Clinical practice of the dental hygienist:
From the Publisher: The cornerstone text of almost every dental hygienists library is now in its thoroughly updated Tenth Edition. Written in a straightforward, concise outline format, this text equips both students and practitioners with the clinical and educational skills needed for successful pra...
Gespeichert in:
1. Verfasser: | |
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Format: | Buch |
Sprache: | English |
Veröffentlicht: |
Philadelphia [u.a.]
Wolters Kluwer Health, Lippincott Williams & Wilkins
2009
|
Ausgabe: | 10. ed. |
Schlagworte: | |
Online-Zugang: | Inhaltsverzeichnis |
Zusammenfassung: | From the Publisher: The cornerstone text of almost every dental hygienists library is now in its thoroughly updated Tenth Edition. Written in a straightforward, concise outline format, this text equips both students and practitioners with the clinical and educational skills needed for successful practice. Features include full-color artwork and photographs, case-based exercises, procedure boxes, and ethics boxes. The Tenth Edition presents the latest technical advances and research findings and includes a new chapter on teeth whitening. |
Beschreibung: | XVIII, 1197 S. Ill., graph. Darst. 1 CD-ROM (12 cm) |
ISBN: | 9780781763226 0781763223 |
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520 | 3 | |a From the Publisher: The cornerstone text of almost every dental hygienists library is now in its thoroughly updated Tenth Edition. Written in a straightforward, concise outline format, this text equips both students and practitioners with the clinical and educational skills needed for successful practice. Features include full-color artwork and photographs, case-based exercises, procedure boxes, and ethics boxes. The Tenth Edition presents the latest technical advances and research findings and includes a new chapter on teeth whitening. | |
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Datensatz im Suchindex
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adam_text | Titel: Clinical practice of the dental hygienist
Autor: Wilkins, Esther M.
Jahr: 2009
ORIENTATION TO CLINICAL DENTAL
HYGIENE PRACTICE 1
CHAPTER 1
THE PROFESSIONAL DENTAL HYGIENIST 3
Roles of Dental Hygiene 5
Dental Hygiene Care 5
Types of Services 6
Dental Hygiene Process of Care 6
Cultural Considerations 9
Dental Hygiene Ethics 12
The Code of Ethics 12
Core Values 12
Ethical Applications 13
Legal Factors in Practice 14
Personal Factors in Practice 14
Special Practice Areas 14
Objectives for Professional Practice 15
Everyday Ethics 15
Factors to Teach the Patient 16
References 16
Suggested Readings 16
PREPARATION FOR DENTAL HYGIENE
PRACTICE 19
CHAPTER 2
INFECTION CONTROL:
TRANSMISSIBLE DISEASES 21
Standard Precautions 22
Microorganisms of the Oral Cavity 24
The Infectious Process 24
Airborne Infection 26
Pathogens Transmissible by the Oral Cavity 27
Tuberculosis 27
Viral Hepatitis 32
Hepatitis A 32
Hepatitis B 34
Prevention of Hepatitis B 36
Hepatitis C 37
Hepatitis D 37
Hepatitis E 38
Herpesvirus Diseases 38
HHV1 Herpes Simplex Virus Type 1 (HSV1) 39
HHV2 Herpes Simplex Virus Type 2 (HSV2) 40
Clinical Management 40
HHV3 Varicella-Zoster Virus (VZV) 41
HHV4 Epstein-Barr Virus (EBV) 41
HHV5 Cytomegalovirus (HCMV) 41
HHV6 Herpes Lymphotrophic Virus (HLV) 42
HHV7 Human Herpes Virusl (HHV7) 42
HHV8 Kaposi s Sarcoma Related Virus (KSRV) 42
HIV-1 Infection 42
Life Cycle of the HIV-1 43
HIV-1 Classification System for Adolescents and Adults 44
Clinical Course of HIV-1 Infection 45
Oral Manifestations of HIV-1 Infection 46
HIV-1 Infection in Children 48
Prevention of HIV-1 Infection 49
Everyday Ethics 50
Factors to Teach the Patient 50
References 50
Suggested Readings 51
CHAPTER 3
EXPOSURE CONTROL:
BARRIERS FOR PATIENT AND CLINICIAN 54
Personal Protection of the Dental Team 55
Immunizations and Periodic Tests 56
Clinical Attire 56
Use of Face Mask: Respiratory Protection 57
Use of Protective Eyewear 58
Hand Care 60
Handwashing Principles 60
Methods of Handwashing 61
Gloves and Gloving 62
Latex Hypersensitivity 64
Everyday Ethics 65
Factors to Teach the Patient 65
References 65
Suggested Readings 66
CHAPTER 4
INFECTION CONTROL:
CLINICAL PROCEDURES 67
Treatment Room Features 69
Instrument Processing Center 71
Cleaning Procedures 71
Packaging Step 72
Sterilization 73
Moist Heat: Steam Under Pressure 74
Dry Heat 75
Chemical Vapor Sterilizer 76
Care of Sterile Instruments 76
Chemical Disinfectants 76
Recommended Chemical Disinfectants 77
Chemical Sterilants (Immersion) 78
Preparation of the Treatment Room 79
Patient Preparation 80
Summary of Standard Procedures for the Prevention
of Disease Transmission 81
Occupational Accidental Exposure Management 82
Disposal of Waste 82
Supplemental Recommendations 83
Everyday Ethics 83
Factors to Teach the Patient 83
References 83
Suggested Readings 84
CHAPTER 5
PATIENT RECEPTION AND
ERGONOMIC PRACTICE 85
Position of the Patient 86
Position of the Clinician 88
Neutral Working Posture 88
The Treatment Area 89
Ergonomic Practice 91
Self-Care for the Dental Hygienist 93
Everyday Ethics 95
Factors to Teach the Patient 95
Suggested Readings 97
ASSESSMENT 99
CHAPTER 6
DOCUMENTATION 101
The Patient Record 101
Privacy of Patient Records 103
Examination Procedures 104
Tooth Numbering Systems 105
Charting 107
Dental Records 109
Periodontal Records 109
Care Plan Records 111
Everyday Ethics 111
Factors to Teach the Patient 111
References 111
Suggested Readings 111
CHAPTER 7
PERSONAL, DENTAL, AND MEDICAL
HISTORIES 113
History Preparation 115
The Questionnaire 116
The Interview 120
Items Included in the History 121
Immediate Applications of Patient Histories 129
American Heart Association (AHA) Guidelines 130
Prophylaxis for Dental and Dental Hygiene Procedures 131
ASA Determination 132
Review of History 32
Records 132
Everyday Ethics 132
Factors to Teach the Patient 132
References 133
Suggested Readings 133
CHAPTER 8
VITAL SIGNS 135
Body Temperature 137
Pulse 138
Respiration 139
Blood Pressure 140
Everyday Ethics 142
Factors to Teach the Patient 143
References 143
Suggested Readings 143
CHAPTER 9
DENTAL RADIOGRAPHIC IMAGING 144
How X-Rays Are Produced 147
Digital Radiography 150
Characteristics of an Acceptable Radiographic Image 152
Factors that Influence the Finished Radiograph 153
Exposure to Radiation 156
Risk of Injury from Radiation 158
Rules for Radiation Protection 159
Protection of Clinician 159
Protection of Patient 160
Clinical Applications 160
Procedures for Film Placement and Angulation of Ray 163
Film Selection for Intraoral Surveys 164
Definitions and Principles 166
Periapical Survey: Paralleling Technique 166
Bitewing Survey 169
Periapical Survey: Bisecting-Angle Technique 170
Occlusal Survey 171
Panoramic Radiographic Images 171
Paraclinical Procedures 172
Infection Control 172
Film Processing 173
Essentials of an Adequate Darkroom 174
Lighting 174
Automated Processing 175
Manual Processing 175
Analysis of Completed Radiographs 176
Record Keeping 178
Everyday Ethics 178
Factors to Teach the Patient 179
References 179
Suggested Readings 179
CHAPTER10
EXTRA0RALAND INTRAORAL
EXAMINATION 181
Objectives 182
Components of Examination 183
Sequence of Examination 184
Documentation of Findings 184
Morphologic Categories 187
Oral Cancer 190
Procedure for Follow-Up of a Suspicious Lesion 191
Exfoliative Cytology 192
Everyday Ethics 193
Factors to Teach the Patient 193
References 194
Suggested Readings 194
CHAPTER 26
INTERDENTAL CARE 430
The Interdental Area 431
Planning Interdental Care 432
Selective Interdental Biofilm Removal 433
Dental Floss and Tape 433
Tufted Dental Floss 436
Knitting Yarn 436
Gauze Strip 437
Interdental Brushes 437
Single-Tuft Brush (End-Tuft, Unituft) 439
Interdental Tip 439
Toothpick in Holder 440
Wooden Interdental Cleaner 440
Everyday Ethics 441
Factors to Teach the Patient 441
References 441
Suggested Readings 442
CHAPTER 27
DENTIFRICES, MOUTHRINSES, AND
IRRIGATION 443
Chemotherapeutics 444
Dentifrices 445
Preventive and Therapeutic Benefits of Dentifrices 445
Cosmetic Effects of Dentifrices 445
Basic Componets of Dentifrices 445
Selection of Dentifrice 446
Mouthrinses 447
Purposes and Uses of Mouthrinses 447
Preventive and Therapeutic Agents of Mouthrinses 447
Commercial Mouthwash Ingredients 449
Procedure for Rinsing 450
Oral Irrigation 450
Beneficial Effects From Irrigation 450
Description of Irrigators 451
Delivery Methods 451
Applications for Practice 452
The Food and Drug Administration (FDA):
The Regulatory Agency for Oral Care Products 453
American Dental Association (ADA) Seal of
Acceptance Program 454
Everyday Ethics 454
Factors to Teach the Patient 455
References 455
Suggested Readings 456
CHAPTER 28
PATIENT WITH ORTHODONTIC
APPLIANCES 458
Cemented Bands and Bonded Brackets 459
Clinical Procedures for Bonding 460
Dental Hygiene Care 461
Completion of Therapy 463
Clinical Procedures for Debanding 463
Clinical Procedures for Debonding 463
Post-Debonding Evaluation 467
Retention 468
Post-Debonding Preventive Care 468
Everyday Ethics 469
Factors to Teach the Patient 469
References 469
Suggested Readings 470
CHAPTER 29
CARE OF DENTAL PROSTHESES 472
Missing Teeth 474
Fixed Partial Dentures 474
Care Procedures for Fixed Prostheses 475
Removable Partial Denture Prostheses 477
Self Care Procedures for Removable Partial Prostheses 477
Complete Denture Prostheses 479
Self Cleaning the Complete Denture Prostheses 481
The Underlying Mucosa 485
Complete Overdenture Prostheses 485
Dental Hygiene Care and Instruction 486
Everyday Ethics 487
Factors to Teach the Patient 487
References 487
Suggested Readings 488
CHAPTER 30
THE PATIENT WITH DENTAL IMPLANTS 489
Types of Dental Implants 490
Endosseous Implant 491
Implant Interfaces 492
Preparation and Placement 492
Periimplant Hygiene 493
Maintenance 495
Everyday Ethics 497
Factors to Teach the Patient 497
References 497
Suggested Readings 498
CHAPTER 31
THE PATIENT WHO USES TOBACCO 501
Health Hazards 503
Components of Tobacco Products 503
Metabolism of Nicotine 504
Systemic Effects 505
Environmental Tobacco Smoke (ETS) 505
Prenatal and Children 506
Oral Manifestations of Tobacco Use 506
Tobacco and Periodontal Infections 506
Nicotine Addiction 507
Treatment 509
Pharmacotherapies Used for Treatment of Nicotine
Addiction 511
Nicotine-Free Therapy 511
Dental Hygiene Care for the Patient Who Uses Tobacco 512
Assessment 512
Clinical Treatment Procedures 513
Tobacco Cessation Program 514
The 5A s 514
The Team Approach 516
Advocacy 516
Everyday Ethics 517
Factors to Teach the Patient 517
References 517
Suggested Readings 519
CHAPTER 32
DIET AND DIETARY ANALYSIS 521
Nutrient Standards for Diet Adequacy in Health
Promotion 522
Oral Health Relationships 528
The Dietary Assessment 532
xfv Contents
Preparation for Additional Counseling 538
Counseling Procedures 538
Evaluation of Progress 541
Everyday Ethics 541
Factors to Teach the Patient 542
References 542
Suggested Readings 543
CHAPTER 33
FLUORIDES 544
Fluoride Metabolism 545
Fluoride and Tooth Development 546
Tooth Surface Fluoride 547
Demineralization-Remineralization 548
Fluoridation 549
Effects and Benefits of Fluoridation 550
Partial Defluoridation 551
School Fluoridation 551
Discontinued Fluoridation 552
Fluorides in Foods 552
Dietary Fluoride Supplements 552
Clinical Procedures Professional Topical Fluoride 553
Self-Applied Fluorides 558
Tray Technique: Home Application 559
Fluoride Mouthrinses 559
Brush-On Gel 560
Fluoride Dentifrices 561
Combined Fluoride Program 562
Fluoride Safety 562
Everyday Ethics 564
Factors to Teach the Patient 564
References 565
Suggested Readings 567
CHAPTER 34
SEALANTS 569
Development of Sealants 570
How Sealants Work 570
Sealant Materials 571
Indications for Sealant Placement 571
Clinical Procedures 572
Penetration of Sealant 575
Maintenance 576
Everyday Ethics 576
Factors to Teach the Patient 576
References 577
Suggested Readings 577
TREATMENT 579
CHAPTER 35
ANXIETY AND PAIN CONTROL 583
Components of Pain 584
Nonopioid Analgesics 586
Nitrous Oxide-Oxygen Sedation 586
Characteristics of Nitrous Oxide 586
Equipment for Nitrous Oxide-Oxygen 587
Patient Selection 588
Clinical Procedures for Nitrous Oxide—Oxygen
Administration 589
Potential Hazards of Occupational Exposure 591
Advantages and Disadvantages of Conscious Sedation
Anesthesia 592
Local Anesthesia 592
Pharmacology of Local Anesthetics 592
Indications for Local Anesthesia 594
Patient Assessment 595
Armamentarium for Local Anesthesia 596
Clinical Procedures for Local Anesthetic Administration 598
Potential Adverse Reactions to Local Anesthesia
Procedures 600
Advantages and Disadvantages of Local Anesthesia 602
Noninjectable Anesthesia 602
Topical Anesthesia 603
Application of Topical Anesthetic 604
Everyday Ethics 604
Factors to Teach the Patient 605
References 605
Suggested Readings 606
CHAPTER 36
INSTRUMENTS AND PRINCIPLES FOR
INSTRUMENTATION 608
Instrument Identification 610
I nstrument Parts 610
Instrument Features 612
The Treatment Instruments 612
Principles for Instrument Use 617
Instrument Grasp 617
Neutral Positions 619
Fulcrum: Finger Rest 619
Adaptation 621
Angulation 622
Lateral Pressure 623
Activation: Stroke 623
Visibility and Accessibility 625
Dexterity Development 625
Prevention of Cumulative Trauma 627
Instrument Sharpening 628
Some Basic Sharpening Principles 630
Sharpening Curets and Sealers 631
Moving Flat Stone: Stationary Instrument 632
Stationary Flat Stone: Moving Instrument 634
Sharpening Cone 635
Mandrel-Mounted Stones 636
Sharpening the File Sealer 637
Sharpening the Hoe Sealer 637
Sharpening the Chisel Sealer 638
Sharpening Explorers 638
Care of Sharpening Equipment 639
Everyday Ethics 639
Factors to Teach the Patient 640
References 640
Suggested Readings 640
CHAPTER 37
NONSURGICAL PERIODONTAL
INSTRUMENTATION 641
The Scope of Nonsurgical Therapy 643
Preparation of the Clinician 643
Focus of Treatment 643
Aims and Expected Outcomes 644
Care Plan for Instrumentation 645
Overall Appointment Systems 645
Preparation for Instrumentation 647
Calculus Removal 648
Manual Subgingival Scaling Steps 650
Dental and Dental Hygiene Care 875
Appointment Scheduling 877
Barrier-Free Environment 877
Patient Reception: The Initial Appointment 879
Wheelchair Transfers 880
Patient Position and Stabilization 882
Oral Manifestations 883
Disease Prevention and Control 884
Dental Biofilm Removal 885
Self-Care Aids 886
Instruction for Caregiver 890
Fluorides 891
Pit and Fissure Sealants 892
Diet Instruction 892
Instrumentation 893
Group In-Service Education 895
Everyday Ethics 896
Factors to Teach Patient and Caregiver 897
References 897
Suggested Readings 897
CHAPTER 54
THE PATIENT WHO IS HOMEBOUND 899
Homebound Patients 899
Dental Hygiene Care and Instruction 901
The Unconscious Patient 905
The Terminally 111 Patient 907
Everyday Ethics 908
Factors to Teach the Patient 909
Factors to Teach the Caregiver 909
References 909
Suggested Readings 909
CHAPTER 55
THE PATIENT WITH A PHYSICAL
IMPAIRMENT 911
Spinal Cord Dysfunctions 912
Spinal Cord Injury 912
Myelomeningocele 917
Cerebrovascular Accident (Stroke) 918
Muscular Dystrophies 921
Myasthenia Gravis 922
Multiple Sclerosis 924
Cerebral Palsy 925
Bell s Palsy 928
Parkinson s Disease 929
Arthritis 929
Scleroderma (Progressive Systemic Sclerosis) 931
Kidney Disease 932
Everyday Ethics 933
Factors to Teach the Patient 934
References 934
Suggested Readings 935
CHAPTER 56
THE PATIENT WITH A SENSORY
DISABILITY 937
Americans win Disabilities Act 937
Visual Impairment 938
Hearing Impairment 941
Everyday Ethics 946
Factors to Teach the Patient 947
Reference 947
Suggested Readings 947
CHAPTER 57
FAMILY ABUSE AND NEGLECT 948
Child Maltreatment 949
Elder Maltreatment 952
Intimate Partner Abuse and Violence 953
Documentation 954
Reporting Maltreatment 954
Forensic Dentistry 955
Everyday Ethics 955
Factors to Teach the Patient 955
References 956
Suggested Readings 956
CHAPTER 58
THE PATIENT WITH A SEIZURE DISORDER 957
Epileptic Syndromes 958
Clinical Manifestations 960
Treatment 960
Oral Findings 962
Dental Hygiene Care Plan 965
Emergency Care 966
Everyday Ethics 967
Factors to Teach the Patient 967
References 967
Suggested Readings 968
CHAPTER 59
THE PATIENT WITH A MENTAL DISABILITY 969
Mental Retardation 970
Down Syndrome 974
Autistic Spectrum Disorder 975
Dental Hygiene Care 976
Everyday Ethics 977
Factors to Teach the Patient 977
Factors to Teach the Caregiver 978
References 978
Suggested Readings 980
CHAPTER 60
THE PATIENT WITH PSYCHIATRIC DISORDER 981
Schizophrenia 983
Mood Disorders 985
Major Depressive Disorder 985
Bipolar Disorder 986
Postpartum Mood Disturbances 988
Anxiety Disorders 988
Eating Disorders 990
Anorexia Nervosa 990
Bulimia Nervosa 992
Psychiatric Emergencies 993
Everyday Ethics 994
Factors to Teach the Patient 994
References 994
Suggested Readings 994
CHAPTER 61
THE PATIENT WITH A SUBSTANCE-RELATED
DISORDER 996
Alcohol-Related Disorders 998
Metabolism of Alcohol 1000
Health Hazards 1000
Fetal Alcohol Syndrome (FAS) 1001
Alcohol Withdrawal Syndrome 1002
Treatment for Alcoholism 1003
Prescription and Street Drugs 1004
Most Common Drugs of Abuse 1004
Treatment Methods 1008
Dental Hygiene Care 1008
Clinical Examination 1010
Clinical Treatment and Instruction 1012
Everyday Ethics 1013
Factors to Teach the Patient 1013
References 1013
Suggested Readings 1014
CHAPTER 62
THE PATIENT WITH A RESPIRATORY
DISEASE 1016
The Respiratory System 1018
Upper Respiratory Tract Diseases 1019
Lower Respiratory Tract Diseases 1021
Pneumonia 1021
Tuberculosis (TB) 1022
Asthma 1023
Chronic Obstructive Pulmonary Disease (COPD) 1025
Cystic Fibrosis 1027
Summary Guidelines for Dental Hygiene Care 1028
Everyday Ethics 1028
Factors to Teach the Patient 1028
References 1029
Suggested Readings 1030
CHAPTER 63
THE PATIENT WITH A CARDIOVASCULAR
DISEASE 1032
Classification 1034
Congenital Heart Diseases 1034
Rheumatic Heart Disease 1036
Mitral Valve Prolapse 1037
Infective Endocarditis 1037
Hypertension 1038
Hypertensive Heart Disease 1041
Ischemic Heart Disease 1041
Angina Pectoris 1042
Myocardial Infarction 1043
Congestive Heart Failure 1044
Basic Noninvasive Treatment 1045
Surgical Treatment 1045
Anticoagulant Therapy 1048
Cardiac Surgery 1048
Everyday Ethics 1049
Factors to Teach the Patient 1049
References 1050
Suggested Readings 1050
CHAPTER 64
THE PATIENT WITH A BLOOD DISORDER 1052
Oral Findings Suggestive of Blood Disorders 1053
Normal Blood 1054
Anemias 1057
Iron Deficiency Anemia 1058
Megaloblastic Anemias 1058
Sickle Cell Disease 1059
Polycythemias 1061
White Blood Cells 1061
Bleeding Disorders 1062
Coagulation Disorders 1062
Miscellaneous Treatment Suggestions for Dental
Professionals 1064
Everyday Ethics 1064
Factors to Teach the Patient 1065
References 1065
Suggested Readings 1065
CHAPTER 65
THE PATIENT WITH DIABETES MELLITUS 1067
Diabetes Mellitus 1069
Insulin 1069
Diabetes Mellitus Etiologic Classification 1071
Diagnosis of Diabetes 1074
Complications of Diabetes 1074
Medical Treatment and Modifications for Diabetes
Control 1075
Medications 1076
Pancreas Transplantation 1077
Blood Glucose Testing 1077
Oral Relationships 1079
Dental Hygiene Care Plan 1080
Everyday Ethics 1081
Factors to Teach the Patient 1081
Diabetes Insipidus 1083
References 1083
Suggested Readings 1083
CHAPTER 66
EMERGENCY CARE 1085
Prevention of Emergencies 1087
Patient Assessment 1087
Stress Minimization 1089
Emergency Materials and Preparation 1090
Basic Life Support 1094
Rescue Breathing 1096
External Chest Compressions 1097
Airway Obstruction 1101
Oxygen Administration 1102
Specific Emergencies 1103
Everyday Ethics 1110
Factors to Teach the Patient 1111
References 1111
Suggested Readings 1111
PREFIXES, SUFFIXES, AND COMBINING
FORMS 1113
APPENDIX I
AMERICAN DENTAL HYGIENISTS
ASSOCIATION CODE OF ETHICS FOR DENTAL
HYGIENISTS 1117
APPENDIX II
CANADIAN DENTAL HYGIENISTS
ASSOCIATION CODE OF ETHICS 1121
APPENDIX III
THE INTERNATIONAL FEDERATION OF
DENTAL HYGIENISTS CODE OF ETHICS 1127
APPENDIX IV
GUIDELINES FOR INFECTION CONTROL IN
DENTAL HEALTH-CARE SETTINGS 2003 1129
APPENDIX V
AVERAGE MEASUREMENTS OF HUMAN
TEETH 1153
INDEX 1t55
|
adam_txt |
Titel: Clinical practice of the dental hygienist
Autor: Wilkins, Esther M.
Jahr: 2009
ORIENTATION TO CLINICAL DENTAL
HYGIENE PRACTICE 1
CHAPTER 1
THE PROFESSIONAL DENTAL HYGIENIST 3
Roles of Dental Hygiene 5
Dental Hygiene Care 5
Types of Services 6
Dental Hygiene Process of Care 6
Cultural Considerations 9
Dental Hygiene Ethics 12
The Code of Ethics 12
Core Values 12
Ethical Applications 13
Legal Factors in Practice 14
Personal Factors in Practice 14
Special Practice Areas 14
Objectives for Professional Practice 15
Everyday Ethics 15
Factors to Teach the Patient 16
References 16
Suggested Readings 16
PREPARATION FOR DENTAL HYGIENE
PRACTICE 19
CHAPTER 2
INFECTION CONTROL:
TRANSMISSIBLE DISEASES 21
Standard Precautions 22
Microorganisms of the Oral Cavity 24
The Infectious Process 24
Airborne Infection 26
Pathogens Transmissible by the Oral Cavity 27
Tuberculosis 27
Viral Hepatitis 32
Hepatitis A 32
Hepatitis B 34
Prevention of Hepatitis B 36
Hepatitis C 37
Hepatitis D 37
Hepatitis E 38
Herpesvirus Diseases 38
HHV1 Herpes Simplex Virus Type 1 (HSV1) 39
HHV2 Herpes Simplex Virus Type 2 (HSV2) 40
Clinical Management 40
HHV3 Varicella-Zoster Virus (VZV) 41
HHV4 Epstein-Barr Virus (EBV) 41
HHV5 Cytomegalovirus (HCMV) 41
HHV6 Herpes Lymphotrophic Virus (HLV) 42
HHV7 Human Herpes Virusl (HHV7) 42
HHV8 Kaposi's Sarcoma Related Virus (KSRV) 42
HIV-1 Infection 42
Life Cycle of the HIV-1 43
HIV-1 Classification System for Adolescents and Adults 44
Clinical Course of HIV-1 Infection 45
Oral Manifestations of HIV-1 Infection 46
HIV-1 Infection in Children 48
Prevention of HIV-1 Infection 49
Everyday Ethics 50
Factors to Teach the Patient 50
References 50
Suggested Readings 51
CHAPTER 3
EXPOSURE CONTROL:
BARRIERS FOR PATIENT AND CLINICIAN 54
Personal Protection of the Dental Team 55
Immunizations and Periodic Tests 56
Clinical Attire 56
Use of Face Mask: Respiratory Protection 57
Use of Protective Eyewear 58
Hand Care 60
Handwashing Principles 60
Methods of Handwashing 61
Gloves and Gloving 62
Latex Hypersensitivity 64
Everyday Ethics 65
Factors to Teach the Patient 65
References 65
Suggested Readings 66
CHAPTER 4
INFECTION CONTROL:
CLINICAL PROCEDURES 67
Treatment Room Features 69
Instrument Processing Center 71
Cleaning Procedures 71
Packaging Step 72
Sterilization 73
Moist Heat: Steam Under Pressure 74
Dry Heat 75
Chemical Vapor Sterilizer 76
Care of Sterile Instruments 76
Chemical Disinfectants 76
Recommended Chemical Disinfectants 77
Chemical Sterilants (Immersion) 78
Preparation of the Treatment Room 79
Patient Preparation 80
Summary of Standard Procedures for the Prevention
of Disease Transmission 81
Occupational Accidental Exposure Management 82
Disposal of Waste 82
Supplemental Recommendations 83
Everyday Ethics 83
Factors to Teach the Patient 83
References 83
Suggested Readings 84
CHAPTER 5
PATIENT RECEPTION AND
ERGONOMIC PRACTICE 85
Position of the Patient 86
Position of the Clinician 88
Neutral Working Posture 88
The Treatment Area 89
Ergonomic Practice 91
Self-Care for the Dental Hygienist 93
Everyday Ethics 95
Factors to Teach the Patient 95
Suggested Readings 97
ASSESSMENT 99
CHAPTER 6
DOCUMENTATION 101
The Patient Record 101
Privacy of Patient Records 103
Examination Procedures 104
Tooth Numbering Systems 105
Charting 107
Dental Records 109
Periodontal Records 109
Care Plan Records 111
Everyday Ethics 111
Factors to Teach the Patient 111
References 111
Suggested Readings 111
CHAPTER 7
PERSONAL, DENTAL, AND MEDICAL
HISTORIES 113
History Preparation 115
The Questionnaire 116
The Interview 120
Items Included in the History 121
Immediate Applications of Patient Histories 129
American Heart Association (AHA) Guidelines 130
Prophylaxis for Dental and Dental Hygiene Procedures 131
ASA Determination 132
Review of History \ 32
Records 132
Everyday Ethics 132
Factors to Teach the Patient 132
References 133
Suggested Readings 133
CHAPTER 8
VITAL SIGNS 135
Body Temperature 137
Pulse 138
Respiration 139
Blood Pressure 140
Everyday Ethics 142
Factors to Teach the Patient 143
References 143
Suggested Readings 143
CHAPTER 9
DENTAL RADIOGRAPHIC IMAGING 144
How X-Rays Are Produced 147
Digital Radiography 150
Characteristics of an Acceptable Radiographic Image 152
Factors that Influence the Finished Radiograph 153
Exposure to Radiation 156
Risk of Injury from Radiation 158
Rules for Radiation Protection 159
Protection of Clinician 159
Protection of Patient 160
Clinical Applications 160
Procedures for Film Placement and Angulation of Ray 163
Film Selection for Intraoral Surveys 164
Definitions and Principles 166
Periapical Survey: Paralleling Technique 166
Bitewing Survey 169
Periapical Survey: Bisecting-Angle Technique 170
Occlusal Survey 171
Panoramic Radiographic Images 171
Paraclinical Procedures 172
Infection Control 172
Film Processing 173
Essentials of an Adequate Darkroom 174
Lighting 174
Automated Processing 175
Manual Processing 175
Analysis of Completed Radiographs 176
Record Keeping 178
Everyday Ethics 178
Factors to Teach the Patient 179
References 179
Suggested Readings 179
CHAPTER10
EXTRA0RALAND INTRAORAL
EXAMINATION 181
Objectives 182
Components of Examination 183
Sequence of Examination 184
Documentation of Findings 184
Morphologic Categories 187
Oral Cancer 190
Procedure for Follow-Up of a Suspicious Lesion 191
Exfoliative Cytology 192
Everyday Ethics 193
Factors to Teach the Patient 193
References 194
Suggested Readings 194
CHAPTER 26
INTERDENTAL CARE 430
The Interdental Area 431
Planning Interdental Care 432
Selective Interdental Biofilm Removal 433
Dental Floss and Tape 433
Tufted Dental Floss 436
Knitting Yarn 436
Gauze Strip 437
Interdental Brushes 437
Single-Tuft Brush (End-Tuft, Unituft) 439
Interdental Tip 439
Toothpick in Holder 440
Wooden Interdental Cleaner 440
Everyday Ethics 441
Factors to Teach the Patient 441
References 441
Suggested Readings 442
CHAPTER 27
DENTIFRICES, MOUTHRINSES, AND
IRRIGATION 443
Chemotherapeutics 444
Dentifrices 445
Preventive and Therapeutic Benefits of Dentifrices 445
Cosmetic Effects of Dentifrices 445
Basic Componets of Dentifrices 445
Selection of Dentifrice 446
Mouthrinses 447
Purposes and Uses of Mouthrinses 447
Preventive and Therapeutic Agents of Mouthrinses 447
Commercial Mouthwash Ingredients 449
Procedure for Rinsing 450
Oral Irrigation 450
Beneficial Effects From Irrigation 450
Description of Irrigators 451
Delivery Methods 451
Applications for Practice 452
The Food and Drug Administration (FDA):
The Regulatory Agency for Oral Care Products 453
American Dental Association (ADA) Seal of
Acceptance Program 454
Everyday Ethics 454
Factors to Teach the Patient 455
References 455
Suggested Readings 456
CHAPTER 28
PATIENT WITH ORTHODONTIC
APPLIANCES 458
Cemented Bands and Bonded Brackets 459
Clinical Procedures for Bonding 460
Dental Hygiene Care 461
Completion of Therapy 463
Clinical Procedures for Debanding 463
Clinical Procedures for Debonding 463
Post-Debonding Evaluation 467
Retention 468
Post-Debonding Preventive Care 468
Everyday Ethics 469
Factors to Teach the Patient 469
References 469
Suggested Readings 470
CHAPTER 29
CARE OF DENTAL PROSTHESES 472
Missing Teeth 474
Fixed Partial Dentures 474
Care Procedures for Fixed Prostheses 475
Removable Partial Denture Prostheses 477
Self Care Procedures for Removable Partial Prostheses 477
Complete Denture Prostheses 479
Self Cleaning the Complete Denture Prostheses 481
The Underlying Mucosa 485
Complete Overdenture Prostheses 485
Dental Hygiene Care and Instruction 486
Everyday Ethics 487
Factors to Teach the Patient 487
References 487
Suggested Readings 488
CHAPTER 30
THE PATIENT WITH DENTAL IMPLANTS 489
Types of Dental Implants 490
Endosseous Implant 491
Implant Interfaces 492
Preparation and Placement 492
Periimplant Hygiene 493
Maintenance 495
Everyday Ethics 497
Factors to Teach the Patient 497
References 497
Suggested Readings 498
CHAPTER 31
THE PATIENT WHO USES TOBACCO 501
Health Hazards 503
Components of Tobacco Products 503
Metabolism of Nicotine 504
Systemic Effects 505
Environmental Tobacco Smoke (ETS) 505
Prenatal and Children 506
Oral Manifestations of Tobacco Use 506
Tobacco and Periodontal Infections 506
Nicotine Addiction 507
Treatment 509
Pharmacotherapies Used for Treatment of Nicotine
Addiction 511
Nicotine-Free Therapy 511
Dental Hygiene Care for the Patient Who Uses Tobacco 512
Assessment 512
Clinical Treatment Procedures 513
Tobacco Cessation Program 514
The"5A's" 514
The Team Approach 516
Advocacy 516
Everyday Ethics 517
Factors to Teach the Patient 517
References 517
Suggested Readings 519
CHAPTER 32
DIET AND DIETARY ANALYSIS 521
Nutrient Standards for Diet Adequacy in Health
Promotion 522
Oral Health Relationships 528
The Dietary Assessment 532
xfv Contents
Preparation for Additional Counseling 538
Counseling Procedures 538
Evaluation of Progress 541
Everyday Ethics 541
Factors to Teach the Patient 542
References 542
Suggested Readings 543
CHAPTER 33
FLUORIDES 544
Fluoride Metabolism 545
Fluoride and Tooth Development 546
Tooth Surface Fluoride 547
Demineralization-Remineralization 548
Fluoridation 549
Effects and Benefits of Fluoridation 550
Partial Defluoridation 551
School Fluoridation 551
Discontinued Fluoridation 552
Fluorides in Foods 552
Dietary Fluoride Supplements 552
Clinical Procedures Professional Topical Fluoride 553
Self-Applied Fluorides 558
Tray Technique: Home Application 559
Fluoride Mouthrinses 559
Brush-On Gel 560
Fluoride Dentifrices 561
Combined Fluoride Program 562
Fluoride Safety 562
Everyday Ethics 564
Factors to Teach the Patient 564
References 565
Suggested Readings 567
CHAPTER 34
SEALANTS 569
Development of Sealants 570
How Sealants Work 570
Sealant Materials 571
Indications for Sealant Placement 571
Clinical Procedures 572
Penetration of Sealant 575
Maintenance 576
Everyday Ethics 576
Factors to Teach the Patient 576
References 577
Suggested Readings 577
TREATMENT 579
CHAPTER 35
ANXIETY AND PAIN CONTROL 583
Components of Pain 584
Nonopioid Analgesics 586
Nitrous Oxide-Oxygen Sedation 586
Characteristics of Nitrous Oxide 586
Equipment for Nitrous Oxide-Oxygen 587
Patient Selection 588
Clinical Procedures for Nitrous Oxide—Oxygen
Administration 589
Potential Hazards of Occupational Exposure 591
Advantages and Disadvantages of Conscious Sedation
Anesthesia 592
Local Anesthesia 592
Pharmacology of Local Anesthetics 592
Indications for Local Anesthesia 594
Patient Assessment 595
Armamentarium for Local Anesthesia 596
Clinical Procedures for Local Anesthetic Administration 598
Potential Adverse Reactions to Local Anesthesia
Procedures 600
Advantages and Disadvantages of Local Anesthesia 602
Noninjectable Anesthesia 602
Topical Anesthesia 603
Application of Topical Anesthetic 604
Everyday Ethics 604
Factors to Teach the Patient 605
References 605
Suggested Readings 606
CHAPTER 36
INSTRUMENTS AND PRINCIPLES FOR
INSTRUMENTATION 608
Instrument Identification 610
I nstrument Parts 610
Instrument Features 612
The Treatment Instruments 612
Principles for Instrument Use 617
Instrument Grasp 617
Neutral Positions 619
Fulcrum: Finger Rest 619
Adaptation 621
Angulation 622
Lateral Pressure 623
Activation: Stroke 623
Visibility and Accessibility 625
Dexterity Development 625
Prevention of Cumulative Trauma 627
Instrument Sharpening 628
Some Basic Sharpening Principles 630
Sharpening Curets and Sealers 631
Moving Flat Stone: Stationary Instrument 632
Stationary Flat Stone: Moving Instrument 634
Sharpening Cone 635
Mandrel-Mounted Stones 636
Sharpening the File Sealer 637
Sharpening the Hoe Sealer 637
Sharpening the Chisel Sealer 638
Sharpening Explorers 638
Care of Sharpening Equipment 639
Everyday Ethics 639
Factors to Teach the Patient 640
References 640
Suggested Readings 640
CHAPTER 37
NONSURGICAL PERIODONTAL
INSTRUMENTATION 641
The Scope of Nonsurgical Therapy 643
Preparation of the Clinician 643
Focus of Treatment 643
Aims and Expected Outcomes 644
Care Plan for Instrumentation 645
Overall Appointment Systems 645
Preparation for Instrumentation 647
Calculus Removal 648
Manual Subgingival Scaling Steps 650
Dental and Dental Hygiene Care 875
Appointment Scheduling 877
Barrier-Free Environment 877
Patient Reception: The Initial Appointment 879
Wheelchair Transfers 880
Patient Position and Stabilization 882
Oral Manifestations 883
Disease Prevention and Control 884
Dental Biofilm Removal 885
Self-Care Aids 886
Instruction for Caregiver 890
Fluorides 891
Pit and Fissure Sealants 892
Diet Instruction 892
Instrumentation 893
Group In-Service Education 895
Everyday Ethics 896
Factors to Teach Patient and Caregiver 897
References 897
Suggested Readings 897
CHAPTER 54
THE PATIENT WHO IS HOMEBOUND 899
Homebound Patients 899
Dental Hygiene Care and Instruction 901
The Unconscious Patient 905
The Terminally 111 Patient 907
Everyday Ethics 908
Factors to Teach the Patient 909
Factors to Teach the Caregiver ' 909
References 909
Suggested Readings 909
CHAPTER 55
THE PATIENT WITH A PHYSICAL
IMPAIRMENT 911
Spinal Cord Dysfunctions 912
Spinal Cord Injury 912
Myelomeningocele 917
Cerebrovascular Accident (Stroke) 918
Muscular Dystrophies 921
Myasthenia Gravis 922
Multiple Sclerosis 924
Cerebral Palsy 925
Bell's Palsy 928
Parkinson's Disease 929
Arthritis 929
Scleroderma (Progressive Systemic Sclerosis) 931
Kidney Disease 932
Everyday Ethics 933
Factors to Teach the Patient 934
References 934
Suggested Readings 935
CHAPTER 56
THE PATIENT WITH A SENSORY
DISABILITY 937
Americans win Disabilities Act 937
Visual Impairment 938
Hearing Impairment 941
Everyday Ethics 946
Factors to Teach the Patient 947
Reference 947
Suggested Readings 947
CHAPTER 57
FAMILY ABUSE AND NEGLECT 948
Child Maltreatment 949
Elder Maltreatment 952
Intimate Partner Abuse and Violence 953
Documentation 954
Reporting Maltreatment 954
Forensic Dentistry 955
Everyday Ethics 955
Factors to Teach the Patient 955
References 956
Suggested Readings 956
CHAPTER 58
THE PATIENT WITH A SEIZURE DISORDER 957
Epileptic Syndromes 958
Clinical Manifestations 960
Treatment 960
Oral Findings 962
Dental Hygiene Care Plan 965
Emergency Care 966
Everyday Ethics 967
Factors to Teach the Patient 967
References 967
Suggested Readings 968
CHAPTER 59
THE PATIENT WITH A MENTAL DISABILITY 969
Mental Retardation 970
Down Syndrome 974
Autistic Spectrum Disorder 975
Dental Hygiene Care 976
Everyday Ethics 977
Factors to Teach the Patient 977
Factors to Teach the Caregiver 978
References 978
Suggested Readings 980
CHAPTER 60
THE PATIENT WITH PSYCHIATRIC DISORDER 981
Schizophrenia 983
Mood Disorders 985
Major Depressive Disorder 985
Bipolar Disorder 986
Postpartum Mood Disturbances 988
Anxiety Disorders 988
Eating Disorders 990
Anorexia Nervosa 990
Bulimia Nervosa 992
Psychiatric Emergencies 993
Everyday Ethics 994
Factors to Teach the Patient 994
References 994
Suggested Readings 994
CHAPTER 61
THE PATIENT WITH A SUBSTANCE-RELATED
DISORDER 996
Alcohol-Related Disorders 998
Metabolism of Alcohol 1000
Health Hazards 1000
Fetal Alcohol Syndrome (FAS) 1001
Alcohol Withdrawal Syndrome 1002
Treatment for Alcoholism 1003
Prescription and Street Drugs 1004
Most Common Drugs of Abuse 1004
Treatment Methods 1008
Dental Hygiene Care 1008
Clinical Examination 1010
Clinical Treatment and Instruction 1012
Everyday Ethics 1013
Factors to Teach the Patient 1013
References 1013
Suggested Readings 1014
CHAPTER 62
THE PATIENT WITH A RESPIRATORY
DISEASE 1016
The Respiratory System 1018
Upper Respiratory Tract Diseases 1019
Lower Respiratory Tract Diseases 1021
Pneumonia 1021
Tuberculosis (TB) 1022
Asthma 1023
Chronic Obstructive Pulmonary Disease (COPD) 1025
Cystic Fibrosis 1027
Summary Guidelines for Dental Hygiene Care 1028
Everyday Ethics 1028
Factors to Teach the Patient 1028
References 1029
Suggested Readings 1030
CHAPTER 63
THE PATIENT WITH A CARDIOVASCULAR
DISEASE 1032
Classification 1034
Congenital Heart Diseases 1034
Rheumatic Heart Disease 1036
Mitral Valve Prolapse 1037
Infective Endocarditis 1037
Hypertension 1038
Hypertensive Heart Disease 1041
Ischemic Heart Disease 1041
Angina Pectoris 1042
Myocardial Infarction 1043
Congestive Heart Failure 1044
Basic Noninvasive Treatment 1045
Surgical Treatment 1045
Anticoagulant Therapy 1048
Cardiac Surgery 1048
Everyday Ethics 1049
Factors to Teach the Patient 1049
References 1050
Suggested Readings 1050
CHAPTER 64
THE PATIENT WITH A BLOOD DISORDER 1052
Oral Findings Suggestive of Blood Disorders 1053
Normal Blood 1054
Anemias 1057
Iron Deficiency Anemia 1058
Megaloblastic Anemias 1058
Sickle Cell Disease 1059
Polycythemias 1061
White Blood Cells 1061
Bleeding Disorders 1062
Coagulation Disorders 1062
Miscellaneous Treatment Suggestions for Dental
Professionals 1064
Everyday Ethics 1064
Factors to Teach the Patient 1065
References 1065
Suggested Readings 1065
CHAPTER 65
THE PATIENT WITH DIABETES MELLITUS 1067
Diabetes Mellitus 1069
Insulin 1069
Diabetes Mellitus Etiologic Classification 1071
Diagnosis of Diabetes 1074
Complications of Diabetes 1074
Medical Treatment and Modifications for Diabetes
Control 1075
Medications 1076
Pancreas Transplantation 1077
Blood Glucose Testing 1077
Oral Relationships 1079
Dental Hygiene Care Plan 1080
Everyday Ethics 1081
Factors to Teach the Patient 1081
Diabetes Insipidus 1083
References 1083
Suggested Readings 1083
CHAPTER 66
EMERGENCY CARE 1085
Prevention of Emergencies 1087
Patient Assessment 1087
Stress Minimization 1089
Emergency Materials and Preparation 1090
Basic Life Support 1094
Rescue Breathing 1096
External Chest Compressions 1097
Airway Obstruction 1101
Oxygen Administration 1102
Specific Emergencies 1103
Everyday Ethics 1110
Factors to Teach the Patient 1111
References 1111
Suggested Readings 1111
PREFIXES, SUFFIXES, AND COMBINING
FORMS 1113
APPENDIX I
AMERICAN DENTAL HYGIENISTS'
ASSOCIATION CODE OF ETHICS FOR DENTAL
HYGIENISTS 1117
APPENDIX II
CANADIAN DENTAL HYGIENISTS'
ASSOCIATION CODE OF ETHICS 1121
APPENDIX III
THE INTERNATIONAL FEDERATION OF
DENTAL HYGIENISTS'CODE OF ETHICS 1127
APPENDIX IV
GUIDELINES FOR INFECTION CONTROL IN
DENTAL HEALTH-CARE SETTINGS 2003 1129
APPENDIX V
AVERAGE MEASUREMENTS OF HUMAN
TEETH 1153
INDEX 1t55 |
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dewey-sort | 3617.6 11 |
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discipline | Medizin |
discipline_str_mv | Medizin |
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illustrated | Illustrated |
index_date | 2024-07-02T20:48:48Z |
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isbn | 9780781763226 0781763223 |
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physical | XVIII, 1197 S. Ill., graph. Darst. 1 CD-ROM (12 cm) |
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spelling | Wilkins, Esther M. Verfasser aut Clinical practice of the dental hygienist Esther M. Wilkins Dental hygienist 10. ed. Philadelphia [u.a.] Wolters Kluwer Health, Lippincott Williams & Wilkins 2009 XVIII, 1197 S. Ill., graph. Darst. 1 CD-ROM (12 cm) txt rdacontent n rdamedia nc rdacarrier From the Publisher: The cornerstone text of almost every dental hygienists library is now in its thoroughly updated Tenth Edition. Written in a straightforward, concise outline format, this text equips both students and practitioners with the clinical and educational skills needed for successful practice. Features include full-color artwork and photographs, case-based exercises, procedure boxes, and ethics boxes. The Tenth Edition presents the latest technical advances and research findings and includes a new chapter on teeth whitening. Dental Hygienists Outlines Dental Prophylaxis Outlines Dental hygiene Zahnpflege (DE-588)4067327-3 gnd rswk-swf Zahnpflege (DE-588)4067327-3 s DE-604 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016491204&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
spellingShingle | Wilkins, Esther M. Clinical practice of the dental hygienist Dental Hygienists Outlines Dental Prophylaxis Outlines Dental hygiene Zahnpflege (DE-588)4067327-3 gnd |
subject_GND | (DE-588)4067327-3 |
title | Clinical practice of the dental hygienist |
title_alt | Dental hygienist |
title_auth | Clinical practice of the dental hygienist |
title_exact_search | Clinical practice of the dental hygienist |
title_exact_search_txtP | Clinical practice of the dental hygienist |
title_full | Clinical practice of the dental hygienist Esther M. Wilkins |
title_fullStr | Clinical practice of the dental hygienist Esther M. Wilkins |
title_full_unstemmed | Clinical practice of the dental hygienist Esther M. Wilkins |
title_short | Clinical practice of the dental hygienist |
title_sort | clinical practice of the dental hygienist |
topic | Dental Hygienists Outlines Dental Prophylaxis Outlines Dental hygiene Zahnpflege (DE-588)4067327-3 gnd |
topic_facet | Dental Hygienists Outlines Dental Prophylaxis Outlines Dental hygiene Zahnpflege |
url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016491204&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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