Healthy Smile, Healthy You. A healthy mouth creates more than just a beautiful smile.

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Healthy Smile, Healthy You A healthy mouth creates more than just a beautiful smile.

Can a healthy mouth make a healthy body? A healthy mouth can create a beautiful smile. But did you know a healthy mouth can create a healthier body? In the past, a trip to the dentist simply ensured a bright, cavity-free smile. Today, researchers continue to find evidence that suggests good oral health can positively impact many medical conditions. 1 This means regular dental checkups can improve whole body health. Don t underestimate the importance of regular dental checkups, especially those with diabetes, those who are pregnant, those with heart conditions and cancer patients receiving radiation and/or chemotherapy.

The Mouth and Body Connection More than 120 diseases can show early signs or symptoms in the mouth. 2 Acute or chronic periodontal (gum) disease appears to negatively affect the body s overall health. 1 A mouth that has been treated and is free of gum disease may promote an overall, healthier body. 1 Healthy Smile, Healthy You Healthy Smile, Healthy You is a program designed to address these important health issues: - Diabetes - Pregnancy - Certain high-risk cardiac conditions - Cancer treatment If you have one of these conditions, Healthy Smile, Healthy You allows for an additional cleaning and exam* beyond your plan s ordinary limit per benefit period. In addition to an extra cleaning and exam, Healthy Smile, Healthy You provides cancer patients undergoing radiation or chemotherapy with an additional fluoride application beyond the age limitation of the group contract. Remember, it is still important to brush your teeth twice a day and floss once a day. *You may be eligible for an additional periodontal maintenance procedure if you have a history of definitive periodontal treatment, such as surgery.

Keep Your Diabetes in Check A healthy mouth can help keep diabetes in check. Increased sugar levels have a negative impact on oral health by increasing the severity of existing gum disease and may lead to tooth loss. In addition, diabetics who have gum disease find it far more difficult to control their sugar levels than diabetics who do not have gum problems, because the infections can cause increased blood sugar levels. 1 Healthy Smile, Healthy You = Healthier Baby! According to the American Academy of Periodontology, pregnant women with gum disease may be more likely to have a baby that s born prematurely or underweight than pregnant women without gum disease. 3

Research indicates that a labor-inducing biological fluid is found in oral bacteria. This fluid increases with gum disease and may increase the risk of pre-term, lowbirth weight babies. 4 Keep Your Heart Healthier Gum disease and cardiovascular disease are major public health issues that impact a large number of Americans every day. Individuals with certain heart conditions have an increased risk of oral bacteria infecting their hearts. These infections, called infective endocarditis, occur when bacteria from the mouth enter the bloodstream through small injuries that occur during normal brushing, flossing or eating. 5 Reduce Side Effects of Cancer Treatment Cancer treatment delivered through radiation and/or chemotherapy can lead to many debilitating oral conditions. Both treatments can have direct effects on salivary glands and oral tissues resulting in increased risk for oral pain, infections and cavities. Research has shown many of these side effects can be avoided or greatly reduced with diligent oral care and participation by a dental team in the overall cancer treatment. 6

Improve your oral health today. If your employer offers Healthy Smile, Healthy You, ask your representative for an enrollment form, or print one from DeltaDentalVA.com. Return the form to Delta Dental with your doctor s signature. Then you can schedule an appointment. 1 How Gum Disease Affects Your Health ; Delta Dental Plans Association, oralhealth.deltadental.com/adult OralConditions/22, DD106, accessed 10/2014. 2 Steven L. Bricker, Robert P. Langlais, and Craig S. Miller, Oral Diagnosis, Oral Medicine and Treatment Planning (Philadelphia: Lea & Febiger, 1994). 3 Baby Steps to Healthy Pregnancy and On-Time Delivery, American Academy of Periodontology, perio.org/consumer/ pregnancy.htm, accessed 10/2014. 4 Detection of Porphyromonas Gingivalis in the Amniotic Fluid in Pregnant Women With a Diagnosis of Threatened Premature Labor, Journal of Periodontology Online, http:// www.joponline.org/doi/abs/10.1902/jop.2007.060368, accessed 10/2014. 5 Oral Health in America: A Report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, National Institute of Dental and Craniofacial Research, National Institutes of Health, 2000. 6 Oral Complications of Cancer Treatment: What the Dental Team Can Do, National Institute of Dental and Craniofacial Research, National Institutes of Health, www.nidcr.nih.gov/oralhealth/topics/cancertreatment/ OralComplicationsCancerOral.htm, accessed 10/2014. Delta Dental of Virginia 4818 Starkey Road Roanoke, VA 24018 800.237.6060 DeltaDentalVA.com DeltaDentalVABlog.com HSHY 0147 1/16

Healthy Smile, Healthy You Enrollment Form Enroll in Healthy Smile, Healthy You for a healthier mouth and body! Regular dental checkups are more important than ever, especially if you have any of the conditions listed at the bottom of this form, which have been connected to gum disease. Preventing or treating gum disease helps improve your overall body health and may even reduce risk of developing certain health conditions. Once enrolled, you will be eligible for one additional cleaning and exam (or periodontal maintenance procedure if you have a history of periodontal surgery) beyond your plan s ordinary limit per benefit period (or, if pregnant, during your pregnancy term). ENROLLING IS AS EASY AS IMPROVING YOUR SMILE. Complete the form below, including your physician s name and signature. Mail or fax the completed form to: Delta Dental of Virginia ATTN: Healthy Smile, Healthy You 4818 Starkey Road Roanoke, VA 24018 Fax: 540.725.3880 You will be enrolled in Delta Dental of Virginia s Healthy Smile, Healthy You program when your completed enrollment form is received and processed by Delta Dental of Virginia. Questions? Call our customer service department at 800.237.6060. Healthy Smile, Healthy You is available for subscribers with Delta Dental PPO SM and Delta Dental Premier coverage who are employed by groups that offer the program. Please contact your Human Resources representative to find out if this benefit is available for you. Part 1 To be completed by enrollee Enrollee Name Subscriber Name (if different from enrollee) Subscriber ID Number Group Number Group Name Signature Date Part 2 To be completed by physician Check the box next to the condition(s) that applies: c Diabetes c Pregnant c High Risk Cardiac Conditions* A history of infective endocarditis, or An artificial heart valve, pulmonary shunts, conduits, or Mitral or aortic valve prolapse and/or stenosis, or Physician name Date diagnosed: Date due: Date diagnosed: Hypertrophic cardiomyopathy, or Heart valve defects caused by acquired conditions, or Certain congenital heart defects (such as having one ventricle instead of the normal two) Physician signature Date 09/2009