Comprehensive and up to date, this practical textbook offers complete coverage of today’s dental hygiene skills and theories – all based on the Human Needs Model for better hygienist/patient communication. With a strong focus on clinical application, each section closely follows the critical thinking and clinical assessment approach that a hygienist must use in the classroom, clinic, and practice. Clinical competencies at the beginning of each chapter provide a clear, quick overview of exactly what you need to know, and procedure boxes with detailed steps and rationales ensure that you understand the reasoning behind each step in the competencies. In addition, new chapters on caries risk assessment and the oral-systemic health connection keep you up to date with today’s major areas of research.
- Each section takes you from conceptual foundations of dental hygiene through patient assessment, treatment, and evaluation.
- Scenario boxes challenge you to integrate complex information as you assess, diagnose, plan care, and evaluate the outcome of care.
- Client Education Issues and Legal, Ethical and Safety Issues boxes inform you of the latest information in these important areas.
- Critical Thinking exercises provide opportunities for independent thought and problem solving.
- Tables and boxes build upon and simplify information from the text, making study and review quick and easy.
- Evolve website contains free online resources, including weblinks, self-assessment quizzes, and professional development worksheets for student review.
New to this Edition
- A reorganized section for Individuals with Special Needs includes chapters on Cleft Palate, Physical Abuse, Blood Diseases, and Mental Illness, all reflecting evidence-based research now available in these areas.
- New chapters on caries risk assessment and the oral-systemic health connection – hot topics in today’s dental sciences.
- New anesthesia guidelines keep you up to date with what’s new in pain and anxiety control.
- Essential resources and websites are now included at the end of each chapter for easy reference.
- New illustrations provide a fresh, reader-friendly design.
- Self-assessment quizzes are available online, all case-based to follow the NBDH format.
- Free online access to the Legal and Ethical Decision Making chapter, including an ‘asset center’ to assist you with clinical skills.
Table of Contents
SECTION 1: Conceptual Foundations
1. The Dental Hygiene Profession
2. Human Needs Theory and Dental Hygiene Care
3. Community-based Dental Hygiene Practice
4. Changing Behavior
5. Cultural Competence
SECTION 2: Preparation for the Appointment
6. The Dental Hygiene Care Environment
7. Infection Control
8. Medical Emergencies
SECTION 3: Assessments
10. Personal, Dental, and Health Histories
11. Vital Signs
12. Pharmacologic History
13. Extra and Intraoral Clinical Assessment
14. Dentition Assessment
15. Soft Deposits, Plaque Biofilm, Calculus, and Stain Assessment
16. Caries Risk Assessment
17. Periodontal and Risk Assessment
18. Oral-Systemic Health Connection
SECTION 4: Critical Thinking in Dental Hygiene Practice
19. Dental Hygiene Diagnosis
20. Dental Hygiene Care Plan and Evaluation
SECTION 5: Implementation
21. Tooth brushing
22. Interdental and Supplemental Aids
23. Dentifrices and Mouth rinses
24. Hand Instrumentation
25. Ultrasonic Instrumentation
26. Root Morphology and Instrumentation
27. Extrinsic and Intrinsic Stain Management
28. Nonsurgical Periodontal Therapy
29. Periodontal Chemotherapy
30. Acute Gingival and Periodontal Conditions, Lesions of Endodontic Origin, and Avulsed Teeth
31. Fluorides, Chlorhexidine, and Xylitol
32. Pit and Fissure Sealants
33. Nutritional Counseling
34. Tobacco Cessation
35. Impressions, Study Casts, and Oral Stents
36. Restorative Therapy
SECTION 6: Pain and Anxiety Control
37. Behavioral Management of Dental Anxiety
38. Dental Hypersensitivity
39. Local Anesthesia
40. Nitrous Oxide-Oxygen Analgesia
SECTION 7: Individuals with Special Needs
41. Persons with Disabilities
42. Cardiovascular Disease
43. Diabetes Mellitus
45. HIV Infection
46. Neurologic and Sensory Disabilities
47. Autoimmune Diseases
48. Blood Disorders
49. Respiratory Diseases
50. Mental Retardation
51. Mental Illness
52. Alcohol and Substance Abuse Problems
53. Eating Disorders
54. Women’s Health
55. The Older Adult
56. Fixed and Removable Dentures
57. Fractured Jaw and Cleft Lip
58. Osseointegrated Dental Implants
59. Orthodontic Care
60. Physical Abuse
SECTION 8: Practice Management
61. Practice Management
62. Professional Development
By Michele Leonardi Darby, BSDH, MS, G.W. Hirschfield School of Dental Hygiene and Dental Assisting, College of Health Sciences, Old Dominion University, Norfolk, VA; Eminent Scholar and Graduate Program Director; and Margaret Walsh, RDH, MS, MA, EdD, Department of Public Health & Hygiene, University of California at San Francisco, San Francisco, CA