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Primary Preventive Dentistry: Pearson New International Edition

Primary Preventive Dentistry: Pearson New International Edition

Norman O. Harris | Franklin Garcia-Godoy | Christine Nielsen Nathe

(2013)

Additional Information

Book Details

Abstract

For all introductory, clinical, and preventive courses in dental hygiene and dental assisting that cover preventive dental modalities and concepts.

 

Organized for consistency, coherence, and readability, this fully updated text covers all areas of prevention in dental care. It first describes dental diseases and conditions, helping students clearly understand the processes that can be prevented through the use of preventive modalities or ideas. Next, it presents detailed strategies to prevent these diseases and conditions. Throughout, specific target populations are defined and described based upon scientifically valid preventive strategies aimed at their needs. This edition improves student understanding with more photos, illustrations, diagrams, and tables; highlights “fun facts” about the topic; adds a new chapter on the important influence culture plays in preventive dental care; and is supported by many new web-based review questions and case studies for each chapter. 

 

Table of Contents

Section Title Page Action Price
Cover Cover
Table of Contents i
Chapter 1: Introduction to Primary Preventive Dentistry 1
Introduction 2
Historical Aspect of Preventive Dental Care 2
Dental Diseases and Systemic Health 4
Health Defined and Primary Preventive Care 5
Primary Prevention 6
Secondary and Tertiary Prevention 6
Preventive Care 7
Categories of Oral Diseases 7
Plaque Biofilm Prevention 8
Risk Assessment 10
Summary 10
Practice Considerations 10
Self- Study Questions 10
References 11
Glossary 13
Chapter 2: Dental Hygiene Science 16
Introduction 17
Evidence‐Based Care 17
The Dental Hygiene Process of Care 17
Individualized Dental Hygiene Care 18
Assessment 18
Diagnosis 23
Planning 23
Implementation 23
Evaluation 24
Population‐Based Dental Hygiene/Dental Public Health Activities 26
Assessment 26
Diagnosis 29
Planning 29
Implementation 29
Evaluation 30
Summary 30
Practical Considerations 30
Self‐Study Questions 30
References 31
Glossary 33
Chapter 3: Dental Plaque Biofilm 35
Introduction 36
Dental Plaque: A Microbial Biofilm 36
Bacterial Colonization of the Mouth 37
The Acquired Pellicle 38
Dental Plaque Formation 38
Molecular Mechanismsof Bacterial Adhesion 39
Bacteria in the Dental Plaque 40
Dental Plaque Matrix 41
Dental Plaque Metabolism 41
Dental Calculus 42
Attachment of Calculus to the teeth 44
Inhibition of Calculus Formation 44
Summary 44
Practical Considerations 45
Self‐Study Questions 45
References 46
Glossary 49
Chapter 4: Carious Lesions 51
Introduction 52
Multifactorial Disease Process 52
Description of Carious Lesions 53
Physical and Microscopic Features of Incipient Caries 53
Pore Spaces of the Different Zones 56
Direct Connection of the Bacterial Biofilm to the Body of the Lesion 56
Cariogenic Bacteria 57
Mutans Streptococci and Caries 58
Lactobacilli and Caries 58
Adherence of Bacteria to Teeth 59
Ecology of Caries Development 59
Caries Transmission 59
Coronal Dentin Caries 59
Root Caries 60
Secondary, or Recurrent, Caries 60
Measuring Plaque pH, the Stephan Curve 61
The Relationship of Mineral Saturation to pH 62
Demineralization and Remineralization Principles 62
The Relationship between HAP, FHA, and CaF2 62
Depth of Remineralization 62
Summary 63
Practical Considerations 63
Self-Study Questions 63
References 64
Glossary 67
Chapter 5: Periodontal Diseases 69
Introduction 70
The Periodontium 71
The Gingival Sulcus 75
Periodontal Microflora 75
The Developing Gingival Lesion 77
The Deepening Pocket 77
Cellular Defense in Theperiodontal Disease Process 78
Classifications of Periodontal Diseases 79
Risk Factors 80
Primary Prevention of Periodontal Diseases 82
Summary 83
Practical Considerations 83
Self-Study Questions 83
References 85
Glossary 87
Chapter 6: Oral Cancer 89
Introduction 90
Risk Factors 93
Tobacco 93
Alcohol 93
Human Papillomavirus 93
Age 94
Race and Ethnicity 94
Actinic Radiation (Ultraviolet Light) Exposure 94
Potentially Malignant Oral Epithelial Lesions 94
Immune System Suppression 95
Signs and Symptoms of Oral Cavity or Oropharyngeal Cancer 95
Detection and Diagnosis of Oral Cancer 95
Health History 95
Oral Cancer Screening/Examination 97
Biopsy Types 101
Imaging 102
Prognosis of Oral Cancer: Staging System 102
Treatment Options For Oral Cancer 102
Considerations Regarding Treatment Options 102
Surgery 104
Radiation Therapy 104
Chemotherapy 105
Management of Side Effects From Treatment of Oral Cancer 105
Surgical Reconstruction 106
Toxicity and Side Effects of Radiation Therapy 106
Toxicity and Side Effects of Chemotherapy 108
Role of the Dental Team 109
Education 110
Public Health Screening for Oral and Pharyngeal Cancers 110
Cultural Sensitivity 110
Summary 110
Practical Considerations 110
Self-Study Questions 111
References 111
Glossary 114
Chapter7: Dental Trauma 118
Introduction 119
Etiology 119
Resorption 120
Inflammatory Resorption 121
Initial Examination 121
Soft Tissue Injuries 122
Categories of Traumatic Dental Injuries 122
Injury to Primary Teeth 122
Intruded Primary Teeth 123
Avulsed Primary Teeth 123
Injury to Permanent Teeth 123
Avulsed Secondary Teeth 123
Preservation of Avulsed Teeth 123
Preservation of Periodontal Ligament 124
Clinical Steps for Reimplantation 124
Fractured Secondary Teeth 124
Displaced Secondary Teeth 124
Intruded Secondary Teeth 124
Public Education on Dental Trauma 125
Research on Dental Trauma 125
Summary 125
Practical Considerations 125
Chapter 8: Host Defense Mechanisms in the Oral Cavity 130
Introduction 131
Anatomic Barriers: The Oral Epithelium 131
Normal Oral Flora 133
The Immune System in the Oral Cavity 134
Periodontal Disease and Host Defense Mechanisms 135
Saliva and its Role in Promoting Oral Homeostasis 135
Salivary Glands 136
Organic Components of Saliva 137
Summary 139
Practical Considerations 139
Self-Study Questions 139
References 140
Glossary 142
Chapter 9: Toothbrushes and Toothbrushing Methods 146
Introduction 147
The History of the Toothbrush 147
Manual Toothbrush Designs 147
Toothbrush Profiles 148
Nylon Versus Natural Bristles 148
Bristle Shape and Texture 148
Handle Designs 150
Manual Toothbrushing Methods 150
Bass Method 151
Rolling Method 151
Stillman Method 151
Charters Technique 151
Fones Method 152
Leonard Technique 152
Horizontal Technique 152
Smith Method 152
Scrub Toothbrushing Technique 153
Modified Brushing Technique 153
Powered Toothbrushes 153
Design 153
Powered Toothbrush Methods and Uses 154
Toothbrush Efficiency and Safety Evaluations 154
Toothbrushing Time and Frequency 155
Clinical Assessments of Toothbrushing 155
Toothbrush Replacement 156
Tongue Brushing 156
The American Dental Association Acceptance Program 156
Summary 156
Practical Considerations 156
Self-Study Questions 156
References 157
Glossary 159
Chapter 10: Dentifrices, Mouthrinses, and Chewing Gums 161
Introduction 162
Safety and Efficacy 162
Dentifrices 163
Packaging 164
Dentifrice Ingredients 164
Abrasives 164
Humectants 165
Soaps and Detergents 166
Flavoring 166
Sweetening Agents 166
Baking‐Soda Dentifrices 166
Methods of Controlling Plaque and Gingivitis 166
Therapeutic Dentifrices 166
Anticalculus Dentifrices 168
Antihypersensitivity Products 168
Mouthrinses 169
Cosmetic Mouthrinses: Halitosis 169
Xerostomia Mouthrinses 169
Therapeutic Mouthrinse Agents 170
Chewing Gum 171
Summary 173
Chapter 11: Self‐Care Adjuncts 179
Introduction 180
Oral Health Self‐Care 181
Frequency of Self‐Care 181
Dental Floss 183
Dental Flossing Methods 184
Promoting Flossing Behavior 187
Dental Floss Holder 188
Dental Floss Threader 189
Other Interdental Aids 190
Power Flosser 191
Interdental Brush 191
End‐Tuft Brush 193
Toothpick 194
Rubber Tip Stimulator 197
Nontraditional Adjuncts 197
Rinsing and Irrigation 198
Rinsing 198
Irrigation 199
Chewing Gum 202
Oral Malodor and the Tongue 202
Causes of Oral Malodor 203
Treatment of Oral Malodor 203
Tongue Cleaning 204
Summary 206
Practical Considerations 207
Self-Study Questions 207
References 208
Glossary 212
Chapter 12: Implant and Denture Self‐Care 215
Introduction 216
Self‐Care of Implants 216
Overview of Implants 216
Manual Toothbrushing 218
Powered Toothbrushes 219
Dentifrices 219
Floss 220
Interdental Aids 220
Antimicrobials 221
Other Treatment Considerations 221
Self‐Care of Dentures 221
Types of Removable Prostheses 221
Oral and Systemic Health of Denture Wearers 222
Patient Education 224
Self‐Repair of Dentures 227
Denture Cleaning 227
Treatment of Candidiasis 231
Denture Liners 232
Denture Adhesives 232
Xerostomia and the Denture Patient 234
Summary 235
Practical Considerations 235
Self-Study Questions 235
References 236
Glossary 240
Chapter 13: Community Water Fluoridation 244
Introduction 245
Definition and Background 245
History of Community Water Fluoridation 246
Mechanisms of Action off Fluoride 250
Benefits and Effectiveness of Fluoridation 253
Effects of Discontinuation of Water Fluoridation 256
Enamel Fluorosis 257
Reduction of the Risk for Enamel Fluorosis 259
Optimal Fluoride Levels 260
Engineering Aspects: Chemicals and Technical Systems 261
The Monitoring and Surveillance of Fluoridation 261
Cost of Community Water Fluoridation 262
Other Fluoride Vehicles 263
Summary 264
Practical Considerations 264
Self-Study Questions 264
References 265
Glossary 270
Chapter 14: Topical Fluoride Therapy 274
Introduction 275
Mechanism of Action of Topical Fluoride Treatments 275
Effects of Fluoride an Plaque and Bacterial Metabolism 277
Topical Fluoride Applications 278
Available Forms 278
Application Procedures 279
Application Frequency 281
Efficacy of Topical Fluoride Therapy 282
Root Caries 284
Recommendations: Topical Fluoride Treatments 285
Fluoride Varnishes 285
Initiation of Therapy 286
Disadvantages of Fluoride Treatments 287
Fluoride‐Containing Prophylactic Pastes 287
Multiple Fluoride Therapy 287
Fluoride Rinses 288
Fluoride Gels for Oral Self‐Care 289
Fluoride‐Releasing Dental Materials 290
Toxicology of Fluoride 290
Emergency Treatment 291
Chronic Excessive Fluoride Exposure 291
Home Security of Fluoride Products 292
Summary 292
Practical Considerations 292
Self-Study Questions 292
References 293
Glossary 299
Chapter 15: Dental Sealants 301
Introduction 302
Historical Perspective 302
Sealant Use in Dental Care 302
Polymerization of Sealants 303
Light‐Cured Sealants 304
Self‐Cured Sealants 304
Types of Sealants 304
Glass Ionomer Cement Sealants 304
Sealants with Bonding Agents 305
Self‐Etching Light‐Cured Sealants 305
Fluoride‐Releasing Sealants 305
Moisture‐Resistant Sealants 305
Colored versus Clear Sealants 305
Sealant Retention 305
Criteria for Selecting Teeth for Sealant Placement 306
Sealant Placement 307
Increasing the Surface Area 307
Pit‐and‐Fissure Depth 307
Surface Cleanliness 307
Preparing the Tooth for Sealant Application 307
Drying the Tooth Surface 308
Sealant Application 308
Occlusal and Interproximal Discrepancies 309
Evaluating Retention of Sealants 309
Placement of Sealants Over Carious Lesions 309
Dental Providers 309
Economics 309
Disparities in Dental Sealant Use 310
Summary 310
Practical Considerations 310
Self-Study Questions 311
References 311
Glossary 314
Chapter 16: Nutrition, Diet, and Associated Oral Conditions 316
Introduction 317
Diet Assessment and Counseling in Dental Care 317
Primary Prevention 317
Secondary Prevention 318
Tertiary Prevention 318
The Basis for a Healthy Diet 318
Dietary Reference Intakes 318
Dietary Guidelines for Americans 319
MyPlate 319
Food Labels 319
Nutritional Factors Affecting the Oral Cavity 322
Protein Energy Malnutrition (PEM) 323
Minerals 325
Vitamins 325
Diet and Enameldemineralization 326
Diet and Dental Caries 326
Role of Carbohydrates 326
Effects of Eating Patterns and Physical Form of Foods 327
Caries‐Protective Foods and Nutrients 327
Measurement of Foods’ Cariogenic Potential 328
Nutrition and Periodontal Diseases 329
Untitled 329
Lifestyle Diet and Oral Health Issues 329
Early Childhood Caries 329
Eating Disorders 330
Aging Issues 331
Dental and Nutritionalimplications of Commonchronic Conditions 332
Diabetes Mellitus 332
Immunocompromising Conditions 332
Oral Surgery and Intermaxillary Fixation 333
Summary 334
Practical Considerations 334
Self-Study Questions 335
References 335
Glossary 339
Chapter 17: Sugar and Other Sweeteners 342
Introduction 343
Taste Perception and Sensation 343
History of Sweeteners 344
Sucrose and Constituents 345
Uses of Sucrose 345
Evaluation of the Health Aspects of Sucrose 345
Sugars and Dental Caries Formation 346
Polyols as Sweeteners 348
Sorbitol 348
Mannitol 348
Xylitol 348
Intense Sweeteners 349
Saccharin 349
Aspartame 350
Acesulfame‐K 350
Sucralose 350
Neotame 350
Nonnutritive Sweeteners not Approved in the United States 350
Alitame 350
Cyclamate 351
Neohesperidin 351
Stevia (Steveoside) 351
Thaumatin 351
Health Considerations 351
obesity 351
Diabetes and glycemic response 351
Hyperlipidemias 352
Behavioral Disorders 352
Summary 352
Practical Considerations 352
Acknowledgment 352
Self-Study Questions 352
References 353
Glossary 355
Chapter 18: Health Education and Promotion Theories 358
Introduction 359
History of Health Education 359
Health Belief Model 359
Oral Health Applications 360
Transtheoretical Model and Stages of Change 360
Oral Health Applications 362
Theory of Reasoned Action 362
Oral Health Applications 363
Social Learning Theory 364
Chapter 19: Tobacco Cessation 373
Introduction 374
Tobacco Use: Morbidity, Mortality, and U.S. Population Trends 374
Tobacco‐Related Oral Diseases and Lesions 376
oral Cancer/Precancerous lesions 377
Periodontal Diseases 377
Smokeless Tobacco and Periodontal Disease 378
Tobacco Types, Toxins, and Carcinogens 378
Nicotine Use: A Biochemical Dependence 380
Tobacco Use: A Behavioral and Social Addiction 381
Pharmacotherapy for Treatment of Nicotine Dependence 381
Components of an Effective Tobacco Dependence Intervention 384
PhS’s Five R’s 386
Levels of a TDI 388
Brief intervention (1+ minute) 388
Moderate intervention (5 to 10 minutes) 388
Intensive Intervention (20 or more minutes) 388
Summary 388
Practical Considerations 389
Self-Study Questions 390
References 391
Glossary 394
Chapter 20: Athletic Mouthguards 397
Introduction 398
Historical Perspective 398
Mouthguard Use 398
Contact Sport Injuries 399
Mouthguard Protection and Injury Prevention 399
Types of Mouthguards 400
Fabrication of the Custom‐Made, Vacuum‐Formed Mouthguard 402
Dental Provider’s Role in Mouthguard Use 402
Summary 402
Practice Considerations 402
Self-Study Questions 403
References 403
Glossary 405
Chapter 21: Technological Advances in Primary Dental Care 407
Introduction 408
Immunizations in Oral Health 408
Dental Caries 408
Periodontal Diseases 410
Genetics 410
Dental Caries 411
Periodontal Diseases 412
Gene Therapy 412
Stem Cells in Oral Health 412
Probiotics in Oral Health 413
Advances in Caries Detection 413
Summary 414
Practical Considerations 414
Self-Study Questions 414
References 415
Glossary 416
Chapter 22: Pregnancy and Infancy 419
IntroductIon 420
Introduction to Pregnancy and Infancy 420
Population Characteristics 420
Pregnant Women 420
Infants 421
Common Oral Manifestations 422
Pregnant Women 422
Infants 423
Preventive Strategies 425
Pregnant Women 425
Infants 426
A Protocol for Early Preventive Intervention 428
Summary 431
Practical Considerations 432
Self-Study Questions 432
References 433
Glossary 435
Chapter 23: Pediatrics 437
Introduction 438
Population Characteristics 438
Child Development 438
Early Childhood Development: 2 to 5 Years of Age 441
School‐Age Development: 6 to 11 Years of Age 441
Adolescent Development: 12 to 19 Years of Age 442
Children’s Development and Behavior 443
Common Oral Manifestations 443
Early Childhood Caries 443
Preventive Strategies 443
Communication 444
Tell‐Show‐Do 446
Voice Control 446
Positive reinforcement 446
Distraction 446
Summary 446
ractIcal 447
Practical Considerations 447
References 447
Glossary 449
Chapter 24: Adult Dental Care 451
Introduction 452
Population Characteristics 452
Adolescence to Young Adulthood: 13– 20 Years of Age 452
Early Adulthood: 21– 39 Years of Age 452
Mature Adulthood: 40– 60 Years of Age 452
Common Oral Manifestations 453
Dental Caries 453
Periodontal Diseases 453
Oral and Pharyngeal Cancer 453
Women’s Oral Health 456
Preventive Strategies 456
Adolescence to Young Adulthood: 13– 20 Years of Age 456
Early Adulthood: 21– 39 Years of Age 457
Mature Adulthood: 40– 60 Years of Age 458
Summary 460
Practical Considerations 460
Self-Study Questions 460
References 461
Glossary 463
Chapter 25: Geriatrics 465
Introduction 466
Population Characteristics 466
Frail Elderly 468
Health 468
Physiologic Changes 470
Functional status 470
Cognitive Changes 470
Common Oral Manifestations 471
Long‐Term Care 473
surgeon General’s report 473
Preventive Strategies 475
Senior‐Friendly Dental Practice 475
Health Promotion 475
Public Policy 476
Dental Providers 476
Summary 477
Practical Considerations 477
Self-Study Questions 477
References 478
Glossary 480
Chapter 26: Medically Compromised Populations 482
Introduction 483
Arthritis 483
Characteristics and Common Oral Manifestations 483
Preventive Treatment strategies 483
Eating Disorders 483
Characteristics of Anorexia and Bulimia and Common Oral Manifestations 483
Characteristics of Pica and Common Oral Manifestations 483
Chapter 27: Populations with Developmental Disabilities 503
Introduction 504
Intellectual Disability 507
Characteristics and Common Oral Manifestations 507
Causes of ID 507
Classification of Intellectual Disability 507
Common Physical and Oral Characteristics 508
Preventive Strategies 509
Autism Spectrum Disorders (Asds) 511
Characteristics and Common Oral Manifestations 511
Common Causes of Asds 511
Classification of Asd 511
Common Physical and Oral Manifestations 511
Preventive Strategies 512
Cerebral Palsy 512
Common Causes, Classification,Characteristics, and Common Oral Manifestations 512
Common Physical and Oral Characteristics 513
Preventive strategies 513
Down Syndrome 514
Characteristics and Classifications 514
Preventive Strategies 515
Attention Deficit and Hyperactivity Disorder (Adhd) 517
Population Statistics and Characteristics 517
Classification of Adhd 517
Common Physical and Oral Characteristics 517
Preventive Strategies 517
An Overlapping Population: Children and Adults with Gastrostomy Tubes and Aspiration Risk 518
Preventive strategies 518
Preventive Outreach for People with Disabilities 519
Answers to Questions Commonly Asked by Caregivers 519
Summary 520
Practical Considerations 521
Self-Study Questions 521
References 522
Glossary 523
Index 525
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