Clinical Dentistry Daily Reference Guide

Cover
Title Page
Copyright Page
Brief Contents
Contents
About the Author
Preface
Acknowledgments
List of Abbreviations
How to Read this Book
Chapter 1 Health History Treatment Modifications
	Real-Life Clinical Questions
	Relevance
	Treatment Planning
	ADA Health History Form
	General Guidelines
	Demographic Data
	Dental Information
	Medical History
	Alphabetized Conditions with Treatment Modifications
	Medications
	Lab Values
		Miscellaneous Terms
	ASA Physical Status Classification System
	Medical Consultations
		Sample Form
	Charting Template
	Clinical Pearls
		Troubleshooting
		Tips
	Real-Life Clinical Questions Answered
	References
Chapter 2 Extraoral Exam, Intraoral Exam, and Oral Cancer Screening
	Real-Life Questions and Comments
	Relevance
	Purpose of the EOE, IOE, and OCS
	Oral Cancer
		Risk Factors
		Signs and Symptoms
		Prognosis
		Treatment
		Risk Reduction
	Screening Frequency
	Armamentarium
	Procedural Steps
	Detecting Oral Cancer Guide from the National Institute for Dental and Craniofacial Research (NIDCR) [17]
	Adjunctive Technologies
	The American Dental Association Evidence-Based Clinical Practice Guideline for the Evaluation of Potentially Malignant Disorders in the Oral Cavity
	Referral
	Informed Refusal
	Clinical Pearls: Tips
	Real-Life Questions and Comments Answered
	References
Chapter 3 Radiographs and Interpretation
	Real-Life Clinical Questions
	Relevance
	Types of Radiographs
		Bitewing
		Periapical
		Panoramic
		Occlusal
		Cone Beam Computed Tomography (CBCT)
	Treatment Planning
		Recommendations for Prescribing Dental Radiographs
	Informed Consents
		Informed Refusal
		Verbal Consents
	Procedural Steps
	Radiographic Interpretation
		Diagnostic Image Criteria
		Diagnosis
		Additional Considerations
	Panoramic Anatomy
	Periapical Anatomy
	Referrals
	Charting Template
	Billing Clarifications
	Clinical Pearls
		Troubleshooting
		Tips
	Real-Life Clinical Questions Answered
	References
Chapter 4 Treatment Planning
	Real-Life Clinical Questions
	Relevance
	Treatment Planning Phases
	Special Sequencing Considerations
	Tooth Replacement Options
	Pediatric Treatment Planning
	Referrals
	Treatment Plan, Refusal, and Informed Consent Forms
	Charting Template
	Clinical Pearls
		Troubleshooting
		Tips
		Miscellaneous
	Real-Life Clinical Questions Answered
	References
Chapter 5 Preventive Dentistry
	Real-Life Clinical Questions
	Relevance
	Treatment Planning
	Armamentarium
	Clinical/Radiographic Exam
	Caries Management by Risk Assessment (CAMBRA)
		Background
	Oral Hygiene Instructions
		Motivational Interviewing
		Basics
		Specific Populations
	Nutritional Counseling
		Background
		Nutritional Counseling for Oral Health
		Additional Nutritional Counseling for Specific Populations
	Tobacco Cessation
	Procedural Steps
		Infant Prophylaxis
		Child Prophylaxis
		Adult Prophylaxis
		Sealants
		Preventive Resin Restoration
		Fluoride Varnish
		Silver Diamine Fluoride (SDF)
		Postoperative Instructions
	Erosion, Abrasion, and Attrition Prevention
	Xerostomia
	Thumb-sucking and Pacifiers
	Sports Injuries
	Clinical Pearls
		Tips
	Real-Life Clinical Questions Answered
	References
Chapter 6 Periodontics
	Real-Life Clinical Questions
	Relevance
	What is Periodontal Disease?
	Diagnosis: New Classification of Periodontitis
		Chairside Guide to Periodontitis Staging and Grading [6]
		Periodontal Diagnosis Flowchart
		Clinical Attachment Level
		Furcation (Glickman)
		Mobility (Miller Index of 1938)
		Occlusal Trauma
		Fremitus
	What Is a Periodontal Abscess?
	The Periodontal–Systemic Connection
	Radiographic Findings (see also Chapter 3)
	Treatment Planning
		Assignment of Periodontal Maintenance Recall Schedule
		When to Refer to a Periodontist
	Armamentarium
		Hand Instrument Advice
		Prophy Angle and Polishing Paste
		Ultrasonic Scaler
	Procedural Steps
		Comprehensive Periodontal Evaluation
		Scaling and Root Planing
		One-Month Reevaluation
		Periodontal Maintenance
		Periodontal Abscess Treatment
	Prognosis
	Charting Template
	Clinical Pearls
		Troubleshooting
		Tips
		Miscellaneous
	Real-Life Clinical Questions Answered
	References
Chapter 7 Operative Dentistry
	Real-Life Clinical Questions
	Relevance
	Clinical and Radiographic Exam
	Treatment Planning
	Informed Consent
	Armamentarium
	Procedural Steps
		Cavity Preparation: External and Internal Outline Forms
		Cavity Preparation: Principles and Tips
		Cavity Restoration: Principles and Tips
		Other Restorative Scenarios
	Tips for Getting Good Anatomy
	Postoperative Instructions
	Clinical Pearls
		Troubleshooting
		Tips
	Real-Life Clinical Questions Answered
	References
Chapter 8 Endodontics
	Real-Life Clinical Scenarios
	Relevance
	Clinical and Radiographic Exam
	Diagnostic Testing
		Pulp Sensitivity Testing
		Periapical Testing
		Biting Test
		Mobility
		Anesthetic Test
	Diagnostic Terminology (Figure 8.6)
	Formulation of Pulpal and Periradicular Diagnoses (Figure 8.7)
	Types of Tooth Fractures
	Treatment Type and Indications
	AAE Endodontic Case Difficulty Assessment Form and Guidelines (Figure 8.8)
	Treatment Planning (Table 8.7)
	Referral to an Endodontist
		Sample Referral Form
	Informed Consent
		Sample Informed Consent Form
	Armamentarium
	Dental Materials
	Endodontic Access
	Rules of Symmetry
	Teeth and Relevant Information (Table 8.10)
		Endodontic Access Tips
	Procedural Steps
		Pulpotomy
		Pulpectomy
		Nonsurgical Root Canal Treatment
		Follow-up
	Postoperative Instructions
		Nonsurgical Root Canal Treatment
		Pulpotomy, Pulpectomy, or Pulpal Debridement
		Internal Bleaching
	Procedural Accidents
	Charting Template
	Clinical Pearls
		Troubleshooting
		Tips
	Real-Life Clinical Scenarios Answered
	References
Chapter 9 Oral Surgery
	Real-Life Clinical Questions
	Relevance
	Clinical and Radiographic Exam
	Treatment Planning (Table 9.2)
		Additional Tips
		Referral to Oral Maxillofacial Surgeon
	Informed Consent
	Extraction Steps
		Related Surgical Procedures
	Extraction Postoperative Instructions
	Charting Template
	Clinical Pearls
		Troubleshooting
		Tips
	Real-Life Clinical Questions Answered
	References
Chapter 10 Toothaches
	Real-Life Questions, Concerns, and Comments
	Relevance
	Treatment Planning
	Dental Trauma Armamentarium
	Nonodontogenic Toothaches (Referred Pain)
	Teledentistry and Toothaches
	Clinical Pearls
		Troubleshooting
		Tips
	Real-Life Questions, Concerns, and Demands Answered
	References
Chapter 11 Crown and Bridge
	Real-Life Clinical Scenarios
	Relevance
	Clinical and Radiographic Exam
	Treatment Planning Considerations
		Terms Used in this Chapter
		Ferrule
		Biologic Width
		Indications and Considerations for Crowns
		Indications and Considerations for Bridges
		Author’s Crown Material Decision Tree
			Crown Material Properties
			Crown Reduction Guidelines
			Tripe Tray versus Full Arch Impressions
		Bite Registration
	Referrals
	Consents
	Shade Selection
		Background
		Steps
	Procedural Steps
		Crowns
		Bridges
		Crown/Bridge Materials and Cement Types
		Adjusting Crown/Bridge Materials
	Alternative Steps
		Removing (“Sectioning”) a Crown
		Removing (“Sectioning”) a Bridge
		Seven Scenarios Involving Removable Partial Dentures/Complete Dentures
		Core Buildup
		Post and Core
	Lab Prescriptions
		CROWN
		BRIDGE
	Postoperative Instructions
	Clinical Pearls
		Troubleshooting
		Tips
	Real-Life Clinical Scenarios Answered
	References
Chapter 12 Complete Dentures
	Real-Life Clinical Questions
	Relevance
	Setting Realistic Expectations
	Clinical and Radiographic Exam
		Evaluation of Existing Dentures for Replacement
		Evaluation of Edentulous Patient Prior to Denture Fabrication
		Evaluation of Dentate Patient Prior to Denture Fabrication
	Treatment Planning
	Consent Forms
	Complete Denture Procedural Steps
		Appointment 1: Preliminary Impressions
		Appointment 2: Final Impression
		Appointment 3: Wax Occlusal Rims
	Teeth Setting Guidelines
		Appointment 4: Tooth Try-in
		Appointment 5: Denture Delivery
		Appointment 6: 24-Hour Follow-up
		Appointment 7: One-Week Follow-up
		Appointment 8+: Denture Adjustment
		Periodic Oral Evaluation (Recall Exam)
	Related Procedural Steps
		Interim (Temporary) Dentures
		Immediate Dentures
		Complete Denture Opposing Cast Metal RPD
		Complete Denture Opposing Dentition
		Complete Denture Opposing Existing Complete Denture
		Duplicate Existing Dentures
		Repairs, Relines, Repositions, Additions, and What the Lab Needs from You
	Lab Prescriptions
	Postoperative Instructions
	Complete Denture Instructions
	Troubleshooting
	Miscellaneous Advice
	Real-Life Clinical Questions Answered
	References
Chapter 13 Removable Partial Dentures
	Real-Life Clinical Scenarios
	Relevance
	Setting Patients’ Expectations
	Clinical and Radiographic Exam
	Treatment Planning
		Sequencing
		Treatment Needs Prior to Fabricating a Partial (if Indicated)
		Selecting Appliance Type
	Kennedy Classification and Relevant Terms
	Procedural Steps
		Consent Form
		Cast Metal RPDs
		Stayplates (Also Known as Acrylic Resin Partial, Interim Partial, Treatment Partial, Transitional Partial, Flipper)
		Flexible Partials
		Essix Appliances
		Immediate Partials
		Complete Dentures Opposing Cast Metal RPDs
	Lab Prescriptions
		Cast Metal RPDs
		Stayplates
		Flexible Partials
		Essix Appliances
		Immediate Partials
	Postoperative Instructions
	Clinical Pearls
		Troubleshooting
		Tips
	Real-Life Clinical Scenarios Answered
	References
Chapter 14 Implant Crowns
	Real-Life Clinical Questions
	Relevance
	Treatment Planning
		Indications and Contraindications for Dental Implants
		Clinical and Radiographic Exam
		Clinical and Radiographic Dimensions for Implants
		Cement- Versus Screw-Retained Implant Crown
		Restorative Materials
	Referral to an Oral and Maxillofacial Surgeon or a Periodontist
	Discussion with the Oral and Maxillofacial Surgeon or a Periodontist
	Implant Parts to Order
	Procedural Steps
		Surgical Stent
		Final Impression
		Soft Tissue Cast
		Provisional Implant Crown
		Implant Crown Delivery
	Lab Prescriptions
		Diagnostic Tooth Wax-Up and Surgical Stent
		Soft Tissue Cast
		Soft Tissue Cast and Screw- or Cement-Retained Provisional Crown
		Soft Tissue Cast and Screw-Retained PFM Crown
		Soft Tissue Cast and Cement-Retained PFM Crown
	Follow-Up
	Maintenance
	Clinical Pearls
		Troubleshooting
		Tips
	Real-Life Clinical Questions Answered
	References
Chapter 15 Occlusal Guards
	Real-Life Comments and Questions
	Relevance
	TMD Terminology
	Occlusal Guards and TMD
	The Patient Interview
	Clinical and Radiographic Exam
		Extraoral Exam
		Intraoral Exam
		Dentition
		Radiographic Exam
	Treatment Planning
	Referrals
	Informed Consent
	Oral Appliances: Indications and Types
	Maxillary Versus Mandibular Arch
	Procedural Steps for Occlusal Guards, Dual Flat Plane Occlusal Appliances, Athletic Mouthguards, and QuickSplints
	Lab Prescriptions
	Postoperative Instructions
	TMD Self-Care Tips (Adjunctive Treatment)
	Clinical Pearls
		Troubleshooting
		Tips
	Real-Life Comments and Questions Answered
	References
Chapter 16 Dental Pharmacology
	Real-Life Comments, Demands, and Questions
	Relevance
	Clinical and Radiographic Exam
	Informed Consent
	ACIID
	Prescription Writing Advice
	Adult Medications
		Preventative
		Local Anesthetics
		Antibiotics
		Analgesics
		Fungal Infections
		Viral Infections
		Anxiolytics
	Pediatric Medications
		Preventative
		Pediatric Local Anesthetics
		Child Antibiotics
		Child Analgesics
	Clinical Pearls
		Troubleshooting
		Tips
	Real-Life Comments, Demands, and Questions Answered
	References
Chapter 17 Pediatric Dentistry
	Real-Life Clinical Questions and Scenarios
	Relevance
	Pediatric Medical History Form
	Clinical and Radiographic Exam
		Clinical Exam
		Radiographic Exam
	Teeth Eruption Charts
	Pediatric Treatment Planning
	Informed Consent
	Referrals to Specialists
	Patient Management
	Pediatric Local Anesthetic Tips
	Pediatric Medication Dosages
	Procedural Steps
		General Remarks
		Traumatic Dental Injuries of Primary and Permanent Teeth
		Preventative Dentistry
		Nitrous Oxide and Oxygen Sedation
		Interim Therapeutic Restorations
		Operative
		Pulpotomies/Pulpectomies/RCT on immature permanent teeth
	Stainless Steel Crowns and Strip Crowns
		Primary Teeth Extractions
		Space Maintainers
	Lab Prescriptions for Space Maintainers
	Postoperative Instructions
	Documentation
	Real-Life Clinical Questions and Scenarios Answered
	References
Chapter 18 Nitrous Oxide and Oxygen Sedation
	Real-Life Questions and Comments
	Relevance
	Introduction
	Indications and Contraindications
	Signs and Symptoms of Optimal Sedation
	Signs and Symptoms of Oversedation
	Armamentarium
	Informed Consent
	Procedural Steps for Nitrous Sedation
		Unit Set-up
		Rooming
		Procedure
		Unit Shutdown
	Postoperative Instructions
	Charting Template
	Clinical Pearls
		Troubleshooting
		Tips
		Miscellaneous
	Real-Life Questions and Comments Answered
	References
Appendix A: International Association of Dental Traumatology Guidelines
Appendix B: Basic Life Support
Appendix C: Evidence-based Dentistry Pyramid
Appendix D: Ergonomics for the Dentist, Patient, and Dental Assistant
Appendix E: “CAMBRA” CAries Management By Risk Assessment
Index
EULA