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SEPTEMBER Sjögren’s Syndrome HNC erapy Journal Managing Xerostomia & Mahvash Navazesh, DMD Vol Nº Blackboard_journal9_11.pdf 1 8/18/11 12:21 PM Visit TDIC at MemberSept. Benefits 22-24 Center, in the #802 CDA Presents Getting all of your insurance through the most trusted source? C M Good call. Y CM MY Protect your business: Protect your life: CY CMY TDIC Optimum bundle • Life/Health/Disability K • Professional Liability • Long-Term Care • Building and Business • Business Overhead Personal Property Expense • Workers’ Compensation • Home and Auto • Employment Practices Liability Protecting dentists. It’s all we do.SM 800.733.0633 tdicsolutions.com CA Insurance Lic. #0652783 Coverages specifically written by The Dentists Insurance Company include Professional Liability, Building and Business Personal Property, Workers’ Compensation and Employment Practices Liability. Life, Health, Disability, Long-Term Care, Business Overhead Expense and Home and Auto products are underwritten by other insurance carriers and offered through TDIC Insurance Solutions. Sept. 11 cda journal, vol 39, n 9 º departments 605 The Editor/The Flying Dutchman and E-cigarettes 6 1 1 Impressions 6 1 5 Periscope 6 1 7 Table Clinic Winners 6 2 1 CDA Presents 661 Classifieds 672 Advertiser Index 674 Dr. Bob/Say What? Write On! 611 f e at u r e s 626 Saliva in HealtH and diSeaSe An introduction to the issue. Mahvash Navazesh, DMD 631 a Current PerSPeCtive on Sjögren’S Syndrome Sjögren’s syndrome is a common autoimmune disorder characterized by dry mouth and dry eyes. This article discusses developments in progress that could greatly advance our ability to define, diagnose, and develop new treatment modalities for patients with this complex disease. Abu N.M. Nazmul-Hossain, DDS, MSc, PhD; George M. Morarasu, DDS, MS; Samuel K. Schmidt, BS; Amber J. Walker, BS; Sandra L. Myers, DMD, MS; and Nelson L. Rhodus, DMD, MPH, FICD 639 Salivary gland and aSSoCiated ComPliCationS in Head and neCk CanCer tHeraPy This article provides an overview of salivary gland hypofunction and associated complications in head and neck cancer therapy, mainly in radiation therapy. The discussion will include quality of life issues, as well as current advances in cancer therapy to reduce xerostomia and salivary gland hypofunction. Satish Kumar, DDS, MDSc; Saravanan Ram, DDS, MS; and Mahvash Navazesh, DMD 6 4 9 Salivary gland imaging This review paper discusses the imaging modalities available for assessment of the major salivary glands, their indications and limitations. Carol Anne Murdoch-Kinch, DDS, PhD 656 management of XeroStomia and Salivary gland HyPofunCtion Xerostomia and salivary gland hypofunction need to be identified early to initiate preventive measures. Patients should be educated about the complications of salivary gland hypofunction and be provided with a suitable treatment plan tailored to meet these challenges. Saravanan Ram, DDS, MS; Satish Kumar, DDS, MDSc; and Mahvash Navazesh, DMD september 2011 603 Foundation_Text_Aug_2011_Journal.pdf 1 7/19/11 1:53 PM cda journal, vol 39, n º 9 CDA Journal Volume 39, Number 9 Journal sept. 201 1 Patty Reyes, CDE assistant editor Reader Guide: Courtney Grant upcoming topics letters to the editor communications october: CDA Foundation Kerry K. Carney, DDS journal of the California coordinator november: CDA [email protected] dental association Foundation Crystan Ritter december: Dental School Subscriptions published by the administrative Research The subscription rate is California dental assistant $18 for all active members association manuscript Submissions of the association. The 1201 k St., 14th floor advertising Patty Reyes, CDE subscription rate for Sacramento, Ca 95814 Corey Gerhard assistant editor others is as follows: 800.232.7645 advertising manager [email protected] Non-CDA members and cda.org 916-554-5333 institutional: $40 Jenaé Gruchow Author guidelines Non-ADA member management traffic/project are available at dentists: $75 Kerry K. Carney, DDS coordinator cda.org/publications/ Foreign: $80 C This is why editor-in-chief journal_of_the_california_ Single copies: $10 [email protected] Production dental_association/ Subscriptions may M Matt Mullin submit_a_manuscript commence at any time. Y we’re here. Ruchi K. Sahota, DDS, CDE cover design Please contact: associate editor Classified advertising Crystan Ritter CM When you give to the CDA Randi Taylor Jenaé Gruchow administrative MY Brian K. Shue, DDS graphic design traffic/project assistant coordinator [email protected] CY Foundation, you help fund associate editor Kathie Nute, Western Type [email protected] 916-554-5318 local California clinics, CMY Peter A. DuBois typesetting 916-554-5332 Permission and reprints K support dentists who executive director California dental display advertising Jeanne Marie Tokunaga practice in underserved Jennifer George association Corey Gerhard publications manager areas, and give countless vice president, Andrew P. Soderstrom, DDS advertising manager JeanneMarie.Tokunaga@ marketing and president [email protected] cda.org children healthy, happy communications 916-554-5304 916-554-5330 smiles. Help us celebrate a Daniel G. Davidson, DMD Alicia Malaby president-elect decade of creating smiles communications Journal of the California Dental Association (issn director Lindsey A. Robinson, DDS 1043-2256) is published monthly by the California Dental and changing lives by vice president Association, 1201 K St., 16th Floor, Sacramento, CA 95814, Jeanne Marie Tokunaga giving $10. Simply text 916-554-5330. Periodicals postage paid at Sacramento, publications manager James D. Stephens, DDS * Calif. Postmaster: Send address changes to Journal SMILES to 27722. secretary of the California Dental Association, P.O. Box 13749, Jack F. Conley, DDS To learn more, visit Sacramento, CA 95853. editor emeritus Clelan G. Ehrler, DDS cdafoundation.org and see treasurer The Journal of the California Dental Association is editorial how you can help create published under the supervision of CDA’s editorial staff. Mahvash Navazesh, DMD Alan L. Felsenfeld, DDS Neither the editorial staff, the editor, nor the association smiles and change lives. guest editor speaker of the house are responsible for any expression of opinion or statement of fact, all of which are published solely on the authority Msg & Data Rates May Apply. Full Terms: www.mGive.org/T Robert E. Horseman, DDS Thomas H. Stewart, DDS of the author whose name is indicated. The association contributing editor immediate past reserves the right to illustrate, reduce, revise, or reject president any manuscript submitted. Articles are considered for publication on condition that they are contributed solely to the Journal. Copyright 2011 by the California Dental Association. 604 september 2011 Editor cda journal, vol 39, n 9 º the flying dutchman and e-cigarettes kerry k. carney, dds ohannes (Honus) Peter Wagner was born on Feb. 24, 1874. He was 23 Wagner refused to give permission for years old when he debuted with the Louisville Colonels and, in 1900, he the use of his image and insisted that the joined the Pittsburgh Pirates. It was jin Pittsburgh that Honus (pronounced card be pulled from production. “Hahnus”) Wagner became known as “The Flying Dutchman” for the speed with which he ran the bases. Five times Honus led the league in stolen the more popular explanation attributes California. As usual, Dr. Glantz pulled no bases. He led the league five times in RBIs, his refusal to allow the tobacco company to punches when characterizing the tobacco eight times in doubles, and three times in distribute his card to the fact that Honus industry and its never-ending pursuit of triples. “He played nearly 2,800 games did not want children to have to buy ciga- new recruits for their addictive products. during his career, with 3,430 hits, 651 rettes to get the card. What a great guy. He pointed out that when significant doubles, 252 triples and 722 stolen bases.”1 He “The ADA and the American Academy money is devoted to anti-tobacco cam- batted .300 or better in 17 consecutive of Pediatrics, American Medical Associa- paigns they can be very effective in help- seasons. Babe Ruth is quoted as praising tion, American Cancer Society, American ing reduce the use of tobacco products. Honus as the best shortstop and right-hand- Heart Association, American Lung As- Glantz underscored the fact that empha- ed hitter of all time. Wagner also was one of sociation, Oral Health America, Legacy, sizing the predatory nature of the tobacco the first five players voted into the inaugural Campaign for Tobacco-Free Kids and the industry was more effective in dissuading class of the Baseball Hall of Fame in 1936. Robert Wood Johnson Foundation are call- users and potential users than merely giv- For all his accomplishments and ing for Major League Baseball and the MLB ing them the information on the health honors Honus is best known for another Players Association to prohibit tobacco use effects of tobacco use. reason. The Honus Wagner 1909 baseball at games … Use of tobacco products has During the course of the conversation card is the most valuable card sold to date. been banned in the minor leagues since Glantz mentioned e-cigarettes tangen- In 2007, it sold for $2.8 million. Though 1993, but as many as 30 percent of profes- tially. These are electronic nicotine delivery some refer to this as the “Mona Lisa” of sional baseball players at the major league systems (ENDS). I did a little web surfing baseball cards, its value does not reside level still use some form of tobacco.”2 to learn more about them. When I Googled in the handsomeness of Honus Wagner. “According to the U.S. Centers for e-cigarettes I came upon a website that No, based on the archive photos, Honus Disease Control and Prevention, use of made my jaw drop.3 I was reminded of my looked like a cross between Dennis Hop- smokeless tobacco products has increased maid of honor’s favorite saying: “The things per and Jimmy Durante.
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