Preface xv

Chapter 1 Patient Examination 1

Case 1 Examination and Documentation 2 
Stefania Moglia Willis

Case 2 Head and Neck Examination 9
Stefania Moglia Willis

Case 3 Radiographic Exam 15
Aaron E. Yancoskie

Case 4 Occlusal Examination 21
Stefania Moglia Willis

Case 5 Gingival Examination 29
Aaron E. Yancoskie

Case 6 Periodontal Exam 36
Aaron E. Yancoskie

Chapter 2 Dental Hygiene Diagnosis 43

Case 1 Plaque‐Induced Gingivitis 44
Holly S. Harper

Case 2 Non‐Plaque‐Induced Gingivitis 49
Holly S. Harper

Case 3 Drug‐Induced Gingivitis 54
Holly S. Harper

Case 4 Chronic Periodontitis 60
Holly S. Harper

Case 5 Aggressive Periodontics 65
Holly S. Harper

Case 6 Local Contributing Factors 70
Holly S. Harper

Chapter 3 Planning and Managing Dental Hygiene Care 75

Case 1 Infection Control 76
Shirley S. Birenz and Cynthia J. Howard

Case 2 Emergency Situations and Provision of Appropriate Care 82
Shirley S. Birenz and Cynthia J. Howard

Case 3 Individualized Patient Care 88
Shirley S. Birenz and Cynthia J. Howard

Case 4 Nutritional Counseling 94
Shirley S. Birenz and Cynthia J. Howard

Case 5 Dental Hygiene Treatment Strategies 101
Shirley S. Birenz and Cynthia J. Howard

Chapter 4 Nonsurgical Periodontal Procedures 109

Case 1 Periodontal Debridement (Hand, Ultrasonic, Sonic Instrumentation) 110
Judith Kreismann and Marija L. Cahoon

Case 2 Reassessment and Maintenance 116
Judith Kreismann and Marija L. Cahoon

Case 3 Oral Hygiene Instruction with Limited Dexterity 122
Judith Kreismann and Marija L. Cahoon

Chapter 5 Pharmacology 127

Case 1 Pain and Anxiety Control: Analgesics 128
Ronald J. Lehane

Case 2 Pain and Anxiety Control: Topical and Local Anesthetics 133
Ronald J. Lehane

Case 3 Pain and Anxiety Control: Nitrous Oxide 138
Ronald J. Lehane

Case 4 Topical Drug Delivery (Local Drug Delivery, Oral Rinses, and Irrigation) 143
Ronald J. Lehane

Case 5 Systemic Antibiotics and Enzyme Suppression Therapy 149
Ronald J. Lehane

Chapter 6 Surgical Periodontal Procedures 155

Case 1 Surgical Support Services 156
Edgard S. El Chaar and Stephanie E. Cruz

Case 2 Implant Procedures and Maintenance 161
Edgard S. El Chaar and Stephanie E. Cruz

Chapter 7 Preventive Therapies 167

Case 1 Plaque Removal; Individualized Patient Education 168
Kellie R. Kennedy

Case 2 Fluoride – Systemic and Topical 176
Mark S. Wolff

Case 3 Pit and Fissure Sealants 180
Mark S. Wolff

Chapter 8 Introduction to Biomaterials 187

Case 1 Biomaterials: Dental Implants and Peri‐implantitis 189
Lorilei Kirby

Case 2 Polishing Restored and Natural Teeth 194
Lorilei Kirby

Case 3 Alginate Impressions 200
Lorilei Kirby

Case 4 Dentinal Hypersensitivity 207
Kim Attanasi

Chapter 9 Management of Special Needs Patients 213

Case 1 Older Adult 214
Rosemary D. Hays, Eva M. Lupovici, and Sarah Yoon Kang

Case 2 Psychiatric Disability 220
Rosemary D. Hays, Eva M. Lupovici, and Sarah Yoon Kang

Case 3 Abuse 224
Rosemary D. Hays, Eva M. Lupovici, and Sarah Yoon Kang

Case 4 Substance‐Related Disorder 231
Rosemary D. Hays, Eva M. Lupovici, and Sarah Yoon Kang

Chapter 10 Management of Medically Complex Patients 237

Case 1 Patient with Diabetes 238
Debra Ferraiolo

Case 2 Patient with Asthma 244
Miriam R. Robbins

Case 3 Patient with Hypertension 248
Silvia Spivakovsky

Case 4 Patient Taking Antithrombotic Drugs – Valve Replacement 252
Analia Veitz‐Keenan

Case 5 Patient with Kidney Disease 258
Joan A. Phelan

Chapter 11 Professional Responsibility 263

Case 1 Ethical Principles – Informed Consent 264
Winnie Furnari

Case 2 Regulatory Compliance 271
Winnie Furnari

Case 3 Patient and Professional Communication 276
Winnie Furnari

Chapter 12 Community and Oral Health Promotion 283

Case 1 Participating in Community Programs 284
Lisa B. Stefanou and Dianne L. Sefo

Case 2 Promoting Health and Preventing Disease within Groups 290
Lisa B. Stefanou and Dianne L. Sefo

Index 297