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Wisdom Tooth - October 2001
 

Articles
Resources for Teaching Dental Hygiene
First Dentists May Have Practiced 9,000 Years Ago
Is Success Determined by Your Smile?
Bad Breath Not Necessarily Linked to Bad Habits, Notes Delta Dental
Test Your Dental IQ
Oral Health Breakthroughs of the Past Century
Dental History on Display in Baltimore
Mouthguards Aren't Just for Contact Sports


Resources for Teaching Dental Hygiene

Looking for ideas that will inspire youngsters to take an active interest in their oral health? A good place to start is at these websites.

  • www.dentist4kids.com claims to be the largest Internet resource for pediatric dentistry. For kids it offers dental-related games, a resource library and even a way to e-mail the tooth fairy.
  • www.ada.org , the website for the American Dental Association, features sections for younger children (ADA Kids' Corner, with puzzles, games and downloadable coloring sheets), teens and teachers.
  • www.deltadentalnj.com, Delta Dental Plan of New Jersey's website, has a special section called Kid's Club, which features cartoons, an online game called "Plaque Attack" and information about how your school can arrange a visit from our very own cavity-fighting hero, Captain Supertooth!

First Dentists May Have Practiced 9,000 Years Ago

That's the belief of a team of archaeologists studying the Mehrgarh people of ancient Pakistan. Scientists found that teeth from several different jaws shared a similar characteristic: tiny, man-made holes on the biting surface. The holes were too uniform to have been caused by dental decay. Other possible explanations, including dental decoration or part of a funeral rite, were also ruled out. The Mehrgarh people certainly had the right tools to practice dentistry. The holes were the same diameter as those drilled into beads that were found at the site. Research-team member Andrea Cucina from the University of Missouri-Columbia, says, "At this point we can't be certain, but it is very tantalizing to think they had such knowledge of health and cavities and medicine to do this."


Is Success Determined by Your Smile?

A recent survey by the American Academy of Cosmetic Dentistry (AACD) indicates that most Americans believe it's true. According to the survey, 92% said an attractive smile is an important social asset, and 74% said an unattractive smile could hurt a person's chances for career success. "A smile is not only a reflection of a person's oral health, but of their self-esteem and passion for life," said Dr. Arthur Chal, AACD President.


Bad Breath Not Necessarily Linked to Bad Habits, Notes Delta Dental

Bad breath, clinically termed halitosis or fetor oris, can cause both social and physical discomfort. Understanding the many factors that influence our breath and their underlying causes, as well as following some simple practices, are paramount to remedying the problem, says Dr. Scott Navarro, Dental Director, Delta Dental Plan of New Jersey. "There is a popular misconception that bad breath is always caused by lack of dental hygiene or neglect," says Dr. Navarro. "The truth is, people may have bad breath in spite of the fact they brush and floss regularly." Dr. Navarro points out that bad breath can be caused by eating garlicky or spicy foods, digestive problems, and bacteria in the mouth that produce volatile sulfur compounds.

Treatment for bad breath will depend on the cause. Some remedies may include treatment of dry mouth, antifungal medication, dietary modifications, improved oral hygiene, periodontal disease therapy, and dental treatment. Dr. Navarro offers the following suggestions for combating common causes of halitosis:

  • Daily defense: Brush your teeth with fluoride toothpaste, clean your tongue with a brush, floss, and use a fluoridated mouth rinse (if recommended by your dentist).
  • Drink plenty of water: Keep your body hydrated and the saliva working to eliminate excess bacteria.
  • Treat dry mouth: Drink fluoridated water often, brush and floss after eating, adjust prescriptions (after consulting your doctor), and upon consultation with your dentist, consider using over-the-counter saliva substitutes. Tap or bottled water is not a good substitute because both lack the minerals and neutralizing agents of saliva, cautions Dr. Navarro.
  • Combat morning mouth: Remove plaque before going to sleep and when you wake in the morning by flossing. The increased amounts of saliva produced when you are awake often take care of the problem after brushing. Using mouthwash alone may only mask bad breath temporarily and actually contribute to a drier mouth because of its alcohol content. Frequent use of sugared mints and gum may increase the risk for cavities.
  • Avoid tobacco products: The degree of exhaled bad breath directly corresponds to the odor intensity present in the type of tobacco used. Cigar and pipe smoking create the greatest risk of bad breath due to their intense initial odors. Tobacco-induced periodontal disease also contributes to bad breath.
  • Treat problems immediately: Cavities or periodontal disease should be taken care of as soon as a dentist has identified them. Similarly, general health problems such as infections, ulcers or abscesses should be treated promptly to reduce the risk of further complications, some of which can have oral manifestations.

Dr. Navarro says that the causes of bad breath illustrate the connection between overall health and oral health. Last year's Surgeon General report labeled oral disease a "silent epidemic."


Test Your Dental IQ

Do you know...

The name of the Revolutionary War hero who practiced dentistry?
Which U.S. president had oral surgery done in secret to avoid a national panic?
The piece of equipment invented by a dentist that changed how golf was played?

These and other dental-related questions are part of "Who Wants to be a Dental Genius?" a dental history quiz available online on the American Dental Association's website, www.ada.org.

The quiz offers a light, sometimes irreverent, look at dentistry throughout history. (For the record, Revolutionary War hero Paul Revere was not only a silversmith, but he was also a skilled maker of dentures. President Grover Cleveland had a malignant growth removed from the roof of his mouth in secret while aboard a yacht in New York's East River to avoid panic because the country was involved in an international monetary crisis. And William Lowell, a New Jersey dentist, is credited with inventing the wood golf tee in 1920.)


Oral Health Breakthroughs of the Past Century

1901 - X-rays first used in root canal treatment. Electric drill used for the first time in dentistry.

1905 - Novocain invented.

1940s - American cities begin adding fluoride to water supplies.

1960s - First fluoride toothpastes introduced, earning acceptance from the ADA. Mouthguards mandated to protect high school and junior college athletes.

1970s - Sealants introduced to help seal teeth against tooth decay.

1990s - Dental offices go high-tech. Among the latest equipment: intraoral cameras that allow dentists to shoot and store digital photos of each patient's mouth.


Dental History on Display in Baltimore

George Washington's dentures, a set of dental instruments used on Britain's Queen Victoria and a display on St. Apollonia, the patron saint of dentistry, are part of the collection at the National Museum of Dentistry in Baltimore, Maryland. The country's only national museum of dentistry showcases the people, objects and events that created and defined the profession. The museum also included displays of antique dental chairs, toothbrushes, and dental instruments.

Not planning to visit Baltimore anytime soon? Take a virtual tour of the museum at www.voyagerweb.com/nmd/nmdgia.htm. One fascinating bit of dental history explained at the site: George Washington's dentures were made of ivory, not wood as is popularly believed. The teeth were, however, fastened by wooden pegs.


Mouthguards Aren't Just for Contact Sports

As fall gives way to winter, children become involved in more indoor activities, such as gymnastics, soccer, volleyball and roller-skating. While many people know that protective gear such as helmets, shin and wrist pads help protect children from injuries, they may not be aware of another important safety device - mouthguards.

In its most recent report, the U.S. Consumer Product Safety Commission stated that in 1991, more than 100,000 cases of facial trauma occurred in children younger than 14 while they participated in sports activities. Now that motorized scooters are so popular with children, experts expect that number to rise.

According to the American Dental Association (ADA), mouthguards help cushion blows that might otherwise cause broken teeth and injuries to the lips, tongue, face or jaw. Mouthguards may also reduce the severity and incidence of concussions.

"Parents just need to remember to 'slip and slide'  when it comes to protecting their children from head injuries," says Matthew Messina, D.D.S., an ADA consumer advisor and general dentist based in Ohio. "Slipping on a helmet and padding, and sliding in a mouthguard will significantly reduce a child's risk of mouth trauma."

Before facemasks or mouthguards were worn, half of all injuries during football occurred in or around a player's mouth, according to the ADA. Since high schools and colleges began to require use of facemasks and mouthguards for football, about 200,000 injuries to the face and mouth have been prevented each year.

"New findings in sports dentistry show that even in non-contact sports, such as gymnastics, mouthguards help protect children from injury. Isn't it time to extend this same type of protection off school grounds?" Dr. Messina asks.

According to the ADA, the most effective mouthguard should be resilient, tear-resistant and comfortable. It should also fit properly and not restrict one's speech or breathing. Three types of mouthguards exist:

  • Custom-made;
  • Ready-made or stock; and
  • Mouth-formed "boil and bite."

All three types of mouthguards provide protection, but they differ in the amount of comfort and cost.

A custom-made mouthguard is individually designed and produced in a dental office or professional laboratory, following the dentist's instructions. The dentist makes an impression of the patient's teeth, and the mouthguard is molded over the model using a special material. Because of the material and the extra time and work involved, a custom-made mouthguard is generally more expensive, but more likely to provide the most comfort, fit and protection.

The read-made or stock mouthguard can be bought at most sporting goods and department stores. While it is the least expensive, little can be done to adjust its fit. There are two types of mouth-formed mouthguards. A shell-liner mouthguard is made with acrylic material that is poured into a firm outer shell where it forms a lining. Fluids in the mouth cause the liner to harden. The second type is made with thermoplastic. Typically referred to as a "boil and bite," the mouthguard should be immersed in hot water to soften it, then placed in the mouth and shaped around the teeth. The wearer may bite down, and the resulting pressure will help form the mouthguard around his teeth. Be sure to follow the product's instructions.

 
 
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