Table of Contents

 

 

 

 

Preface

iv

 

Reviewers

vi

 

Acknowledgments

vii

SECTION I

ORIENTATION TO CLINICAL DENTAL HYGIENE PRACTICE

1

Chapter 1

The Professional Dental Hygienist

2

Chapter 2

Evidence-Based Dental Hygiene Practice

6

Chapter 3

Effective Health Communication

10

 

Section I Summary Exercises

15

SECTION II

PREPARATION FOR DENTAL HYGIENE PRACTICE

21

Chapter 4

“Infection Control: Transmissible Diseases

22

Chapter 5

Exposure Control: Barriers for Patient and Clinician

28

Chapter 6

Infection Control: Clinical Procedures

34

Chapter 7

Patient Reception and Ergonomic Practice

40

Chapter 8

Introduction to Documentation

44

 

Section II Summary Exercises

49

SECTION III

ASSESSMENT

53

Chapter 9

Personal, Dental, and Medical Histories

54

Chapter 10

Vital Signs

57

Chapter 11

Extraoral and Intraoral Examination

61

Chapter 12

Dental Radiographic Imaging

66

Chapter 13

Study Casts

72

Chapter 14

The Periodontium

77

Chapter 15

Periodontal Examination

82

Chapter 16

Periodontal Disease Development

91

Chapter 17

The Teeth

97

Chapter 18

The Occlusion

102

Chapter 19

Dental Biofilm and Other Soft Deposits

109

Chapter 20

Calculus

116

Chapter 21

Dental Stains and Discolorations

122

Chapter 22

Indices and Scoring Methods

125

 

Section III Summary Exercises

134

SECTION IV

DENTAL HYGIENE DIAGNOSIS AND CARE PLANNING

137

Chapter 23

Planning for Dental Hygiene Care

138

Chapter 24

The Dental Hygiene Care Plan

141

 

Section IV Summary Exercises

144

SECTION V

IMPLEMENTATION: PREVENTION

149

Chapter 25

Patient Learning for Health and Behavioral Change

150

Chapter 26

Protocols for Prevention and Control of Dental Caries

155

Chapter 27

Oral Infection Control: Toothbrushes and Toothbrushing

160

Chapter 28

Interdental Care

165

Chapter 29

Dentifrices and Mouthrinses

168

Chapter 30

The Patient with Orthodontic Appliances

173

Chapter 31

Care of Dental Prostheses

176

Chapter 32

The Patient with Dental Implants

181

Chapter 33

The Patient Who Uses Tobacco

185

Chapter 34

Diet and Dietary Analysis

190

Chapter 35

Fluorides

196

Chapter 36

Sealants

204

 

Section V Summary Exercises

208

SECTION VI

IMPLEMENTATION: CLINICAL TREATMENT

213

Chapter 37

Anxiety and Pain Control

214

Chapter 38

Instruments and Principles for Instrumentation

223

Chapter 39

Nonsurgical Periodontal Instrumentation

230

Chapter 40

Nonsurgical Periodontal Therapy: Supplemental Care Procedures

237

Chapter 41

Acute Periodontal Conditions

241

Chapter 42

Sutures and Dressings

245

Chapter 43

Dentin Hypersensitivity

249

Chapter 44

Extrinsic Stain Removal

253

Chapter 45

Tooth Bleaching

257

 

Section VI Summary Exercises

261

SECTION VII

EVALUATION

265

Chapter 46

Principles of Evaluation

266

Chapter 47

Maintenance

269

 

Section VII Summary Exercises

272

SECTION VIII

PATIENTS WITH SPECIAL NEEDS

275

Chapter 48

The Pregnant Patient

276

Chapter 49

Pediatric Oral Health Care: Infancy through Age 5

280

Chapter 50

The Patient with a Cleft Lip And/Or Palate

283

Chapter 51

The Patient with an Endocrine Disorder or Hormonal Change

287

Chapter 52

The Older Adult Patient

293

Chapter 53

The Edentulous Patient

300

Chapter 54

The Oral and Maxillofacial Surgery Patient

305

Chapter 55

The Patient with Cancer

309

Chapter 56

The Patient with a Disability

314

Chapter 57

The Patient Who is Homebound

321

Chapter 58

The Patient with a Physical Impairment

325

Chapter 59

The Patient with a Sensory Impairment

334

Chapter 60

The Patient with a Developmental or Behavioral Disorder

339

Chapter 61

Family Abuse and Neglect

344

Chapter 62

The Patient with a Seizure Disorder

348

Chapter 63

The Patient with a Psychiatric Disorder

354

Chapter 64

The Patient with a Substance-Related Disorder

359

Chapter 65

The Patient with a Respiratory Disease

365

Chapter 66

The Patient with a Cardiovascular Disease

370

Chapter 67

The Patient with a Blood Disorder

377

Chapter 68

The Patient with Diabetes Mellitus

384

Chapter 69

Emergency Care

390

 

Section VIII Summary Exercises

395

 

APPENDIX

 

A

ADEA Competencies for Entry into the Profession of Dental Hygiene

 

B

Patient-Specific Dental Hygiene Care Plan Template

 

C

Example Dental Hygiene Care Plan

 

D

Motivational Interviewing: Guidelines for Conversation during Patient-Education Instructions

 

E

Evaluation Rubric for Competency Exercises