NEWSLETTER

President’s MessagePage 2

Editor’s ColumnPages 3 & 6

New Editor SoughtPage 6

31st Annual SymposiumPage 7

New American Dental Association Liaison

AnnouncedPage 8

S U M M E R T W O T H O U S A N D A N D T H I R T E E N

A C A D E M Y F O R S P O R T S D E N T I S T R Y

VOL. 27, NO. 2

ASD and the USOCto Partner for Olympic AthletesPages 4 & 5

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P R E S I D E N T ’ S M E S S A G E

Helloeveryone!

Hello everyone. Greetings from SouthernCalifornia! Since my last communication with youeveryone has been working hard – the board,committees and our executive secretary all to makeASD the premier Academy for Sports Dentistrythat it is.

New WebsiteAs of June 2013, our new website has launched.We hope that you like it as much as we do! By nowyou are aware that with the new website you havethe ability to renew your membership online. Ifyou have not renewed your membership, please doso at your earliest convenience so that you don’tlose any of the benefits of membership. We hopethat you take some time to look around the websiteto see all of the new features that it has to offer.

ASD’s Annual Symposium for 2013(Philadelphia, Aug. 1-3, 2013)Our annual symposium is just a couple of weeksaway. Pass the word along to all of yourcolleagues; this meeting will be the best ever!Bring some friends!!! Dr. Steve Mills will beheading the “Team Dentist Course” on Thursday,August 1st, and Dr. Rick Knowlton, General Chairof the Symposium, will be in charge of the lecturesand workshops, Friday and Saturday, August 2-3.Don’t miss out on a host of great speakers and threefantastic workshops (mouthguard, suturing, andoral cancer). Like sports memorabilia? We’ll beadding some new items to our usual auction itemsfor the Friday night President’s Banquet. Youwon’t go home empty-handed. Drs. Hans Stasiukand Jan Chithalen, our incredibly talentedauctioneers, will make sure of that! And,

somebody lit a fire under the dental students. Comeand see what they have been up to.

USOC/ASD AffiliationIt’s official: ASD and the United States OlympicCommittee have finalized their affiliation. We’llstart rolling out the marketing for this via our newwebsite, email and social media with the bighoopla sign-up at the annual meeting in Philly.Credit goes to Dr. Jack Winters for getting the ballrolling, and Dr. Rick Knowlton for his relentlessfollow up. Thanks, guys! Applications can beobtained from our executive secretary, Shelly Lottat sportsdentistry@consolidated.net.

NewsOur 2014 Annual Symposium has been set for June20-21, at the Westin in downtown San Diego, CA.It will have just been newly renovated. Dr. AndrewArriola will serve as the General Chairman. Onanother note, NATA will be holding its 64th annualmeeting in Las Vegas June 24-27, and I will bepresenting on behalf of our Academy.

Have you been reading the ASD Update? I hopeso. Are you finding the information useful?

I can’t begin to thank our board of directors andexecutive secretary enough for all of their help andsupport this year. It’s indeed been a pleasureserving you as your president. I have thoroughlyenjoyed it.

See all of you in Philly,Jeff Lloyd, DDS, FASDPresident

Jeff Lloyd, DDS, FASD

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Editor’s Message

I’m sure that all dentists try to practice dentistrybased on a firm foundation of a dental schooleducation supported continually by continuingeducation efforts and each dentist’s personal effortsto keep up with the dental literature. In recentyears we have been encouraged to practice theapparently new idea of “evidence-based dentistry.”

Isn’t that what I’ve been doing?

Two recent articles led me to question myunderstanding of what practicing evidence-baseddentistry means. The first was a critical summaryby Ana Karina Mascarenhas of a 2007 systematicreview about mouthguards by J.J. Knapik, et al inthe Journal of Evidence-Based Dental Practice(June, 2012). The results were that mouthguardswork at protecting teeth but the evidence does notsupport protection against concussions. Nosurprise there but the protection against dentalinjuries was not very dramatic and the evidenceused in the review was termed “limited.” I didn’tunderstand what was meant by “limited.” But Dr.Mascarenhas did agree with the authors’ assertionthat “high-quality research on mouthguard use andconcussion is needed and is appropriate.”

The second article was by a great friend of theAcademy, Asgeir Sigurdsson entitled “Evidence-based Review of Prevention of Dental Injuries“ inPediatric Dentistry, Mar/Apr 2013. Hisconclusions were that, “The few epidemiologicstudies that have been published on the possibleprotectiveness of the mouthguards in vivo aremostly of low level of evidence, and even thosestudies do not all agree on how much they actuallyprotect the dentition. Once again I began to feel thatI was missing something in sports dentistry and myunderstanding of the literature.

It was time to take the bull by the horns and geteducated. I applied for and subsequently attendedthe American Dental Association’s “Champions ofEvidence-Based Dentistry” course in Chicago.Here we learned the basics of the concept and wewere encouraged to take the information and bringit to others.

Some of the most important ideas were:1. Practicing evidence based dentistry is

centered on the interplay of three individualconcepts: The best evidence available, theindividual dentist’s clinical expertise andjudgment, and the needs and preferences ofthe patient.

2. It is NOT a cookbook for treatment, it is nota standard of care, it is not a mandate forcertain treatments and it does not take theplace of clinical judgment.

3. The dental literature is voluminous andchanges constantly. It is virtuallyimpossible to read everything on any givenimportant topic. We were educated as towhich articles are the most important anduseful. Systematic reviews and randomizedclinical trials are the most powerful(especially if there is a critical summary ofthe review) and “bench top” or in vitrostudies, animal studies, and case studies areconsidered “weak.” This was a bit troublingas sports dentistry could be considered veryheavy in laboratory studies of materials andforce dissipations, as well as case studies.Cohort studies and case control studies fallin the middle area.

4. There are several practical ways to accessthe best literature available, and for most ofus in the U.S. the best place to start is the

Steve Mills, DDS, Editor

Do We PracticeEvidence-Based

Sports Dentistry?

Continued on page 6

ASD and the USOC toPartner for Olympic Athletes

The leadership of the ASD and the MedicalNetwork of the US Olympic Committee haveofficially finalized an agreement to allow membersof ASD to become volunteer dentists for OlympicAthletes. The intent of the agreement is to partnerwith the medical network of TEAM USA to supplyfree regional dental care for athletes who bothqualify for this and who express both a need anddesire for dental care. This volunteer effort by ourmembers joins with similar efforts by physicians,chiropractors, physical therapists and othersseeking to support our Olympic Athletes.

This collaboration took shape at the JointCommission of Sports Medicine and Science towhich the ASD has been a member for many years.Academy liaison, Jack Winters, had preliminarydiscussions with Dr. Bill Moreau, the US OlympicCommittee’s Managing Director of SportsMedicine about how our members could be ofbenefit to the Olympic Athletes. This led to ameeting of incoming ASD President RickKnowlton with Dr. Moreau and Corey Warner, theUS Olympic Committee Director of the NationalMedical Network in the spring of 2013. Over thenext few months, with input from the Board of theAcademy and the USOC, the partnership wasformally agreed to.

The basic idea is that participating dentists willvolunteer to supply specific basic dental healthservice to Olympic athletes (not Olympic hopefulathletes, rather those who the USOC hasdesignated specifically as their elite Olympicathletes) free of charge. These services willinclude exams, preventive services, radiographs,restorations, bleaching, and athletic mouthguards.The dentists must apply for the privilege of being aprovider and must have completed the Team DentistCourse of the Academy for Sports Dentistry. TheMedical Network wants to ensure that thevolunteers are competent practitioners who candemonstrate that they are well versed in the needs ofthe high level athlete. To receive an application forthis effort please contact executive secretary,

Shelly Lott at sportsdentistry@consolidated.net. Itis stressed that this is a privilege being extendedsolely to members of the Academy for SportsDentistry at this time.

According to the agreement, “Dentists who agreeto fulfill the service requirements and treat anathlete will receive a certificate with the followingverbiage, “PRESENTED IN RECOGNITION OFYOUR SERVICES IN SUPPORT OF TEAM USAATHLETES,” and will be identified as a dentalprovider on a list with other dental providers thatwill be available online at TEAMUSA.org.“Volunteers may also use the phrase‘Member of the 2013 USOC Dental Volunteer Program’ on their biography or CV’s. Volunteers donot however have the right to use any USOCintellectual property (such as the Olympic Rings orthe USOC trademark) in any advertising ormarketing efforts. In addition, it should be clearthat inclusion in this program does not imply anendorsement as the “USOC will not endorse theservice of (a) dental provider.”

This is a landmark agreement for the Academy forSports Dentistry and represents the fact that we areconsidered a viable partner in the world of SportsMedicine. The hard work of both Jack Winters andRick Knowlton and ASD’s continuingcommitment to the Joint Commission on SportsMedicine and Science should be congratulated.This agreement also points to the importance of theconcept of the “Team Dentist Certification” as it isimportant to our partners in sports medicine thatwe can demonstrate that we do have specialtraining and knowledge in our unique field. TheBoard encourages all members to become TeamDentist certified and to take part in this initiative tohelp our Olympic Athletes.

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A C A D E M Y F O R S P O R T S D E N T I S T R Y

ADA’s evidence-based web site, ebd.ada.org.There are tutorials to guide you through thesite but it is fairly simple. In addition tomaking the ADA library of articles accessiblethere are also links to PubMed, the Cochranereviews, and other sources.

5. Many dental schools are using this hierarchyof literature for their students. Students arenot as often told to go to innumerable smallstudies and are taught to use randomizedclinical trials and systematic reviews first.The Dental School at the University of TexasHealth Science Center at San Antonioactually has a very fine and useful website(cats.uthscsa.edu) in which students arerequired to place reviews called “CATs”(Critically Appraised Topics) of variousarticles for use by the visitors to the site.Readers can also comment on the student’sreviews. This is a very useful guide and agreat initiative.

Sports dentistry needs to progress and it needs tobe based on solid, clinically relevant research. Iam not dismissing all of the wonderful laboratorywork done by excellent scientists worldwide. Iam also not dismissing important case studies andclinicians observations. Without these therewould be no new ideas. But ultimately these mustbe shown to have clinical relevance andeffectiveness.

I would like to propose that the ASD have an indepth workshop at a future Annual Symposium onthe topic of Evidence-Based Dental Practicetargeting topics of importance to sports dentistry.I would also highly recommend the course by theADA that has been held annually. I would beinterested to hear what you think about this.

Do We Practice Evidence-Based Sports Dentistry?continued from page 3

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New Editor for theASD Newsletter SoughtThe Academy for Sports Dentistry is encouragingapplications for the position of editor of theNewsletter of the Academy for Sports Dentistry.The Newsletter is published three times a year inthe journal Dental Traumatology.

The editor has full support of a managing editorwho assists with layout and design, proofreading,and serving as liaison with the printer. The editor isresponsible for identifying topics of interest insports dentistry, writing or securing articles, andworking with the managing editor to supervise the

layout of each issue. Graphic design experience isNOT necessary for the editor position.

The editor is invited to all meetings of the Board ofthe Academy. All interested applicants should contactShelly Lott at sportsdentistry@consolidated.net. Theusual commitment is three years. This is awonderful way to keep abreast of the world ofsports dentistry as well as a very rewarding way toserve the Academy.

Academy for Sports Dentistry 31st Annual Symposium

August 1-3, 2013

Mark your calendars!

Please watch our website for additional information as it becomes available

www.academyforsportsdentistry.org or call (217) 227-3431

Team Dentist Course

Presentations Brett Dorney, BDS, FASD

Sam Elias Barry Glassman, DMD

Paul Krasner, DDS Joel Laudenbach, DMD

Robert Lowe, DDS Steve Perlman, DDS, MScD

Mehmet Illhan Uzel, DMD, DSc Andy Wagenheim

Hands on Workshops

Mouthguard Suturing

Oral Cancer Screening

Social Events Recognition Luncheon

Highlights will include:

Doubletree by Hilton Philadelphia City Center

237 South Broad Philadelphia, Pennsylvania 19107

(800) 222-8733 http://www.philadelphia.doubletree.com

Philadelphia is a dynamic destination, where you will find a full-on

ence city that people visit to make great memories. World-renowned museums, historic gems, a vibrant arts-and-cultural scene, no tax on clothing and shoes, and an abundance of opportunities to learn and network, make Philadelphia the smart choice for travelers from around the globe! Many of the most famous attractions of the city is the center of the country: Independence Historical National Park, Liberty Bell, Inde-pendence Hall (where the Declaration of Independence was signed) and Constitution Center, honoring States Constitution United. Besides places full of history, "Philly" as locals call it, also has artistic and cul-tural interests, with a renowned orchestra, world-renowned museums and excellent restaurants. Kimmel Center for Performing Arts is the shining jewel of the city's artistic crown. The Doubletree by Hilton Hotel Philadelphia Center City is centrally located in the heart of Philadelphia's cultural district on the Avenue of the Arts. Across from the Academy of Music, this comfortable high-rise Philadelphia Hotel is within walking distance of many of Philadelphia's attractions including City Hall, and the Liberty Bell.

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New American Dental Association Liaison AnnouncedThe Academy for Sports Dentistry is pleased toannounce a new liaison to our organization.Sharon (Sharee) Clough has been designated theliaison from the American Dental Association tothe ASD. This relationship with the ADA hasexisted almost since the founding of the Academyin 1983. It has been a close and mutuallybeneficial relationship for both organizations. TheAcademy has been aided and validated by itsrecognition by the ADA and the ADA hasbenefitted by using the ASD and its members as aresource on sports dentistry for information andinput on several of its publications.

Ms. Clough’s official position is the Coordinatorof Preventive Health Services of the Council onAccess, Prevention and InterprofessionalRelations (CAPIR) of the American DentalAssociation. Sharee is a registered dentalhygienist (William Rainey Harper College). Sheearned her bachelor’s degree in Health Arts fromthe University of St. Francis and her M.S. Ed fromNorthern Illinois University. She has been aclinical hygienist, a member of the faculty for twodental hygiene programs, and served as theIllinois State Oral Health Coordinator for theIllinois Primary Health Care Association. Shejoined the ADA in 2011 and assists in themanagement of fluoridation and other population-based activities.

The ASD is gaining a new colleague but we arelosing a valued friend and associate. NicoleStoufflet-Catral has served as our liaison for manyyears. She followed Dr. John Kylop, our firstliaison, who initiated the position and created thestrong bonds between the two organizations.Nicole joined us in 2006 and further developed theway the ASD could be aided by the ADA. It was adirect result of her efforts that articles on sportsdentistry began to regularly appear in thenewsletter of the American Dental Association andour meetings were also prominentlyacknowledged. Our members were often asked tosubmit both information and photographs forbrochures and other printed materials of the ADA

and the Academy was always given credit for anysubmission that was used.

The most recent example of Ms Catral’scommitment to the importance of sports dentistrywas that the American Dental Association becamea cosponsor of National Facial Protection Month(NFPM) in April of 2013, joining the AmericanAssociation of Oral and Maxillofacial Surgeons,the American Association of Orthodontics, theAmerican Academy of Pediatric Dentistry, and theAcademy for Sports Dentistry. Nicole wasresponsible for notifications on the ADA Facebookpage and Twitter account. In addition, a “Banner”on sports dentistry was posted on the ADA’s MouthHealthy. org website. And last, but not least, anarticle appeared by Stacie Crozier (another goodfriend to the Academy) in the ADA Newshighlighting NFPM and many of the resourcesavailable through the ADA.

Ms. Clough related an interesting story about animage from the Facebook post that showed LeBronJames when he appeared to be chewing hismouthguard. Members of the ASD are often miffedby images that don’t show the best in oralprotection styles and usage. While CAPIR did notapprove the use of the photograph, they allowed itto be used, as the feeling was that intent of thepicture was to support the message “sport starswear mouth guards and so should you!” As a directresult of our liaison relationship it is gratifying tosee that our messages of what constitutes goodrules of mouthguard use are recognized.

The Academy for Sports Dentistry welcomesSharee Clough and we are sure that both the ADAand the ASD will benefit from her involvement.The Academy would also like to extend a warmnote of thanks to Nicole Stoufflet-Catral for heryears of friendship, hard work and dedication toher role with us. We wish her the best in hercontinuing activities with the ADA where she willoversee the Give Kids a Smile program that has“become the world’s largest charitable programand the ADA’s signature access-to-care endeavor.”