Clinical Cases in Dental Hygiene

Clinical Cases in Dental Hygiene is an indispensable resource to understanding both the theory and practice of dental hygiene, illustrated by real-life cases in a clinically relevant format. 

• Offers a unique case-based format that supports problem-based learning
• Promotes independent learning through self-assessment and critical thinking
• Includes a wealth of relevant cases for understanding dental procedures and management of patients
• Covers all essential topics within the scope of dental hygiene

The Editors

Cheryl M. Westphal Theile, EdD, RDH, is a Clinical Professor, Associate Dean for Allied Dental Programs, and Director of Dental Hygiene at New York University College of Dentistry in New York, NY, USA.

Mea A. Weinberg, DMD, MSD, RPh, is a Diplomate, American Board of Periodontology and a Clinical Professor of Periodontology and Implant Dentistry at the New York University College of Dentistry in New York, NY, USA.

Stuart L. Segelnick, DDS, MS, is in private practice in Brooklyn, NY, USA. He is a Diplomate, American Board of Periodontology; Diplomate, International Congress of Oral Implantologists and is an Adjunct Clinical Professor of Periodontology and Implant Dentistry at the New York University College of Dentistry in New York, NY, USA.

List of Contributors . xi

Preface xv

Chapter 1 Patient Examination 1

Case 1 Examination and Documentation 2 
Stefania Moglia Willis

Case 2 Head and Neck Examination 9
Stefania Moglia Willis

Case 3 Radiographic Exam 15
Aaron E. Yancoskie

Case 4 Occlusal Examination 21
Stefania Moglia Willis

Case 5 Gingival Examination 29
Aaron E. Yancoskie

Case 6 Periodontal Exam 36
Aaron E. Yancoskie

Chapter 2 Dental Hygiene Diagnosis 43

Case 1 Plaque‐Induced Gingivitis 44
Holly S. Harper

Case 2 Non‐Plaque‐Induced Gingivitis 49
Holly S. Harper

Case 3 Drug‐Induced Gingivitis 54
Holly S. Harper

Case 4 Chronic Periodontitis 60
Holly S. Harper

Case 5 Aggressive Periodontics 65
Holly S. Harper

Case 6 Local Contributing Factors 70
Holly S. Harper

Chapter 3 Planning and Managing Dental Hygiene Care 75

Case 1 Infection Control 76
Shirley S. Birenz and Cynthia J. Howard

Case 2 Emergency Situations and Provision of Appropriate Care 82
Shirley S. Birenz and Cynthia J. Howard

Case 3 Individualized Patient Care 88
Shirley S. Birenz and Cynthia J. Howard

Case 4 Nutritional Counseling 94
Shirley S. Birenz and Cynthia J. Howard

Case 5 Dental Hygiene Treatment Strategies 101
Shirley S. Birenz and Cynthia J. Howard

Chapter 4 Nonsurgical Periodontal Procedures 109

Case 1 Periodontal Debridement (Hand, Ultrasonic, Sonic Instrumentation) 110
Judith Kreismann and Marija L. Cahoon

Case 2 Reassessment and Maintenance 116
Judith Kreismann and Marija L. Cahoon

Case 3 Oral Hygiene Instruction with Limited Dexterity 122
Judith Kreismann and Marija L. Cahoon

Chapter 5 Pharmacology 127

Case 1 Pain and Anxiety Control: Analgesics 128
Ronald J. Lehane

Case 2 Pain and Anxiety Control: Topical and Local Anesthetics 133
Ronald J. Lehane

Case 3 Pain and Anxiety Control: Nitrous Oxide 138
Ronald J. Lehane

Case 4 Topical Drug Delivery (Local Drug Delivery, Oral Rinses, and Irrigation) 143
Ronald J. Lehane

Case 5 Systemic Antibiotics and Enzyme Suppression Therapy 149
Ronald J. Lehane

Chapter 6 Surgical Periodontal Procedures 155

Case 1 Surgical Support Services 156
Edgard S. El Chaar and Stephanie E. Cruz

Case 2 Implant Procedures and Maintenance 161
Edgard S. El Chaar and Stephanie E. Cruz

Chapter 7 Preventive Therapies 167

Case 1 Plaque Removal; Individualized Patient Education 168
Kellie R. Kennedy

Case 2 Fluoride – Systemic and Topical 176
Mark S. Wolff

Case 3 Pit and Fissure Sealants 180
Mark S. Wolff

Chapter 8 Introduction to Biomaterials 187

Case 1 Biomaterials: Dental Implants and Peri‐implantitis 189
Lorilei Kirby

Case 2 Polishing Restored and Natural Teeth 194
Lorilei Kirby

Case 3 Alginate Impressions 200
Lorilei Kirby

Case 4 Dentinal Hypersensitivity 207
Kim Attanasi

Chapter 9 Management of Special Needs Patients 213

Case 1 Older Adult 214
Rosemary D. Hays, Eva M. Lupovici, and Sarah Yoon Kang

Case 2 Psychiatric Disability 220
Rosemary D. Hays, Eva M. Lupovici, and Sarah Yoon Kang

Case 3 Abuse 224
Rosemary D. Hays, Eva M. Lupovici, and Sarah Yoon Kang

Case 4 Substance‐Related Disorder 231
Rosemary D. Hays, Eva M. Lupovici, and Sarah Yoon Kang

Chapter 10 Management of Medically Complex Patients 237

Case 1 Patient with Diabetes 238
Debra Ferraiolo

Case 2 Patient with Asthma 244
Miriam R. Robbins

Case 3 Patient with Hypertension 248
Silvia Spivakovsky

Case 4 Patient Taking Antithrombotic Drugs – Valve Replacement 252
Analia Veitz‐Keenan

Case 5 Patient with Kidney Disease 258
Joan A. Phelan

Chapter 11 Professional Responsibility 263

Case 1 Ethical Principles – Informed Consent 264
Winnie Furnari

Case 2 Regulatory Compliance 271
Winnie Furnari

Case 3 Patient and Professional Communication 276
Winnie Furnari

Chapter 12 Community and Oral Health Promotion 283

Case 1 Participating in Community Programs 284
Lisa B. Stefanou and Dianne L. Sefo

Case 2 Promoting Health and Preventing Disease within Groups 290
Lisa B. Stefanou and Dianne L. Sefo

Index 297

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