist and You!

FIZZ!

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Dental Glossary for Patients

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Your Body in Balance Begins with Your Mouth

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Oral Cancer: The Basics

Exposure to Secondhand Smoke in Children

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Your Risk from Secondhand Smoke

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E-epidemic: Vaping and Youth

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Cancer Treatment & Taking Care of Your Teeth

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5 Ways Diabetes Can Affect Your Mouth

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Top 10 Reasons to Wear a Mouthguard

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5 Reasons Why Fluoride in Water is Good for Communities

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DIY Cavities

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Stopping Opioid Abuse Begins with You

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Oral Health by the Numbers

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FLORIDA DENTAL ASSOCIATION RECEPTION ROOM 2020 VOL. 32, NO. 3

EDITOR Dr. John Paul, Lakeland, editor

STAFF Jill Runyan, director of publications Jessica Lauria, publications and media coordinator Lynne Knight, graphic design coordinator

Award

2020

RECIPIENTS



PRESIDENT’S AWARD

Dr. Rudy Liddell, Brandon 

DENTIST OF THE YEAR

BOARD OF TRUSTEES Dr. Rudy Liddell, Brandon, president Dr. Andy Brown, Orange Park, president-elect Dr. Dave Boden, Port St. Lucie, first vice president Dr. Gerald Bird, Cocoa, second vice president Dr. Beatriz Terry, Miami, secretary Dr. Jolene Paramore, Panama City, immediate past president Drew Eason, CAE, Tallahassee, executive director Dr. Dan Gesek, Jacksonville • Dr. Karen Glerum, Boynton Beach Dr. Jeannette Pena Hall, Miami • Dr. Bernard Kahn, Maitland Dr. Irene Marron-Tarrazzi, Miami Dade • Dr. Eddie Martin, Pensacola Dr. Rick Mullens, Jacksonville • Dr. Jeffrey Ottley, Milton Dr. Paul Palo, Winter Haven • Dr. Howard Pranikoff, Ormond Beach Dr. Mike Starr, Wellington • Dr. Stephen Zuknick, Brandon Dr. Ethan Pansick, Delray Beach, speaker of the house Dr. Rodrigo Romano, Miami, treasurer • Dr. John Paul, Lakeland, editor

Dr. Don Ilkka, Leesburg 

J. LEON SCHWARTZ LIFETIME SERVICE AWARD

Dr. Bill D’Aiuto, New Smyrna Beach



LEADERSHIP AWARDS

Dr. Drew Johnson, Cocoa Dr. Jessica Stilley, New Port Richey 

NEW DENTAL LEADER

Dr. Michael Starr, Wellington 

DENTAL TEAM MEMBER

Ms. Heather Lewis, Alachua 

PUBLIC SERVICE AWARDS

Dr. Diane Ede-Nichols, Fort Lauderdale Dr. Reese Harrison, Lynn Haven Dr. John Penny, St. Petersburg Beach 

HELPING MEMBERS SUCCEED TEAM IMPACT AWARD Ms. Carol Gaskins, Tallahassee

PUBLISHING INFORMATION Today’s FDA (ISSN 1048-5317/USPS 004-666) is published bimonthly, plus one special issue, by the Florida Dental Association, 545 John Knox Road, Ste. 200, Tallahassee, Fla. 32303 .

FDA membership dues include a $10 subscription to Today’s FDA. Non-member subscriptions are $150 per year; foreign, $188.

Periodical postage paid at Tallahassee, Fla. and additional entry offices. Copyright 2020 Florida Dental Association.

All rights reserved. Today’s FDA is a refereed publication.

POSTMASTER: Please send form 3579 for returns and changes of address to Today’s FDA, 545 John Knox Road, Ste. 200, Tallahassee, Fla. 32303.

EDITORIAL AND ADVERTISING POLICIES Editorial and advertising copy are carefully reviewed, but publication in this journal does not necessarily imply that the Florida Dental Association endorses any products or services that are advertised, unless the advertisement specifically says so. Similarly, views and conclusions expressed in editorials, commentaries and/or news columns or articles that are published in the journal are those of the authors and not necessarily those of the editors, staff, officials, Board of Trustees or members of the Florida Dental Association.

EDITORIAL CONTACT INFORMATION All Today’s FDA editorial correspondence should be sent to Dr. John Paul, Today’s FDA Editor, Florida Dental Association, 545 John Knox Road, Ste 200, Tallahassee, Fla. 32303.

FDA office numbers: 800.877.9922, 850. 681.3629; fax 850.561.0504; email address, fda@floridadental.org; website address, floridadental.org.

ADVERTISING INFORMATION For display advertising information, contact: Jill Runyan at jrunyan@floridadental.org or 800.877.9922, Ext. 7113.

For career center advertising information, contact: Jessica Lauria at jlauria@floridadental.org or 800.977.9922, Ext. 7115.

leadership

YOUR

FDA YOU!

DENTIST AND

If you’re reading this message, then chances are very good that your dentist is a member of the Florida Dental Association (FDA). Does this really matter, you ask?

The short answer is yes, it really does. As a member of this dental association, and also the American Dental Association, your dentist pledges to uphold the highest clinical and ethical standards. They also commit to staying current with evolving treatment modalities and diagnostic tests through continuing education provided by the FDA.

PRESIDENT’S MESSAGE RUDY LIDDELL, DMD FDA PRESIDENT

This particular issue and message are timely because we are in the midst of a nationwide crisis caused by COVID-19. As I watch the news and continual updates from the Coronavirus Task Force, several things are stressed to prevent the spread of the virus. Wash you hands with soap and water for 20 seconds, stay at home if you have a fever or dry cough, avoid unnecessary social contact and social distance if/when you go out. All this seems pretty self-evident and may serve as well next flu season.

What do a common sense approach to avoid getting COVID-19 and dentistry have in common? For starters, brushing your teeth twice a day with a fluoride toothpaste and flossing will reduce the incidence of cavities. If you also cut down on sugary snacks and sugary drinks (including soda, sports drinks and energy drinks) as well as quit smoking, you can seriously cut down on the number of visits to your dentist to have cavities fixed.

This issue contains valuable information on how lifestyle choices affect your dental health. Our goal as FDA dentists is to restore your teeth to ideal health and then work with you to keep them that way!

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glossary

Dental Glos

A visit to the dental office can sometimes feel like you’ve traveled to a foreign land — the dental terminology the dentist and staff use to describe the parts of your mouth, dental procedures and oral health issues can be downright confusing to patients. We’ve put together a dental glossary for patients on frequently used terminology, which also can be found online at bit.ly/2JPJRst.

Abscess: acute or chronic localized inflammation, probably with a collection of pus, associated with tissue destruction and, frequently, swelling; usually secondary to infection.

Amalgam: a mixture of silver, mercury, tin and copper that provides a strong, hard, durable filling; sometimes described as “silver-colored” fillings.

Bicuspid: a premolar tooth; a tooth with two cusps.

Bleaching: cosmetic whitening of teeth using peroxide.

Caries: cavities; tooth decay.

Cavity: the destruction of your tooth enamel, the hard, outer layer of your teeth. A cavity may be due to decay, erosion or abrasion.

Composites: tooth-colored restorative materials.

Crown: an artificial replacement that restores missing tooth structure by surrounding the remaining tooth structure, or placing on a dental implant. It is made of metal, ceramic or polymer materials, or a combination of such materials.

Sources: ada.org/en/publications/cdt/glossary-ofdental-clinical-and-administrative-ter

Do-it-yourself (DIY) dentistry: any kind of dental treatment that is not executed under the expert care or supervision of a dentist or specialist. This includes at-home treatments, such as teeth whitening and straightening kits, veneers, or alternative treatments like using charcoal or oil pulling on your teeth.

knowyourteeth.com/infobites/glossary mouthhealthy.org

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ssary for Patients Edentulous: having lost most or all the natural teeth.

Endodontics: the branch of dentistry that is concerned with dental pulp and the nerves, blood vessels and tissues surrounding the roots of a tooth.

Extraction: the process or act of removing a tooth or tooth parts, usually because of disease, trauma or crowding.

Filling: the restoration of lost tooth structure by using materials such as metal, alloy, plastic or porcelain.

General dentistry: primary care for patients in all age groups for the diagnosis, treatment, management and overall coordination of services to meet patients’ oral health needs.

Gingivitis: the early stage of gum disease.

Gum disease: an infection of the tissues that surround your teeth; caused by a buildup of plaque; also known as periodontal disease.

Implants: a replacement for the roots of your teeth that can anchor crowns or dentures to your jaw bone so they behave more like natural teeth.

Incisor: a tooth for cutting or gnawing; located in the front of the mouth in both jaws.

Malocclusion: improper alignment of biting or chewing surfaces of upper and lower teeth.

Mandible: the lower jaw.

Maxilla: the upper jaw.

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Molar: teeth posterior to the premolars (bicuspids) on either side of the jaw; grinding teeth, having large crowns and broad chewing surfaces.

Prophylaxis: removal of plaque, calculus and stains from the tooth structures; professional cleaning of the teeth by a hygienist.

Prosthodontics: the dental specialty pertaining to the restoration of the natural teeth and/or the replacement of missing teeth with artificial substitutes.

Occlusion: any contact between biting or chewing surfaces of maxillary (upper) and mandibular (lower) teeth.

Oral and maxillofacial surgery: the specialty of dentistry that includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and aesthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Resin: plastic material used in bonding, restorative and replacement procedures.

Orthodontics: the specialty concerned with the diagnosis, prevention, interception, guidance and correction of tooth positions and bone development.

Root canal treatment: procedure to remove the diseased pulp from the root of a tooth, then clean and seal the canal.

Root canal: the chamber within the root of the tooth that contains the pulp (blood vessels and nerve tissue).

Scaling: removal of plaque and calculus from below the gumline.

Palate: the hard and soft tissues forming the roof of the mouth.

Pediatric dentistry: an age-defined specialty that provides both primary and specialty oral care for infants and children through adolescence, including those with special health needs.

Periodontics: the specialty of dentistry that encompasses the supporting structures of teeth, as well as diseases and conditions that affect them.

Plaque: a soft, sticky film that accumulates on teeth composed largely of bacteria and bacterial derivatives that can contribute to tooth decay and gum disease.

Sealant: a thin, protective coating (made from plastic or other dental materials) that adheres to the chewing surface of your back teeth. Sealants are meant to prevent cavities by blocking sticky foods from lodging in the grooves of the back teeth.

Third molars: wisdom teeth.

Temporomandibular Joint (TMJ): the connecting hinge mechanism between the base of the skull (temporal bone) and the lower jaw (mandible).

Veneers: thin, custom-made shells crafted of tooth-colored materials designed to cover the front side of teeth. They are an option for correcting stained, chipped, decayed or crooked teeth.

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HARD PALATE LIPS TONGUE

SOFT PALATE UVALA

ORAL CANCER OROPHARYNGEAL CANCER

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EXPOSURE TO SECONDHAND SMOKE IN CHILDREN

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YOUR RISK FROM SECONDHAND SMOKE

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diabetes

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Ways

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Diabetes Can Affect Your Mouth Reception Room Issue 2020

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diabetes FROM PAGE 21

Diabetes takes a toll on your entire body, but it also can increase your risk of dental disease and other symptoms that show up in your mouth. In fact, one in five cases of total tooth loss is linked to diabetes.

The good news is you can take charge of your health today. Controlling your blood sugar, brushing, flossing and visiting your dentist regularly can go a long way to help decrease the likelihood of developing these diabetes-related mouth issues.

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1. Gum Disease Notice some bleeding when you brush or floss? That may be an early sign of gum disease. If it becomes more severe, the bone that supports your teeth can break down, leading to tooth loss. Early gum disease can be reversed with proper brushing, flossing and diet. Research has shown gum disease can worsen if your blood sugar is not under control, so do your best to keep it in check.

2. Dry Mouth Studies have found people with diabetes have less saliva, so you might find yourself feeling parched or extra thirsty. (Medications and higher blood sugar levels are also causes.) Fight dry mouth by drinking water. You also can chew sugarless gum and eat healthy, crunchy foods to get saliva flowing. This is especially important because extra sugar in your saliva, combined with less saliva to wash away leftover food, can lead to cavities.

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3. Change in Taste Your favorite flavors might not taste as rich as your remember if you have diabetes. It can be disappointing, but take the opportunity to experiment with different tastes, textures and spices to your favorite foods. Just take care not to add too much sugar to your food in an effort to add flavor.

Not only can this affect the quality of your diet, it can also lead to more cavities. If you have a persistent bad taste in your mouth, see your dentist or doctor.

4. Infections

more common in people who wear dentures and often can leave a bad taste in your mouth.

See your dentist if you think you have thrush or any other mouth infection.

something in your mouth that you feel isn’t healing as it should, see your dentist.

More on How Diabetes Affects Your Smile

5. Slow Healing Have you ever noticed a cold sore or a cut in your mouth that doesn’t quite seem to go away?

This can be another way that diabetes may affect your mouth.

Poor control of blood sugar can keep injuries from healing quickly and properly. If you have

You can find this information on the ADA’s Mouth Healthy website at mouthhealthy.org/en/diabetesslideshow.

Diabetes affects your immune system, leaving you more vulnerable to infection. One common problem among people with diabetes is a yeast infection called oral thrush (candidiasis). The yeast thrive on the higher amount of sugar found in your saliva, and it looks like a white layer coating your tongue and the insides of your cheeks. Thrush is

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off the cusp

JOHN PAUL, DMD, FDA EDITOR

DIY Cavities

Most folks aren’t in a hurry to see the dentist for a filling.

Some don’t like the tastes or the sounds. For me personally, it would feel like a failure if I didn’t maintain my teeth to prevent cavities. Everybody wants to know: Isn’t there something I can do myself at home to fix decay?

The surprise answer might be yes. Dentists talk about caries (decay) and cavities, which are structural changes caused by decay. These are actual holes in teeth. Caries may be detected in X-rays before there’s a hole in the tooth. It looks like a shadow, usually a triangle that doesn’t progress beyond the outer enamel layer of the tooth. The human body is a miraculous thing — at this stage, it’s possible to treat the decay and heal the tooth. You must take away what the bacteria is eating and provide the chemicals necessary to remineralize the enamel. As I tell my patients, double down on the floss, have the proper amount of calcium in your diet and use fluoride, either a lot of fluoridated tap water or a fluoride toothpaste and rinse. The tooth can be completely healed by your efforts at home, though your progress should be monitored by your dentist.

So, you came to the game late and your demineralization has progressed to become a cavity. Does that mean shots and a drill? Not necessarily. Every patient has individual needs but rushing to make you numb is not always my first thought.

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Dentists are using a chemical called silver diamine fluoride (SDF) to treat decay in some instances. It looks a little like blue water and it is rubbed on a dried tooth for one minute.

It kills the bacteria that cause decay and can halt decay in a tooth. If no other treatment is planned, we recommend placing SDF three separate times over six months. This isn’t a good treatment if the cavity is large and it won’t fill the hole left by decay. Also, wherever there’s decay, it will turn black and it will stay black. Some patients don’t find this a concern.

In children and some of our older adults, SDF is being used in conjunction with a filling material called glass ionomer as a non-invasive way to treat cavities. Debris is cleared from the tooth, but the existing tooth structure is not changed.

SDF is placed to kill the bacteria and the glass ionomer is placed to fill the hole. The glass ionomer bonds to the tooth and releases fluoride to help prevent further decay. This may be called a SMART restoration (silver modified atraumatic restorative technique). It’s aesthetically more pleasing than SDF alone and tends to be used in teeth that don’t have a forever life expectancy.

The best DIY treatment is prevention. Brush and floss (or find some effective way to clean between your teeth), enjoy a proper diet and have a dental home for regular maintenance with your dentist. No one has to have a cavity.

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SUPPORT THE FDA FOUNDATION

DONATE! donate.floridadental.org 800.877.9922

GIVE • VOLUNTEER • LEAD The FDA Foundation is the philanthropic arm of the Florida Dental Association promoting dental health for all Floridians. A COPY OF THE OFFICIAL REGISTRATION (CH2435) AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING 1-800-HELP-FLA TOLL-FREE WITHIN THE STATE OR GO TO www.freshfromflorida. com. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE.

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You are the patient of a member of the Florida Dental Association.

As A member of the FDA, your dentist has promised to:  Respect a Patient's Wants and Needs.  Do No Harm.  Do Good.  Be Fair.  Be Truthful.