Clinical Textbook of Dental Hygiene and Therapy
Herausgegeben von Noble, Suzanne
Clinical Textbook of Dental Hygiene and Therapy
Herausgegeben von Noble, Suzanne
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Fully revised and updated to reflect changes in clinical practice, legislation and regulation, this groundbreaking textbook intertwines the subjects of dental hygiene and dental therapy to provide a comprehensive resource for students of these courses, as well as those studying new degree programmes in oral health science. The Clinical Textbook of Dental Hygiene and Therapy is designed as a dedicated companion text for these disciplines and should enable students to streamline their primary reading. Following course developments and an expansion in the remits of both hygienists and therapists,…mehr
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Fully revised and updated to reflect changes in clinical practice, legislation and regulation, this groundbreaking textbook intertwines the subjects of dental hygiene and dental therapy to provide a comprehensive resource for students of these courses, as well as those studying new degree programmes in oral health science. The Clinical Textbook of Dental Hygiene and Therapy is designed as a dedicated companion text for these disciplines and should enable students to streamline their primary reading. Following course developments and an expansion in the remits of both hygienists and therapists, this book is written not only for students, but also as a revision aid for those already in practice. Interactive questions on a companion website allow the reader to test their knowledge and understanding.
The opening section of the book is dedicated to relevant oral sciences: anatomy; histology; embryology; oral medicine and pathology. The clinical section contains fourteen chapters which provide coverage of the core syllabus for dental hygiene and therapy. The final section is dedicated to primary dental care services and law, ethics and professionalism.
FEATURES
Provides unique combined coverage of the subjects of dental hygiene and dental therapy
Emphasises the clinical domain and reflects role expansion
Highly illustrated in full colour throughout
Includes expert contributions from dental hygienists, therapists, and dentists
Dedicated companion website at www.wiley.com/go/noble/dentalhygiene
Hinweis: Dieser Artikel kann nur an eine deutsche Lieferadresse ausgeliefert werden.
The opening section of the book is dedicated to relevant oral sciences: anatomy; histology; embryology; oral medicine and pathology. The clinical section contains fourteen chapters which provide coverage of the core syllabus for dental hygiene and therapy. The final section is dedicated to primary dental care services and law, ethics and professionalism.
FEATURES
Provides unique combined coverage of the subjects of dental hygiene and dental therapy
Emphasises the clinical domain and reflects role expansion
Highly illustrated in full colour throughout
Includes expert contributions from dental hygienists, therapists, and dentists
Dedicated companion website at www.wiley.com/go/noble/dentalhygiene
Hinweis: Dieser Artikel kann nur an eine deutsche Lieferadresse ausgeliefert werden.
Produktdetails
- Produktdetails
- Verlag: Wiley & Sons
- Artikelnr. des Verlages: 1A470658370
- 1. Auflage
- Seitenzahl: 432
- Erscheinungstermin: 13. April 2012
- Englisch
- Abmessung: 277mm x 218mm x 23mm
- Gewicht: 1230g
- ISBN-13: 9780470658376
- ISBN-10: 0470658371
- Artikelnr.: 35046627
- Verlag: Wiley & Sons
- Artikelnr. des Verlages: 1A470658370
- 1. Auflage
- Seitenzahl: 432
- Erscheinungstermin: 13. April 2012
- Englisch
- Abmessung: 277mm x 218mm x 23mm
- Gewicht: 1230g
- ISBN-13: 9780470658376
- ISBN-10: 0470658371
- Artikelnr.: 35046627
Suzanne L. Noble BDS, MFGDP, MDentSci, is Director of the Birmingham School of Dental Hygiene & Therapy, The University of Birmingham
Author biographies ix Preface xv Acknowledgements xvi Section 1 Core Basic
Science 1 1 Oral embryology, histology and anatomy 3 Sheila Phillips
Introduction 3 Oral embryology 3 Early tooth development 4 Development of
the dental tissues 5 Histology of oral tissues 8 Histology of dental
tissues 11 Oral anatomy 15 Anatomy of the oral cavity 20 Tooth morphology
26 2 General pathology 32 Henk S. Brand and Arjan Vissink Introduction 32
Inflammation and immunity 32 Wound healing 38 Hyperplasia, hypertrophy and
atrophy 39 Neoplasia 41 Haemostasis 46 Atherosclerosis 48 Cardiac disease
49 Hypertension 51 3 Oral medicine and pathology 53 Paula Farthing
Introduction 53 Viral infections 53 Oral ulceration 54 White patches and
premalignant lesions of the oral mucosa 56 Oral cancer 58 Soft tissue
swellings of the oral mucosa 60 Cysts of the jaws 62 Conditions of the
salivary glands 64 Oral manifestations of systemic disease 65 Common causes
of facial pain 66 Disorders of the temporomandibular joint 67 Developmental
tooth anomalies 67 Tooth wear 70 4 Dental caries and pulpitis 72 Avijit
Banerjee and Naveen Karir Introduction 72 Aetiology and microbiology of
dental caries in relation to dental plaque 72 The epidemiology of caries 79
Features of enamel, dentine and root caries 80 Diagnostic methods for
dental caries 83 Non-surgical management of dental caries 86 Surgical
management of dental caries 86 The histopathology of pulpitis 88 Abscess
formation 88 Section 2 Clinical 91 5 The periodontium, tooth deposits and
periodontal diseases 93 Philip R. Greene and Maggie Jackson Introduction 93
The normal periodontium 93 The classification of periodontal disease 96
Chronic gingivitis 96 Chronic periodontitis 98 Aggressive periodontitis 100
Histopathology of periodontal diseases 101 Gingival recession 102 Acute
periodontal conditions 102 Microbiological aspects of periodontal disease
104 Principles of periodontal examination 105 Treatment of chronic
periodontitis 111 Conclusion 123 6 Oral health education and promotion 125
Jane M. Pratt Introduction 125 Meaning of health 126 Defining health
education and health promotion 126 Promotion of oral health 127
Considerations while planning health education and health promotion 130
Planning a teaching session 133 Oral health promotion/education examples
136 Conclusion 138 7 Diet and nutrition 139 Suzanne L. Noble Introduction
139 The relationship between diet and disease 139 The current national
dietary recommendations 140 Dietary requirements of groups with special
needs 145 The effect of ethnicity and culture on nutrition 147 Dietary
needs in specific states of disease 147 The principles behind the dietary
control of dental caries 147 Classification of sugars in relation to dental
caries 149 Alternative sweeteners 151 The relationship between diet and
erosion 152 The relationship of diet to periodontal diseases 153 The role
of the dental hygienist/therapist in dietary advice and counselling 155 8
Microbiology and infection prevention and control 158 Mary J. O'Donnell,
Denise MacCarthy and David C. Coleman Introduction 158 Requirement for a
formal infection prevention and control policy 158 Microorganisms 159
Immunisation 161 Standard precautions 162 Hand hygiene 162 Aseptic
techniques 164 Protective clothing 164 Processing and handling of dental
instruments 166 Surgery design 170 General surface cleaning and
disinfection 171 Waste management 171 The dental chair unit as a vehicle
for cross-contamination and cross-infection 172 The dental laboratory 176
Diagnostic specimens 177 9 Materials in restorative dentistry 181 Paul
Franklin and Paul Brunton Introduction 181 Amalgam 181 Resin composite 183
Glass ionomer cements 187 Cermets 191 Compomers 191 Materials for the
protection of fissures 192 Adhesion to tooth substance 192 Pulp protection
regimes 195 Temporary dressing materials 196 Impression materials 197 Key
points 198 10 Pharmacology and pain control 199 Margaret Kellett
Introduction 199 Prescribing regulations and the use of the BNF 199 The use
of antibiotics and antimicrobials in dentistry 201 The use of analgesics in
dentistry 204 The relevance of other drugs that may affect oral health and
dental treatment 205 Local analgesic agents 208 Techniques for local
analgesia 209 Difficulties, complications and emergencies that can be
associated with local analgesia 214 Equipment used in dental local
analgesia 216 Conclusions 218 11 Preventive dentistry 219 Sarah Murray and
Baldeesh Chana Introduction 219 Definitions of prevention 219 Prevention of
periodontal disease 221 Prevention of caries 224 Fluoride 225 Fissure
sealants 229 Life-long prevention 231 Prevention for persons with special
needs 232 Prevention and implantology 233 Oral cancer screening 235 Alcohol
abuse 236 Smoking cessation 237 Smoking habits 237 Illegal drug abuse 240
The primary health care team 241 12 Paediatric dentistry 244 Sharon M.G.
Lee and George T.R. Lee Introduction 244 Dental development 244 Tooth
notation 244 Tooth eruption 245 Morphological differences between primary
and permanent teeth 245 Disruption in the number of teeth 245 Disruption of
tooth form 246 Abnormalities of tooth structure 247 Dental caries 248 Tooth
wear in children 253 Treatment of dental caries in the primary dentition
254 Soft tissue problems in children 260 Anxiety and pain control 262
Trauma in children 267 13 Adult restorative dentistry 269 Ann C. Shearer
Introduction: the importance of the treatment plan 269 Charting the adult
dentition 270 Classification of cavities 270 Preparation of cavities 272
Pulp protection 276 Moisture control 277 Direct restoratives: clinical
properties, handling and placement 279 Polishing and finishing restorations
288 Replacing and repairing restorations 288 Temporary restorative
materials and their placement 289 Temporary crowns 289 The clinical aspects
of taking impressions 290 The management of discoloured teeth 290 The
management of tooth wear 291 Management of trauma 293 The principles of
advanced restorative care 293 Care of instruments and handpieces 296 The
ergonomic environment 297 Management of anxiety 297 14 Exodontia 299 Hazel
J. Fraser Introduction 299 Indications for tooth extraction 299
Contraindications for tooth extraction 300 Relevant anatomical structures
300 Preparation of the patient 300 Obtaining local analgesia 301 Clinical
assessment 301 Extraction instruments 302 Extraction technique 304
Postoperative care 307 Complications of exodontia 307 15 Gerodontology 311
Fiona Sandom Introduction 311 Physiological age changes 311 Pathological
change 314 Nutritional disturbance 318 The dentate elderly 318 Domiciliary
care 318 Treatment of the terminally ill 321 16 Medical emergencies and
their management 325 Lesley Longman and Colette Balmer Introduction 325
Management considerations 325 The role of the hygienist/therapist 327
Avoidance of a medical emergency 327 Assessment of the sick patient using
the 'ABCDE' approach 329 Medical emergencies 330 Patient discharge 345
Conclusion 346 17 Health and safety at work 347 Hilary R. Samways
Introduction 347 Working environment 347 Materials 348 Equipment 348 First
aid 350 Waste disposal 350 Accident book 351 Fire prevention 352 Radiation
protection 353 Personal protection 354 Clinical governance 359 Risk
assessment 359 18 Complementary and alternative medicine 361 Philip Wander
Introduction 361 Acupuncture 362 Herbalism 363 Aromatherapy 363
Chiropractic 364 Osteopathy 364 Hypnosis 364 Homeopathy 365 Biological
medicine for the twenty-first century 369 Section 3 Non-clinical 371 19
Primary care services 373 Sara Holmes and Leanna Wynne Introduction 373 The
framework of UK primary dental care service provision 374 The provision of
NHS dental services 374 The primary dental care team 376 The public health
agenda and an introduction to epidemiology 379 Summary 382 20 Law, ethics
and professionalism 383 Hew Matthewson Introduction 383 Regulation of
dental practice 383 Professional duties and obligations towards patients
385 Patient consent to treatment 388 Relationships with professional
colleagues 390 Relationships with the public 391 Clinical governance 392
Employment law 394 Sources of advice 394 Index 396 Companion Website This
book is accompanied by a website: www.wiley.com/go/noble/dentalhygiene The
website includes: * Multiple Choice Questions * Figures from the book
Science 1 1 Oral embryology, histology and anatomy 3 Sheila Phillips
Introduction 3 Oral embryology 3 Early tooth development 4 Development of
the dental tissues 5 Histology of oral tissues 8 Histology of dental
tissues 11 Oral anatomy 15 Anatomy of the oral cavity 20 Tooth morphology
26 2 General pathology 32 Henk S. Brand and Arjan Vissink Introduction 32
Inflammation and immunity 32 Wound healing 38 Hyperplasia, hypertrophy and
atrophy 39 Neoplasia 41 Haemostasis 46 Atherosclerosis 48 Cardiac disease
49 Hypertension 51 3 Oral medicine and pathology 53 Paula Farthing
Introduction 53 Viral infections 53 Oral ulceration 54 White patches and
premalignant lesions of the oral mucosa 56 Oral cancer 58 Soft tissue
swellings of the oral mucosa 60 Cysts of the jaws 62 Conditions of the
salivary glands 64 Oral manifestations of systemic disease 65 Common causes
of facial pain 66 Disorders of the temporomandibular joint 67 Developmental
tooth anomalies 67 Tooth wear 70 4 Dental caries and pulpitis 72 Avijit
Banerjee and Naveen Karir Introduction 72 Aetiology and microbiology of
dental caries in relation to dental plaque 72 The epidemiology of caries 79
Features of enamel, dentine and root caries 80 Diagnostic methods for
dental caries 83 Non-surgical management of dental caries 86 Surgical
management of dental caries 86 The histopathology of pulpitis 88 Abscess
formation 88 Section 2 Clinical 91 5 The periodontium, tooth deposits and
periodontal diseases 93 Philip R. Greene and Maggie Jackson Introduction 93
The normal periodontium 93 The classification of periodontal disease 96
Chronic gingivitis 96 Chronic periodontitis 98 Aggressive periodontitis 100
Histopathology of periodontal diseases 101 Gingival recession 102 Acute
periodontal conditions 102 Microbiological aspects of periodontal disease
104 Principles of periodontal examination 105 Treatment of chronic
periodontitis 111 Conclusion 123 6 Oral health education and promotion 125
Jane M. Pratt Introduction 125 Meaning of health 126 Defining health
education and health promotion 126 Promotion of oral health 127
Considerations while planning health education and health promotion 130
Planning a teaching session 133 Oral health promotion/education examples
136 Conclusion 138 7 Diet and nutrition 139 Suzanne L. Noble Introduction
139 The relationship between diet and disease 139 The current national
dietary recommendations 140 Dietary requirements of groups with special
needs 145 The effect of ethnicity and culture on nutrition 147 Dietary
needs in specific states of disease 147 The principles behind the dietary
control of dental caries 147 Classification of sugars in relation to dental
caries 149 Alternative sweeteners 151 The relationship between diet and
erosion 152 The relationship of diet to periodontal diseases 153 The role
of the dental hygienist/therapist in dietary advice and counselling 155 8
Microbiology and infection prevention and control 158 Mary J. O'Donnell,
Denise MacCarthy and David C. Coleman Introduction 158 Requirement for a
formal infection prevention and control policy 158 Microorganisms 159
Immunisation 161 Standard precautions 162 Hand hygiene 162 Aseptic
techniques 164 Protective clothing 164 Processing and handling of dental
instruments 166 Surgery design 170 General surface cleaning and
disinfection 171 Waste management 171 The dental chair unit as a vehicle
for cross-contamination and cross-infection 172 The dental laboratory 176
Diagnostic specimens 177 9 Materials in restorative dentistry 181 Paul
Franklin and Paul Brunton Introduction 181 Amalgam 181 Resin composite 183
Glass ionomer cements 187 Cermets 191 Compomers 191 Materials for the
protection of fissures 192 Adhesion to tooth substance 192 Pulp protection
regimes 195 Temporary dressing materials 196 Impression materials 197 Key
points 198 10 Pharmacology and pain control 199 Margaret Kellett
Introduction 199 Prescribing regulations and the use of the BNF 199 The use
of antibiotics and antimicrobials in dentistry 201 The use of analgesics in
dentistry 204 The relevance of other drugs that may affect oral health and
dental treatment 205 Local analgesic agents 208 Techniques for local
analgesia 209 Difficulties, complications and emergencies that can be
associated with local analgesia 214 Equipment used in dental local
analgesia 216 Conclusions 218 11 Preventive dentistry 219 Sarah Murray and
Baldeesh Chana Introduction 219 Definitions of prevention 219 Prevention of
periodontal disease 221 Prevention of caries 224 Fluoride 225 Fissure
sealants 229 Life-long prevention 231 Prevention for persons with special
needs 232 Prevention and implantology 233 Oral cancer screening 235 Alcohol
abuse 236 Smoking cessation 237 Smoking habits 237 Illegal drug abuse 240
The primary health care team 241 12 Paediatric dentistry 244 Sharon M.G.
Lee and George T.R. Lee Introduction 244 Dental development 244 Tooth
notation 244 Tooth eruption 245 Morphological differences between primary
and permanent teeth 245 Disruption in the number of teeth 245 Disruption of
tooth form 246 Abnormalities of tooth structure 247 Dental caries 248 Tooth
wear in children 253 Treatment of dental caries in the primary dentition
254 Soft tissue problems in children 260 Anxiety and pain control 262
Trauma in children 267 13 Adult restorative dentistry 269 Ann C. Shearer
Introduction: the importance of the treatment plan 269 Charting the adult
dentition 270 Classification of cavities 270 Preparation of cavities 272
Pulp protection 276 Moisture control 277 Direct restoratives: clinical
properties, handling and placement 279 Polishing and finishing restorations
288 Replacing and repairing restorations 288 Temporary restorative
materials and their placement 289 Temporary crowns 289 The clinical aspects
of taking impressions 290 The management of discoloured teeth 290 The
management of tooth wear 291 Management of trauma 293 The principles of
advanced restorative care 293 Care of instruments and handpieces 296 The
ergonomic environment 297 Management of anxiety 297 14 Exodontia 299 Hazel
J. Fraser Introduction 299 Indications for tooth extraction 299
Contraindications for tooth extraction 300 Relevant anatomical structures
300 Preparation of the patient 300 Obtaining local analgesia 301 Clinical
assessment 301 Extraction instruments 302 Extraction technique 304
Postoperative care 307 Complications of exodontia 307 15 Gerodontology 311
Fiona Sandom Introduction 311 Physiological age changes 311 Pathological
change 314 Nutritional disturbance 318 The dentate elderly 318 Domiciliary
care 318 Treatment of the terminally ill 321 16 Medical emergencies and
their management 325 Lesley Longman and Colette Balmer Introduction 325
Management considerations 325 The role of the hygienist/therapist 327
Avoidance of a medical emergency 327 Assessment of the sick patient using
the 'ABCDE' approach 329 Medical emergencies 330 Patient discharge 345
Conclusion 346 17 Health and safety at work 347 Hilary R. Samways
Introduction 347 Working environment 347 Materials 348 Equipment 348 First
aid 350 Waste disposal 350 Accident book 351 Fire prevention 352 Radiation
protection 353 Personal protection 354 Clinical governance 359 Risk
assessment 359 18 Complementary and alternative medicine 361 Philip Wander
Introduction 361 Acupuncture 362 Herbalism 363 Aromatherapy 363
Chiropractic 364 Osteopathy 364 Hypnosis 364 Homeopathy 365 Biological
medicine for the twenty-first century 369 Section 3 Non-clinical 371 19
Primary care services 373 Sara Holmes and Leanna Wynne Introduction 373 The
framework of UK primary dental care service provision 374 The provision of
NHS dental services 374 The primary dental care team 376 The public health
agenda and an introduction to epidemiology 379 Summary 382 20 Law, ethics
and professionalism 383 Hew Matthewson Introduction 383 Regulation of
dental practice 383 Professional duties and obligations towards patients
385 Patient consent to treatment 388 Relationships with professional
colleagues 390 Relationships with the public 391 Clinical governance 392
Employment law 394 Sources of advice 394 Index 396 Companion Website This
book is accompanied by a website: www.wiley.com/go/noble/dentalhygiene The
website includes: * Multiple Choice Questions * Figures from the book
Author biographies ix Preface xv Acknowledgements xvi Section 1 Core Basic
Science 1 1 Oral embryology, histology and anatomy 3 Sheila Phillips
Introduction 3 Oral embryology 3 Early tooth development 4 Development of
the dental tissues 5 Histology of oral tissues 8 Histology of dental
tissues 11 Oral anatomy 15 Anatomy of the oral cavity 20 Tooth morphology
26 2 General pathology 32 Henk S. Brand and Arjan Vissink Introduction 32
Inflammation and immunity 32 Wound healing 38 Hyperplasia, hypertrophy and
atrophy 39 Neoplasia 41 Haemostasis 46 Atherosclerosis 48 Cardiac disease
49 Hypertension 51 3 Oral medicine and pathology 53 Paula Farthing
Introduction 53 Viral infections 53 Oral ulceration 54 White patches and
premalignant lesions of the oral mucosa 56 Oral cancer 58 Soft tissue
swellings of the oral mucosa 60 Cysts of the jaws 62 Conditions of the
salivary glands 64 Oral manifestations of systemic disease 65 Common causes
of facial pain 66 Disorders of the temporomandibular joint 67 Developmental
tooth anomalies 67 Tooth wear 70 4 Dental caries and pulpitis 72 Avijit
Banerjee and Naveen Karir Introduction 72 Aetiology and microbiology of
dental caries in relation to dental plaque 72 The epidemiology of caries 79
Features of enamel, dentine and root caries 80 Diagnostic methods for
dental caries 83 Non-surgical management of dental caries 86 Surgical
management of dental caries 86 The histopathology of pulpitis 88 Abscess
formation 88 Section 2 Clinical 91 5 The periodontium, tooth deposits and
periodontal diseases 93 Philip R. Greene and Maggie Jackson Introduction 93
The normal periodontium 93 The classification of periodontal disease 96
Chronic gingivitis 96 Chronic periodontitis 98 Aggressive periodontitis 100
Histopathology of periodontal diseases 101 Gingival recession 102 Acute
periodontal conditions 102 Microbiological aspects of periodontal disease
104 Principles of periodontal examination 105 Treatment of chronic
periodontitis 111 Conclusion 123 6 Oral health education and promotion 125
Jane M. Pratt Introduction 125 Meaning of health 126 Defining health
education and health promotion 126 Promotion of oral health 127
Considerations while planning health education and health promotion 130
Planning a teaching session 133 Oral health promotion/education examples
136 Conclusion 138 7 Diet and nutrition 139 Suzanne L. Noble Introduction
139 The relationship between diet and disease 139 The current national
dietary recommendations 140 Dietary requirements of groups with special
needs 145 The effect of ethnicity and culture on nutrition 147 Dietary
needs in specific states of disease 147 The principles behind the dietary
control of dental caries 147 Classification of sugars in relation to dental
caries 149 Alternative sweeteners 151 The relationship between diet and
erosion 152 The relationship of diet to periodontal diseases 153 The role
of the dental hygienist/therapist in dietary advice and counselling 155 8
Microbiology and infection prevention and control 158 Mary J. O'Donnell,
Denise MacCarthy and David C. Coleman Introduction 158 Requirement for a
formal infection prevention and control policy 158 Microorganisms 159
Immunisation 161 Standard precautions 162 Hand hygiene 162 Aseptic
techniques 164 Protective clothing 164 Processing and handling of dental
instruments 166 Surgery design 170 General surface cleaning and
disinfection 171 Waste management 171 The dental chair unit as a vehicle
for cross-contamination and cross-infection 172 The dental laboratory 176
Diagnostic specimens 177 9 Materials in restorative dentistry 181 Paul
Franklin and Paul Brunton Introduction 181 Amalgam 181 Resin composite 183
Glass ionomer cements 187 Cermets 191 Compomers 191 Materials for the
protection of fissures 192 Adhesion to tooth substance 192 Pulp protection
regimes 195 Temporary dressing materials 196 Impression materials 197 Key
points 198 10 Pharmacology and pain control 199 Margaret Kellett
Introduction 199 Prescribing regulations and the use of the BNF 199 The use
of antibiotics and antimicrobials in dentistry 201 The use of analgesics in
dentistry 204 The relevance of other drugs that may affect oral health and
dental treatment 205 Local analgesic agents 208 Techniques for local
analgesia 209 Difficulties, complications and emergencies that can be
associated with local analgesia 214 Equipment used in dental local
analgesia 216 Conclusions 218 11 Preventive dentistry 219 Sarah Murray and
Baldeesh Chana Introduction 219 Definitions of prevention 219 Prevention of
periodontal disease 221 Prevention of caries 224 Fluoride 225 Fissure
sealants 229 Life-long prevention 231 Prevention for persons with special
needs 232 Prevention and implantology 233 Oral cancer screening 235 Alcohol
abuse 236 Smoking cessation 237 Smoking habits 237 Illegal drug abuse 240
The primary health care team 241 12 Paediatric dentistry 244 Sharon M.G.
Lee and George T.R. Lee Introduction 244 Dental development 244 Tooth
notation 244 Tooth eruption 245 Morphological differences between primary
and permanent teeth 245 Disruption in the number of teeth 245 Disruption of
tooth form 246 Abnormalities of tooth structure 247 Dental caries 248 Tooth
wear in children 253 Treatment of dental caries in the primary dentition
254 Soft tissue problems in children 260 Anxiety and pain control 262
Trauma in children 267 13 Adult restorative dentistry 269 Ann C. Shearer
Introduction: the importance of the treatment plan 269 Charting the adult
dentition 270 Classification of cavities 270 Preparation of cavities 272
Pulp protection 276 Moisture control 277 Direct restoratives: clinical
properties, handling and placement 279 Polishing and finishing restorations
288 Replacing and repairing restorations 288 Temporary restorative
materials and their placement 289 Temporary crowns 289 The clinical aspects
of taking impressions 290 The management of discoloured teeth 290 The
management of tooth wear 291 Management of trauma 293 The principles of
advanced restorative care 293 Care of instruments and handpieces 296 The
ergonomic environment 297 Management of anxiety 297 14 Exodontia 299 Hazel
J. Fraser Introduction 299 Indications for tooth extraction 299
Contraindications for tooth extraction 300 Relevant anatomical structures
300 Preparation of the patient 300 Obtaining local analgesia 301 Clinical
assessment 301 Extraction instruments 302 Extraction technique 304
Postoperative care 307 Complications of exodontia 307 15 Gerodontology 311
Fiona Sandom Introduction 311 Physiological age changes 311 Pathological
change 314 Nutritional disturbance 318 The dentate elderly 318 Domiciliary
care 318 Treatment of the terminally ill 321 16 Medical emergencies and
their management 325 Lesley Longman and Colette Balmer Introduction 325
Management considerations 325 The role of the hygienist/therapist 327
Avoidance of a medical emergency 327 Assessment of the sick patient using
the 'ABCDE' approach 329 Medical emergencies 330 Patient discharge 345
Conclusion 346 17 Health and safety at work 347 Hilary R. Samways
Introduction 347 Working environment 347 Materials 348 Equipment 348 First
aid 350 Waste disposal 350 Accident book 351 Fire prevention 352 Radiation
protection 353 Personal protection 354 Clinical governance 359 Risk
assessment 359 18 Complementary and alternative medicine 361 Philip Wander
Introduction 361 Acupuncture 362 Herbalism 363 Aromatherapy 363
Chiropractic 364 Osteopathy 364 Hypnosis 364 Homeopathy 365 Biological
medicine for the twenty-first century 369 Section 3 Non-clinical 371 19
Primary care services 373 Sara Holmes and Leanna Wynne Introduction 373 The
framework of UK primary dental care service provision 374 The provision of
NHS dental services 374 The primary dental care team 376 The public health
agenda and an introduction to epidemiology 379 Summary 382 20 Law, ethics
and professionalism 383 Hew Matthewson Introduction 383 Regulation of
dental practice 383 Professional duties and obligations towards patients
385 Patient consent to treatment 388 Relationships with professional
colleagues 390 Relationships with the public 391 Clinical governance 392
Employment law 394 Sources of advice 394 Index 396 Companion Website This
book is accompanied by a website: www.wiley.com/go/noble/dentalhygiene The
website includes: * Multiple Choice Questions * Figures from the book
Science 1 1 Oral embryology, histology and anatomy 3 Sheila Phillips
Introduction 3 Oral embryology 3 Early tooth development 4 Development of
the dental tissues 5 Histology of oral tissues 8 Histology of dental
tissues 11 Oral anatomy 15 Anatomy of the oral cavity 20 Tooth morphology
26 2 General pathology 32 Henk S. Brand and Arjan Vissink Introduction 32
Inflammation and immunity 32 Wound healing 38 Hyperplasia, hypertrophy and
atrophy 39 Neoplasia 41 Haemostasis 46 Atherosclerosis 48 Cardiac disease
49 Hypertension 51 3 Oral medicine and pathology 53 Paula Farthing
Introduction 53 Viral infections 53 Oral ulceration 54 White patches and
premalignant lesions of the oral mucosa 56 Oral cancer 58 Soft tissue
swellings of the oral mucosa 60 Cysts of the jaws 62 Conditions of the
salivary glands 64 Oral manifestations of systemic disease 65 Common causes
of facial pain 66 Disorders of the temporomandibular joint 67 Developmental
tooth anomalies 67 Tooth wear 70 4 Dental caries and pulpitis 72 Avijit
Banerjee and Naveen Karir Introduction 72 Aetiology and microbiology of
dental caries in relation to dental plaque 72 The epidemiology of caries 79
Features of enamel, dentine and root caries 80 Diagnostic methods for
dental caries 83 Non-surgical management of dental caries 86 Surgical
management of dental caries 86 The histopathology of pulpitis 88 Abscess
formation 88 Section 2 Clinical 91 5 The periodontium, tooth deposits and
periodontal diseases 93 Philip R. Greene and Maggie Jackson Introduction 93
The normal periodontium 93 The classification of periodontal disease 96
Chronic gingivitis 96 Chronic periodontitis 98 Aggressive periodontitis 100
Histopathology of periodontal diseases 101 Gingival recession 102 Acute
periodontal conditions 102 Microbiological aspects of periodontal disease
104 Principles of periodontal examination 105 Treatment of chronic
periodontitis 111 Conclusion 123 6 Oral health education and promotion 125
Jane M. Pratt Introduction 125 Meaning of health 126 Defining health
education and health promotion 126 Promotion of oral health 127
Considerations while planning health education and health promotion 130
Planning a teaching session 133 Oral health promotion/education examples
136 Conclusion 138 7 Diet and nutrition 139 Suzanne L. Noble Introduction
139 The relationship between diet and disease 139 The current national
dietary recommendations 140 Dietary requirements of groups with special
needs 145 The effect of ethnicity and culture on nutrition 147 Dietary
needs in specific states of disease 147 The principles behind the dietary
control of dental caries 147 Classification of sugars in relation to dental
caries 149 Alternative sweeteners 151 The relationship between diet and
erosion 152 The relationship of diet to periodontal diseases 153 The role
of the dental hygienist/therapist in dietary advice and counselling 155 8
Microbiology and infection prevention and control 158 Mary J. O'Donnell,
Denise MacCarthy and David C. Coleman Introduction 158 Requirement for a
formal infection prevention and control policy 158 Microorganisms 159
Immunisation 161 Standard precautions 162 Hand hygiene 162 Aseptic
techniques 164 Protective clothing 164 Processing and handling of dental
instruments 166 Surgery design 170 General surface cleaning and
disinfection 171 Waste management 171 The dental chair unit as a vehicle
for cross-contamination and cross-infection 172 The dental laboratory 176
Diagnostic specimens 177 9 Materials in restorative dentistry 181 Paul
Franklin and Paul Brunton Introduction 181 Amalgam 181 Resin composite 183
Glass ionomer cements 187 Cermets 191 Compomers 191 Materials for the
protection of fissures 192 Adhesion to tooth substance 192 Pulp protection
regimes 195 Temporary dressing materials 196 Impression materials 197 Key
points 198 10 Pharmacology and pain control 199 Margaret Kellett
Introduction 199 Prescribing regulations and the use of the BNF 199 The use
of antibiotics and antimicrobials in dentistry 201 The use of analgesics in
dentistry 204 The relevance of other drugs that may affect oral health and
dental treatment 205 Local analgesic agents 208 Techniques for local
analgesia 209 Difficulties, complications and emergencies that can be
associated with local analgesia 214 Equipment used in dental local
analgesia 216 Conclusions 218 11 Preventive dentistry 219 Sarah Murray and
Baldeesh Chana Introduction 219 Definitions of prevention 219 Prevention of
periodontal disease 221 Prevention of caries 224 Fluoride 225 Fissure
sealants 229 Life-long prevention 231 Prevention for persons with special
needs 232 Prevention and implantology 233 Oral cancer screening 235 Alcohol
abuse 236 Smoking cessation 237 Smoking habits 237 Illegal drug abuse 240
The primary health care team 241 12 Paediatric dentistry 244 Sharon M.G.
Lee and George T.R. Lee Introduction 244 Dental development 244 Tooth
notation 244 Tooth eruption 245 Morphological differences between primary
and permanent teeth 245 Disruption in the number of teeth 245 Disruption of
tooth form 246 Abnormalities of tooth structure 247 Dental caries 248 Tooth
wear in children 253 Treatment of dental caries in the primary dentition
254 Soft tissue problems in children 260 Anxiety and pain control 262
Trauma in children 267 13 Adult restorative dentistry 269 Ann C. Shearer
Introduction: the importance of the treatment plan 269 Charting the adult
dentition 270 Classification of cavities 270 Preparation of cavities 272
Pulp protection 276 Moisture control 277 Direct restoratives: clinical
properties, handling and placement 279 Polishing and finishing restorations
288 Replacing and repairing restorations 288 Temporary restorative
materials and their placement 289 Temporary crowns 289 The clinical aspects
of taking impressions 290 The management of discoloured teeth 290 The
management of tooth wear 291 Management of trauma 293 The principles of
advanced restorative care 293 Care of instruments and handpieces 296 The
ergonomic environment 297 Management of anxiety 297 14 Exodontia 299 Hazel
J. Fraser Introduction 299 Indications for tooth extraction 299
Contraindications for tooth extraction 300 Relevant anatomical structures
300 Preparation of the patient 300 Obtaining local analgesia 301 Clinical
assessment 301 Extraction instruments 302 Extraction technique 304
Postoperative care 307 Complications of exodontia 307 15 Gerodontology 311
Fiona Sandom Introduction 311 Physiological age changes 311 Pathological
change 314 Nutritional disturbance 318 The dentate elderly 318 Domiciliary
care 318 Treatment of the terminally ill 321 16 Medical emergencies and
their management 325 Lesley Longman and Colette Balmer Introduction 325
Management considerations 325 The role of the hygienist/therapist 327
Avoidance of a medical emergency 327 Assessment of the sick patient using
the 'ABCDE' approach 329 Medical emergencies 330 Patient discharge 345
Conclusion 346 17 Health and safety at work 347 Hilary R. Samways
Introduction 347 Working environment 347 Materials 348 Equipment 348 First
aid 350 Waste disposal 350 Accident book 351 Fire prevention 352 Radiation
protection 353 Personal protection 354 Clinical governance 359 Risk
assessment 359 18 Complementary and alternative medicine 361 Philip Wander
Introduction 361 Acupuncture 362 Herbalism 363 Aromatherapy 363
Chiropractic 364 Osteopathy 364 Hypnosis 364 Homeopathy 365 Biological
medicine for the twenty-first century 369 Section 3 Non-clinical 371 19
Primary care services 373 Sara Holmes and Leanna Wynne Introduction 373 The
framework of UK primary dental care service provision 374 The provision of
NHS dental services 374 The primary dental care team 376 The public health
agenda and an introduction to epidemiology 379 Summary 382 20 Law, ethics
and professionalism 383 Hew Matthewson Introduction 383 Regulation of
dental practice 383 Professional duties and obligations towards patients
385 Patient consent to treatment 388 Relationships with professional
colleagues 390 Relationships with the public 391 Clinical governance 392
Employment law 394 Sources of advice 394 Index 396 Companion Website This
book is accompanied by a website: www.wiley.com/go/noble/dentalhygiene The
website includes: * Multiple Choice Questions * Figures from the book