Comprehensive Periodontics for the Dental Hygienist 4th Edition by Mea Weinberg, Cheryl Westphal, Stuart Froum, Stuart Segelnick ISBN 9780133827736 0133827739

Comprehensive Periodontics for the Dental Hygienist 4th Edition by Mea A. Weinberg, Cheryl M. Westphal, Stuart J. Froum, Stuart L. Segelnick – Ebook PDF Instant Download/Delivery: 9780133827736 ,0133827739
Full dowload Comprehensive Periodontics for the Dental Hygienist 4th Edition after payment

Product details:
ISBN 10: 0133827739
ISBN 13: 9780133827736
Author: Mea A. Weinberg, Cheryl M. Westphal, Stuart J. Froum, Stuart L. Segelnick

This is the eBook of the printed book and may not include any media, website access codes, or print supplements that may come packaged with the bound book. The trusted guide to clinical periodontics.   Comprehensive Periodontics for the Dental Hygienist, 4/e provides concise coverage of the foundations of periodontics. This text is a helpful introduction for dental hygiene students and a valuable resource for practicing hygienists. Coverage includes the clinical aspects of periodontics, including surgical and nonsurgical procedures, and presents material in a clear and accessible format. Anchored in evidence-based learning, chapters provide simple explanations of many of the complexities of the dental disease process and provide clear links to practical aspects of therapy.   Teaching and Learning Experience   This text offers a clear and accessible introduction to periodontics. It provides: Clear links between theory and practice: Discussions and textbook features help readers connect chapter material to real applications. Preparation for national board exams: Resources follow the content and format of national board exams. Effective learning resources: Numerous references and review tools helps students truly master chapter material.

Comprehensive Periodontics for the Dental Hygienist 4th Edition Table of contents:

PART I Periodontal Diseases: Introduction and Background

1 Anatomy of the Periodontal Structures: The Healthy State

Outline

Educational Objectives

Goal:

Key Words

1.1 Introduction

1.2 Clinical Anatomy of the Gingival Unit

1.2.1 Masticatory Mucosa (Gingiva)

1.2.1.1 Free Gingiva (Marginal Gingiva)

1.2.1.1.1 Gingival Crevice

1.2.1.1.2 Free Gingival Groove

1.2.1.2 Attached Gingiva

1.2.1.2.1 Stippling

1.2.1.3 Interdental Gingiva (Interdental Papilla)

1.2.2 Lining Mucosa

1.2.2.1 Alveolar Mucosa

1.2.2.2 Frenum Attachments

1.2.3 Specialized Mucosa

1.3 Microscopic Anatomy of the Gingival Unit

1.3.1 Gingival Epithelium

1.3.1.1 Cell Renewal

1.3.1.2 Oral Epithelium

1.3.1.2.1 Cells in the Oral Epithelium

1.3.1.3 Sulcular Epithelium

1.3.1.4 Junctional Epithelium

1.3.1.4.1 Semipermeable Membrane

1.3.1.4.2 Cells in the Junctional Epithelium

1.3.1.4.3 Cellular Turnover

1.3.2 Alveolar Mucosa

1.3.3 Gingival Connective Tissue

1.3.3.1 Connective Tissue/Epithelium Interface

1.3.3.2 Gingival Connective Tissue

1.3.3.2.1 Gingival Fibers

1.3.3.3 Collagen Organization

1.3.4 Cellular and Vascular Elements

1.3.5 Cell-to-Cell Tissue Junction

1.3.5.1 Epithelial Cell-to-Cell Attachment

1.3.5.2 Epithelium-Tooth Surface/Connective Tissue Interface

1.3.6 Dentogingival Unit

1.3.6.1 Formation of the Dentogingival Unit

1.4 Attachment Apparatus

1.4.1 Periodontal Ligament

1.4.1.1 Connective Tissue Attachment: Periodontal Ligament

1.4.1.2 Periodontal Ligament Space

1.4.2 Functions of the Periodontal Ligament

1.4.2.1 Abnormalities

1.4.3 Cementum

1.4.3.1 Relationship of Cementum and Enamel

1.4.3.2 Types of Cementum

1.4.3.3 Physiologic Features

1.4.3.4 Abnormalities

1.4.4 Alveolar Process

1.4.4.1 Parts of the Alveolar Process

1.4.4.2 Morphology

1.4.4.2.1 Alveolar Bone Crest

1.4.4.3 Composition of Bone

1.4.4.4 Metabolism

1.4.4.5 Variations in Anatomy

1.5 Physiology of the Periodontium

1.6 Changes with Aging

Dental Hygiene Application

Key Points

Self-Quiz

References

2 Epidemiology of Periodontal Diseases

Outline

Educational Objectives

Goal:

Key Words

2.1 Introduction and Definitions

2.2 Indices

2.2.1 Significance of Indices

2.2.2 Criteria for Indices

2.2.3 Plaque (Biofilm) and Debris Indices

2.2.3.1 Calculus Indices

2.2.4 Gingival Indices

2.2.5 Indices of Periodontal Destruction

2.3 Accuracy of Methodology

2.4 Prevalence of Periodontal Diseases

2.4.1 Prevalence of Gingivitis

2.4.2 Prevalence of Periodontitis

2.4.3 Prevalence of Aggressive Periodontitis (Grade C molar/incisor periodontitis)

2.5 Incidence and Disease Progression

2.6 Epidemiologic Variables

2.6.1 Risk Indicators

2.6.2 Risk Factors

2.7 Treatment Needs

2.8 Future Trends

Dental Hygiene Application

Key Points

Self-Quiz

References

3 Dental Biofilm: The Microbiology of the Periodontium in Health and Disease

Outline

Educational Objectives

Goal:

Key Words

3.1 Introduction

3.2 Biofilm Formation

3.3 Biofilm in Periodontal Health and Disease

3.3.1 Oral Biofilm Formation

3.3.1.1 Subgingival Biofilms

3.4 Biofilm in Peri-Implant Disease

3.5 Disruption of Oral Biofilm: Treatment Modalities

Dental Hygiene Application

Key Points

Self-Quiz

References

4 Bacteria and the Host Response: Inflammatory and Immunology Fundamentals

Outline

Educational Objectives

Goal:

Key Words

4.1 Introduction

4.2 Periodontal Disease Activity

4.2.1 Models of Disease Activity

4.2.2 Progression of Gingivitis into Periodontitis

4.3 The Bacteria–Host Challenge

4.3.1 Microbiology

4.3.1.1 Bacterial Components

4.4 Oral Defense Mechanisms

4.5 The Inflammatory Response and the Immune Response: Host Response to the Periodontal Diseases

4.5.1 The Inflammatory Response

4.5.1.1 Elements of the Inflammatory System

4.5.2 The Inflammatory Process

4.5.2.1

4.5.2.1.1 The Neutrophil: The Phagocytic Cell

4.5.2.1.2 The Macrophage: The Other Phagocytic Cell

4.5.2.1.3 Phagocytosis: Opsonization

4.5.2.1.4 The Complement System: A Group of Proteins

4.5.3 The Immune Response

4.5.3.1 Immune System: Cells

4.5.4 Humoral Immunity

4.5.4.1

4.5.4.1.1 Humoral Immunity and Periodontal Disease

4.5.4.2 Cellular Immunity

4.5.4.2.1 Cellular Immunity: Process

Dental Hygiene Application

Key Points

Self-Quiz

References

5 Local Contributory Factors for Periodontal Diseases

Outline

Educational Objectives

Goal:

Key Words

5.1 Introduction

5.2 Dental Calculus

5.2.1 Clinical Significance of Calculus

5.3 Anatomic Factors

5.3.1 Root Morphology

5.3.2 Tooth Position

5.4 Iatrogenic Factors

5.4.1 Restorative Dentistry

5.4.2 Exodontics

5.4.3 Orthodontics

5.5 Traumatic Factors

5.5.1 Toothbrush Trauma

5.5.2 Factitious Disease

5.5.3 Food Impaction

5.5.4 Chemical Injury

5.5.5 Occlusion

5.5.6 Oral Piercings

Dental Hygiene Application

Key Points

Self-Quiz

References

6 The Oral–Systemic Disease Connection

Outline

Educational Objectives

Goal:

Key Words

6.1 Introduction

6.2 Systemic Risk Factors for Periodontal Diseases

6.2.1 Genetics

6.2.2 Age, Gender, and Race

6.2.3 Stress

6.2.4 Endocrine System

6.2.4.1 Diabetes

6.2.4.2 Hormones

6.2.4.2.1 Pregnancy.

6.2.4.2.2 Oral Contraceptives.

6.2.4.2.3 Puberty.

6.2.4.2.4 Menopause/Osteoporosis.

6.2.4.3 Bisphosphonates

6.2.5 Hematologic System

6.2.6 HIV/AIDS

6.2.7 Nutritional Status

6.2.8 Drug and Tobacco Use Status

6.2.8.1 Tobacco Products

6.2.8.2 Alcohol

6.2.8.3 Xerostomia Due to Drugs

6.2.8.4 Gingival Overgrowth Due to Drugs

6.2.8.4.1 Steroids.

6.2.9 Obesity

6.3 Periodontal Diseases as Risk Factors for Systemic Conditions

6.3.1 Diabetes

6.3.2 Cardiovascular Disease

6.3.3 Adverse Pregnancy Outcomes

6.3.4 Respiratory Diseases

6.3.5 Alzheimer’s Disease

Dental Hygiene Application

Key Points

Self-Quiz

References

PART II Periodontal Diseases: Classification

7 Gingival Diseases

Outline

Educational Objectives

Goal:

Key Words

7.1 Introduction

7.2 Gingival Diseases

7.3 Histopathogenesis of Gingivitis

7.3.1 Stages in the Histopathogenesis

7.3.1.1 Initial Lesion (PMN Dominated)

7.3.1.2 Early Lesion (T-Cell Dominated)

7.3.1.3 Established Lesion (Few B Cells/Plasma Cells)

7.4 Pathogenesis of Gingivitis

7.4.1 The Gingival Pocket

7.4.2 Host Response to Gingival Inflammation

7.5 Classification of the Periodontal Diseases

7.5.1 Periodontal Health, Gingival Diseases/Conditions

7.5.1.1 Plaque-Induced Gingivitis

7.5.2 Gingival Diseases Modified by Systemic Factors

7.5.2.1 Gingivitis Associated with the Endocrine System

7.5.2.1.1 Puberty Gingivitis

7.5.2.1.2 Menstrual Cycle Gingivitis

7.5.2.1.3 Pregnancy Gingivitis

7.5.2.1.4 Diabetes Mellitus–Associated Gingivitis

7.5.3 Gingivitis Associated with Blood Dyscrasias

7.5.3.1 Leukemia-Associated Gingivitis

7.5.4 Gingival Diseases Modified by Medications

7.5.4.1 Drug-Influenced Enlargements

7.5.5 Drug-Influenced Gingivitis

7.5.5.1 Oral Contraceptive–Associated Gingivitis

7.5.6 Non-Plaque-Induced Gingival Diseases

7.5.6.1 Gingival Diseases of Specific Bacteria Origin

7.5.6.2 Gingival Diseases of Viral Origin

7.5.6.3 Gingival Diseases of Fungal Origin

7.5.6.4 Gingival Lesions of Genetic Origin

7.5.6.5 Gingival Manifestations of Systemic Conditions

7.5.6.6 Traumatic Lesions

Dental Hygiene Application

Key Points

Self-Quiz

References

8 Periodontitis and Other Periodontal Conditions

Outline

Educational Objectives

Goal:

Key Words

8.1 Introduction

8.1.1 Histopathogenesis of Periodontitis

8.1.1.1 Initiation of Inflammatory Periodontal Diseases

8.1.1.2 Advanced Lesion (Plasma Cell/Antibody Dominated)

8.2 Pathogenesis of the Periodontitis Lesion

8.2.1 Sequence of Events in Pocket Formation

8.2.1.1 The Periodontal Pocket

8.2.1.2 Root Surface

8.2.2 Bone Resorbing Factors

8.2.3 Site Specificity

8.2.4 Relationship of Bone Loss and Pocket Formation

8.2.5 Pattern of Bone Loss

8.2.6 Factors Related to Pattern of Bone Loss

8.3 Classification of Periodontitis and other Conditions

8.3.1 Periodontitis

8.3.2 Aggressive Periodontitis

8.3.3 Etiology

8.3.4 Refractory Periodontitis

8.3.5 Periodontitis Associated with Endodontic Lesions

8.3.6 Periodontitis as a Manifestation of Systemic Diseases

8.3.7 Periodontitis as a Risk Factor for Systemic Conditions

8.4 Peri-Implant Diseases

8.5 Treatment of Periodontitis

Dental Hygiene Application

Key Points

Self-Quiz

References

9 Acute Periodontal Lesions (Necrotizing periodontal diseases)

Outline

Educational Objectives

Goal:

Key Words

9.1 Introduction

9.2 Necrotizing Gingivitis (NG)

9.2.1 Clinical Features

9.2.2 Immunosuppression

9.2.3 Microbiological Features

9.2.4 Differential Diagnosis

9.2.5 Treatment

9.3 Necrotizing Periodontitis (NP)

Dental Hygiene Application

Key Points

Self-Quiz

References

10 Occlusal Trauma

Outline

Educational Objectives

Goal:

Key Words

10.1 Introduction

10.2 Occlusion

10.2.1 Terminology

10.2.2 Parafunctional Habits

10.2.3 The Role of Occlusal Trauma in the Initiation and Progression of Periodontal Diseases

10.2.3.1 Human Studies

10.2.3.2 Animal Studies

10.2.3.2.1 Primate Model

10.2.3.2.2 Beagle Model

10.3 Pathogenesis of Occlusal Trauma

10.4 Classification of Occlusal Trauma

10.5 Clinical Findings in Occlusal Trauma

10.5.1 Tooth Mobility

10.5.2 Fremitus

10.5.3 Pain

10.5.4 Tooth Migration

10.5.5 Attrition

10.5.6 Muscle/Temporomandibular Joint

10.5.7 Tooth Structure

10.6 Radiographic Findings in Occlusal Trauma

10.7 Occlusal Overload in Implants

10.8 Outcomes of Treatment of Occlusal Trauma

10.9 Occlusal Therapy

10.9.1 Selective Grinding

10.9.2 Control of Parafunctional Habits

10.9.2.1 Appliances

10.9.2.2 Exercise

10.9.3 Orthodontics

10.9.4 Restorative Procedures

10.9.5 Splinting

Dental Hygiene Application

Key Points

Self-Quiz

References

11 Acute Periodontal Lesions

Outline

Educational Objectives

Goal:

Key Words

11.1 Introduction

11.2 Gingival Abscess

11.2.1 Etiology and Clinical Features

11.2.2 Differential Diagnosis

11.2.3 Treatment

11.3 Periodontal Abscess

11.3.1 Etiology and Clinical Features

11.3.2 Acute versus Chronic

11.3.3 Differential Diagnosis

11.3.4 Treatment

11.4 Pericoronal Abscess

11.4.1 Etiology and Features

11.4.2 Microbiology

11.4.3 Treatment

11.5 Primary Herpetic Gingivostomatitis

Dental Hygiene Application

Key Points

Self-Quiz

References

PART III Periodontal Diseases: The Assessment Phase

12 Dental Hygiene Process of Care for the Patient with Periodontal Disease

Outline

Educational Objectives

Goal:

Key Words

12.1 Introduction

12.2 Assessment

12.2.1 Social, Economic, and Cultural Considerations

12.3 Dental Hygiene Diagnosis

12.4 Planning

12.5 Implementation

12.6 Evaluation

12.7 Documentation

Dental Hygiene Application

Key Points

Self-Quiz

References

13 Patient History

Outline

Educational Objectives

Goal:

Key Words

13.1 Introduction

13.2 The Interview

13.2.1 Personal Profile

13.2.2 Social History

13.2.3 Chief Complaint

13.2.4 History of Present Illness

13.2.5 Medical History

13.2.6 Family History

13.2.7 Dental History

Dental Hygiene Application

Key Points

Self-Quiz

References

14 Clinical Examination: Extraoral/Intraoral Examination and Dental Evaluation

Outline

Educational Objectives

Goal:

Key Words

14.1 Introduction

14.2 Extraoral/Intraoral Examination

14.3 Dental Evaluation

14.3.1 Evaluate the Number of Teeth

14.3.2 Caries

14.3.3 Restorative Status

14.3.4 Dental Implants

14.3.5 Malpositioning and Proximal Contact Relationships

14.3.5.1 Conditions of Tooth Wear

14.3.6 Intraoral Appliances

14.4 Tooth Stain Evaluation

14.4.1 Development and Significance

14.4.2 Types of Intrinsic Stains

14.4.3 Types of Extrinsic Stains

14.4.4 Significance of Stains

14.5 Dentinal Hypersensitivity

14.5.1 Etiology of Dentinal Hypersensitivity

14.5.2 Identification

Dental Hygiene Application

Key Points

Self-Quiz

References

15 Clinical Examination: Gingival Assessment

Outline

Educational Objectives

Goal:

Key Words

15.1 Introduction

15.2 Objectives of a Gingival Assessment

15.3 Risk Factors For Gingival Diseases

15.4 Clinical Assessment Procedures

15.4.1 Color

15.4.2 Contour

15.4.2.1 Marginal Gingiva and Interdental Papillae

15.4.2.2 Gingival Clefts

15.4.3 Consistency

15.4.4 Surface Texture

15.4.5 Size: Gingival Enlargement

15.4.6 Hormonal and Drug-Influenced Gingivitis

15.4.6.1 Hormonal Changes

15.4.6.2 Drug-Influenced Gingival Enlargement

15.4.7 Gingival Bleeding

Dental Hygiene Application

Key Points

Self-Quiz

References

16 Clinical Examination: Periodontal Assessment

Outline

Educational Objectives

Goal:

Key Words

16.1 Introduction

16.2 Rationale for Periodontal Assessment

16.3 Periodontal Terminology

16.3.1 Periodontal Probing Depths

16.3.1.1 Screening Method

16.3.1.1.1 Limitations of Probing

16.3.1.1.2 Disease Progression

16.3.1.2 Level of Attachment

16.3.1.2.1 Connective Tissue Attachment Loss

16.3.2 Other Uses of the Periodontal Probe

16.3.3 Controlled-Force Probes

16.3.4 Periodontal Screening and Recording

16.4 Examination Techniques

16.4.1 Periodontal Probing Depths

16.4.1.1 Bleeding Sites

16.4.2 Clinical Attachment Level

16.4.3 Gingival Position

16.4.3.1 Measurement of Gingival Recession

16.4.3.2 Etiology of Gingival Recession

16.4.3.3 Clinical Significance of Gingival Recession

16.4.3.4 Pathogenesis

16.4.4 Mucogingival Considerations

16.4.4.1 Mucogingival Examination

16.4.4.2 Delayed Passive Eruption

16.4.5 Suppuration

16.4.6 Tooth Mobility

16.4.6.1 Measurement of Tooth Mobility

16.4.7 Fremitus

16.4.8 Pathologic Tooth Migration

16.4.9 Furcation Involvement

16.4.9.1 Classification of Furcation Involvement

16.4.9.2 Technique for Locating Furcation Involvements

16.4.9.3 Cervical Enamel Projections

16.4.10 Palatogingival Groove

Dental Hygiene Application

Key Points

Self-Quiz

References

17 Radiographic Assessment

Outline

Educational Objectives

Goal:

Key Words

17.1 Introduction

17.2 Conventional Radiographs: Intraoral Technique

17.2.1 Parameters

17.2.1.1 Kilovoltage

17.2.1.2 Milliamperage

17.2.2 Film Type

17.2.3 Paralleling versus the Bisecting Technique

17.3 Conventional Radiographs Used in Periodontics

17.3.1 Periapical Radiographs

17.3.2 Bitewing Radiographs

17.3.3 Panoramic Radiology

17.4 Periodontal Structures

17.4.1 Interdental Septum

17.4.2 Periodontal Ligament Space

17.5 Periodontal Interpretation

17.5.1 Bone Loss

17.5.1.1 Patterns of Bone Loss

17.5.1.2 Severity of Bone Loss

17.5.1.3 Determination of Bone Loss

17.5.2 Calculus

17.5.3 Anatomic Configurations

17.6 Radiographically Detectable Periodontal Changes

17.6.1 Gingivitis

17.6.2 Slight (Mild) Periodontitis

17.6.3 Moderate Periodontitis

17.6.4 Severe Periodontitis

17.6.5 Periodontal Abscess

17.7 Frequency of Radiographs (Selection Criteria)

17.8 Digital Imaging

17.9 Digital Subtraction Radiology

17.10 Radiographs in Implantology

17.10.1 Periapical/Occlusal Films

17.10.2 Pantomograms (Panoramic Films)

17.10.3 Conventional Tomograms

17.10.4 Computed Tomography (CT Scanning)

17.10.4.1 Traditional CT

17.10.4.2 Cone Beam CT

17.10.5 Postoperative Implant Evaluation

Dental Hygiene Application

Key Points

Self-Quiz

References

18 Advances in Detecting and Monitoring Periodontal Diseases

Outline

Educational Objectives

Goal:

Key Words

18.1 Introduction

18.2 Gingival Crevicular Fluid Assays

18.2.1 Host-Derived Enzymes

18.2.2 Prostaglandin E2

18.3 Microbial Tests

18.3.1 Culture Techniques

18.3.2 Microscopic Techniques

18.3.3 Nucleic Acid (DNA) Probe Analysis

18.4 Immunologic Assays

18.5 Enzyme-Based Assays

18.6 Genetic Assays

18.7 Salivary Diagnostic Assays

18.8 Clinical Applications

Dental Hygiene Application

Key Points

Self-Quiz

References

PART IV Periodontal Diseases: Treatment Planning, Implementation, and Evaluation Phase

19 Problem-/Evidence-Based Treatment Planning

Outline

Educational Objectives

Goals:

Key Words

19.1 Introduction

19.2 Problem-Based Learning (PBL) Approach to Treatment

19.2.1 Goals of Periodontal Therapy

19.2.2 Periodontal Therapy: Ongoing Care

19.3 Problem List

19.3.1 Risk Assessment for Periodontal Diseases

19.3.2 Treatment Planning

19.4 Patient Comanagement and Referral to a Periodontist

19.4.1 Guidelines for Referral and Comanagement

19.4.1.1 Phases of Treatment

19.4.1.1.1 Phase I: Nonsurgical/Initial Preparation.

19.4.1.1.2 Phase II: Periodontal Surgery

19.4.1.1.3 Phase III: Restorative Care

19.4.1.1.4 Phase IV: Maintenance Care

19.5 Informed Consent

19.6 Treatment Guidelines

19.6.1 Periodontal Health

19.6.2 Gingival Diseases

19.6.2.1 Non-Plaque-Induced Gingival Diseases

19.6.2.2 Drug-Induced Gingival Disease

19.6.3 Periodontitis

19.6.3.1 Periodontitis

19.6.3.2 Grade C Periodontitis

19.6.4 Necrotizing Periodontal Diseases

19.6.5 Peri-Implantitis

19.6.6 Prognosis

19.7 Adjunctive Treatment

19.7.1 Antimicrobials

19.8 Geriatric Patients

19.8.1 Plaque Control

19.8.2 Xerostomia

19.8.3 Treatment Considerations

Dental Hygiene Application

Key Points

Self-Quiz

References

20 Oral Hygiene for the Periodontal Patient: Beyond the Basics

Outline

Educational Objectives

Goal:

Key Words

20.1 Introduction

20.2 Definition of Oral Hygiene Self-Care

20.2.1 Periodontal Health: Motivation and Behavior

20.3 Periodontal Disease Control

20.3.1 Patient Education

20.4 Preventive Measures

20.4.1 Mechanical Plaque Control

20.4.1.1 Evaluation

20.5 Oral Hygiene Self-Care Methods

20.5.1 Toothbrushes

20.5.1.1 Manual Toothbrushes: Design

20.5.1.2 Frequency of Toothbrushing

20.5.1.3 Powered Toothbrushes

20.5.1.4 Mechanism of Action

20.5.1.5 Effectiveness

20.5.1.6 Recommending a Powered Toothbrush

20.5.2 Interdental Care

20.5.2.1 Types of Gingival Embrasures

20.5.2.1.1 Dental Floss and Dental Tape

20.5.2.1.2 Interdental and Single-Tuft Brushes

20.5.2.1.3 Rubber-Tip Stimulator

20.5.2.1.4 Wooden Toothpicks

20.5.2.1.5 Electric Interdental Cleaning Devices

20.5.3 Tongue Cleansing

20.5.4 Dentifrices

20.5.5 Dentifrice Tube Contamination

20.5.5.1 Dentifrice Components

20.5.5.2 Fluoride Dentifrices

20.5.5.3 Stannous Fluoride Dentifrices

20.5.5.4 Triclosan-Containing Dentifrices

20.5.5.5 Sodium Bicarbonate/Hydrogen Peroxide Dentifrices

20.5.5.6 Tartar-Control Dentifrices

20.5.5.7 Zinc Citrate–Containing Dentrifices

20.5.5.8 Other Dentifrice Categories

20.6 Oral Home Care for Patients with Periodontal Disease

20.6.1 Postperiodontal Surgical Home Care

20.6.2 Implant Home Care

20.6.3 Orthodontic Home Care

20.7 Advice to the Patient

20.8 Effects of Improper Use of Oral Hygiene Devices

20.8.1 Toothbrushing

20.8.2 Interdental Devices

20.9 Dentinal Hypersensitivity

20.9.1 Assessing the Patient’s Need for Desensitization

20.9.2 Treatment

20.9.3 Patient-Applied Treatment

20.9.3.1 Dentifrices

20.9.3.2 Fluorides

20.9.4 In-Office Treatment

20.9.4.1 Oxalate Salts

20.9.4.2 Fluorides

20.9.4.3 Restorative Materials/Restorations

20.9.5 Halitosis

20.9.6 Classification of Patients with Halitosis

20.9.6.1 Diagnosis and Assessment of Oral Malodor

20.9.6.2 Treatment of Oral Malodor

20.9.6.3 Management of Patients with Pseudo-Halitosis (Patient with Extraoral Halitophobia)

20.9.6.4 Over-the-Counter (OTC) Products

Dental Hygiene Application

Key Points

Self-Quiz

References

21 Response to Nonsurgical Therapy

Outline

Educational Objectives

Goal:

Key Words

21.1 Introduction

21.2 Nonsurgical Periodontal Therapy

21.3 Terminology

21.4 Periodontal Debridement

21.4.1 Combined Personal and Professional Debridement

21.4.2 Rationale and Indications for Periodontal Debridement

21.4.3 Outcomes of Periodontal Debridement

21.4.3.1 Probing Depths/Clinical Attachment Level

21.4.3.2 Subgingival Microbiota

21.4.3.3 Bleeding on Probing

21.4.3.4 Tissue Consistency

21.4.4 Treatment Sequence

21.4.5 Periodontal Debridement Procedures

21.4.6 Subgingival Debridement

21.4.6.1

21.4.6.1.1 Calculus Removal

21.4.6.1.2 Root Surface Characteristics

21.4.6.1.3 Cementum Removal

21.4.7 Adverse Effects of Periodontal Debridement

21.4.8 Limitations of Periodontal Debridement

21.4.8.1 Pocket Depth

21.4.8.2 Furcations and Root Anatomy

21.4.8.3 Time Spent and Clinician Skill

21.5 Healing Response and the Outcome of Therapy

21.5.1 Diseased Periodontal Unit

21.5.2 Healing Periodontal Unit

21.5.3 Gingivitis: Healing after Periodontal Debridement

21.5.4 Periodontitis: Healing after Periodontal Debridement

21.6 Reevaluation of Initial Therapy

21.6.1 Tissue Response

21.6.2 Ultrasonic versus Hand-Activated Instrumentation

21.6.3 Lasers

Dental Hygiene Application

Key Points

Self-Quiz

References

22 Periodontal Maintenance Therapy

Outline

Educational Objectives

Goal:

Key Words

22.1 Introduction

22.2 Refractory Periodontal Diseases/​Recurrent Periodontal Diseases

22.3 Objectives of Periodontal Maintenance

22.3.1 Indications for Periodontal Maintenance

22.4 Components of the Periodontal Maintenance Visit

22.4.1 Medical and Dental Update

22.4.2 Extraoral/Intraoral Examination

22.4.3 Dental Examination

22.4.4 Gingival and Periodontal Assessment

22.4.4.1 Gingival Assessment

22.4.4.2 Periodontal Assessment

22.4.4.2.1 Gingival Recession

22.4.4.2.2 Disease Stability: Probing Depth and Clinical Attachment Level

22.4.4.2.3 Bleeding on Probing

22.4.4.2.4 Tooth Mobility

22.4.5 Radiographic Review

22.4.6 Oral Hygiene Evaluation and Patient’s Biofilm-Control Regimen

22.4.7 Dental Implants

22.5 Treatment: Recurrent Periodontal Disease versus a Well-Maintained Periodontium

22.6 Chemotherapeutics

22.7 Frequency of Intervals

22.8 General Dentist–Periodontist Relationship

22.9 Patient Adherence

Dental Hygiene Application

Key Points

Self-Quiz

References

23 Topical Drug Delivery Systems: Oral Rinses and Irrigation

Outline

Educational Objectives

Goal:

Key Words

23.1 Introduction

23.2 Oral Rinses

23.3 Antiplaque/Antigingivitis Agents

23.3.1 Classification of Oral Rinses

23.3.2 Bisbiguanides

23.3.2.1

23.3.2.1.1 Description and Mechanism of Action

23.3.2.1.2 Indications

23.3.2.1.3 Usage

23.3.2.1.4 Adverse Effects

23.3.2.2 Phenolic Compounds

23.3.2.3 Quaternary Ammonium Compounds

23.3.2.4 Oxygenating Agents

23.3.2.5 Povidone-Iodine

23.3.2.6 Fluorides

23.3.2.7 Prebrushing Rinses

23.3.2.8 Alcohol-Free Mouth Rinses

23.4 Oral Irrigation

23.4.1 Daily Oral Irrigation

23.4.1.1 Hydrokinetic Activity

23.4.1.2 Delivery of Antimicrobial Agents

23.4.1.3 Interdental Efficacy

23.4.1.4 Devices

23.4.1.5 Benefits for Special Needs

23.4.2 In-Office Irrigation

23.4.2.1

23.4.2.1.1 Efficacy

23.4.3 Indications

23.4.4 Considerations

23.4.4.1 Irrigation and Toothbrushing

Dental Hygiene Application

Key Points

Self-Quiz

References

24 Systemic and Local Drug Delivery Systems: Systemic Antibiotics, Local Drug Devices, and Enzyme Suppression Therapy

Outline

Educational Objectives

Goal:

Key Words

24.1 Introduction

24.2 Selected Drug Information Resources

24.3 Rationale for Use of Antibiotics

24.4 Delivery Systems

24.5 Dental Plaque as a Biofilm

24.6 Drug Actions

24.7 Systemic Drug Delivery

24.7.1 Indications

24.7.1.1 Selection

24.7.2 Adverse Drug Events

24.7.3 Systemic Antibiotics

24.7.3.1 Tetracyclines

24.7.3.1.1 Anticollagenase Feature

24.7.3.1.2 Concentration in Gingival Crevicular Fluid

24.7.3.1.3 Adverse Effects, Drug–Drug Interactions, and Drug–Food Interactions

24.7.3.2 Penicillins (Beta-lactams)

24.7.3.2.1 Adverse Effects, Drug–Drug Interactions, and Drug–Food Interactions

24.7.3.3 Cephalosporins

24.7.4 Nitroimadazoles

24.7.4.1

24.7.4.1.1 Mechanism of Action and Indications

24.7.4.1.2 Adverse Effects and Drug–Drug Interactions

24.7.4.2 Macrolides

24.7.4.2.1 Second-Generation Drugs: Azalides

24.7.4.2.2 Adverse Effects, Drug–Drug Interactions, and Drug–Food Interactions

24.7.4.3 Lincomycins

24.7.4.4 Quinolones

24.7.5 Antibiotic Resistance

24.8 Local Delivery: Controlled (Sustained)-Release Drug Delivery

24.8.1 Absorbable Controlled (Sustained)-Release Devices

24.8.1.1 Chlorhexidine Gluconate Chip

24.8.1.2 Doxycycline Hyclate Gel

24.8.1.3 Minocycline Hydrocholoride Microspheres

24.8.2 Results

24.8.3 Other Products

24.9 Precautions/Contraindications

24.10 Enzyme-Suppression Therapy

24.10.1 Matrix Metalloproteinases

24.10.2 Subantimicrobial-Dose Doxycycline (SDD)

24.11 Antimicrobial Treatment of Inflammatory Conditions of Dental Implants

Dental Hygiene Application

Key Points

Self-Quiz

References

25 Principles of Periodontal Surgery: Gingivectomy, Osseous Resection, and Periodontal Plastic Surgery

Outline

Educational Objectives

Goal:

Key Words

25.1 Introduction

25.2 Objectives, Indications, and Contraindications of Periodontal Surgery

25.3 Preoperative Preparation

25.4 Requirements for Periodontal Surgery

25.5 Types of Periodontal Surgery

25.5.1 Healing Following Periodontal Surgery

25.6 Procedures for Pocket Reduction/Elimination

25.6.1 Gingivectomy/Gingivoplasty

25.6.1.1 Definition

25.6.1.2 Indications

25.6.1.3 Contraindications

25.6.1.4 Technique

25.6.1.5 Healing

25.6.2 Periodontal Flap Surgery

25.6.2.1 Flap Classification

25.6.2.2 Modified Widman Flap

25.6.2.2.1 Objective

25.6.2.2.2 Indications

25.6.2.2.3 Contraindications

25.6.2.2.4 Technique

25.6.2.2.5 Healing

25.6.2.3 Apically Positioned Flap

25.6.2.3.1 Objective

25.6.2.3.2 Indications

25.6.2.3.3 Contraindications

25.6.2.3.4 Technique

25.6.2.3.5 Healing

25.7 Procedures for Treating Osseous Defects

25.7.1 Periodontal Flap Surgery with Osseous Resection

25.7.1.1 Classification of Osseous Defects

25.7.1.2 Ostectomy and Osteoplasty

25.7.1.2.1 Objectives

25.7.1.2.2 Indications

25.7.1.2.3 Contraindications

25.7.1.2.4 Technique

25.7.1.2.5 Healing

25.7.2 Crown-Lengthening Procedures

25.7.3 Root Resection

25.8 Periodontal Plastic Surgery

25.8.1 Indications

25.8.2 Classification of Gingival Recession

25.8.3 Types of Soft-Tissue Grafts

25.8.3.1 Pedicle Graft or Laterally Positioned Flap

25.8.3.1.1 Technique

25.8.3.1.2 Healing

25.8.3.2 Double Papillae Flap

25.8.3.3 Free Gingival Soft-Tissue Graft

25.8.3.3.1 Technique

25.8.3.3.2 Healing

25.8.3.4 Subepithelial Connective Tissue Graft

25.8.3.4.1 Indications

25.8.3.4.2 Technique

25.8.3.4.3 Healing

25.8.3.5 Guided Tissue Regeneration for Root Coverage

25.8.3.5.1 Technique

25.9 Sutures

25.9.1 Absorbable Sutures

25.9.2 Nonabsorbable Sutures

25.9.3 Needles

25.9.4 Suturing Techniques

25.10 Periodontal Dressing

25.11 Surgical and Postoperative Care

25.11.1 Surgical Complications

25.11.2 Postoperative Complications

25.11.3 Oral Hygiene Instructions

25.11.4 Postoperative Visit Management

25.12 Effects of Surgical Procedures

25.12.1 Tooth Mobility

25.12.2 Gingival Recession: Dentinal Hypersensitivity and Root Caries

Dental Hygiene Application

Key Points

Self-Quiz

References

26 Principles of Periodontal Surgery: Periodontal Regeneration

Outline

Educational Objectives

Goal:

Key Words

26.1 Introduction

26.2 Periodontal Regenerative Surgery

26.2.1 Objectives

26.2.2 Surgery: Open Flap Debridement

26.2.3 Surgery: Bone Grafts and Bone Substitutes

26.2.3.1 Autografts (Autogenous Grafts)

26.2.3.2 Allografts (Allogeneic Grafts)

26.2.3.3 Alloplasts (Alloplastic Grafts)

26.2.3.4 Xenografts (Xenogeneic Grafts)

26.2.4 Properties of Bone Grafts and Bone Substitutes

26.3 Biologics and Growth Factors

26.4 Bone Grafts and Bone Substitutes: Surgical Procedure

26.5 Guided Tissue Regeneration

26.5.1 Cells Involved in Regeneration

26.5.2 Surgical Procedure

26.5.3 Types of Barrier Membranes

26.5.3.1 Nonabsorbable Membranes

26.5.3.2 Absorbable Membranes

26.6 Regenerative Surgery: Postoperative Care

26.7 Root Surface Treatment

26.8 Risk Factors for Regenerative Therapy

Dental Hygiene Application

Key Points

Self-Quiz

References

27 Implantology

Outline

Educational Objectives

Goal:

Key Words

27.1 Introduction

27.2 Age, Systemic, and Social Factors

27.3 Components of Dental Implants

27.4 Types of Dental Implants

27.4.1 Endosseous Implants

27.4.1.1 Osseointegration

27.4.2 Subperiosteal Implants

27.4.3 Transosteal Implants

27.4.4 Transitional Implants

27.4.5 Endodontic Implants

27.5 Surgical Procedure

27.5.1 Two-Stage Surgical Procedure

27.5.1.1 First-Stage Surgery

27.5.1.2 Second-Stage Surgery

27.5.2 Single-Stage Surgical Procedure

27.5.2.1 Single-Stage Surgical Procedure with Early/Immediate Loading

27.5.3 Single-Tooth Replacements

27.5.4 Immediate Implant Placement in Extraction Sockets

27.5.5 Dental Implant Site Preservation and Development

27.5.6 Prostheses

27.6 Implants versus Teeth

27.6.1 Anatomy

27.6.1.1 Implant–Tissue Interface

27.6.1.2 Keratinized Gingiva

27.6.2 Blood Supply

27.6.3 Inflammatory Lesion

27.7 Bacteriology

27.8 Implant Maintenance Program

27.8.1 Clinical Parameters of Evaluation

27.8.1.1 Soft Tissue Evaluation

27.8.1.1.1 Probing Depth

27.8.1.1.2 Bleeding on Probing

27.8.1.2 Keratinized Gingiva

27.8.2 Hard Tissue Evaluation

27.8.2.1 Radiographic Procedures

27.8.3 Mobility

27.8.4 Identifying the Problem Implant

27.8.5 Criteria for Success

27.8.6 Overloading of Implants

27.8.7 Stages of Peri-Implant Disease

27.8.8 Superstructure Removal

27.8.9 Appropriate Instruments for Implants

27.8.10 In-Office Irrigation

Dental Hygiene Application

Key Points

Self-Quiz

References

PART V case studies

Case Study I

Medical History

Dental History

Social History

Chief Complaint

Oral Hygiene Status

Gingival Exam

Periodontal Exam

Case Study II

Medical History

Dental History

Social History

Chief Complaint

Oral Hygiene Status

Gingival Exam

Periodontal Exam

Case Study III

Medical History

Medications

Allergies

Dental History

Chief Complaint

Social History

Family History

Oral Hygiene Status

Gingival Exam

Periodontal Exam

Case Study IV

Medical History

Dental History

Social History

Chief Complaint

Oral Hygiene Status

Gingival Exam

Periodontal Exam

Appendices

Glossary

Index

People also search for Comprehensive Periodontics for the Dental Hygienist 4th Edition:

comprehensive periodontics for the dental hygienist pdf

what should a periodontal examination include quizlet

what is dental periodontics

does dental insurance cover periodontal cleaning

comprehensive periodontal evaluation cost