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Sports Dentistry

Archive - November 15, 1999 to May 23, 2002

What is sportsdentistry and Sports Dentistry?

----- Original Message ----- From: Maria Teresa Flores To: Sent: Tuesday, May 28, 2002 10:16 AM Subject: Re: New Pamphlet Dear Dr. Kurtz, Thank you so much for e-mailed me the new pamphlet for hockey players. In Chile, only students from english schools play hockey (not ice) and there are many in Santiago and Vi�a del Mar. I think this pamphlet will be useful for all these players. It is so important to educate the public on prevention of dental injuries! Also of interest is to try to come up with consensus opinion of wich mouthguard is the best for the mixed dentition. Is there any long term study on this subject? Kind regards, Marie Therese Flores, D.D.S. Associate Professor Pediatric Dentistry Children's Dental Traumatology Service University of Valparaiso-Chile

----- Original Message ----- From: Tom Coreno To: Sent: Tuesday, May 28, 2002 12:46 AM Subject: Re: New Pamphlet I too have run into the problem with parents being hesitant to purchase a custom-made mouthguard that has a "limited" life time.  I have dealt with it by two approaches: 1. Blocking out for changing dentition, but not too much to compromise retention, it gives them about six months of use.  It is important to know your patient's growth patterns.  The parents usually are more frustrated with the young athlete losing it first; and 2. Education during presentation,  illustrating the benefits of a properly fitted custom made mouthguard, showing and comparing will convince the parent and athlete to make the right choice then and in the future.  Kudos' on the pamphlet design,  any item to educate is extremely helpful and greatly appreciated.Tom Coreno, D.D.S., Chagrin Falls, Ohio.  See all in San Antonio

----- Original Message ----- From: To: Sent: Monday, May 27, 2002 11:22 PM Subject: mouthguard boil and bite type may be a good alternative.... also good for the adolescent patient with adult dentition, but with fixed orthodontic appliances Jeff Levin, DDS 419-865-0424

----- Original Message ----- From: bistulfi To: ; Sent: Monday, May 27, 2002 4:17 PM Subject: Re: New Pamphlet Dear Dr. Jackson You have to use the "block out" in the primary teeth BEFORE you press the model with the 0.80, so the patient can use the Mouthguar for a longer time Best Regards Dr Bistulfi, DDS S�o Paulo, Brazil

----- Original Message ----- From: To: ; Sent: Monday, May 27, 2002 3:35 PM Subject: Re: New Pamphlet DR Jackson I have been on the bench as a team manager and trainer for a youth hockey team for a number of years.  My son currently plays as a center for his high school and also plays travel hockey at the midget level.  He has also played Lacrosse at the youth travel level.  He has given that up to concentrate on hockey.  My son currently plays over 100 games a year between his high school, travel and summer league schedule.  Fortunately in all my years on the bench, I have never had a player lose or fracture a tooth.  Concussions - yes but no joint or tooth problems.  For the most part the kids have used the over the counter products.   As they get older, I am getting them to go towards the custom mouthguards. When he was younger, I tried everything on him to see what I could recommend to my team and to my league.  I have made him mouthguards from both Glidewell Lab and from Space maintainers laboratory.  We were happy with the fit and his comfort level with both of these products.  BUT, I could not see making them for him while he was in a transitional dentition or in active Orthodontic therapy.  There is another lab that makes custom mouthguards in Indiana that is cheaper than these 2 places but I have not tried them as of yet.  I will be trying them this year just to compare the various options that we have.We have found a comfort level for our teams with the shock doctor products made by e-z guard.  They are easy to make and not expensive so changing them constantly is not a complaint with our parents.  I do not recommend them over a custom mouthguard but during transition or during Ortho they will work out.  I have players on my team who can chew through a mouthguard in a few games. But they just   have to replace them constantly.  In our sport the team gets a penalty if a kid doesn't have his mouthguard in. I also keep mouthguards on the bench.  In an emergency, kids just put them into there mouth and they form into place. We have had numerous players (including my son) try the WHIPPS type mouthguards, but I have never had a player use it for more than a few games.  There is too much trouble with communications on the ice with it and most of the athletes have found them too cumbersome. In fact our dental society has a free mouthguard program every February to make parents aware of the importance of using a mouthguard and to give them out. I hope that I didn't confuse the issue more.  If you have any questions please don't hesitate to contact me. Spencer Forman DMD

----- Original Message ----- From: To: Sent: Monday, May 27, 2002 11:09 AM, Subject: Re: New Pamphlet what type of mouthguard do you recommend for children in a mixed/transitional dentition?  the type 3 may be good for only a few months, and i find that parents are extremely hesitant to purchase this expensive mouthguard knowing that as the child's teeth fall out, the mouthguard will need to be replaced! thanks for your help. dr. eddie jackson, dmd,  pediatric dentist

Thomas J. Balshi, DDS, FACP ----- Original Message ----- From: To: Sent: Wednesday, November 07, 2001 10:43 PM, Subject: Ewing Group Presentation

Hi Michael: Great Presentation to the Ewing Group.  You may not know much about Dr. Joseph E. Ewing (so I thought I would give you a short blurb: Joe Ewing was a Prosthodontist and the Chairman of the Prosthodontic Department at Temple University Dental School over 40 years ago.  He passed away four years ago.  While he was Chairman, his

faculty decided they wanted to learn even more than they did during the academic day and formed the study group to met in the evenings and at other unusual times.  This group has continued since its inception in 1966.  Many of the faculty under Dr. Ewing were well known in the Philadelphia area and were also contributors to his text book in Prosthodontics.  These same dentists were also active with college and professional sports teams; more for restoring trauma than preventing it.  They should have been listening to your lecture.  In fact, many dental schools would benefit from you philosophy and the material you present. (So, don't let up -- Watch the mail for a package from Prosthodontics Intermedica.  I promise not spores or tricks, only treats. Lastly, thank you for all the very nice comments you made about our center.  Now you really need to come back for a "clinical visit" when the staff is in action.  Maybe they should have mouthguards as they race around the hallways.  What a great photo --- our entire staff with bright yellow or better yet red white and blue guards.  Naturally we would want you, the master of mouthguards (better known as MOM) MASTER OF MOUTHGUARDS, to make them and we will get them to "smile." Be well. Keep up the good work and stay in touch. Warm Regards, Tom  Thomas J. Balshi, DDS, FACP, Prosthodontics Intermedica, 467 Pennsylvania Avenue, Suite 201, Fort Washington, PA 19034 USA, Tel:  215-646-6334  FAX:  215-643-1149, Toll Free:  1-800-PITEAM-5, Prosthodontics Intermedica Web Site, Teeth In A Day


Dorney.jpg (15583 bytes) ----- Original Message -----  From: Brett Dorney To: MD Kurtz, DDS Sent: Wednesday, July 25, 2001 8:04 AM Subject: Re: Opinion

Dear Mike, Thank you for your kind words about my Olympic presentation. It was fantastic to be in Boston at the combined ASD/IADT meeting, An unbelievable learning experience enjoyed by so few people , unfortunately. Please share any of my Olympic experience with your audiences. Athletes have little say in their Medical let alone Dental health. This was so evident at the Olympics . Certainly the mouthguard program

was a great success but the effort was massive and required a lot of promotion. Many of the  Olympic athletes had dreadful Dental health. So many would have endured terrible pain and still competed. Obviously not as well or successfully and this is the key!! Athletic skills last such a short time and all body systems should be at the optimal health to achieve that personnal success that each athlete strives for. Toothache and infection does not have a timetable.   It has been an amazing year for mouthguards and Sports Dentistry in Australia. Unfortunately , a lot of sporting Dental injuries but also some incredible trauma cases testing our teams knowledge and skills. Lecturing is fun and rewarding. I believe too few Dentists look at Sports Dentistry seriously even though , as we have shown , it will build your practice and allow you to play a significant role in your local sporting community. Kind regards,  BRETT
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Dr. Dorney's Sydney Olympic Staff 2000 Sydney Olympic Mouthguard - Drufomat

----- Original Message -----  From: Nairi Melkonian To: 'MD Kurtz, DDS' Sent: Thursday, May 03, 2001 9:59 AM, Subject: RE: ASD

Unfortunately, I will not be able to make this meeting.  I am dissappointed that it is the same time that the NATA has their meeting this year and I will be going to that one instead.  I have a few concerns that I would like to bring up or maybe they have been, to the ASD.  I am a big advocate for mouthguards and as an athletic trainer I would like to be able to make them.  Unfortunately, do to the issues of the licensure laws for both ATC and Dentistry I am not able to do this without a DMD present.  It's sad because I have been trained by my denstist that I work with as well have attended a conference where Dr. Padilla spoke.  I also took his mouthguard fabrication course in Boston two years ago.  Hate to say it but I was the only one who made a really good mouthguard at that seminar.  Some of the people who attended had no idea.  This is something I would like to see the ASD to examine.  Can we put an addition to the laws if we have been trained.  There are people who are doing it and I hope that they don't get caught.  I work very closely with my dentist to make sure this is done professionally, correctly and within the laws. Enjoy Boston, it's a great city!

----- Original Message ----- From: To: Sent: Monday, July 17, 2000 4:49 AM Subject: Web site

Dr. & Mrs. Bruce Gordy, I ran across this site on the web looking for school
boards believe it or not.  I will have my kick off on July 29th at St. Mark
A.M.E. Church in Orlando.  Please attend.  I would love to have the family
there.  The time will be 6:30 p.m. - 8:30 p.m. Sincerely, Kat Gordon, Candidate for School Board #5.

The following few e-mails refer to the first ever dental health report issued by the Surgeon General of the United States, May 25th, 2000.

----- Original Message ----- From: To: Sent: Monday, June 12, 2000 4:35 PM Subject: Re: Surgeon General

I heard about the report on the radio and found the news distressing--that poor kids are not getting the dental care they need because the reimbursement is so bad. I think there is also a need to educate the public on proper nutrition--the need for vitamins and minerals to keep teeth healthy. I have a sort of dental coverage thru my union plan but if I do not use their panel dentists, the reimbursement is very poor. but I like the dentists I use, and they are keeping my mouth trouble free--isn't that worth a great deal when one discusses reimbursement? the insurance carriers only consider the cost, not the result-- However, I am glad that the report calls attention to a serious
shortcoming in the health field--will the situation now improve? Miriam null

----- Original Message ----- From: Vincent J. Tabone To: Michael D. Kurtz, DDSl Sent: Wednesday, May 31, 2000 2:57 PM Subject: Re: Surgeon General

Dear Doctor Michael Kurtz,  I literally just got back from the Buffalo State Convention moments ago and I was going through my e-mails when I came across your e-mail.  Obviously you are in a much better position to judge the accuracy of this report but unless you tell me otherwise it certainly has the ring of truth to it.   If a significant portion of the population is neglecting a key aspect of its health because of a lack of education about both the relative importance and the fact that they are eligible for coverage there are clearly meanungful steps the legislature and executive agencies can implement in short order. A first step might be to ask or require the Board of Education and the State Dept of Health to increase/expand its dissemination literature/info/workshops/curruclumn on the importance of regular check ups/good hygiene.  A user friendly booklet/guide/directory of Medicaid partipating dentists should be included in that distribution.  Such could also be automatically made available at various gov't office's including the DMV, Social Services, Child Welfare etc. Finally adequate incentives should be built in to reward denists for their participation in both this education process and in Medicaid itself.   Good dental hygiene and early detection are not just quality of life matters or merely altruism.  Preventive measures could probably save the taxpayers millions over the long haul not to mention the pain and hardship experienced by the disadvantaged. If you have a different take on this or other ideas please share them with me.  If you agree with my assessment and blueprint for action let me know that too.  Your insight would be extremely helpful as I am currently developing strategms for tackles healthcare and other public interest issues. Best Regards Vince Tabone Esq. State Committeeman 36 A.D. 

----- Original Message ----- From: To: Sent: Monday, May 29, 2000 9:16 AM Subject: Re: Surgeon General

Dear Mike- Yes, I am well aware of this concern being a past president of the Dental Hygienists Association of the State of NY.  We are lobbying very proactively for an access bill which would allow RDH's in NY to do preventive services and screenings in underserved populations without the supervision of a dentist which would greatly increase the percentage of people that at least
had some dental care.  Sadly, the Dental Society of the State of NY just sees this as a ploy for us to get more power and work toward "independent practice" which is not the point AT ALL!!  Anyway, I am sure that you are well aware of the dollar difference in the PAC's of RDH's and DDS's and their contribution power and influence in state legislatures, so...  We are unfortunately at a stalemate although we have formed a coalition with other agencies that are interested in increasing access but to no avail YET.  Glad you asked! Betsy

----- Original Message ----- From: To: Sent: Monday, May 29, 2000 1:02 AM Subject: Re: Surgeon General

Dr. Kurtz, As a dentist since 1978, I have practiced in the private sector in 2 states and have been a dental provider at the downtown Phoenix dental clinic run by Maricopa County treating welfare children. I feel that the statistics mentioned in the report you sent me may be somewhat understated regarding the numbers of cavities in low income children, at least in the Phoenix area. A large majority of the patients we saw in the county system were of  Hispanic origin with many in the region of the city I worked in being black. I would estimate that perhaps 10% were Caucasian. It was not uncommon to have the average child (I personally saw children from age 3 through age 17) with 6 to 14 cavities, many requiring pulpotomys and stainless steel crowns. Very few children had less than 4 to 6 cavities. In the welfare program in Maricopa County the families had a choice of  several different programs to receive medical and dental care. Many of the patients I saw on Maricopa Health Plan, the program provided by the county for whom I worked from 1984 through 1989  told me that the treatment they had received when they were receiving their care through a different program than the one in which I worked was less than acceptable in the dental area due to the fact that the dentists were not interested in treating patients on welfare programs, as stated in the report. As a dentist now in private practice the only patients in state funded programs I treat are foster children. The compensation for the treatment I provide under that program is reasonable and livable. I would like to be able to justify treating those on other Medicaid programs but the compensation makes it impossible for me to justify, even as a dentist who has worked in the welfare system as a full time provider and has seen the dental health problems that welfare recipients have. In the private sector one must, sad to say, look at the bottom line and justify the use of chair time that may not provide the income that pays for that time. I feel that those who determine compensation for treatment provided need to take a step back and examine the fees they are expecting doctors to accept for the time they are providing. The Good Samaritan principal can only go so far. Mike Braegger, D.M.D.

----- Original Message ----- From: To: Sent: Sunday, May 28, 2000 11:52 AM Subject: Re: Surgeon General

Dear Dr. Kurtz,  I don't know what your geographic location is, however, I am in California where we have a state run program called Dentical for low income families.  I have been a dentical provider since 1979.  In those days less then 1% of the dentists in Calif. were providers.  A few years ago, as a result of litigation over access, the state was required to raise dentical fees to 80% of UCR.  It never happened due to budgetary constraints, we only reached 65%, however, even at that level, more providers participate. Having spent 21 years practicing in low income communities there is absolutely no question that dental disease is rampant among this population.   I routinely see 3 to 6 year olds with 10 to 14 decayed or missing teeth.  Virtually every adult patient I see needs periodontal treatment beyond an ordinary prophy. I use caries disclosing agents in examinations routinely as it is my philosophy that if I miss anything in these individuals it will likely result in the loss of the tooth as these patients do not return for routine care. They only come when they have pain as a general rule. Despite all the reports of high incidence of disease in this population, the state of California regularly attacks those of us who service this population for our "Abnormal"  utilization.   I have challenged the administrators in Sacremento, who have not practiced wet fingered dentistry in 20 years to get out from behind their desks and visit me in my practice to see what I see on a daily basis. Based on what I see, quite frankly, it surprises me that the figures are as low as they are.  Obviously, the 57% who have no caries do not seek care of any kind because we rarely see that type of patient in this population. Best Regards, Robert J. Houchin, DDS, Ontario, California

The following few e-mails refer to an internet article written for the Redwoods Insurance Group. It focuses on the most common elements of a cause of action brought by injured athletes against their coach, an example of a case brought against a coach for dental injuries, ADA statistics on dental injuries, and the importance in having a custom fitted mouthguard to prevent serious injury. Kurtz, MD, DDS & Breitweiser RF, ESQ, Protect Yourself and Your Athletes By Requiring Properly Fitted Mouthguards as Standard Equipment April, 2000.

----- Original Message ----- From: Debbye Krueger To: Michael D. Kurtz, DDSl Sent: Friday, May 26, 2000 8:56 AM Subject: Surgeon Genereal's Report

I applaud the report and think that the situation is actually much worse than what is reported.  I have practiced for 29 years and find that the "real" situation is not at all what is seen in the private practices.  I have worked in private practice, public health, and did the research in the low birth weight study and know that the "average" dental professional has no concept of the epidemic of oral disease currently being felt by the average citizen in this country.  I donated my time during the World Special Olympics last year in North Carolina making custom mouthguards, and am donating a weekend in June for the same purpose during the North Carolina Special Olympics for the Special
Smiles Program.  While working in Tennessee Public Health, we were successful in getting mouthguards mandated for all athletes while practicing or participating in TSSAA sanctioned sports.  We were also successful in outlawing the use of any form of tobacco by coaches or athletes during any practice or sanctioned competition. I again applaud the Surgeon General's Report and hope more attention and resources will be devoted to addressing the very real problem of oral health in this country. Debbye Krueger

----- Original Message -----From: To: Sent: Friday, May 26, 2000 8:13 AM Subject: Re: Surgeon General

I thought the report was great and long overdue!  I work as a Head Start dental hygienist in Montgomery County and I can attest to all the problems of the poor and minority children.  We need to have most of these children treated by a pediatric dentist.  Most of these kids who end up seeing a dentist that take their insurance(medical assistance) never have treatment  ....reasons???? ...the dentist doesn't want to treat these kids or is not equipped to treat these kids.....   Jane Casper,  RDH

----- Original Message -----, From: Irwin J. Katz DDS, To: Michael D. Kurtz, DDSl, Sent: Sunday, April 16, 2000 11:29 AM, Subject: Re: Article

Dear Mike; Having referreed youth ice hockey for about 5 years I can attest to the degree that oral mouthguards prevent injury not only to the teeth but to the cranium when a player receives a blow to the chin.  But, no matter how often the coaches reminded the players, who would put on all of their other protective gear, they would leave their mouthguards out.  Before I would start the game I would talk to the players,  those that answered too clearly because they didn't have their mouthguards in would be asked to leave the ice, could not return without a mouthguard or continue in the game.  Sharing was often found to occur, but it was my job as referree to keep the game moving but more importantly to prevent injury.  Liability of the coach relates to checking for proper equipment of every player before the game starts.  The intent is at least give the player the opportunity to prevent injury in contact sports.   STUFF HAPPENS!!! Have a great holiday. Sincerely, Irwin J. Katz DDS , Brooklyn College '68,  NYU '72

----- Original Message -----, From: JEFFREY KRANTZ, To: Michael D. Kurtz, DDSl, Sent: Thursday, April 13, 2000 1:54 PM, Subject: Re: Article

Mike: I read the article and have the following comments: As a division one basketball official and softball official I can tell you that from a legal point of view the criteria would be whether or not mouthguards are required would be specifically in the rulebook of the sport involved. To my knowlege that does NOT exist in either college or HS basketball.  As an official in what is allegedly a non contact sport I can understand the problem and have stood by helplessly when an "accidental" elbow finds its mark. Re: the Notre dame study: It has never been replicated and I still question its veracity. regards: Jeffrey Krantz D.D.S.

----- Original Message ----- From: Damato, Robert J. , To: '' , Sent: Thursday, April 13, 2000 12:27 PM, Subject: FW: Article

Dr. Kurtz: Excellent article. Amongst other things, I am also a Little League coach so
I found this article very interesting...with your permission I'd like to share it with my assistant coaches. Good hearing from you. Bob Damato, Con Edison

----- Original Message ----- , From: Joseph A. DeInnocentiis , To: Michael D. Kurtz, DDSl , Sent: Thursday, April 13, 2000 11:05 AM, Subject: Re: Article,

Good article. I think it should be required reading by all coaches and sport organizations.

This was received from Ronald Neer, DDS, Expert Witness, Dental Malpractice Negotiator on Saturday, March 19th, 2000

----- Original Message ----- From: Ron Neer To: Michael D. Kurtz, DDSl Sent: Sunday, March 19, 2000 12:12 AM Subject: Re: TMJ & Mouthguards

Mike,  I am sure that there may be some studies somewhere but I have not seen them. I personally believe that custom made mouthguards would greatly reduce tmj injuries. I suggest to do your own studies with your sports program and other colleages that you have at other schools to keep track of the tmj injuries or the lack of with a good guard or a cheap one. let me know what you find. thanks Sincerely Dr Ron Neer DDS

phone  (573) 655-4633
fax       (573) 655-8872

This was received from Jennifer K. Blake, CDA, EFDA, ADAA Education Manager on Tuesday, February 15th, 2000.

----- Original Message ----- From: To: Cc: ; ; Sent: Tuesday, February 15, 2000 9:59 AM Subject: Letter

Michael  D. Kurtz, DDS
88-34 195th Place
Hollis Park Gardens, NY 11423

Dear Doctor Kurtz:

Tina Grikmanis passed your letter concerning speaking for the American Dental Assistants Association on to me.  I have taken the opportunity to visit your web site.  It was an invigorating experience.  You must be a man of high energy and I am sure your practice is the same way.

I agree with you on the importance of occlusal guards for our patients.  I do have some trouble with your statements -- "The use of occlusal guards in their prevention and reduction should be the goal of every dentist and dental hygienist." and "Occlusal guards are custom-fitted by your dentist or dental hygienist and offer superior mouth protection."  As an educated and certified
dental assistant, I take offense at these two statements.  You have left out of your equation a very valuable member of the dental team.

Dental Assistants have a very important role in the education of patients on the benefits of occlussal guards and in many states the actual fabrication of the occlusal guards.   On behalf of the hundred of thousands of practicing dental assistants in the United States, I urge you to include us in the written content you distribute.

Thank you for your consideration.

Jennifer K. Blake, CDA, EFDA
ADAA Education Manager

CC:  Patricia White, CDA, ADAA President
         Anna Nelson, CDA/RDA, ADAA President-elect
         Lawrence Sepin, ADAA Executive Director

This was received from BJ of New Braunfels, Texas on Monday,   November 15, 1999.

----- Original Message ----- From: To: Sent: Monday, November 15, 1999 8:51 AM Subject: Re: Three Little Fishes

Dear Sir:
I would appreciate getting the name of a Dentist here, as my husband and I just moved here from South Bend, Indiana and do not have any dentists here, as yet. We have other wonderful doctors caring for us, but not a dentist as yet. By the way, we live in New Braunfels, Texas 78130. I did just list a very large collection of old 78's and 33's for my daughter in law, here in town, from her Dad's estate, but I never saw that particular song.....sorry. It was primarily classical and big band tho and she wants to sell it to the highest bidder. BJ

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