Non-surgical control of periodontal diseases: a comprehensive handbook
Gespeichert in:
Hauptverfasser: | , , , |
---|---|
Format: | Buch |
Sprache: | English |
Veröffentlicht: |
Berlin ; Heidelberg
Springer Verlag
[2016]
|
Schlagworte: | |
Online-Zugang: | Inhaltstext Klappentext Inhaltsverzeichnis |
Beschreibung: | xviii, 216 Seiten Illustrationen 254 mm x 178 mm |
ISBN: | 3662466228 9783662466223 |
Internformat
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Datensatz im Suchindex
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adam_text |
Tills handbook has been designed for prac-
ticing dental clinicians and students, which
includes: dental hygienists, general dentists,
periodontists, and students of dental hygiene
and dentistry who are responsible for treat-
ing patients with a broad spectrum of perio-
dontal diseases. The book will enable prac-
ticing clinicians and students to successfully
meet the challenge of excellent patient care,
by providing, in a concise and simplified for-
mat, both classic and contemporary practical
measures that address all aspects of non-sur-
gical periodontal disease management.
Readers are carefully guided through an
extensive body of accumulated knowledge in
eight broad chapters, which includes: the
patient’s involvement in disease control and
prevention, the clinician s instrumentation
for the diagnosis and basic treatment of gin֊
givitis/periodontitis, pharmacotherapeutics,
and supportive maintenance therapy to
ensure long-term treatment success. Numer-
ous illustrations help to bring the presented
ideas and suggestions to life and the succinct
nature of the text will allow readers to trans-
fer useful information quickly to their clini-
cal settings.
Contents
1 Fundamentals. 1
1.1 Introduction. 1
1.2 Anatomy. 1
1.2.1 Gingival Anatomy with Respect
to Periodontal Diseases or Deformation. 1
1.2.2 Gingival and Tooth Anatomy with Respect
to Professional Hygiene Therapy. 5
1.2.3 Gingival and Tooth Anatomy with Respect
to Patient Hygiene Therapy. 9
1.2.4 Summary. 9
1.3 Periodontal Examination. 10
1.4 Diagnosis of Periodontal Diseases and Caries. 13
1.4.1 Gingivitis. 13
1.4.2 Periodontitis. 14
1.4.3 Peri-implant Mucositis. 15
1.4.4 Peri-implantitis. 16
1.4.5 Dental Caries. 16
1.4.6 Conclusion. 16
1.5 Etiology. 16
1.6 Prognosis. 17
1.7 Summary. 19
Further Reading. 19
2 Empowering Your Patients: From Compliance
to Concordance . 21
2.1 Introduction. 21
2.2 Motivation of the Dental Patient to Remove
Biofilm (Dental Plaque). 23
2.3 Assurance That the Techniques Patients Are Using
Are Effective and Correct. 26
2.4 Access: The Patient Must Be Able to Access
the Root for Plaque Removal. 26
2.4.1 Probing Depth. 27
2.4.2 Supra- and Subgingival Calculus, Rough Roots . 29
2.4.3 Tooth Anatomic Irregularities. 29
2.4.4 Gingival Morphologic Alterations. 29
2.4.5 Mai posed Teeth. 30
xj'ii
XIV
Contents
2.4.6 Orthodontic Appliances. 31
2.4.7 Defective Restorative Margins. 31
2.4.8 Provisional Fixed Restorations. 31
2.4.9 Tactile Root Sensitivity. 32
2.4.10 Improper Plaque Removal Techniques. 32
2.4.11 Improper Toothbrush Due to Bristle Stiffness,
Type of Bristle, or Design of Brush Head. 32
2.4.12 Defective Toothbrush Due to Wear. 33
2.4.13 Ineffectual Dental Floss Technique
or Floss Material. 34
2.4.14 Dental Implant Design. 34
2.4.15 Dental Implant-Supported Prostheses. 34
2.5 Summary. 35
Further Reading. 36
3 Methods of Plaque Removal by the Patient. 37
3.1 Detection of Dental Plaque with the Use
of Disclosing Agents. 37
3.2 Bleeding on Probing (BOP). 40
3.3 Using BOP for Motivation. 42
3.4 Supra-and Subgingival Calculus. 43
3.4.1 Calculus. 43
3.4.2 Attachment of Calculus to the Tooth Surface. 43
3.5 Detection of Supragingival Calculus
Including Instruments, Materials, and Techniques. 45
3.5.1 Supragingival Calculus Detection. 45
3.5.2 Subgingival Calculus Detection. 45
3.6 Toothbrushes: Manual. 45
3.7 Toothbrushes: Power. 48
3.8 Tooth Brushing Techniques: Hand Brush. 49
3.8.1 The Bass Technique (ВТ). 51
3.8.2 The Modified Bass Technique (МВТ). 52
3.8.3 The Stationary Bristle Technique (SBT). 52
3.8.4 The Stillman’s Technique (ST). 55
3.9 Tooth Brushing Techniques: Power Brush. 56
3.10 Hand and Power Tooth Brushing
with Fixed Orthodontic Appliances. 56
3.11 Conclusion: Tooth Brushing. 57
3.12 Interproximal Plaque Removal. 57
3.12.1 Dental Floss/Tape. 57
3.13 An Effective Technique for Flossing. 59
3.14 Interproximal Brushes. 60
3.15 Other Interproximal Cleaning Devices. 62
3.15.1 Rubber Tips. 62
3.15.2 Floss Threaders. 62
3.15.3 Toothpick-Type Devices. 63
3.15.4 Other Means of Reducing Oral Bacteria. 64
3.16 Summary. 68
Further Reading. 69
Contents
XV
4 Patient Examination and Assessment. 71
4.1 Preparation for Patient Encounter: Operatory,
Instrument, and Materials Arrangement. 71
4.1 Л Patient/Provider Positioning
and Operator Visibility. 71
4.2 Patient Interview and Initial Examination. 77
4.2.1 The Patient’s Chief Complaint. 77
4.2.2 Patient’s Expectations. 77
4.2.3 Baseline Vitals. 77
4.2.4 Medical/Social History. 78
4.2.5 Dental History. 78
4.2.6 Daily Oral Hygiene Habits. 79
4.2.7 Oral Habits. 79
4.2.8 Extraoral Exam. 79
4.2.9 Intraoral Soft Tissue Examination. 80
4.2.10 Gingival Tissue Evaluation. 81
4.3 Periodontal Charting. 82
4.3.1 Probing Depth Measurements. 82
4.3.2 Bleeding on Probing. 86
4.3.3 Recession Measurement. 87
4.3.4 Amount of Attached Gingiva. 90
4.3.5 Mucogingival Deformities. 92
4.3.6 Tooth Mobility. 93
4.3.7 Fremitus. 93
4.3.8 Furcation Involvement. 94
4.3.9 Calculus Detection. 95
4.3.10 Plaque. 96
4.3.11 Gingival Index. 98
4.4 Radiographic Interpretation. 99
4.4.1 Intraoral Radiographs. 99
4.4.2 Extraoral Radiographs. 100
4.4.3 Characteristics of an Acceptable Radiograph. 102
4.4.4 Analysis and Interpretation
of Completed Radiographs. 102
4.4.5 Radiographic Changes in Periodontal Disease. 103
4.4.6 Additional Periodontal Documentation. 104
4.5 Summary. 104
Further Reading. 105
5 Instrumentation for Diagnosis and Basic
Treatment of Gingivitis/Periodontitis. 107
5.1 Principles for Proper Use of Periodontal
Instrumentation. 107
5.1.1 Grasp. 107
5.1.2 Wrist Position. 107
5.1.3 Fulcrum (Finger Rest Position). 107
5.1.4 Adaptation. 109
5.1.5 Angulation. 109
XVI
Contents
5.1.6 Lateral Pressure. 109
5.1.7 Strokes (Activation of the Instrument). 110
5.2 Periodontal Instrumentation: Armamentarium. 110
5.2.1 Classification of Periodontal Instruments. 110
5.2.2 Introduction to Periodontal Instruments. 110
5.3 Diagnostic Instruments. Ill
5.3.1 Dental Mirror or Mouth Mirror. Ill
5.3.2 Air/Water Syringe. 112
5.3.3 Periodontal Probes. 112
5.3.4 Periodontal Probing: What Is Its Value?. 113
5.3.5 The Ten Critical Applications
of the Periodontal Probe. 113
5.3.6 Functions of the Periodontal Probe. 113
5.3.7 Automated Periodontal Probes. 113
5.3.8 Explorers. 113
5.4 Periodontal Hand Instrumentation. 114
5.4.1 Scalers. 114
5.4.2 Curettes. 116
5.4.3 Comparison of the Working Edges of: Universal
Scalers, Universal Curettes, and Gracey Curettes . 119
5.5 Adjunctive Hand Instruments. 119
5.6 Power Instrumentation. 120
5.6.1 Sonic, Magnetostrictive Ultrasonic,
and Piezoelectric Instruments. 120
5.6.2 Advantages and Disadvantages
of Power Instruments. 122
5.7 Polishing Instruments. 123
5.7.1 Rubber Cup. 123
5.7.2 Air-Powder Polishing. 124
5.8 Instrument Sharpening. 125
5.8.1 Instrument Sharpening Theory. 125
5.8.2 Sharpening Techniques for Hand Instruments. 127
5.9 Summary. 130
Further Reading. 131
6 Therapy. 133
6.1 Phasing of Therapy. 133
6.1.1 Advantages of Phasing Treatment Plans. 133
6.1.2 Phase I Therapy. 134
6.1.3 Phase II Therapy. 139
6.1.4 Phase III Therapy. 140
6.1.5 Phase IV Therapy (see Chap. 8). 140
6.2 Clinical Treatment. 140
6.2.1 The Rationale for Dental Prophylaxis
and Scaling and Root Planing Procedures. 140
6.2.2 Scaling. 140
6.2.3 Root Planing. 141
6.2.4 Gingival Curettage: Coincidental vs. Closed. 142
Contents
XVI!
6.3 Patient Management Protocol for the Dental
Prophylaxis Procedure. 144
6.3.1 Patient Management Protocol for the Scaling
and Root Planing Procedure. 147
6.3.2 Therapy Choices for Specific Clinical Situations . 150
6.3.3 Summary. 151
6.4 Local Anesthesia Necessary for Scaling
and Root Planing. 151
6.4.1 Anatomy for Periodontal Local Anesthesia. 151
6.4.2 Non-injectable Topical Anesthesia. 152
6.4.3 Injectable Local Anesthesia. 152
6.4.4 Injection Techniques. 154
6.4.5 Used for Both Maxillary and Mandibular
Anesthesia. 154
6.4.6 Summary. 159
6.5 Treatment of Dentinal Hypersensitivity Associated
with Periodontal Therapy. 160
6.5.1 Etiology and Treatment Options. 160
6.6 Treatment Modalities for Dentinal Hypersensitivity. 160
6.6.1 Treatment Recommendations. 161
6.6.2 Summary. 161
Further Reading. 162 7
7 Adjunctive Therapy. 163
7.1 Pharmacotherapeutics. 163
7.1.1 Introduction. 163
7.1.2 Systemic Antibiotics. 163
7.1.3 Local Delivery Antibiotic Therapy. 164
7.1.4 Conclusions. 165
7.2 The Importance of Smoking Cessation. 166
7.2.1 Introduction. 166
7.2.2 The Systemic Impact of Tobacco Use. 166
7.2.3 The Dental Implications of Tobacco Use. 167
7.2.4 The Role of the Dental Practitioner
in Smoking Cessation. 167
7.2.5 Pharmacological Therapies
for Smoking Cessation. 168
7.2.6 E-Cigarettes and Electronic Nicotine
Delivery Systems (ENDS). 168
7.2.7 Smoking Cessation Counseling and Referrals. 168
7.2.8 Five Major Steps to Intervention (The “5 As”). 168
7.2.9 Stages of Readiness. 169
7.3 Laser Therapy. 169
7.4 Oral Bacterial Culturing and Sensitivity Testing. 170
7.5 DNA Probe Sampling. 171
7.6 Periodontal Endoscope. 171
Further Reading. 171
Contents
xviii
8 Maintenance Therapy/Necessary for Long-Term Success . 175
8.1 Introduction. 175
8.1.1 The Maintenance Therapy Program. 175
8.2 Getting Started. 176
8.2.1 High-Risk Patients. 176
8.3 Treatment Principles Regarding the Prevention
of Gingivitis and Periodontitis. 176
8.4 Basic Features of a Structured Maintenance
Therapy Program. 177
8.4.1 Guidelines for Evaluation: What Are
the Key Signs to Look for in Early Disease?. 177
8.5 The Maintenance Therapy Appointment:
The Basic Protocol. 178
8.6 Implant Maintenance. 179
8.6.1 Anatomy of a Dental Implant
and its Supporting Prosthesis. 179
8.6.2 Evaluation of Implant Health. 179
8.6.3 Instrumentation of Dental Implants. 181
8.6.4 Protocol for Home Care for Patients. 183
8.7 Knowing Your Diagnostic Goals. 185
8.8 Knowing the Treatment Goal of Periodontal Therapy. 186
8.9 Knowing the Psychological Difficulties
Associated with the Maintenance Therapy Program. 187
8.10 Understanding Anatomic Realities: The Degree
of Attachment Loss and the Presence of Pockets. 188
8.11 Extending the Vision of Success: Does Maintenance
Therapy Work?. 190
8.12 The Challenge of Compliance. 191
Further Reading. 192
9 Concluding Statement. 195
Further Reading. 195
Appendix A: American Academy of Periodontology Classification
of Periodontal Diseases. 197
Appendix B: Antibiotic Prophylaxis Guidelines. 201
Appendix C: Treating Tobacco Use: Pharmacological Therapy. 203
Appendix D: Fagerström Test. 205
Appendix E: Sample Patient Brochure Describing the Maintenance
Therapy Program. 207
Index. 209 |
any_adam_object | 1 |
author | Levi, Paul A. Rudy, Robert J. Jeong, Y. Natalie Coleman, Daniel K. |
author_facet | Levi, Paul A. Rudy, Robert J. Jeong, Y. Natalie Coleman, Daniel K. |
author_role | aut aut aut aut |
author_sort | Levi, Paul A. |
author_variant | p a l pa pal r j r rj rjr y n j yn ynj d k c dk dkc |
building | Verbundindex |
bvnumber | BV042688262 |
classification_rvk | YP 3803 |
ctrlnum | (OCoLC)952750664 (DE-599)DNB1066948429 |
discipline | Medizin |
format | Book |
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id | DE-604.BV042688262 |
illustrated | Illustrated |
indexdate | 2024-08-03T02:32:01Z |
institution | BVB |
isbn | 3662466228 9783662466223 |
language | English |
oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-028119977 |
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physical | xviii, 216 Seiten Illustrationen 254 mm x 178 mm |
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publishDateSort | 2016 |
publisher | Springer Verlag |
record_format | marc |
spelling | Levi, Paul A. Verfasser aut Non-surgical control of periodontal diseases a comprehensive handbook Paul A. Levi, jr., Robert J. Rudy, Y. Natalie Jeong, Daniel K. Coleman Berlin ; Heidelberg Springer Verlag [2016] 2016 xviii, 216 Seiten Illustrationen 254 mm x 178 mm txt rdacontent n rdamedia nc rdacarrier Therapie (DE-588)4059798-2 gnd rswk-swf Parodontopathie (DE-588)4044724-8 gnd rswk-swf Mixed media product Periodontal Debridement Periodontal Instrumentation Periodontal Therapeutics Non-Surgical Periodontal Therapy Scaling and Root Planning Periodontal Pharmacotherapeutics Parodontopathie (DE-588)4044724-8 s Therapie (DE-588)4059798-2 s DE-604 Rudy, Robert J. Verfasser aut Jeong, Y. Natalie Verfasser aut Coleman, Daniel K. Verfasser aut Erscheint auch als Online-Ausgabe 978-3-662-46623-0 X:MVB text/html http://deposit.dnb.de/cgi-bin/dokserv?id=5151472&prov=M&dok_var=1&dok_ext=htm Inhaltstext Digitalisierung UB Regensburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=028119977&sequence=000003&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Klappentext Digitalisierung UB Regensburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=028119977&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
spellingShingle | Levi, Paul A. Rudy, Robert J. Jeong, Y. Natalie Coleman, Daniel K. Non-surgical control of periodontal diseases a comprehensive handbook Therapie (DE-588)4059798-2 gnd Parodontopathie (DE-588)4044724-8 gnd |
subject_GND | (DE-588)4059798-2 (DE-588)4044724-8 |
title | Non-surgical control of periodontal diseases a comprehensive handbook |
title_auth | Non-surgical control of periodontal diseases a comprehensive handbook |
title_exact_search | Non-surgical control of periodontal diseases a comprehensive handbook |
title_full | Non-surgical control of periodontal diseases a comprehensive handbook Paul A. Levi, jr., Robert J. Rudy, Y. Natalie Jeong, Daniel K. Coleman |
title_fullStr | Non-surgical control of periodontal diseases a comprehensive handbook Paul A. Levi, jr., Robert J. Rudy, Y. Natalie Jeong, Daniel K. Coleman |
title_full_unstemmed | Non-surgical control of periodontal diseases a comprehensive handbook Paul A. Levi, jr., Robert J. Rudy, Y. Natalie Jeong, Daniel K. Coleman |
title_short | Non-surgical control of periodontal diseases |
title_sort | non surgical control of periodontal diseases a comprehensive handbook |
title_sub | a comprehensive handbook |
topic | Therapie (DE-588)4059798-2 gnd Parodontopathie (DE-588)4044724-8 gnd |
topic_facet | Therapie Parodontopathie |
url | http://deposit.dnb.de/cgi-bin/dokserv?id=5151472&prov=M&dok_var=1&dok_ext=htm http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=028119977&sequence=000003&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=028119977&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA |
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