Primary Preventive Dentistry 6th Ed. (2004)
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Primary Preventive Dentistry 6th Ed. (2004)
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30.01.2013
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3.28 Mb.
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Acquisitions Editor
Pearson Prentice Hall
Norman O. Harris
Norman O. Harris
Stuart L. Fischman
Svante Twetman
Mary Kaye Sawyer-Morse
Alice M. Horowitz
Norman O. Harris
Peter E. Cleaton-Jones, BDS, MB, BCH
Kevin J. Donly, DDS, MS
Alexandra E. Evans, PHD
Franklin Garcia-Godoy, DDS, MS, FICD
Harold S. Goodman, DMD, MPH
Jeffery L. Hicks, DDS
Alice M. Horowitz, PhD
Jonathan Korostoff, DMD, PhD
Mark D. Macek, DDS, DrPH
Mary Kaye Sawyer-Morse, PhD
Elaine M. Neenan, MS, DDS, MPH
Ulrich P. Saxer, DDS, PhD
Stephen Sobel, DDS
Michael S. Strayer
Svante Twetman, DDS, PhD, Odont Dr
Dr. Samuel L. Yankell, PhD, RDH
Margaret Bloy, CDA, RDH, MS
William Johnson, DMD, MPH
Shawn Moeller, RDH
Pamela Wade, RDH, BS, MS, CFCS
Medical Books/Dental Books/
Older adults
Benefits of Primary Preventive Dentistry to the Patient
Benefits to the Dentist
What is Primary Prevention?
Primary prevention employs strategies and agents to forestall
Strategies to Prevent the Plaque Diseases
A. Flossing gets down under the gingiva and B.
Remineralization of Teeth
Answers and Explanations
Dental Plaque as One of Many Microbial Biofilms
Bacterial Colonization of the Mouth
The Acquired Pellicle
Dental Plaque Formation
J Periodontol
Figure 2-6
Bacteria in the Dental Plaque
Treponema, Porphyromonas, Prevotella
Dental-Plaque Matrix
Dental Calculus
Answers and Explanations
At the end of this chapter, it will be possible to
Embryology and Histology of Enamel
Physical and Microscopic Features of Incipient Caries
Figure 3-4 is an outstanding electron micrograph to aid in visually understanding caries initiation and progression beyond the d
Know your Enemy, the Cariogenic Bacteria
S. mutans
Ecology of Caries Development
Secondary, or Recurrent, Caries
Measuring Plaque pH, the Stephan Curve
De- and Remineralization of Teeth, Principles
Depth of Remineralization
Methods of Varnish Application
Self-evaluation Questions
At the end of this chapter it will be possible to
The Manual Toothbrush
Figure 5-5
Powered Toothbrushes
Efficiency / Safety Evaluations
The American Dental Association (ADA) Acceptance Program
Toothbrushing Methods
Occlusal Surfaces
The Anterior Lingual Areas
Brushing Sequence
Clinical Assessments of Toothbrushing
Special Needs
At the end of this chapter, it will be possible to
Monitoring the Safety and Effectiveness of Therapeutic Dental Products
The ADA and FDA differ in their acceptance criteria, which places the responsibility for selecting an effective product on the d
Not all fluoride-containing dentifrices have demonstrated anticaries activity.
Excessive emphasis on chemical control may encourage some patients to deemphasize proven oral-hygiene methods.
Xerostomia Mouth Rinses
Chewing Gum
Appendix 6-3
SummaryThe self-use of dentifrices and mouthrinses is proving to be an important preventive dentistry
Answers and Explanations
At the end of this chapter, it will be possible to
Process of Care Model
Oral Health Self-Care
Additional Considerations: Plaque and Caries
Plaque and Gingivitis
Frequency of Plaque Removal
Dental Floss
Dental Floss Holder
Figure 7-12
A. To insert, the floss is gently eased between the teeth, while sawing it back and forth at the contact point. B.
A. Floss threader inserted under pontic. B.
Figure 7-16
Figure 7-19
Figure 7-5
Rubber or Plastic Tip
Knitting Yarn
Gauze Strip
Automated Interproximal Cleaners
A. Yarn is looped through dental floss and inserted through the contact point. B.
Figure 7-32
Irrigation Devices
Implant Maintenance
A. Circumferential placement of Postcare braided nylon cord. B.
Answers and Explanations
Self-evaluation Questions
At the end of this chapter, it will be possible to
Definition and Background
January 25, 1945
History of Community Water Fluoridation
H. V. Churchill
Benefits and Efficacy/Effectiveness of Fluoridation
Mechanisms of Action
Cost of Water Fluoridation
Safety of Water Fluoridation
School-based weekly fluoride rinse programs
Priorities in Prevention: Oral Health
Opposition to Community-Water Fluoridation
Quoting of Inaccurate Statements and the Use of Statements Taken Out of Context
Quoting of Experts
The Conspiracy Gambit
The use of Scare Words
Commandeering Established Organizations
Misuse of Electronic Publishing
Commandeering Meetings
Risk Communication
Table 8-9). Voluntariness
Diffusion in Time and Space
Myth 5: These issues and this scientific data regarding fluoridation are too difficult for the public to understand. Action 5
Myth 7: I am just a dentist/dental hygienist, risk communication is not my job. Action 7
Myth 8: If we give them an inch, they will take a mile. Action 8
Ten Deadly Sins of Communication.
Self-Evaluation Questions
At the end of this chapter, it will be possible to
Mechanism of Action
Effects of Fluoride on Plaque and Bacterial Metabolism
Topical Fluoride Applications
2% sodium fluoride, 8% stannous fluoride, and acidulated phosphate fluoride systems containing 1.23% fluoride.
Sodium Fluoride (NaF)
Figures 9-1
A, following the gross removal of heavy exogenous deposits (calculus) with hand instruments. A prophy brush is similarly used on
A, the lingual roll extends across the midline to isolate an area beyond the central incisors, and B
A, dried with an air syringe in a systematic manner, B
RecommendationsTopical Fluoride Treatments
Fluoride Dentifrices
95% consists of the accepted or approved formulations
Multiple Fluoride Therapy
Toxicology of Fluoride
Emergency Treatment
Home Security of Fluoride Products
Answers and Explanations
Self-evaluation Questions
At the end of this chapter, it will be possible to
Criteria for Selecting Teeth for Sealant Placement
A sealant is contraindicated if
A sealant is probably indicated if
Other Considerations in Tooth Selection
Background of Sealants
Bisphenol A-Glycidyl Methylacrylate Sealants
Confi-Dental Products Co.
Ivoclar-Vivadent, Inc.
Fluoride-Releasing Sealants
Polymerization of the Sealants
The High-Intensity Light Source
Requisites for Sealant Retention
Increasing the Surface Area
Pit-and-Fissure Depth
Surface Cleanliness
Preparing the Tooth for Sealant Application
A, and between water flow and cotton roll looped around second molar, B.
Application of the Sealant
Occlusal and Interproximal Discrepancies
Evaluating Retention of Sealants
Colored Versus Clear Sealants
Placement of Sealants Over Carious Areas
Sealants Versus Amalgams
Options for Protecting the Occlusal Surfaces
The Sealant as Part of a Total Preventive Package
Use of Pit-and-Fissure Sealants
Dentist Involvement
Other Pit-and-Fissure Initiatives
Answers and Explanations
At the end of this chapter, it will be possible to
Criteria for Selecting Teeth for Sealant Placement
A sealant is contraindicated if
A sealant is probably indicated if
Other Considerations in Tooth Selection
Background of Sealants
Bisphenol A-Glycidyl Methylacrylate Sealants
Confi-Dental Products Co.
Ivoclar-Vivadent, Inc.
Fluoride-Releasing Sealants
Polymerization of the Sealants
The High-Intensity Light Source
Requisites for Sealant Retention
Increasing the Surface Area
Pit-and-Fissure Depth
Surface Cleanliness
Preparing the Tooth for Sealant Application
A, and between water flow and cotton roll looped around second molar, B.
Application of the Sealant
Occlusal and Interproximal Discrepancies
Evaluating Retention of Sealants
Colored Versus Clear Sealants
Placement of Sealants Over Carious Areas
Sealants Versus Amalgams
Options for Protecting the Occlusal Surfaces
The Sealant as Part of a Total Preventive Package
Use of Pit-and-Fissure Sealants
Other Pit-and-Fissure Initiatives
Answers and Explanations
At the end of this chapter, it will be possible to
Criteria for Selecting Teeth for Sealant Placement
A sealant is contraindicated if
A sealant is probably indicated if
Other Considerations in Tooth Selection
Background of Sealants
Bisphenol A-Glycidyl Methylacrylate Sealants
Confi-Dental Products Co.
Ivoclar-Vivadent, Inc.
Fluoride-Releasing Sealants
Polymerization of the Sealants
The High-Intensity Light Source
Requisites for Sealant Retention
Increasing the Surface Area
Pit-and-Fissure Depth
Surface Cleanliness
Preparing the Tooth for Sealant Application
A, and between water flow and cotton roll looped around second molar, B.
Application of the Sealant
Occlusal and Interproximal Discrepancies
Evaluating Retention of Sealants
Colored Versus Clear Sealants
Placement of Sealants Over Carious Areas
Sealants Versus Amalgams
Options for Protecting the Occlusal Surfaces
The Sealant as Part of a Total Preventive Package
Use of Pit-and-Fissure Sealants
Other Pit-and-Fissure Initiatives
Answers and Explanations
The Saliva Compartment
Figures 11-1
Answers and Explanations
CariesA Transmissible Local Infection
Primary prevention
Tertiary prevention
Caries Risk and Caries Activity
Terms Used in Prediction
General Approach of Caries Risk Assessment
Community and Group Approach of Caries Risk Assessment
Ages of Interest for Caries Risk Assessment
Individual Approach of Caries Activity
Background Data of Importance for Caries Activity
Clinical Examination for Evaluation of Caries Activity
Caries-Activity Tests for the Dental Office
Bacterial challenge
Host suspectibility
Figure 12-6
Dip Slide Method for Lactobacilli Counts
Salivary flow rate is considered as a "key" parameter in caries-risk assessment.
Measurement of Saliva Flow Rate
Other Suggested Caries Activity Tests
Answers and Explanations
Useful Dental Websites for Caries Activity Information
At the end of this chapter, it will be possible to
Facts about Gingivitis and Periodontitis
Actinobacillus actinomycetemcomitans.
Epidemiology and Risk Assessment
Measuring Dental Plaque
Figure 13-4
Periodontal Probing
A. Shallow sulcus on lingual side; B.
Crevicular Fluid Assessment
Smoking as a Major Risk Factor for Periodontal Disease
100% of 30- to 40-year-old heavy smokers have periodontitis; the response of these patients to therapy is not
Answers and Explanations
Risk markers for oral diseases: Periodontal diseases
At the end of this chapter it will be possible to
Sensation of Taste
The Historic Importance of Sweeteners
Uses of Sucrose
Caries Res.
Foods Additive Amendment of 1958
Intense Sweeteners
Current Legislation Regarding Sweetener Use
Answers and Explanations
Figure 15-1
Importance of Diet Assessment and Counseling in Dentistry
The Basis for a Healthy Diet
Food and Nutrition Board
A standardized portion size
Nutrition in the Development and Integrity of Oral Tissues and Structures
Mucus-secreting cells
Diet and Nutrition in Oral Conditions: Background and Counseling Strategies
Selective Prevention
Table 15-7 provides diet suggestions for caries prevention.Question 6
Diet Guidelines
Avoid fad diets
Answers and Explanations
At the end of this chapter it will be possible to
Figure 15-1
Importance of Diet Assessment and Counseling in Dentistry
The Basis for a Healthy Diet
Food and Nutrition Board
A standardized portion size
Nutrition in the Development and Integrity of Oral Tissues and Structures
Mucus-secreting cells
Diet and Nutrition in Oral Conditions: Background and Counseling Strategies
Selective Prevention
Table 15-7 provides diet suggestions for caries prevention.Question 6
Diet Guidelines
Avoid fad diets
Answers and Explanations
At the end of this chapter it will be possible to
Dental Education and Motivational Programs
Educational Approach to Behavior Change
Health Promotion Approach to Behavior Change
ActionIndividuals in the Action stage are actually flossing every day but have done so less than 6 months.Maintenance
Approaches for Different Levels of Client Motivation and Adherence
Selecting Methods of Influencing Behavior Change
Basic Philosophy
Answers and Explanations
Dental Education and Motivational Programs
Educational Approach to Behavior Change
Health Promotion Approach to Behavior Change
ActionIndividuals in the Action stage are actually flossing every day but have done so less than 6 months.Maintenance
Approaches for Different Levels of Client Motivation and Adherence
Selecting Methods of Influencing Behavior Change
Basic Philosophy
Answers and Explanations
Historic Perspective
Current Problem
Figure 17-4
Treatment planning
Community Periodontal Index of Treatment Need
Program Planning
Program Operation
Levels of Dental Public Health Operation
Dental Public Health Programs
New Strategies Needed
National Oral-Health Objectives
Special Populations
Other Trends Affecting Oral Health
Emerging Public Concerns
Surgeon General's Report
Answers and Explanations
Medical Books/Dental Books/
The Essential Services of Public Health.
At the end of this chapter, it will be possible to
Historic Perspective
Current Problem
Figure 17-4
Treatment planning
Community Periodontal Index of Treatment Need
Program Planning
Program Operation
Levels of Dental Public Health Operation
Dental Public Health Programs
New Strategies Needed
National Oral-Health Objectives
Special Populations
Other Trends Affecting Oral Health
Emerging Public Concerns
Answers and Explanations
Medical Books/Dental Books/
At the end of this chapter, it will be possible to
Prenatal Considerations
Dental CariesAn Infectious Disease
S. mutans
S. mutans
S. mutans
Streptococcus mutans.
Rationale for Early Preventive Intervention
The caries process is certainly multifactorial
The Answer Book
A Protocol for Early Preventive Intervention
Oral Hygiene
Diet Management
Appendix 18-1
Answers and Explanations
Diet refers to the oral intake of all foods and beverages.
Health literacy
Comprehensive school health program
Who is Responsible for Teaching Oral Health?
Roles of Oral-Health-Care Providers
School-Health Programs Past and Present
Creating Effective, School-Based Oral-Health Programs
Group presentations
Community organizational strategies
Children's Dental Health Month.
13.8 hours a year
What To Teach?
Fluorides and Dental Sealants
Pit-and-Fissure Sealants
Diet and Nutrition
Classroom Toothbrushing
Appendix 19-3
Tobacco Avoidance and Cessation
The Healthy People 2010
Preventive Dentistry in Sports
Oral-Health-Programs for Preschool-Age Children
Helping Teachers Teach
Putting it all TogetherComprehensive Oral Health Programs
School Water Fluoridation
Fluoride Mouth Rinsing
Foreign School-Based Programs
Answers and Explanations
Medical Books/Dental Books/
Self-Evaluation Questions
At the end of this chapter, it will be possible to
Sensory Capabilities
Cognitive Capacities
Functional Performance
Attendant Care
Specialized Equipment for Patient Management
Oral-Hygiene Devices
Infant-toddler safety toothbrush
Preventive Therapies
Periodic Preventive Maintenance
Dental Care in an Institutional Setting
Answers and Explanations
Self-evaluation Questions
At the end of this chapter, it will be possible to
Demographic Trends
Life Span/Life Expectancy
Marital Status
Living Arrangements
Functional Status
Cognitive Changes Associated with Aging
Oral-Disease Patterns
Long-Term Care
Answers and Explanations
Dental Needs of Hospitalized Patients
Administrative Requirements
The Hospital Dental Department
Dental Department Administration and Sections
Intra- and Extra-hospital Cooperation
Preventive Dentistry
Head and Neck Cancer
Cleft Palate
T helper lymphocytes (CD4 cells
Acute periodontal infections
The Patient with Cardiovascular Disease
A Final TopicAntibiotic Prophylaxis
Renal Disease
Salient Systemic Signs and Symptoms of ESRD Anemia
Infection of dialysis patients with hepatitis B and C viruses
Chronic Renal Failure and the Plaque Diseases
Diabetes Mellitus
At the end of this chapter, it will be possible to
The Initial and/or Annual Dental Examination
Caries and Primary Prevention
Tooth, Heal ThyselfRemineralization
Dental Cosmos
Fluorides and Remineralization
Periodontal Disease and Primary Prevention
Putting it all TogetherExamination, Treatment, Prevention
We do not examine for, or monitor incipient plaque disease.
Streptococcus mutans.
Answers and Explanations
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