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    Clinical practice of the dental hygienist / Esther M. Wilkins, BS, RDH, DMD, Department of Periodontology, Tufts University School of Dental Medicine, Boston, Massachusetts, Charlotte J. Wyche, RDH, MS, Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan, Linda D. Boyd, RDH, RD, EdD, Forsyth School of Dental Hygiene, MCPHS University, Boston, Massachusetts.

    • Title:Clinical practice of the dental hygienist / Esther M. Wilkins, BS, RDH, DMD, Department of Periodontology, Tufts University School of Dental Medicine, Boston, Massachusetts, Charlotte J. Wyche, RDH, MS, Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan, Linda D. Boyd, RDH, RD, EdD, Forsyth School of Dental Hygiene, MCPHS University, Boston, Massachusetts.
    •    
    • Author/Creator:Wilkins, Esther M., author.
    • Other Contributors/Collections:Wyche, Charlotte J., author.
      Boyd, Linda D., author.
    • Published/Created:Philadelphia : Wolters Kluwer, [2017]
    • Holdings

       
    • Library of Congress Subjects:Dental hygiene.
    • Medical Subjects: Dental Prophylaxis.
      Dental Hygienists.
    • Edition:Twelfth edition.
    • Description:xxvi, 1, 251 pages : illustrations (some color) ; 29 cm
    • Summary:"Considered the cornerstone text in almost every dental hygiene education program in the country, Clinical Practice of the Dental Hygienist, 12e helps students develop the knowledge and skills they need for successful, evidence-based practice in today's rapidly changing oral health care environment. Written by one of the preeminent voices in dental hygiene education, the book progresses through crucial topics in dental hygiene in a straightforward, outline format, making information easy to locate, understand, and reference."--Publisher's website.
    • Notes:Includes bibliographical references and index.
    • ISBN:9781451193114 (hbk.)
      1451193114 (hbk.)
    • Contents:Machine generated contents note: ch. 1 Professional Dental Hygienist
      History of the Dental Hygiene Profession
      Scope of Dental Hygiene Practice
      Objectives for Professional Practice
      Standards for Clinical Dental Hygiene Practice
      Dental Hygiene Process of Care
      Dental Hygiene Ethics
      Code of Ethics
      Core Values
      Ethical Applications
      Legal Factors in Practice
      Personal Factors in Practice
      Everyday Ethics
      Factors To Teach The Patient
      References
      ch. 2 Evidence-Based Dental Hygiene Practice
      Evidence-Based Practice
      Systematic Approach
      Reading and Understanding Research
      Internet-Based Health Information
      Ethics in Research
      Documentation
      Everyday Ethics
      Factors To Teach The Patient
      References
      ch. 3 Effective Health Communication
      Types of Communication
      Health Communication
      Health Literacy
      Communication Across the Lifespan
      Social and Economic Aspects of Health Communication
      Cultural Considerations
      Interprofessional Communication
      Communication with Caregivers
      Documentation
      Everyday Ethics
      Factors To Teach The Patient
      References
      ch. 4 Infection Control: Transmissible Diseases
      Standard Precautions
      Microorganisms of the Oral Cavity
      Infectious Process
      Pathogens Transmissible from the Oral Cavity
      Tuberculosis
      Hepatitis
      Herpes Virus Diseases
      Human Papilloma Virus (HPV)
      HIV/AIDS Infection
      Methicillin-Resistant Staphylococcus Aureus
      Everyday Ethics
      Documentation
      Factors To Teach The Patient
      References
      ch. 5 Exposure Control: Barriers for Patient and Clinician
      Infection Control
      Personal Protection for the Dental Team
      Clinical Attire
      Use of Face Mask: Respiratory Protection
      Use of Protective Eyewear
      Hand Care
      Hand-Hygiene Principles
      Methods of Hand Hygiene
      Gloves and Gloving
      Latex Hypersensitivity
      Everyday Ethics
      Documentation
      Factors To Teach The Patient
      References
      ch. 6 Infection Control: Clinical Procedures
      Infection Control
      Treatment Room Features
      Instrument Processing Center
      Cleaning Procedures
      Instrument Packaging and Management Systems
      Sterilization
      Moist Heat: Steam Under Pressure
      Dry Heat
      Chemical Vapor Sterilizer
      Care of Sterile Instruments
      Chemical Disinfectants
      Preparation of the Treatment Room
      Patient Preparation
      Summary of Standard Procedures
      Occupational Postexposure Management
      Disposal of Waste
      Supplemental Recommendations
      Documentation
      Everyday Ethics
      Factors To Teach The Patient
      References
      ch. 7 Patient Reception and Ergonomic Practice
      Preparation for the Patient
      Patient Reception
      Position of the Patient
      Position of the Clinician
      Neutral Working Position (NWP)
      Treatment Area
      Ergonomic Practice
      Self-Care for the Dental Hygienist
      Documentation
      Everyday Ethics
      Factors To Teach The Patient
      References
      ch. 8 Emergency Care
      Emergency Preparedness
      Prevention of Emergencies
      Patient Assessment
      Stress Minimization
      Emergency Materials and Preparation
      Basic Life Support Certification
      Oxygen Administration
      Specific Emergencies
      Documentation
      Everyday Ethics
      Factors To Teach The Patient
      References
      ch. 9 Documentation for Dental Hygiene Care
      Patient Record
      Health Insurance Portability and Accountability Act
      Documenting the Extra- and Intraoral Examination
      Tooth-Numbering Systems
      Charting
      Periodontal Records
      Dental Records
      Care Plan Records
      Informed Consent
      Documentation of Patient Visits
      Everyday Ethics
      Factors To Teach The Patient
      References
      ch. 10 Personal, Dental, and Medical Histories
      Introduction
      History Preparation
      Questionnaire
      Interview
      Items Included in the History
      Immediate Applications of Patient Histories
      Pretreatment Antibiotic Prophylaxis
      ASA Determination
      Review and Update of History
      Documentation
      Everyday Ethics
      Factors To Teach The Patient
      References
      ch. 11 Vital Signs
      Introduction
      Body Temperature
      Pulse
      Respiration
      Blood Pressure
      Everyday Ethics
      Documentation
      Factors To Teach The Patient
      References
      ch. 12 Extraoral and Intraoral Examination
      Rationale for the Extraoral and Intraoral Examination
      Components of Examination
      Anatomical Landmarks of the Oral Cavity
      Sequence of Examination
      Morphologic Categories
      Oral Cancer
      Procedure for Determining when a Suspicious Lesion Requires a Biospy
      Documentation
      Everyday Ethics
      Factors To Teach The Patient
      References
      ch. 13 Dental Radiographic Imaging
      How X-Rays are Produced
      Digital Radiography
      Characteristics of an Acceptable Radiographic Image
      Factors that Influence the Finished Radiograph
      Exposure to Radiation
      Risk of Injury from Radiation
      Procedures for Image Receptor Placement and Angulation of Central Ray
      Image Receptor Selection for Intraoral Surveys
      Definitions and Principles
      Periapical Survey: Paralleling Technique
      Bitewing Survey
      Periapical Survey: Bisecting-Angle Technique
      Occlusal Survey
      Panoramic Radiographic Images
      Infection Control
      Traditional Film Processing
      Analysis of Completed Radiographs
      Ownership
      Documentation
      Everyday Ethics
      Factors To Teach The Patient
      References
      ch. 14 Study Models
      Purposes and Uses of Study Models
      Steps in the Preparation of Study Models
      Clinical Preparation
      Interocclusal Record
      Preparation of Impression Trays
      Impression Material
      Mandibular Impression
      Maxillary Impression
      Disinfection of Impressions
      Paraclinical Procedures
      Mixing the Stone
      Pouring the Model
      Trimming the Models
      Documentation
      Everyday Ethics
      Factors To Teach The Patient
      References
      ch. 15 Dental Biofilm and Other Soft Deposits
      Acquired Pellicle
      Dental Biofilm
      Composition of Dental Biofilm
      Clinical Aspects
      Significance of Dental Biofilm
      Dental Caries
      Materia Alba
      Food Debris
      Everyday Ethics
      Documentation
      Factors To Teach The Patient
      References
      ch. 16 Teeth
      Dentitions
      Developmental and Noncarious Dental Lesions
      Fractures of the Teeth
      Dental Caries
      Enamel Caries
      Early Childhood Caries (ECC)
      Root Caries
      Clinical Examination of the Teeth
      Testing for Pulp Vitality
      Self-Cleansing Mechanisms
      Documentation
      Everyday Ethics
      Factors To Teach The Patient
      References
      ch. 17 Occlusion
      Static Occlusion
      Determination of the Classification of Malocclusion
      Occlusion of the Primary Teeth
      Functional Occlusion
      Trauma from Occlusion
      Recommendations for the Patient with Orthodontic Needs
      Everyday Ethics
      Documentation
      Factors To Teach The Patient
      References
      ch. 18 Periodontium
      Teeth
      Normal Periodontium
      Gingival Description
      Gingiva of Young Children
      Gingiva After Periodontal Surgery
      Documentation
      Everyday Ethics
      Factors To Teach The Patient
      References
      ch. 19 Periodontal Disease Development
      Periodontal-Systemic Disease Connection
      Risk Assessment
      Etiology of Periodontal Disease
      Risk Factors for Periodontal Diseases
      Pathogenesis of Periodontal Diseases
      Gingival and Periodontal Pockets
      Complications Resulting from Periodontal Disease Progression
      Recognition of Gingival and Periodontal Infections
      Determination of Periodontal Classification
      Everyday Ethics
      Documentation
      Factors To Teach The Patient
      References
      ch. 20 Periodontal Examination
      Basic Instruments for Examination
      Mouth Mirror
      Air[
      ]Water Syringe
      Explorers
      Basic Procedures for Use of Explorers
      Explorers: Supragingival Procedures
      Explorers: Subgingival Procedures
      Periodontal Probe
      Guide to Probing
      Preliminary Assessment Prior to Periodontal Examination
      Parameters of Care for the Periodontal Examination
      Radiographic Changes in Periodontal Infections
      Other Radiographic Findings
      Everyday Ethics
      Documentation
      Factors To Teach The Patient
      References
      ch. 21 Calculus
      Objectives for Dental Hygiene Practice
      Classification and Distribution of Calculus
      Composition
      Calculus Formation
      Attachment of Calculus
      Significance of Dental Calculus
      Clinical Characteristics
      Prevention of Calculus
      Documentation
      Everyday Ethics
      Factors To Teach The Patient
      References
      ch. 22 Dental Stains and Discolorations
      Significance
      Extrinsic Stains
      Endogenous Intrinsic Stains
      Exogenous Intrinsic Stains
      Documentation
      Everyday Ethics
      Factors To Teach The Patient
      References
      ch. 23 Indices and Scoring Methods
      Types of Scoring Methods
      Indices
      Oral Hygiene Status (Biofilm, Debris, Calculus)
      Gingival and Periodontal Health
      Dental Caries Experience
      Dental Fluorosis
      Community-Based Oral Health Surveillance
      Documentation
      Everyday Ethics
      Factors To Teach The Patient or Members of the Community
      References
      ch. 24 Planning for Dental Hygiene Care
      Assessment Findings
      Periodontal Diagnosis and Risk Level
      Dental Caries Risk Level
      Dental Hygiene Diagnosis
      Dental Hygiene Prognosis
      Additional Considerations
      Contents note continued: Evidence-Based Selection of Dental Hygiene Interventions
      Written Dental Hygiene Care Plan
      Documentation
      Everyday Ethics
      Factors To Teach The Patient
      References
      ch. 25 Dental Hygiene Care Plan
      Preparation of a Dental Hygiene Care Plan
      Components of a Written Care Plan
      Sequencing and Prioritizing Patient Care
      Presenting the Dental Hygiene Care Plan
      Informed Consent
      Everyday Ethics
      Documentation
      Factors To Teach The Patient
      References
      ch. 26 Preventive Counseling and Behavior Change
      Steps in a Preventive Program
      Patient Counseling
      Patient Motivation and Behavior Change
      Motivational Interviewing (MI)
      MI Implementation
      Exploring Ambivalence
      Eliciting and Recognizing Change Talk
      Strengthening Commitment (The Plan)
      MI with Pediatric Patients and Caregivers
      Motivational Training and Coaching
      Documentation
      Everyday Ethics
      Factors To Teach The Patient
      References
      ch. 27 Protocols for Prevention and Control of Dental Caries
      Dental Caries Process
      Dental Caries Diagnosis and Detection
      Assessing Caries Risk
      Planning Care
      Protocol for Remineralization
      Continuing Care
      Documentation
      Everyday Ethics
      Factors To Teach The Patient
      References
      ch. 28 Oral Infection Control: Toothbrushes and Toothbrushing
      Introduction
      Development of Toothbrushes
      Manual Toothbrushes
      Toothbrush Selection for the Patient
      Guidelines for Manual Toothbrushing
      Methods for Manual Toothbrushing
      Bass Method: Sulcular Brushing
      Roll or Rolling Stroke Method
      Stillman Method
      Modified Stillman Method
      Charters Method
      Other Toothbrushing Methods
      Power Toothbrushes
      Supplemental Brushing
      Toothbrushing for Special Conditions
      Effects of Toothbrushing
      Care of Toothbrushes
      Documentation
      Everyday Ethics
      Factors To Teach The Patient
      References
      ch. 29 Oral Infection Control: Interdental Care
      Interdental Area
      Planning Interdental Care
      Selective Interdental Biofilm Removal
      Dental Floss and Tape
      Tufted Dental Floss
      Aids for Flossing
      Interdental Brushes
      Single-Tuft Brush (End-Tuft, Unituft)
      Interdental Tip
      Toothpick in Holder
      Wooden Interdental Cleaner
      Oral Irrigation
      Delivery Methods
      Applications for Practice
      Everyday Ethics
      Documentation
      Factors To Teach The Patient
      References
      ch. 30 Dentifrices and Mouthrinses
      Chemotherapeutics
      Dentifrices
      Preventive and Therapeutic Benefits of Dentifrices
      Cosmetic Effects of Dentifrices
      Basic Components of Dentifrices: Inactives
      Active Components of Dentifrices
      Selection of Dentifrices
      Mouthrinses
      Purposes and Uses of Mouthrinses
      Preventive and Therapeutic Agents of Mouthrinses
      Commercial Mouthrinse ingredients
      Procedure for Rinsing
      United States Food and Drug Administration (FDA)
      American Dental Association (ADA) Seal of Acceptance Program
      Everyday Ethics
      Documentation
      Factors To Teach The Patient
      References
      ch. 31 Patient with Orthodontic Appliances
      Cemented Bands and Bonded Brackets
      Clinical Procedures for Bonding
      Dental Hygiene Care
      Completion of Therapy
      Clinical Procedures for Band Removal and Debonding
      PostDebonding Evaluation
      Orthodontic Retention
      Postdebonding Preventive Care
      Everyday Ethics
      Documentation
      Factors To Teach The Patient
      References
      ch. 32 Care of Dental Prostheses
      Missing Teeth
      Fixed Partial Denture Prostheses
      Care Procedures for Fixed Prostheses
      Removable Partial Dental Prostheses (RPD)
      Care for Removable Partial Prostheses
      Patient Self-Care for Removable Partial Prostheses
      Obturator
      Complete Denture Prosthesis
      Cleaning the Complete Denture
      Underlying Mucosa
      Complete Overdenture Prostheses
      Dental Hygiene Care and Instruction
      Documentation
      Everyday Ethics
      Factors To Teach The Patient
      References
      ch. 33 Patient with Dental Implants
      Bone Physiology
      Osseo integration
      Implant Interfaces
      Types of Dental Implants
      Patient Selection
      Preparation and Placement
      Postrestorative Evaluation
      Pen-Implant Hygiene
      Continuing Care
      Implant Complications
      Classification of Peri-Implant Disease
      Everyday Ethics
      Documentation
      Factors To Teach The Patient
      References
      ch. 34 Patient Who Uses Tobacco
      Health Hazards
      Components of Tobacco Products and Tobacco Smoke
      Metabolism of Nicotine
      Systemic Effects
      Environmental Tobacco Smoke (ETS)
      Prenatal and Children
      Oral Manifestations of Tobacco Use
      Tobacco and Periodontal Infections
      Nicotine Addiction
      Treatment
      Pharmacotherapies Used for Treatment of Nicotine Addiction
      Nicotine-Free Therapy
      Dental Hygiene Care for the Patient Who Uses Tobacco
      Assessment
      Clinical Treatment Procedures
      Tobacco Cessation Program
      Motivational Interviewing
      The"5 A's"
      Team Approach
      Everyday Ethics
      Advocacy
      Documentation
      Factors To Teach The Patient
      References
      ch. 35 Diet and Dietary Analysis
      Nutrient Standards for Diet Adequacy in Health Promotion
      Oral Health Relationships
      Counseling for Dental Caries Control
      Dietary Assessment
      Preparation for Additional Counseling
      Counseling Procedures
      Evaluation of Progress
      Documentation
      Everyday Ethics
      Factors To Teach The Patient
      References
      ch. 36 Fluorides
      Fluoride Metabolism
      Fluoride and Tooth Development
      Tooth Surface Fluoride
      Demineralization[
      ]Remineralization
      Fluoridation
      Effects and Benefits of Fluoridation
      Partial Defluoridation
      School Fluoridation
      Discontinued Fluoridation
      Fluorides in Foods
      Dietary Fluoride Supplements
      Professional Topical Fluoride Applications
      Clinical Procedures: Professional Topical Fluoride
      Self-Applied Fluorides
      Tray Technique: Home Application
      Fluoride Mouthrinses
      Brush-on Gel
      Fluoride Dentifrices
      Combined Fluoride Program
      Fluoride Safety
      Everyday Ethics
      Documentation
      Factors To Teach The Patient
      References
      ch. 37 Sealants
      Introduction
      Sealant Materials
      Indications for Sealant Placement
      Penetration of Sealant
      Clinical Procedures
      Maintenance
      School-Based Dental Sealant Programs
      Documentation
      Everyday Ethics
      Factors To Teach The Patient
      References
      ch. 38 Anxiety and Pain Control
      Components of Pain
      Pain Control Mechanisms
      Nonopioid Analgesics
      Nitrous Oxide[
      ]Oxygen Sedation
      Characteristics of Nitrous Oxide
      Equipment for Nitrous Oxide[
      ]Oxygen
      Patient Selection
      Clinical Procedures for Nitrous Oxide[
      ]Oxygen Administration
      Potential Hazards of Occupational Exposure
      Advantages and Disadvantages of Nitrous Oxide/Oxygen Sedation Anesthesia
      Local Anesthesia
      Pharmacology of Local Anesthetics
      Indications for Local Anesthesia
      Patient Assessment
      Armamentarium for Local Anesthesia
      Clinical Procedures for Local Anesthetic Administration
      Potential Adverse Reactions to Local Anesthesia
      Advantages and Disadvantages of Local Anesthesia
      Noninjectable Anesthesia
      Topical Anesthesia
      Application of Topical Anesthetic
      New Developments in Pain Control
      Everyday Ethics
      Documentation
      Factors To Teach The Patient
      References
      ch. 39 Instruments and Principles for Instrumentation
      Instrument Identification
      Instrument Parts and Balance
      Treatment Instruments
      Universal Curet
      Area-Specific Curets
      Scalers
      Principles for Instrument Use
      Instrument Grasp
      Neutral Positions
      Fulcrum: Finger Rest
      Adaptation
      Angulation
      Lateral Pressure
      Activation: Stroke
      Visibility and Accessibility
      Dexterity Development
      Prevention of Cumulative Trauma
      Everyday Ethics
      Documentation
      Factors To Teach The Patient
      References
      ch. 40 Instrument Care and Sharpening
      Instrument Sharpening
      Basic Sharpening Principles
      Sharpening Curets and Scalers
      Moving Flat Stone: Stationary Instrument
      Stationary Flat Stone: Moving Instrument
      Sharpening the File Scaler
      Sharpening the Hoe Scaler
      Sharpening the Chisel Scaler
      Sharpening Explorers
      Everyday Ethics
      Care of Sharpening Equipment
      Documentation
      Factors To Teach The Patient
      References
      ch. 41 Nonsurgical Periodontal Therapy and Adjunctive Therapy
      Scope of Nonsurgical Periodontal Therapy
      Preparation of the Clinician
      Treatment Goals
      Components of Nonsurgical Periodontal Therapy
      Aims and Expected Outcomes
      Care Plan for Instrumentation
      Overall Appointment Systems
      Preparation for Instrumentation
      Calculus Removal
      Manual Subgingival Scaling Steps
      Advanced Instrumentation
      Ultrasonic and Sonic Scaling
      Mode of Action
      Ultrasonic Scaling Devices
      Sonic Scaling Devices
      Purposes and Uses for Power-Driven Scalers
      Ultrasonic and Sonic Tip Design
      Clinical Preparation
      Ultrasonic Instrumentation
      Laser Therapy
      Overhanging Restorations
      Completion of Initial Therapy
      Effects of Nonsurgical periodontal therapy
      Re-Evaluation
      Adjunctive Therapy
      Antimicrobial Treatment
      Systemic Delivery of Antibiotics
      Local Delivery of Antimicrobials
      Minocycline Hydrochloride (HCL)
      Contents note continued: Doxycycline Hyclate
      Instrument Maintenance
      Everyday Ethics
      Documentation
      Factors To Teach The Patient
      References
      ch. 42 Acute Periodontal Conditions
      Necrotizing Periodontal Diseases
      Risk Factors
      Clinical Recognition
      Dental Hygiene Care
      Herpetic Gingivostomatitis
      Periodontal Abscess
      Gingival Abscess
      Pericoronal Abcess/Pericoronitis
      Everyday Ethics
      Documentation
      Factors To Teach The Patient
      References
      ch. 43 Sutures and Dressings
      Sutures
      Needles
      Knots
      Suturing Procedures
      Procedure for Suture Removal
      Periodontal Dressings
      Types of Dressings
      Clinical Application
      Dressing Removal and Replacement
      Documentation
      Everyday Ethics
      Factors To Teach The Patient
      References
      ch. 44 Dentin Hypersensitivity
      Hypersensitivity Defined
      Etiology of Dentin Hypersensitivity
      Natural Desensitization
      Pain of Dentin hypersensitivity
      Differential Diagnosis
      Hypersensitivity Management
      Oral Hygiene Care and Treatment Interventions
      Everyday Ethics
      Documentation
      Factors To Teach The Patient
      References
      ch. 45 Extrinsic Stain Removal
      Introduction
      Purposes for Stain Removal
      Science of Polishing
      Effects of Cleaning and Polishing
      Indications for Stain Removal
      Clinical Application of Stain Removal
      Cleaning and Polishing Agents
      Procedures for Stain Removal (Corona) Polishing)
      Historical Perspective: The Porte Polisher
      Power-Driven Instruments
      Use of the Prophylaxis Angle
      Polishing Proximal Surfaces
      Air-Powder Polishing
      Everyday Ethics
      Documentation
      Factors to Teach the Patient
      References
      ch. 46 Tooth Bleaching
      Introduction
      Vital Tooth Bleaching
      Nonvital Tooth Bleaching
      Dental Hygiene Process of Care
      Documentation
      Everyday Ethics
      Factors To Teach The Patient
      References
      ch. 47 Principles of Evaluation
      Principles of Evaluation
      Evaluation Based on Goals and Outcomes
      Evaluation of Clinical (Treatment) Outcomes
      Evaluation of Health Behavior Outcomes
      Comparison of Assessment Findings
      Standard of Care
      Self-Assessment and Reflective Practice
      Documentation
      Everyday Ethics
      Factors To Teach The Patient
      References
      ch. 48 Continuing Care
      GOALS of the Continuing Care Program
      Continuing Care Appointment Procedures
      Appointment Intervals (Frequency)
      Methods for Continuing Care Systems
      Everyday Ethics
      Documentation
      Factors To Teach The Patient
      References
      ch. 49 Pregnant Patient and Infant
      Introduction
      Fetal Development
      Oral Findings During Pregnancy
      Aspects of Patient Care
      Patient Instruction
      Special Problems REQUIring Referral
      Transitioning from Pregnancy to Infancy
      Infant Oral Health
      Documentation
      Everyday Ethics
      Factors To Teach The Patient
      References
      ch. 50 Pediatric Patient
      Pediatric Dentistry
      Child as a Patient
      Patient Management Considerations
      Components of the Dental Hygiene Visit
      Periodontal Risk Assessment
      Caries-Risk Assessment
      Anticipatory Guidance
      Everyday Ethics
      Treatment Planning and Consent
      Documentation
      Factors To Teach The Parents
      References
      ch. 51 Patient with a Cleft Lip and/or Palate
      Classification of Clefts
      Etiology
      General Physical Characteristics
      Oral Characteristics
      Treatment
      Dental Hygiene Care
      Everyday Ethics
      Documentation
      Factors To Teach The Patient
      References
      ch. 52 Patient with an Endocrine Disorder or Hormonal Change
      Overview of the Endocrine System
      Endocrine Gland Disorders
      Pituitary Gland
      Thyroid Gland
      Parathyroid Glands
      Adrenal Glands
      Pancreas
      Puberty
      Women's Health
      Everyday Ethics
      Documentation
      Factors To Teach The Patient
      References
      ch. 53 Older Adult Patient
      Aging
      Normal Physiological Aging
      Pathology and Disease
      Chronic Conditions Associated with Aging
      Oral Changes Associated with Aging
      Dental Hygiene Care for the Older Adult Patient
      Everyday Ethics
      Documentation
      Factors To Teach The Patient
      References
      ch. 54 Edentulous Patient
      Purposes for Wearing Dentures
      Types of Removable Complete Dentures
      Edentulous Mouth
      Patient with New Dentures
      Denture-Related Oral Changes
      Denture-Induced Oral Lesions
      Prevention
      Continuing Care
      Denture Marking for Identification
      Documentation
      Factors To Teach The Patient
      Everyday Ethics
      References
      ch. 55 Oral and Maxillofacial Surgery Patient
      Patient Preparation
      Dental Hygiene Care
      Patient with Intermaxillary Fixation
      Fractured Jaw
      Mandibular Fractures
      Midfacial Fractures
      Alveolar Process Fracture
      Dental Hygiene Care
      Dental Hygiene Care Before General Surgery
      Documentation
      Everyday Ethics
      Factors To Teach The Patient
      References
      ch. 56 Patient with Cancer
      Description
      Surgery
      Chemotherapy
      Radiation Therapy
      Hematopoietic Stem Cell Transplantation
      Mucositis Management
      Dental Hygiene Care Plan
      Everyday Ethics
      Documentation
      Factors To Teach The Patient
      Factors To Teach The Caregiver
      References
      ch. 57 Patient with a Disability
      Disabilities Overview
      Barrier-Free Environment
      Risk Assessment
      Oral Disease Prevention and Control
      Patient Management
      Wheelchair Transfer
      Instruction for Caregivers
      Group In-Service Education
      Dental Hygienist with a Disability
      Documentation
      Everyday Ethics
      Factors To Teach The Patient and Caregiver
      References
      ch. 58 Dental Hygiene Care in Alternative Settings
      Alternative Practice Settings
      Residence-Bound Patients
      Dental Hygiene Care
      Critically III or Unconscious Patient
      Terminally III Patient
      Documentation
      Everyday Ethics
      Factors To Teach The Patient
      Factors To Teach The Caregiver
      References
      ch. 59 Patient with a Physical Impairment
      Neurological Disorders Associated with Physical Disability
      Other Conditions that Limit Physical Ability
      Spinal Cord Injury
      Cerebrovascular Accident (Stroke)
      Bell's Palsy (Idiopathic Temporary Facial Paralysis)
      Multiple Sclerosis
      Amyotrophic Lateral Sclerosis
      Parkinson's Disease
      Myasthenia Gravis
      Post-polio Syndrome
      Cerebral Palsy
      Muscular Dystrophies
      Myelomeningocele
      Arthritis
      Scleroderma (Progressive Systemic Sclerosis)
      Summary of Considerations for Dental Hygiene Care
      Everyday Ethics
      Factors To Teach The Patient
      Documentation
      References
      ch. 60 Patient with a Sensory Impairment
      Americans with Disabilities Act (ADA)
      Visual Impairment
      Hearing Impairment
      Everyday Ethics
      Documentation
      Factors To Teach The Patient
      References
      ch. 61 Patient with a Neurodevelopmental Disorder
      Intellectual Disorders
      Down Syndrome
      Autism Spectrum Disorder (ASD)
      Dental Hygiene Care
      Everyday Ethics
      Documentation
      Factors To Teach The Patient
      Factors To Teach The Caregiver
      References
      ch. 62 Family Abuse and Neglect
      Child Maltreatment
      Elder Maltreatment
      Intimate Partner Abuse and Violence
      Reporting Maltreatment
      Forensic Dentistry
      Documentation
      Everyday Ethics
      Factors To Teach The Patient
      References
      ch. 63 Patient with a Seizure Disorder
      Seizures
      Clinical Manifestations
      Treatment
      Oral Findings
      Dental Hygiene Care Plan
      Emergency Care
      Everyday Ethics
      Documentation
      Factors To Teach The Patient
      References
      ch. 64 Patient with a Mental Health Disorder
      Overview of Mental Disorders
      Anxiety Disorders
      Depressive Disorders
      Bipolar disorder
      Feeding and Eating Disorders
      Schizophrenia
      Mental Health emergency
      Everyday Ethics
      Documentation
      Factors To Teach The Patient
      References
      ch. 65 Patient with a Substance-Related Disorder
      Introduction
      Alcohol Consumption
      Metabolism of Alcohol
      Health Hazards of Alcohol
      Fetal Alcohol Spectrum Disorders (FASD)
      Alcohol Withdrawal Syndrome
      Treatment for Alcoholism
      Abuse of Prescription and Street Drugs
      Risk Management for Legal Prescriptions
      Most Common Drugs of Abuse
      Medical Effects of Drug Abuse
      Treatment Methods
      Dental Hygiene Process of Care
      Everyday Ethics
      Documentation
      Factors To Teach The Patient
      References
      ch. 66 Patient with a Respiratory Disease
      Respiratory System
      Upper Respiratory Tract Diseases
      Lower Respiratory Tract Diseases
      Acute Bronchitis
      Pneumonia
      Tuberculosis (TB)
      Asthma
      Chronic Obstructive Pulmonary Disease (COPD)
      Cystic Fibrosis (CF)
      Sleep Apnea Syndrome
      Documentation
      Everyday Ethics
      Factors To Teach The Patient
      References
      ch. 67 Patient with a Cardiovascular Disease
      Classification
      Infective Endocarditis (1E)
      Congenital Heart Diseases
      Rheumatic Heart Disease
      Mitral Valve Prolapse
      Hypertension
      Ischemic Heart Disease
      Angina Pectoris
      Myocardial Infarction
      Heart Failure
      Lifestyle Management for the Patient with Cardiovascular Disease
      Surgical Treatment
      Anticoagulant Therapy
      Cardiac Surgery
      Everyday Ethics
      Documentation
      Factors To Teach The Patient
      References
      Contents note continued: ch. 68 Patient with a Blood Disorder
      Normal Blood
      Plasma
      Red Blood Cells (Erythrocytes)
      White Blood Cells (Leukocytes)
      Platelets (Thrombocytes)
      Anemia
      Iron-Deficiency Anemia
      Megaloblastic Anemia
      Sickle Cell Disease
      Polycythemias
      Disorders of White Blood Cells
      Platelet Disorders
      Bleeding or Coagulation Disorders
      Dental Hygiene Care Plan
      Everyday Ethics
      Documentation
      Factors To Teach The Patient
      References
      ch. 69 Patient with Diabetes Mellitus
      Diabetes Mellitus
      Oral Health Implications of Diabetes Mellitus
      Basics about Insulin
      Classification of Diabetes Mellitus
      Diagnosis of Diabetes
      Identification of Individuals at Risk for Development of Diabetes
      Standards of Medical Care for Diabetes Mellitus
      Pharmacological Therapy
      Complications of Diabetes
      Dental Hygiene Care Plan
      Documentation
      Everyday Ethics
      Factors To Teach The Patient
      References.
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