Additional Information
Book Details
Abstract
The new edition of this highly successful book continues to offer readers everything they require to gain a full understanding of microbiology as it relates to modern dental practice. The rich combination of easy-to-read text together with the extensive artwork programme makes Essential Microbiology for Dentistry the first choice of microbiology textbook for many students of dentistry worldwide.
- Comprehensive coverage of the subject area makes the book suitable for all aspects of the curriculum
- Almost 300 tables and illustrations present clinical, diagnostic and practical information in an easy-to-follow manner
- Contains ‘Key Facts’ boxes to act as useful aide-mémoires
- Self-assessment sections at the end of each chapter allow students to assess their understanding in key areas of knowledge
- Addresses the subject on a strictly ‘need-to-know for the dentist’ approach [e.g. only salient bacteria are included with thumbnail sketches of viruses and fungi]
- Contains a detailed - and now expanded - glossary and abbreviations list
- Contains the latest organism nomenclature and information regarding unculturable bacteria and novel molecular technology
- Includes a highly expanded section on oral biofilms and their relevance to systemic disease such as heart disease, diabetes, adverse pregnancy outcomes and nosocomial pneumonia
- Contains a brand new section on oral immunology – prepared by guest authors – as relevant to dentistry
- Contains a new section on the microbiology of perimplantitis
- Presents a fully revised and expanded section on infection control in dentistry encompassing British and American guidelines
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Front cover | cover | ||
Essential Microbiology for Dentistry | i | ||
Copyright page | iv | ||
Preface | v | ||
Table of contents | vii | ||
Chapter 1 Introduction | 1 | ||
A note on emerging and re-emerging infections | 1 | ||
About this book | 2 | ||
Further reading | 3 | ||
Part 1 General microbiology | 5 | ||
Part 1 text | 5 | ||
Chapter 2 Bacterial structure and taxonomy | 7 | ||
Eukaryotes and prokaryotes | 7 | ||
Morphology | 7 | ||
Shape and size | 7 | ||
Arrangement | 7 | ||
Gram-staining characteristics | 9 | ||
Structure | 9 | ||
Structures external to the cell wall | 9 | ||
Flagella | 9 | ||
Fimbriae and pili | 9 | ||
Glycocalyx (slime layer) | 9 | ||
Capsule | 10 | ||
Cell wall | 10 | ||
Bacteria with defective cell walls | 10 | ||
Cytoplasmic membrane | 11 | ||
Mesosome | 11 | ||
Cytoplasm | 11 | ||
Nuclear material or nucleoid | 11 | ||
Ribosomes | 11 | ||
Cytoplasmic inclusions | 11 | ||
Bacterial spores | 11 | ||
Clinical relevance of bacterial spores | 11 | ||
Taxonomy | 12 | ||
Genotypic taxonomy | 12 | ||
How do organisms get their names? | 13 | ||
Further reading | 14 | ||
Review questions (answers on p. 351) | 14 | ||
Chapter 3 Bacterial physiology and genetics | 15 | ||
Bacterial physiology | 15 | ||
Growth | 15 | ||
Nutritional requirements | 15 | ||
Oxygen and hydrogen | 15 | ||
Carbon | 15 | ||
Inorganic ions | 15 | ||
Organic nutrients | 15 | ||
Reproduction | 15 | ||
Bacterial growth cycle | 15 | ||
Growth regulation | 15 | ||
Aerobic and anaerobic growth | 16 | ||
Bacterial genetics | 16 | ||
The bacterial chromosome | 17 | ||
Replication | 17 | ||
Genes | 18 | ||
Genetic variation in bacteria | 18 | ||
Mutation | 18 | ||
Base substitution | 18 | ||
Frame shift mutation | 18 | ||
Insertion | 18 | ||
Gene transfer | 18 | ||
Conjugation | 18 | ||
Transduction | 18 | ||
Transformation | 19 | ||
Transposition | 19 | ||
Recombination | 19 | ||
Plasmids | 19 | ||
Clinical relevance of plasmids | 20 | ||
Transposons | 21 | ||
Recombinant DNA technology in microbiology | 21 | ||
Gene cloning | 21 | ||
Gene probes | 21 | ||
DNA probes | 21 | ||
Oligonucleotide probes | 21 | ||
RNA probes | 21 | ||
DNA/RNA probes and oral microbiology | 22 | ||
Polymerase chain reaction | 22 | ||
Materials | 22 | ||
Method | 22 | ||
PCR and its variations | 23 | ||
Nested PCR | 23 | ||
Multiplex PCR | 23 | ||
Real-time PCR | 24 | ||
Why is PCR so widely used? | 24 | ||
Other techniques for genetic typing of microorganisms | 25 | ||
Restriction enzyme analysis | 25 | ||
Restriction fragment length polymorphism | 25 | ||
Pulsed-field gel electrophoresis | 25 | ||
Pyrosequencing | 25 | ||
The era of ‘-omics’ | 25 | ||
Genomics | 25 | ||
Proteomics | 25 | ||
Transcriptomics | 25 | ||
Metabolomics | 25 | ||
Further reading | 26 | ||
Review questions (answers on p. 351) | 26 | ||
Chapter 4 Viruses and prions | 27 | ||
Structure | 27 | ||
Viral nucleic acid | 27 | ||
Viral protein | 27 | ||
Viral lipid and carbohydrate | 27 | ||
Virus symmetry | 27 | ||
Taxonomy | 29 | ||
DNA viruses | 29 | ||
Papovaviruses | 29 | ||
Papillomavirus | 29 | ||
Polyomavirus | 29 | ||
Adenoviruses | 29 | ||
Herpesviruses | 29 | ||
Structure | 30 | ||
Poxviruses | 30 | ||
Parvoviruses | 30 | ||
Hepadnaviruses | 30 | ||
RNA viruses | 30 | ||
Picornaviruses | 30 | ||
Orthomyxoviruses | 30 | ||
Paramyxoviruses | 31 | ||
Coronaviruses | 31 | ||
Retroviruses | 31 | ||
Other RNA viruses | 31 | ||
Viroids | 31 | ||
Viral replication | 32 | ||
Pathogenesis of viral infections | 33 | ||
Cellular antiviral response | 33 | ||
Prions and prion diseases | 33 | ||
Prion-induced diseases or transmissible spongiform encephalopathies | 33 | ||
Kuru | 33 | ||
Creutzfeldt–Jakob disease | 33 | ||
Variant Creutzfeldt–Jakob disease | 33 | ||
Fatal familial insomnia | 33 | ||
Gerstmann–Straussler–Scheinker syndrome | 34 | ||
Pathogenesis | 34 | ||
Transmission | 34 | ||
Prevention and dental implications | 34 | ||
North American guidelines | 34 | ||
British guidelines | 34 | ||
Further reading | 35 | ||
Review questions (answers on p. 351) | 35 | ||
Chapter 5 Pathogenesis of microbial disease | 37 | ||
General aspects of infection | 37 | ||
Virulence | 37 | ||
Communicable diseases | 37 | ||
Natural history of infectious disease | 37 | ||
Pathogenesis of bacterial disease | 38 | ||
Determinants of bacterial pathogenicity | 38 | ||
Transmission | 38 | ||
Adherence to host surfaces | 38 | ||
Biofilm formation | 38 | ||
Invasiveness | 39 | ||
Pyogenic inflammation | 40 | ||
Granulomatous inflammation | 40 | ||
Toxigenicity | 40 | ||
Toxin production | 40 | ||
Endotoxins | 40 | ||
Exotoxins | 41 | ||
Neurotoxins | 41 | ||
Enterotoxins | 42 | ||
Miscellaneous exotoxins | 42 | ||
Pathogenesis of viral disease | 42 | ||
Entry of viral infections | 42 | ||
Skin and mucosa | 43 | ||
Oropharynx and intestinal tract | 43 | ||
Respiratory tract | 43 | ||
Genitourinary tract | 44 | ||
Mechanisms of viral spread in the body | 44 | ||
Local spread on body surfaces | 44 | ||
Lymphatic spread | 44 | ||
Viraemia and spread to organs | 44 | ||
Central nervous system and peripheral nerve spread | 44 | ||
Virus and host cell interactions | 45 | ||
Permissive infection | 45 | ||
Haemadsorption | 45 | ||
Giant cell formation | 45 | ||
Non-permissive infection | 45 | ||
Latent viral infections | 46 | ||
Chronic infections | 46 | ||
Oncogenic infections | 46 | ||
Slow virus infections | 46 | ||
Transmission of viral infections and infection control | 46 | ||
Host determinants of viral infection | 46 | ||
Pathogenesis of fungal disease | 46 | ||
Koch’s postulates | 46 | ||
Further reading | 47 | ||
Review questions (answers on p. 351) | 47 | ||
Chapter 6 Diagnostic microbiology and laboratory methods | 49 | ||
Diagnostic microbiology | 49 | ||
Clinical request | 49 | ||
Provision of clinical information | 49 | ||
Collection and transport of specimens | 49 | ||
Laboratory analysis | 49 | ||
Interpretation of the microbiology report and use of information | 50 | ||
Laboratory methods | 50 | ||
Microscopic methods | 50 | ||
Light microscopy | 50 | ||
Bright-field or standard microscopy | 50 | ||
Dark-ground microscopy | 51 | ||
Phase-contrast microscopy | 51 | ||
Fluorescence microscopy | 52 | ||
Electron microscopy | 52 | ||
Light microscopy and stains | 52 | ||
Gram stain technique | 52 | ||
Staining characteristics | 52 | ||
Ziehl–Neelsen technique | 52 | ||
Other stains | 52 | ||
Detection of microbes by probing for their genes | 52 | ||
Polymerase chain reaction | 52 | ||
Nucleic acid probes | 52 | ||
Cultural methods | 52 | ||
Bacteriological media | 53 | ||
Preparation of solid media and inoculation procedure | 53 | ||
Liquid media | 54 | ||
Media for blood culture | 54 | ||
Transport media | 54 | ||
Bacteriological transport media | 54 | ||
Viral transport medium | 54 | ||
Atmospheric requirements and incubation | 55 | ||
Bacterial identification | 55 | ||
Biochemical tests | 55 | ||
Commercial identification kits | 56 | ||
Method | 56 | ||
Subtyping organisms | 56 | ||
Genetic typing | 56 | ||
Immunological methods | 57 | ||
Identification of organisms using immunological techniques | 57 | ||
Agglutination | 57 | ||
Slide agglutination | 57 | ||
Latex agglutination | 57 | ||
Immunofluorescence | 57 | ||
Enzyme-linked immunosorbent assay | 57 | ||
Detection of antibodies in a patient’s serum | 57 | ||
Laboratory investigations related to antimicrobial therapy | 58 | ||
Susceptibility of organisms to antimicrobial agents | 58 | ||
Laboratory testing for antimicrobial sensitivity | 58 | ||
Disc diffusion test | 58 | ||
Assessment of MIC and MBC | 59 | ||
Method | 59 | ||
Appropriate specimens in medical microbiology | 60 | ||
Appropriate specimens for oral infections | 60 | ||
Purulent infections | 61 | ||
Mucosal infections | 61 | ||
Periodontal infections and caries | 61 | ||
Laboratory isolation and identification of viruses | 61 | ||
Direct microscopy of clinical material | 61 | ||
Isolation and identification from tissues | 62 | ||
Tissue culture | 62 | ||
Serodiagnosis of viral infections | 62 | ||
Serological tests | 63 | ||
Serodiagnosis using multiple antigen systems | 63 | ||
Molecular amplification methods for rapid viral diagnosis | 63 | ||
Diagnosis of fungal infections | 63 | ||
Candidal infections | 63 | ||
Germ tube test | 63 | ||
Histopathology | 64 | ||
Other laboratory investigations | 64 | ||
Further reading | 65 | ||
Review questions (answers on p. 351) | 65 | ||
Chapter 7 Antimicrobial chemotherapy | 67 | ||
Bacteriostatic and bactericidal antimicrobial agents | 67 | ||
Mode of action of antimicrobials | 67 | ||
Principles of antimicrobial therapy | 67 | ||
Choice of drug | 67 | ||
Spectrum of activity of antimicrobial agents | 68 | ||
Combination therapy | 68 | ||
Antimicrobial prophylaxis | 69 | ||
Aims | 69 | ||
Prescribing an antimicrobial agent | 69 | ||
Is there an infective aetiology? | 69 | ||
Have relevant specimens been taken before treatment? | 69 | ||
When should the treatment be started? | 69 | ||
Which antimicrobial agent? | 69 | ||
Pharmacodynamics of antimicrobials | 70 | ||
Dosage | 70 | ||
Duration of treatment | 70 | ||
Route of administration | 70 | ||
Distribution | 70 | ||
Excretion | 70 | ||
Toxicity | 70 | ||
Drug interactions | 70 | ||
Failure of antimicrobial therapy | 70 | ||
Antibiotic resistance in bacteria | 70 | ||
Mechanisms of antibiotic resistance (Table 7.4) | 71 | ||
Inactivation of the drug | 71 | ||
Altered uptake | 71 | ||
Modification of the structural target of the drug | 71 | ||
Altered metabolic pathway | 71 | ||
Emergence of drug-resistant bacteria and the role of the clinician | 71 | ||
Antimicrobials commonly used in dentistry | 71 | ||
Antibacterial agents | 71 | ||
Penicillins | 71 | ||
Phenoxymethylpenicillin (penicillin V) | 72 | ||
Part 2 Basic immunology (contributed by Drs Liwei Lu, Brian M Jones and Glen C Ulett) | 79 | ||
Part 2 text | 79 | ||
Chapter 8 The immune system and the oral cavity | 81 | ||
The immune system: general considerations | 81 | ||
The innate immune system | 81 | ||
Mechanical and chemical barriers | 81 | ||
Defensins and cathelicidins | 81 | ||
Phagocytosis | 82 | ||
Pathogen-associated molecular patterns, pattern-recognition receptors and Toll-like receptors | 82 | ||
Natural killer cells | 83 | ||
Acute-phase proteins | 83 | ||
Interferon | 84 | ||
Complement | 84 | ||
Alternative activation | 84 | ||
Classical activation | 85 | ||
Membrane attack | 85 | ||
Biological effects of complement activation | 85 | ||
Inflammation | 86 | ||
The adaptive immune system | 86 | ||
Cells of the immune system | 87 | ||
The lymphoid organs | 87 | ||
Antigen recognition | 88 | ||
Major histocompatibility complex | 88 | ||
The TCR and generation of T cell diversity | 88 | ||
The BCR, generation of B cell diversity and isotype selection | 88 | ||
Deletion of anti-self reactivities | 88 | ||
T cell differentiation | 88 | ||
B cell differentiation | 89 | ||
Peripheral tolerance | 89 | ||
Disorders of the Immune System | 89 | ||
Oral defence mechanisms | 90 | ||
Innate immune mechanisms | 90 | ||
The oral mucosal epithelium | 91 | ||
Antigen-non-specific defence chemicals in oral secretions (Table 8.3) | 91 | ||
Functionality of salivary defence constituents | 93 | ||
Microbial interactions and the normal oral flora | 93 | ||
Adaptive immunity in oral health and disease | 93 | ||
Oral lymphoid tissues | 94 | ||
S-IgA in oral defence | 94 | ||
PCD in response to oral microbes | 94 | ||
Further reading | 96 | ||
Review questions (answers on p. 351 & p. 352) | 96 | ||
Chapter 9 The immune response | 99 | ||
Antibodies | 99 | ||
Cytokines | 99 | ||
B cell activation | 100 | ||
Antigen processing and presentation | 101 | ||
Processing of endogenous antigens | 102 | ||
Processing of exogenous antigen | 103 | ||
T-helper subsets | 104 | ||
Target cell killing | 104 | ||
Activation of macrophages | 105 | ||
Regulation of the immune response | 105 | ||
Anti-idiotypic antibody | 105 | ||
Regulatory T cells | 105 | ||
Immunological memory | 106 | ||
Memory B cells | 106 | ||
Memory T cells | 106 | ||
Further reading | 107 | ||
Review questions (answers on p. 352) | 107 | ||
Chapter 10 Immunity and infection | 109 | ||
Immunity to bacteria | 109 | ||
Summary of defence mechanisms | 109 | ||
Bacterial evasion strategies | 109 | ||
Damage caused by immune responses to bacteria | 109 | ||
Immunity to viruses | 110 | ||
Summary of defence mechanisms | 110 | ||
Viral evasion strategies | 111 | ||
Damage caused by immune responses to viruses | 111 | ||
HIV and AIDS | 111 | ||
Immunity to parasites | 113 | ||
Summary of defence mechanisms | 113 | ||
Parasite evasion strategies | 113 | ||
Damage caused by immune responses to parasites | 114 | ||
Immunity to fungi | 114 | ||
Vaccination | 114 | ||
Passive immunization | 114 | ||
Active immunization | 114 | ||
New approaches to vaccine development | 115 | ||
Further reading | 117 | ||
Review questions (answers on p. 352) | 117 | ||
Part 3 Microbes of relevance to dentistry | 119 | ||
Part 3 text | 119 | ||
Chapter 11 Streptococci, staphylococci and micrococci | 121 | ||
Streptococci | 121 | ||
General properties | 121 | ||
Part 4 Infections of relevance to dentistry | 193 | ||
Part 4 text | 193 | ||
Chapter 23 Infections of the respiratory tract | 195 | ||
Normal flora | 195 | ||
Important pathogens of the respiratory tract | 195 | ||
Infections of the upper respiratory tract | 195 | ||
Sore throat syndrome | 195 | ||
Part 5 Oral microbiology | 263 | ||
Part 5 text | 263 | ||
Chapter 31 Normal oral flora, the oral ecosystem and plaque biofilms | 265 | ||
Normal oral flora | 265 | ||
A note on the nomenclature of oral flora | 265 | ||
Flora of the oral cavity | 265 | ||
Gram-positive cocci | 265 | ||
Genus Streptococcus | 265 | ||
mutans group | 265 | ||
salivarius group | 265 | ||
anginosus group | 266 | ||
mitis group | 266 | ||
Anaerobic streptococci | 266 | ||
Genus Stomatococcus | 266 | ||
Genera Staphylococcus and Micrococcus | 266 | ||
Gram-positive rods and filaments | 266 | ||
Genus Actinomyces | 266 | ||
Genus Lactobacillus | 266 | ||
Genus Eubacterium | 266 | ||
Genus Propionibacterium | 266 | ||
Other notable Gram-positive organisms | 267 | ||
Gram-negative cocci | 267 | ||
Genus Neisseria | 267 | ||
Genus Veillonella | 267 | ||
Gram-negative rods – facultative anaerobic and capnophilic genera | 267 | ||
Genus Haemophilus | 267 | ||
Genus Aggregatibacter | 267 | ||
Genus Eikenella | 268 | ||
Genus Capnocytophaga | 268 | ||
Gram-negative rods – obligate anaerobic genera | 268 | ||
Genus Porphyromonas | 268 | ||
Genus Prevotella | 268 | ||
Genus Fusobacterium | 268 | ||
Genus Leptotrichia | 268 | ||
Genus Wolinella | 268 | ||
Genus Selenomonas | 269 | ||
Genus Treponema | 269 | ||
A note on unculturable bacteria | 269 | ||
Oral protozoa | 269 | ||
Genus Entamoeba | 269 | ||
Genus Trichomonas | 269 | ||
The oral ecosystem | 269 | ||
The oral environment | 269 | ||
Oral habitats | 270 | ||
Buccal mucosa and dorsum of the tongue | 270 | ||
Teeth | 271 | ||
Crevicular epithelium and gingival crevice | 271 | ||
Prosthodontic and orthodontic appliances | 271 | ||
Factors modulating microbial growth | 271 | ||
Anatomical factors | 271 | ||
Saliva | 271 | ||
Gingival crevicular fluid | 271 | ||
Microbial factors | 272 | ||
Miscellaneous factors | 272 | ||
Local environmental pH | 272 | ||
Oxidation–reduction potential | 272 | ||
Antimicrobial therapy | 272 | ||
Diet | 272 | ||
Iatrogenic factors | 272 | ||
Nutrition of oral bacteria | 272 | ||
Acquisition of the normal oral flora | 273 | ||
Dental plaque biofilm | 273 | ||
Composition | 273 | ||
Distribution | 273 | ||
Microbial adherence and plaque biofilm formation | 273 | ||
Plaque biofilm formation | 273 | ||
Detachment | 274 | ||
Further notes on biofilms | 274 | ||
Calculus formation | 275 | ||
Structure | 275 | ||
The role of oral flora in systemic infection | 275 | ||
Further reading | 278 | ||
Review questions (answers on p. 354) | 278 | ||
Chapter 32 Microbiology of dental caries | 279 | ||
Epidemiology | 279 | ||
Classification | 279 | ||
Clinical presentation | 279 | ||
Diagnosis | 279 | ||
Aetiology | 279 | ||
Host factors | 280 | ||
Tooth structure | 280 | ||
Flow rate and composition of saliva | 280 | ||
Diet | 280 | ||
Microbiology | 281 | ||
Specific and non-specific plaque hypothesis | 281 | ||
The role of mutans streptococci | 281 | ||
The role of lactobacilli | 281 | ||
The role of Actinomyces spp. | 281 | ||
The role of Veillonella | 282 | ||
Plaque metabolism and dental caries | 282 | ||
Ecological plaque hypothesis | 282 | ||
Management of dental caries | 283 | ||
Patient evaluation | 283 | ||
Microbiological tests in caries assessment | 283 | ||
Microbiology of root surface caries | 284 | ||
Prevention of dental caries | 284 | ||
Sugar substitutes | 284 | ||
Fluoridation | 284 | ||
Fissure sealants | 284 | ||
Control of cariogenic plaque flora | 284 | ||
Mechanical cleansing techniques | 284 | ||
Antimicrobial agents | 284 | ||
Active immunization against dental caries | 285 | ||
Passive immunization | 285 | ||
Replacement therapy | 285 | ||
Further reading | 285 | ||
Review questions (answers on p. 354 & p. 355) | 286 | ||
Chapter 33 Microbiology of periodontal disease | 287 | ||
Classification of periodontal disease | 287 | ||
Ecology of the gingival crevice and the periodontal pocket | 287 | ||
Aetiological factors | 287 | ||
Host tissues | 287 | ||
Host defence factors | 287 | ||
Polymorphonuclear leukocytes | 288 | ||
Antibody | 288 | ||
Microorganisms in subgingival plaque biofilm | 288 | ||
Microbiological studies of periodontal plaque flora | 289 | ||
Specific and non-specific plaque hypotheses | 289 | ||
The specific plaque hypothesis | 289 | ||
The non-specific plaque hypothesis | 289 | ||
The ecological plaque hypothesis | 290 | ||
Clinical implications | 290 | ||
Periodontal health and disease | 290 | ||
A note on the role of viruses in periodontal disease | 290 | ||
Relationship between chronic marginal gingivitis and periodontitis | 291 | ||
Chronic marginal gingivitis | 291 | ||
Clinical presentation | 291 | ||
Pathogenesis | 292 | ||
The initial lesion | 292 | ||
The early lesion | 292 | ||
The established lesion | 292 | ||
Microbiology | 292 | ||
Treatment | 292 | ||
The transition from gingivitis to periodontitis | 292 | ||
Chronic periodontitis (formerly adult periodontitis) | 292 | ||
Morbidity | 292 | ||
Clinical presentation | 292 | ||
Pathogenesis | 293 | ||
Microbiology | 293 | ||
Spirochaetes | 293 | ||
Porphyromonas, Prevotella and Tannerella spp. | 293 | ||
Capnocytophaga and corroding bacteria | 293 | ||
Aggressive periodontitis | 293 | ||
Localized and generalized aggressive periodontitis (formerly localized/generalized juvenile periodontitis) | 293 | ||
Morbidity | 293 | ||
Initiation and course | 294 | ||
Part 6 Cross infection and control | 323 | ||
Part 6 text | 323 | ||
Chapter 36 Principles of infection control | 325 | ||
Cross infection | 325 | ||
Principles of infection transmission | 325 | ||
Source of infection | 325 | ||
Standard infection control | 325 | ||
Evolution of universal precautions, standard precautions and additional precautions (or transmission-based precautions) | 326 | ||
A note on the management of potential carriers of transmissible spongiform encephalopathy or prion diseases | 326 | ||
Mode of transmission | 326 | ||
Airborne infection | 327 | ||
Infection via sharps and needlestick injuries | 327 | ||
Mode of entry | 327 | ||
Infection control procedures | 327 | ||
Further reading | 328 | ||
Review questions (answers on p. 355) | 328 | ||
Chapter 37 Infection control procedures in dentistry | 329 | ||
Practice management and staff development | 329 | ||
Infection control: specific practical features | 329 | ||
Patient evaluation | 329 | ||
Personal protection | 329 | ||
Personal hygiene | 329 | ||
Hand care | 330 | ||
Clinic clothing | 330 | ||
Barrier protection | 330 | ||
Gloves | 331 | ||
Contact dermatitis and latex hypersensitivity | 331 | ||
Eye shields | 332 | ||
Face masks | 332 | ||
Rubber dam isolation | 332 | ||
A note on pre-procedural mouthrinse | 332 | ||
Aspiration and ventilation | 332 | ||
Handling sharps and related injuries | 332 | ||
Sharps injury protocol | 332 | ||
Immunization procedures | 332 | ||
Bacille Calmette–Guérin vaccine | 333 | ||
Answers to review questions | 351 | ||
Glossary of terms and abbreviations | 357 | ||
Index | 367 | ||
A | 367 | ||
B | 368 | ||
C | 369 | ||
D | 371 | ||
E | 371 | ||
F | 372 | ||
G | 372 | ||
H | 373 | ||
I | 374 | ||
J | 375 | ||
K | 375 | ||
L | 375 | ||
M | 375 | ||
N | 376 | ||
O | 376 | ||
P | 377 | ||
Q | 378 | ||
R | 378 | ||
S | 379 | ||
T | 381 | ||
U | 381 | ||
V | 382 | ||
W | 382 | ||
X | 382 | ||
Y | 382 | ||
Z | 382 |