Comprehensive Periodontics for the Dental Hygienist

by Weinberg, Mea A.; Westphal, Cheryl; Palat, Milton; Froum, Stuart J.

• ISBN13: 9780838515549
• ISBN10: 0838515541
• Edition: 1st
• Format: Paperback
• Copyright: 2001-01-01
• Publisher: Prentice Hall

Summary

This quick and easy review of clinical periodontics is designed to provide a clinical and histological understanding of the mechanisms of periodontal disease. The book features evidence-based learning, clinical-based applications, case studies and pharmacology. A four-part organization covers background, assessment, prevention, and treatment, and prepares the clinician for the inevitable advances in chemotherapy and diagnostics-the clinical management hallmark of periodontal diseases in the future. Chapter topics include periodontal pathology; classification and epidemiology of periodontal diseases; radiology and periodontal treatment; periodontal pharmacology and instrumentation; occlusal trauma; principles of periodontal surgery; management of dental implants; supportive periodontal therapy; and clinical case studies. For dental hygienists and general dentists.

Author Biography

Cheryl Westphal is Clinical Associate Professor, Assistant Dean for Allied Health Programs Director, Dental Hygiene Program, New York University College of Dentistry, New York, New York.

Table of Contents

Section I. Periodontal Diseases: Introduction and Background	1	(142)
Anatomy of the Periodontal Structures: The Healthy State	3	(30)
Periodontal Pathology	33	(26)
Etiology of and Risk Factor Assessment for Periodontal Diseases	59	(36)
Classification of Periodontal Diseases	95	(20)
Epidemiology of Periodontal Diseases	115	(28)
Case Interpretation I: Chapters 1-5	139	(4)
Section II. Periodontal Diseases: The Assessment Phase	143	(134)
Patient Assessment	145	(92)
Dental Hygiene Process of Care for the Periodontal Patient	146	(5)
Patient History	151	(15)
Clinical Examination	166	(71)
Extraoral/Intraoral Examination/Dental Evaluation	166	(17)
Oral Hygiene Evaluation	183	(12)
Gingival Assessment	195	(12)
Periodontal Assessment	207	(30)
Radiology and Periodontal Treatment	237	(22)
Advances in Detecting and Monitoring Periodontal Diseases	259	(18)
Case Interpretation II: Chapters 6-8	271	(6)
Section III. Periodontal Diseases: The Prevention and Treatment Phase	277	(298)
Evidence-Based Treatment Planning	279	(28)
Oral Hygiene Self-Care	307	(32)
Periodontal Pharmacology	339	(40)
Periodontal Instrumentation	379	(64)
Hand-Activated Instrumentation	380	(17)
Power-Driven Scalers	397	(28)
Procedures for Extrinsic Stain Removal	425	(18)
Occlusal Trauma	443	(20)
Principles of Periodontal Surgery: Gingivectomy, Osseous Resection, and Mucogingival Surgery	463	(32)
Principles of Periodontal Surgery: Periodontal Regeneration	495	(18)
Management of Dental Implants	513	(26)
Periodontal Management of Medically Compromised Patients	539	(18)
Periodontal Maintenance Therapy	557	(18)
Case Interpretation III: Clinical Cases (Chapters 1-18)	I-1
Section IV. Appendices	575	(24)
A1 Prevention of Infective Endocarditis	577	(6)
A2 Periodontal Information Resources	583	(4)
A3 Reading the Literature	587	(4)
A4 Women's Health Issues in Periodontics	591	(6)
A5 New Classification System of Periodontal Diseases and Conditions	597	(2)
Glossary	599	(12)
Answers	611	(4)
Index	615

Excerpts

Preface There is now a significant body of knowledge about the risk factors, pathogenesis and treatment, and prevention of periodontal diseases. Yet this knowledge is rarely applied as an evidence-based approach to the difficult problem of deciding when specific treatments or examination methods work. Thus, both classic and current references are included in each chapter. This basic text has been written in an attempt to make our understanding of periodontal diseases accessible to the dental hygiene student and to the practicing dental hygienist and dentist needing to update basic knowledge or acquire a concise synopsis of clinical periodontics. This text is presented in three sections: Section I deals with the anatomy of the periodontium, progression of periodontal diseases, risk factors (e.g., dental biofilms, smoking, and diabetes mellitus) for periodontal diseases, and periodontal disease as a risk factor for systemic conditions such as stroke, cardiovascular disease, emphysema, and premature low-birth-weight babies. Section II deals with the clinical examination and treatment planning for the management of patients with periodontal diseases. Section III comprises the remaining chapters, which discuss the nonsurgical and surgical therapy. Included in this section is an extensive review of drugs used in periodontal therapy including various controlled-release drug devices (e.g., PerioChip , Atridox , Actiste ) and enzyme suppression drugs (e.g., Periostat ) used as adjunctive treatment. The appendices include the steps needed for the prevention of infective endocarditis, periodontic informatics, how to critically review the periodontal literature, and periodontal issues pertaining to women. Extensive tables feature clinical applications of periodontal therapy. At the 1999 International Workshop for a Classification of Periodontal Diseases and Conditions in Illinois, a new classification system was developed. This reviewed in Appendix 5. It is the intentions of The Academy of Periodontology to integrate this new system into education as early as possible. Since this classification was published during the final stages of publication of this textbook, we tempted to incorporate the new terminology, at times referring to the older, outdate terms. However, the reader should refer to Chapter 4 for a more in-depth description of the new terminology. We hope this book will serve as a helpful text for all dental practitioners. Mea A. Weinberg, D.M.D., M.S.D., R.Ph. Cheryl Westphal, R.D.H., M.S. Milton Palat, D.D.S, J.D. Stuart J. Froum, D.D.S.