ACADEMY FOR SPORTS DENTISTRY

VOL. 32, NO. 2 NE WSLETTER In Memoriam Mr. Doug Harvey By Dr. Della Bella

Legendary Hall of Fame MLB and friend wife of 58 years, Joy, at our Symposiums in 2004 of the Academy, Doug Harvey passed away on (Cincinnati) and 2005 (Miami). January 13, 2018, at the age of 87. A decades long smokeless tobacco user, Doug Harold Douglas Harvey umpired 4,673 major was diagnosed with oral cancer in 1997. league games from 1962 through 1992, Following radiation treatment (the horrors of including five and six All-Star which he and Joy emotionally described) and a Games. Doug was behind the plate for Kirk stroke, the Harvey’s set out to deliver their Gibson’s memorable home run the 1988 World message to coaches and players at all levels. Series and ejected 58 players/coaches during his During that time, they graciously agreed to share career. His first toss was as a player in their story with an appreciative Academy. And 1962 and his final toss was of Joe too, as a this lucky writer made two very special friends. in 1992. Doug was elected to Cooperstown and baseball’s Hall of Fame in Harold Douglas Harvey will be remembered for 2010, becoming the ninth umpire to receive this his determination, strength, grit, and integrity on prestigious honor. the field. Those who knew him will remember him also for his whit, stories, kindness, For those of us who are academy members, Doug humbleness, and generosity. may best be remembered for two poignant and emotional presentations he gave with his beloved Rest in peace, my friend.

Officers, Board & Committees Member Spotlight Page 2 Page 6 President’s Message A Clinical and Page 3 Questionnaire Study Editor’s Report Page 6 Page 4 Historian’s Corner Member Spotlight Page 7 Page 5

SUMMER TWO THOUSAND AND EIGHTEEN ACADEMY FOR 2017-2018 SPORTS DENTISTRY ASD COMMITTEES 2017-2018 Constitution & Bylaws Past Presidents /Strategic Planning Committee Dr. Jeffrey Hoy, Chairman Dr. Paul Nativi – Chairman Dr. David Kumamoto PRESIDENT Dr. Danette McNew Dr. Whitney Johnson Dr. J. Kent Guebert Dr. Alex Della Bella Texas A&M Dental College Dr. Stephen Mills 3302 Gaston Ave. Membership & Credentials Dr. Mark Roettger Dallas, TX 75246 Dr. Kristopher Rappold, Chairman Dr. Enrique Amy Dr. Maia Berger Dr. Brett Dorney Dr. Edward Bick-recruitment Dr. Jeff Lloyd PRESIDENT-ELECT Dr. Edward Bick Dr. Emilio Canal 5806A West 36th Street Dr. J. Kent Guebert-retention Dr. Robert Howarth Student Affiliate Program Committee St Louis Park, MN 55416 Dr. Andrew Arriola Dr. E. Jan Chithalen, Chairman Dr. Richard Knowlton Dr. Hans Stasiuk SECRETARY Dr. Jeffrey Laubmeier Dr. Jarod Mosley Dr. Danette McNew June 2020 14583 Madison Ave. Dr. Xavier Gutierrez Dr. Stephen Mills Lakewood, OH 44107 Dr. Harley Deisem Dr. Mark Roettger Dr. Ron Cox Dr. Dave Kumamoto TREASURER Dr. Jared W. Mosley Dr. Kristopher Rappold Continuing Education Program Development Dr. Jeffrey Laubmeir June 2020 7055 N. Fresno Street Ad hoc Committee Dr. Harley Deisem Fresno, CA 93720 Dr. Stephen Mills, Chairman Dr. Ron Cox Dr. Leslie Rye IMMEDIATE Dr. Wayne Nakamura Dr. Jeffrey Hoy AGD Research Sub-Committee PAST PRESIDENT 2523 So. Euclid Ave. Dr. Danette McNew Dr. Danette McNew, Chairman Dr. Richard Knowlton Dr. Richard Knowlton Ontario, CA 91762 Dr. Rob Howarth Fellowship Sub-Committee Dr. Hans Stasiuk Dr. Richard Mariani, Chairman Dr. Stephen Mills Dr. Enrique Amy, Board Liaison Dr. Jack Winters BOARD OF DIRECTORS Dr. Emilio Canal, Jr. Dr. James Lovelace Dr. Michael Messina Dr. David Kumamoto ONE YEAR TERM 2017-2018 AGD Publication Sub-Committee Research and Education Dr. Andrew Arriola Dr. Richard Landrgren Dr. David Kumamoto, Chairman 27521 Jefferson Avenue 1168 N Blackstone Drive Dr. Danette McNew, Chairman Dr. Hans Stasiuk Dr. David Kumamoto Dr. Richard Knowlton Temecula, CA 92590 Chandler, AZ 85224 Dr. Jack Winters Dr. Enrique Amy Affiliation Committee TWO YEAR TERM 2017-2019 Dr. Mark Roettger Dr. Rick Knowlton, Dr. Robert A. Kestenbaum Dr. Kristopher Rappold Dr. Wayne Nakamura Chairman and Board Liaison Dr. Hal Deisem Dr. Robert Howarth 4654 S. Cooper #316 1721 Peniston Street Dr. Wayne Nakamura Arlington, TX 76017 New Orleans, LA 70115 Position Statements- Sub-Committee Dr. Jeff Lloyd Dr. Brett Dorney, Chairman SOSS-Sub-Committee Dr. Hans Stasiuk Wayne Nakamura, Co-Chairman THREE YEAR TERM 2017-2020 Dr. Richard Knowlton Dr. Howard Edelman Dr. Eric Jackson Dr. Jeffrey Hoy USOC- Sub-Committee 830 Twining Road, Suite 9 2033 Ogden Avenue Jared Mosley, Co-Chairman Dresher, PA 19025 Downers Grove, IL 60515 Publications NATA- Sub-Committee Dr. Hans Stasiuk, Chairman, Paul Nativi, Co-Chairman Dr. Jeffrey Lloyd, Co-Chair, Website – THREE YEAR TERM - THREE YEARS TERM - Dr. Julia Bronson, Co-Chair, Website – Fundraising Committee Dr. Emilio Canal, Jr., Journal (Corporate Sponsorship) 2016-2019 2017-2020 Dr. Stephen Mills Dr. Emilio Canal, Chairman EDITOR WEBSITE/SOCIAL Dr. Paul Nativi Dr. Hans Stasiuk MEDIA DIRECTOR Annual Session Dr. Jeff Lloyd Dr. Jeff Hoy Box 836 Dr. Julia Bronson Dr. XavierGutierrez, General Chairman ACADEMY FOR SPORTS Portage la Prairie 6800 Fleetwood Rd, Suite #100 Dr. Wayne Nakamura DENTISTRY LIAISONS 2017-2020 Manitoba Canada R1N 3C3 Mclean VA 22101 Dr. Sam Thacher American Dental Association – Ms. Sharee Clough Dr. Jared Mosley Email: [email protected] Academy of General Dentistry – Dr. Whitney Johnson Dr. Richard Knowlton Dr. Harley Deisem Canada – Dr. Curtis Rytz HISTORIAN EXECUTIVE SECRETARY Dr. Ron Cox FIMS International Federation of Sports Dr. Jack Winters Mrs. Sandi Steil Dr. Eric Habelt Medicine – Dr. Hans Stasiuk 200 Lima Avenue 3085 Stevenson Drive, Dr. James Lovelace Joint Commission on Sports Medicine and Dr. Emilio Canal, Jr. Science – Dr. Jack Winters Findlay, OH 45840 Suite 200 American Academy for Pediatric Dentistry – Dr. Steve Mills Dr. Andrew Spadinger Springfield, IL 62703 Dr. Hans Stasiuk- Silent Auction International Association for Dental Ms. Shelly Lott Traumatology – Dr. Emilio Canal National Collegiate Athletic Association – EXECUTIVE SYMPOSIUM COORDINATOR Nomination Committee Dr. Jack Winters Miss Shelly Lott, CMP International Olympic Committee – Dr. James Lovelace, Chairman Dr. Paul Piccininni 3085 Stevenson Drive, Suite 200 Dr. Wayne Nakamura American College of Sports Medicine – Springfield, IL 62703 Dr. Danette McNew Dr. Stephen Mills

The Academy for Sports Dentistry, its Officers and Board, are not responsible for the opinions, views or statements made in any essay, discussion or in the proceedings which are presented in The Academy for Sports Dentistry Newsletter .

The Academy for Sports Dentistry Newsletter is published tri-annually for its members. Comments and suggestions regarding the newsletter should be directed to Dr. Hans Stasiuk, Editor. ACADEMY WEBSITE: www.academyforsportsdentistry.org PAGE 2

ACADEMY FOR SPORTS DEN TISTRY

PAGE 2 PRESIDENT’S MESSAG E

“Play to where your strengths and the needs of the world intercept” Dr. Danette McNew Recently, I heard this statement and I thought it perhaps has occurred by this mailing. Our CE summarizes our mission with the Academy. At the committee has worked tirelessly and painstakingly time of this writing, we are definitely playing on our to ensure we have an event and speakers that strengths. April Facial Protection Month is enable us to receive the best sports dentistry wrapping up and I was pleased to see ADA facial education offered. Again, playing to our strengths. protection articles. I was also amazed when other Our theme this year is the connection between sites such as “Mom’s Team”, “Dear Doctor”, medicine and sports and dentistry. We assume this “Tooth Fairy”, “Special Olympics” and many other connection and yet you know what they say about organizations shared mouthguard prevention assumptions! Hopefully you did not miss out on information. Our Academy’s strength is and should this enlightening event on June 28th-30th at a great be education. NFPM (National Facial Protection venue and a great, lively city! Month) Posters should be released soon, yes albeit a bit late, this visual education series will be Knowledge is power, and we are in the life continue throughout the year. The strength of our improvement business. Our members are blessed organization is tied to the willingness and to have the opportunity to help individuals achieve inclination of our members to share information smiles that transform their lives and the ability to relating to Sports and Dentistry. We have members prevent those amazing smiles from trauma. who lecture, teach, work exhibit booths, and provide demonstrations and hands on courses Here’s to seeing you in New Orleans. throughout the year. This is playing to our strength. Let’s continue playing to our strengths and meeting Our symposium is just around the corner and the needs of our world!

2018-2019 Membership

If you have not renewed your membership dues for 2018-2019, please be sure to do so by June 30, 2018, to continue receiving the Journal, Dental Traumatology.

To renew your dues, please visit the website; www.academyforsportsdentistry.org. If you are unsure whether or not you have renewed, please contact Sandi Steil at [email protected] or 217-241-6747.

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ACADEMY FOR SPORTS DEN TISTRY Edito r’s

By Hans Stasiuk, BSc, DMD, FASD At the time when I was writiRng this rEeport wPe WOe have mRany interTnational members, many of did not know if this edition of the ASD whom attend our symposium year after year. Newsletter would arrive in your mailboxes My good friend, Dr. Elif Gündüz is one such before the symposium in New Orleans or after it member. She is an orthodontist in Turkey. She was over. The next newsletter will highlight the was unable to make the trip to New Orleans this proceedings of the 2018 ASD Symposium. year (but she promises to be in Toronto next year) so I decided to profile her in this In 1994, when we met in Cincinnati, ASD newsletter. I look forward to seeing her at next members were very fortunate to hear former year’s symposium. She also sent me the results MLB Umpire, Mr. Doug Harvey speak to us. He of an interesting study that she co-authored told us how his repeated use of with Dr. David Kumamoto and Dr. Bengü led to esophageal cancer. Mr. Harvey described Borkan. in detail how he had to have a plastic mask made of his head so that his head remained Last year at the ASD Annual Meeting, Dr. Julia motionless when he was having radiation Bronson, joined the ASD Board as the Website treatments. He was very emotional as he Coordinator. Julia’s youth and enthusiasm are explained the whole cancer treatment process to an asset to the ASD. You can read more about us. The next year, I had the pleasure of having her in this newsletter. supper with him when we held our symposium in Miami. To this day I fondly remember what a As many of you already know I live in Canada. real gentleman he was and I cherish the time The 2019 ASD Annual Symposium will be very spent with he and his wife that evening. special for me since it is being held in Canada’s Unfortunately, Mr. Harvey passed away earlier largest city – Toronto, Ontario. I am so excited this year. In this newsletter Dr. Alex Della Bella to help Dr. Jan Chithalen, Dr. Frank Stechey, shares a tribute he wrote about Mr. Harvey. and the rest of my fellow Canadian ASD members welcome the ASD to Canada. Toronto Chewing tobacco is deadly. I encourage you to and the surrounding area have a lot to offer. The ask your patients if they use any spit or chewing Symposium Chairman’s Report will be in the tobacco products. If anyone admits to using any Spring 2019 Newsletter and it will outline the of these products please educate them about the speakers and some activities in Toronto. If the side effects and recommend that they quit. Toronto Argonauts of the Canadian Football League or the Toronto Blue Jays are in town I Dr. Jack Winters has been the ASD Historian for hope that you can catch a game. There is a small the past few years. I always enjoy reading his chance that the NBA and NHL playoffs could contributions to the newsletter in the Historian’s be still be on by then and if so, you may be able Corner! I truly value all of his knowledge and to watch a Raptors or Maple Leafs game. experience to Sports Dentistry. We are so fortunate to have Dr. Winters continue to share Hope that everyone has a fantastic summer! his wisdom with his us. And, Go Cubs!!!

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ACADEMY FOR SPORTS DEN TISTRY MEMBER PROFILE Julie Bronson I grew up in Arlington, Virginia in the early 1990s Although I did not continue in the program, it was when people barely knew about ice hockey or the amazing to watch a handful of the women that I Washington Capitals. As long as I can remember, competed with just win a Gold medal for the U.S. there’s always been a fan base for the Redskins with this past Winter Olympics! I graduated with a a sprinkling of Bullets/Wizards and D.C. United double major in Psychological Brain Sciences and fans. This all changed in 2005 when Alexander Spanish in addition to taking the pre-dental Ovechkin was drafted to the Washington Capitals requisites. After graduating college in 2009, I and the Montreal Expos became the Washington played professional ice hockey in the Czech Nationals. It’s been amazing to watch the city Republic with Slavia Praha. While there, we won evolve into a sports loving hub. I am a fan of all the the Czech Extraliga and made it to the semifinals in D.C. sports, but hockey takes precedence. the European Champions Cup.

Growing up, I played soccer and was lucky enough In my years of experience playing hockey; I to get the opportunity to enroll in hockey at an early witnessed multiple concussions, fractured teeth, and age when the Reston rink opened up 30 minutes even experienced my own TMJ issues, which from my home. My mother was concerned about ultimately lead me in the direction of wanting to me playing hockey since no girls were playing at pursue dentistry. I was accepted to Midwestern the time. I decided to stick with hockey eventually University’s Dental Program in 2011. During my joining a girls club team in high school. One thing first year of dental school, I was exposed to a led to another, and I found myself getting recruited mouthguard workshop that was held by a fourth- year dental student as part of the Academy for Sports Dentistry. After attending this particular workshop, I became interested in the organization and knew I would want to know more after graduation. My final year at Midwestern, I noticed that the Academy for Sports Dentistry had its annual symposium in June. I would have liked to attend the 2015 symposium, but this also came at a time when I was selected to the women’s USA ball hockey team as the assistant captain for the World’s tournament in Switzerland and would later through USA festival get selected to the team as captain for the camps by multiple 2017 Word’s tournament in Prague. I was division one collegiate finally able to make it to the symposiums in women’s ice hockey Baltimore and San Francisco. At those programs. I ended up symposiums, I met many wonderful people committing to Dartmouth and have since felt motivated to get College due to its involved in the organization. The Academy community, academics, and athletics. It was an for Sports Dentistry has an amazing platform to amazing experience; we won two ECAC hockey continue to research and inform dentists and the championships, one Ivy League championship, and general public on how to achieve optimal made three Final Eight appearances in my four performance through health and minimizing dental years. During my sophomore summer, I was invited injuries. I look forward to meeting more of our to the USA Under-22 National Ice Hockey Team. members and engaging in future symposiums!

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ACADEMY FOR SPORTS DEN TISTRY MEMBER PROFILE Dr. Elif Gündüz Dr. Elif Gündüz was born in Insurance Company) which examined Austrian Ankara, Turkey; however, school children’s protection during sport she spent much of her youth activities. One of the aims of the project was to living in Vienna, Austria due increase the general public consciousness of to her father’s job at the prevention of dental injuries in sports between Turkish Embassy. She 2013- 2015. She has published dental articles in considers Ankara and Vienna German, English and Turkish. to both have been her homes while she was growing up. Since 2012, Dr. Gündüz has been providing dental and orthodontic treatments to the children in need After graduating from Ankara University Dental of help at no charge. Due to her ongoing School in Turkey in 1999, Dr. Gündüz studied approaches and efforts in developing dental health orthodontics at the University of Vienna Dental and education for children, Dr. Gündüz was School (renamed as Vienna University Bernhard nominated for Turkey’s Change Maker Project Gottlieb Dental School in 2006). While studying 2015 of the Sabancı Foundation. in Vienna, she worked on a wide range of different scientific projects under the supervision of Prof Dr. Gündüz is the sponsoring team dentist of the Hans-Peter Bantleon. She continued to collaborate Bogazici Sultans Football Team in Istanbul. She with Dr. Bantleon until 2015. Dr. Gündüz has likes to watch basketball, Olympic swimming, and maintained a private practice in Istanbul, Turkey international soccer. As a sports dentist she is since 2007. She currently also has an orthodontic neutral to all teams and she does not have a practice in Vienna. favorite team. She says that every professional athlete is her favorite and that she appreciates the Dr. Gündüz has been an active member of the hard work it takes to be a superstar. Academy for Sports Dentistry (ASD) since 2012. She has supported the development of sports Her hobbies include swimming, skiing, sailing dentistry in Europe by being one of the first and relaxing with yoga and meditation. She loves members of the European Association for Sports to travel the world and take photographs. She has Dentistry (EA4SD). In 2018, she was appointed had photography exhibitions from her Cuba and the liaison of the EA4SD (ea4sd.com) to ASD. Tanzania trips.

She has lectured on various sports dentistry topics Dr. Gündüz regrets being unable to attend the in Vienna, Istanbul, Izmir, San Francisco, and 2018 ASD Symposium in New Orleans. She looks Dubai. Dr. Gündüz was the opinion leader of a forward to seeing all her friends and colleagues at social project with AUVA (Social Accident the 2019 ASD Symposium in Toronto, Canada. A Clinical and Questionnaire Study Among Male Athletes in Turkey Playing American Football Elif Gündüz DDS, MSD 1, Bengü Borkan BS, MA, PhD 2, David Kumamoto DDS, MS 3 1 Private Practice, Istanbul, Turkey Aims: Correlation between occlusal relationships 2 Bogazici University Faculty of Education Department and athletes’ responses were analyzed to compare of Educational Sciences, Istanbul, Turkey athletes’ attitudes to the clinical difference between 3 University of Illinois at Chicago, Illinois, USA continued on page 7

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ACADEMY FOR SPORTS DEN TISTRY Results: Players reported higher stability, A Clinical and Questionnaire Study comfort, and bite comfort with DFCM. For Among Male Athletes in Turkey Playing SBBM; players with Class I reported higher speaking comfort than players with Class II. American Football Class II players’ satisfaction with DFCM were continued from page 6 higher for each criteria. Players who only used the dentist fabricated custom (DFCM) and store- DFCM reported higher dissatisfaction with the bought boil bite mouthguard (SBBM). mouthguard than who used both types.

Methods: Questionnaire form (n=53) comparing Conclusions: Using mouthguard is difficult for mouthguards was distributed to football players. beginners. Class II and III cases’ satisfaction with Twenty-four who had experienced both types were DFCM was higher particularly for bite comfort. grouped according to occlusal relationships, to be Negative 2mm overjet was enough to achieve correlated with the responses to comfort, good anterior occlusion by maxillary mouthguard. retention, tissue irritation, bite comfort, breathing Cases with malocclusion should use DFCM to and speaking discomfort. The positive and / or have a better protection and to increase the negative responses to these criteria will affect the player’s performance and comfort. When a performance of the player and, dental injury negative overjet is present, better to fabricate a prevention. Statistical analysis included Wilcoxon mandibular DFCM for teeth and soft tissue sign, and Matt Whitney U test. protection.

April was National Facial Protection Month All mouthguards are not equal in the protection they may provide the athletes Jack Winters DDS Historian: Academy for Sports Dentistry

The month of April 2018 was may prevent a serious dental injury from designated as National Facial occurring. However, new research is surfacing that Protection Month. The a Properly Fitted Pressure Laminated Mouthguard Academy for Sports Dentistry (PFPLMG) with > 3 mm thickness and an occlusal (ASD) was asked by the seat with the opposing arch may have a American Dental Association preventative effect on the occurrence of a (ADA) to put a poster presentation together for a concussion injury. New research from Japan and display at the ADA HOUSE in Washington D.C. other countries is surfing on this topic. It is required by rule in High School and College A discussion was held with ASD President Football that all players must wear a mouthguard. Danette McNew DDS and the ASD Board. As As a Pediatric Dentist and NCAA College Football ASD Historian, I was asked to put a presentation Referee for 20+ years, my observation is the together for the display. quality of mouthguards worn by the majority of the players is generally very poor. Because the fit It is well known that a mouthguard worn at the time of a traumatic blow delivered to the mouth continued on page 8

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ACADEMY FOR SPORTS DEN TISTRY players wore the store purchased mouthguards that, may over a season of play deteriorated, and looked National Facial Protection Month like Picture #1. All 100 players wore the same brand continued from page 7 of helmet. For the season, a total of five concussion injuries were reported in the store purchased group. No concussion injuries were found in the (PFPLMG) group. The fit and comfort was such that the players did not abuse their mouthguards and wedge them in their helmets. The key is to maintain at least a >3mm thickness and an occlusal seat with the opposing arch for a season of play.

Picture #1 Well worn store bought mouthguards abused by players. No posterior support.

is so poor, players chew on them and wedge them in their facemasks during down time. Note the picture of the mouthguards collected from the fields of games I have officiated. (Pictures #1) Pictures #4 Pictures #5 The title for the Poster Presentation is: “ALL Note: Head of the condyle Note space between head of to base of the skull. condyle and base of the skull MOUTHGUARDS ARE NOT EQUAL IN THE with > 3mm PFPLMG in place. PROTECTION THEY MAY PROVIDE THE ATHLETE” (3) In the drawing of the skull: NOTE THE The Points of Emphasis are: SEPERATION OF THE HEAD OF THE CONDYLE TO THE BASE OF THE SKULL (1). Over the years, what has been forgotten is the WITH A (PFPLMG)>3m THICK- influence a Properly Fitted Mouthguard NESS IN PLACE FOR A SEASON OF might have in the prevention of a concussion PLAY. (This can be demonstrated with a injury. cephlometric x-ray overlaying normal closure in occlusion and with a (PFPLMG) in position. (2). (PFPLMG) with an occlusal seat with the opposing arch may reduce the concussion CONCLUSION : injury occurrence or severity of the injury if the This is one season’s observation. It is a small trauma is delivered to the head. For the 2017 season sample size, However, the findings set the stage for a NCAA Division II football team of 100 players: 50 future research and possibly some answers to were fitted with the (PFPLMGs) with a separation in preventing concussion injuries in this sport of the occlusal area. (Pictures #2 and #3.) and 50 football and other contact competitive athletics.

Picture #2 ALL MOUTHGUARDS ARE NOT EQUAL! Over PFPLMG: Note the years with the deteration in the quality, the occlusal space in posterior protective element of a Properly Fitted Mouthguard molar area. and the Concussion Injury Situation has been forgotten. More research will be forthcoming with the long-term effects of the Concussion Injury on all athletes and parents minds. Picture #3 PFPLMG: With a This information is on display at the: seating of the ADA, 1111 14TH ST NW STE 1100 mandible arch. Washington DC 20005 Further information Web Sites: http://jackwintersdds.com/ http://www.AcademyForSportsDentistry.org/

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ACADEMY FOR SPORTS DEN TISTRY