Clinical Dentistry Daily Reference Guide E-Book

William A. Jacobson

• Herausgeber: John Wiley & Sons
• Kategorie: Fachliteratur
• Sprache: Englisch

Seitenzahl: 1042

Veröffentlichungsjahr: 2022

Beschreibung

CLINICAL DENTISTRY DAILY REFERENCE GUIDE The first and only practical reference guide to clinical dentistry Clinical dentistry involves the practice of preventing, diagnosing, and treating patients' oral health conditions. Clinical Dentistry Daily Reference Guide is a one-stop resource loaded with critical information for day-to-day decision making regarding a myriad of clinical scenarios. This invaluable resource saves time by eliminating the need to search through websites, textbooks, and phone apps to find answers. This book offers step-by-step assistance on health history treatment modifications, oral cancer screening, radiographic interpretation, treatment planning, preventive dentistry, periodontics, operative dentistry, endodontics, oral surgery, toothaches, crown and bridge, dentures, partials, implant crowns, occlusal guards, pharmacology, pediatric dentistry, nitrous sedation, and more. This comprehensive guide: * Provides quick access to information in an easy-to-read bulleted format * Includes hundreds of high-quality clinical images, illustrations, and tables * Answers real-life patient questions * Contains procedural steps including post-operative instructions, lab prescriptions, troubleshooting, and clinical pearls * Features alphabetized medical conditions and treatment modifications, evidence-based guidelines including the dental traumatology guidelines, tables of common medications converted to pediatric dosages, and more. * Helps dentists gain confidence in their decision making Clinical Dentistry Daily Reference Guide is a must-have book for all dental students and practicing dentists, both new and seasoned. Other dental professionals that will benefit from this book include dental educators, expanded function dental assistants, and dental hygienists.

Leseprobe

Table of Contents

Cover

Title Page

Copyright Page

About the Author

Preface

Acknowledgments

List of Abbreviations

How to Read this Book

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

ASA Physical Status Classification System

Medical Consultations

Charting Template

Clinical Pearls

Real‐Life Clinical Questions Answered

References

2 Extraoral Exam, Intraoral Exam, and Oral Cancer Screening

Real‐Life Questions and Comments

Relevance

Purpose of the EOE, IOE, and OCS

Oral Cancer

Screening Frequency

Armamentarium

Procedural Steps

Detecting Oral Cancer Guide from the National Institute for Dental and Craniofacial Research (NIDCR)

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

3 Radiographs and Interpretation

Real‐Life Clinical Questions

Relevance

Types of Radiographs

Treatment Planning

Informed Consents

Procedural Steps

Radiographic Interpretation

Panoramic Anatomy

Periapical Anatomy

Referrals

Charting Template

Billing Clarifications

Clinical Pearls

Real‐Life Clinical Questions Answered

References

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

Real‐Life Clinical Questions Answered

References

5 Preventive Dentistry

Real‐Life Clinical Questions

Relevance

Treatment Planning

Armamentarium

Clinical/Radiographic Exam

Caries Management by Risk Assessment (CAMBRA)

Oral Hygiene Instructions

Nutritional Counseling

Tobacco Cessation

Procedural Steps

Erosion, Abrasion, and Attrition Prevention

Xerostomia

Thumb‐sucking and Pacifiers

Sports Injuries

Clinical Pearls

Real‐Life Clinical Questions Answered

References

6 Periodontics

Real‐Life Clinical Questions

Relevance

What is Periodontal Disease?

Diagnosis: New Classification of Periodontitis

What Is a Periodontal Abscess?

The Periodontal–Systemic Connection

Radiographic Findings (see also Chapter 3)

Treatment Planning

Armamentarium

Procedural Steps

Prognosis

Charting Template

Clinical Pearls

Real‐Life Clinical Questions Answered

References

7 Operative Dentistry

Real‐Life Clinical Questions

Relevance

Clinical and Radiographic Exam

Treatment Planning

Informed Consent

Armamentarium

Procedural Steps

Tips for Getting Good Anatomy

Postoperative Instructions

Clinical Pearls

Real‐Life Clinical Questions Answered

References

8 Endodontics

Real‐Life Clinical Scenarios

Relevance

Clinical and Radiographic Exam

Diagnostic Testing

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

Informed Consent

Armamentarium

Dental Materials

Endodontic Access

Rules of Symmetry

Teeth and Relevant Information (Table 8.10)

Procedural Steps

Postoperative Instructions

Procedural Accidents

Charting Template

Clinical Pearls

Real‐Life Clinical Scenarios Answered

References

9 Oral Surgery

Real‐Life Clinical Questions

Relevance

Clinical and Radiographic Exam

Treatment Planning (Table 9.2)

Informed Consent

Armamentarium (Table 9.3)

Extraction Steps

Extraction Postoperative Instructions

Charting Template

Clinical Pearls

Real‐Life Clinical Questions Answered

References

10 Toothaches

Real‐Life Questions, Concerns, and Comments

Relevance

Treatment Planning

Dental Trauma Armamentarium

Nonodontogenic Toothaches (Referred Pain)

Teledentistry and Toothaches

Clinical Pearls

Real‐Life Questions, Concerns, and Demands Answered

References

11 Crown and Bridge

Real‐Life Clinical Scenarios

Relevance

Clinical and Radiographic Exam

Treatment Planning Considerations

Referrals

Consents

Shade Selection

Procedural Steps

Alternative Steps

Lab Prescriptions

Postoperative Instructions

Clinical Pearls

Real‐Life Clinical Scenarios Answered

References

12 Complete Dentures

Real‐Life Clinical Questions

Relevance

Setting Realistic Expectations

Clinical and Radiographic Exam

Treatment Planning

Consent Forms

Complete Denture Procedural Steps

Teeth Setting Guidelines

Related Procedural Steps

Lab Prescriptions

Postoperative Instructions

Complete Denture Instructions

Troubleshooting

Miscellaneous Advice

Real‐Life Clinical Questions Answered

References

13 Removable Partial Dentures

Real‐Life Clinical Scenarios

Relevance

Setting Patients' Expectations

Clinical and Radiographic Exam

Treatment Planning

Kennedy Classification and Relevant Terms

Procedural Steps

Lab Prescriptions

Postoperative Instructions

Clinical Pearls

Real‐Life Clinical Scenarios Answered

References

14 Implant Crowns

Real‐Life Clinical Questions

Relevance

Treatment Planning

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

Lab Prescriptions

Follow‐Up

Maintenance

Clinical Pearls

Real‐Life Clinical Questions Answered

Patient's Request

References

15 Occlusal Guards

Real‐Life Comments and Questions

Relevance

TMD Terminology

Occlusal Guards and TMD

The Patient Interview

Clinical and 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

Real‐Life Comments and Questions Answered

References

16 Dental Pharmacology

Real‐Life Comments, Demands, and Questions

Relevance

Clinical and Radiographic Exam

Informed Consent

ACIID

Prescription Writing Advice

Adult Medications

Pediatric Medications

Clinical Pearls

Real‐Life Comments, Demands, and Questions Answered

Patients' Demands and Questions

References

17 Pediatric Dentistry

Real‐Life Clinical Questions and Scenarios

Relevance

Pediatric Medical History Form

Clinical and Radiographic Exam

Teeth Eruption Charts

Pediatric Treatment Planning

Informed Consent

Referrals to Specialists

Patient Management

Pediatric Local Anesthetic Tips

Pediatric Medication Dosages

Procedural Steps

Stainless Steel Crowns and Strip Crowns

Lab Prescriptions for Space Maintainers

Postoperative Instructions

Documentation

Real‐Life Clinical Questions and Scenarios Answered

References

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

Postoperative Instructions

Charting Template

Clinical Pearls

Real‐Life Questions and Comments Answered

References

Appendix A: International Association of Dental Traumatology Guidelines

Fractures and Luxations of Permanent Teeth[1]

Avulsion of Permanent Teeth (Adapted from Fouad et al. [2])

Injuries in the Primary Dentition [3]

References

Appendix B: Basic Life Support

Relevance

Radiographic Exam

American Heart Association CPR Techniques for the BLS Provider

Recipe for Life

Team Dynamics

Additional Notes

Prognosis

Dental‐Related Tips

Miscellaneous

References

Appendix C: Evidence‐based Dentistry Pyramid

Relevance

References

Appendix D: Ergonomics for the Dentist, Patient, and Dental Assistant

Dentist

Patient

Dental Assistant

Reference

Appendix E: “CAMBRA” CAries Management By Risk Assessment

*

Background

Low Risk

Moderate Risk

High Risk

Extreme Risk

Index

End User License Agreement

List of Tables

Chapter 1

Table 1.1 Treatment planning phases related to health history.

Table 1.2 Cancer treatment type and dental modifications before, during, an...

Table 1.3 Questions to ask diabetics, rationale, and treatment modification...

Table 1.4 Indications for antibiotic prophylaxis for the prevention of infe...

Table 1.5 HIV/AIDS tests and treatment modifications.

Table 1.6 Blood pressure readings protocol.

Table 1.7 Drugs and nursing safety.

Table 1.8 Pregnancy and dental treatment.

Table 1.9 Transplants and dental treatment modifications.

Table 1.10 Vitals summary.

Table 1.11 Medications and precautions.

Table 1.12 Lab test information.

Chapter 2

Table 2.1 Site‐specific additional considerations during the EOE/IOE/OCS....

Chapter 3

Table 3.1 Recommendations for prescribing dental radiographs.

Table 3.2 Periapical anatomy.

Chapter 4

Table 4.1 Treatment planning phases.

Table 4.2 Special sequencing considerations.

Table 4.3 Tooth replacement options.

Chapter 5

Table 5.1 Treatment planning phases.

Chapter 6

Table 6.1 Treatment planning phases related to periodontal treatment.

Table 6.2 Indications and periodontal maintenance recall frequency.

Table 6.3 Armamentarium for periodontal treatment.

Table 6.4 Periodontal prognosis.

Table 6.5 Healing results after SRP.

Chapter 7

Table 7.1 Treatment planning phases related to operative dentistry.

Chapter 8

Table 8.1 An example of diagnostic testing results.

Table 8.2 Cold test false positives and false negatives.

Table 8.3 Electric pulp test: range of normal responses.

Table 8.4 Electric pulp test: false positives and false negatives.

Table 8.5 Types of tooth fractures.

Table 8.6 Treatment type and indications.

Table 8.7 Treatment planning phases related to endodontic treatment.

Table 8.8 Clamp sizes for teeth.

Table 8.9 Rules of symmetry.

Table 8.10 Teeth and relevant information.

Table 8.11 Summary of emergency treatments for teeth.

Table 8.12 Radiographs for nonsurgical root canal treatment.

Table 8.13 Prognosis based on radiolucency.

Chapter 9

Table 9.1 Extraction case difficulty assessment.

Table 9.2 Treatment planning phases related to extractions.

Table 9.3 Extraction armamentarium.

Chapter 10

Table 10.1 Toothache checklist.

Table 10.2 Dental trauma checklist.

Table 10.3 Nonodontogenic toothache (referred pain).

Table 10.4 Prioritization for scheduling dental emergencies.

Chapter 11

Table 11.1 Finish line placement: advantages and disadvantages.

Table 11.2 Crown material properties.

Table 11.3 Crown reduction guidelines.

Table 11.4 Triple tray versus full arch impressions.

Table 11.5 Crown/bridge material and cement types.

Table 11.6 Adjusting crown/bridge materials.

Chapter 12

Table 12.1 Treatment planning.

Chapter 13

Table 13.1 Removable appliance types: advantages and disadvantages.

Table 13.2 Author's approach to RPD design.

Table 13.3 Repairs, relines, repositions, additions, and what the lab needs...

Chapter 14

Table 14.1 Treatment planning phases related to dental implants.

Table 14.2 General measurement parameters for dental implants

a

.

Table 14.3 Cement‐ versus screw‐retained implant crown.

Table 14.4 Implant crown materials.

Table 14.5 Impression technique indications.

Table 14.6 Open versus closed tray impression technique steps.

Table 14.7 Implant crown delivery steps.

Table 14.8 Peri‐implant diseases and conditions.

Table 14.9 Diagnosis and treatment for loose implant crowns.

Chapter 15

Table 15.1 Treatment planning phases related to occlusal guards.

Table 15.2 Oral appliances: indications and types.

Table 15.3 Type of patient and lifetime expectancy of the appliance.

Chapter 16

Table 16.1 Prescription‐strength fluoride toothpaste.

Table 16.2 Chlorhexidine.

Table 16.3 Benzocaine.

Table 16.4 Lidocaine.

Table 16.5 Articaine.

Table 16.6 Mepivacaine.

Table 16.7 Bupivacaine.

Table 16.8 Cetacaine.

Table 16.9 Antibiotic drug information.

Table 16.10 Antibiotic selection algorithm.

Table 16.11 Amoxicillin premed.

Table 16.12 Clindamycin premed.

Table 16.13 Azithromycin premed.

Table 16.14 Ibuprofen.

Table 16.15 Acetaminophen.

Table 16.16 Tramadol.

Table 16.17 Tylenol #3.

Table 16.18 Norco.

Table 16.19 Real‐life pain management scenarios and tips.

Table 16.20 Clotrimazole.

Table 16.21 Penciclovir.

Table 16.22 Valacyclovir.

Table 16.23 Triazolam.

Table 16.24 Amoxicillin: pediatric dosage for dental abscess.

Table 16.25 Amoxicillin: pediatric dosage for premed.

Table 16.26 Clindamycin: pediatric dosage for dental abscess.

Table 16.27 Clindamycin: pediatric dosage for premed.

Table 16.28 Azithromycin: pediatric dosage for dental abscess.

Table 16.29 Azithromycin: pediatric dosage for premed.

Table 16.30 DEA and prescribing clarifications.

Chapter 17

Table 17.1 Child‐friendly words.

Table 17.2 Pulpal treatment for primary and immature permanent teeth.

Table 17.3 Extraction forceps for primary teeth.

Table 17.4 Space maintainer scenarios.

Chapter 18

Table 18.1 Armamentarium.

Table 18.2 Forms of sedation.

1

Table A.1 Permanent teeth: treatment guidelines for enamel infractions.

Table A.2 Permanent teeth: treatment guidelines for uncomplicated crown frac...

Table A.3 Permanent teeth: treatment guidelines for uncomplicated crown frac...

Table A.4 Permanent teeth: treatment guidelines for complicated crown fractu...

Table A.5 Permanent teeth: treatment guidelines for uncomplicated crown–root...

Table A.6 Permanent teeth: treatment guidelines for complicated crown–root f...

Table A.7 Permanent teeth: treatment guidelines for root fractures.

Table A.8 Permanent teeth: treatment guidelines for alveolar fractures.

Table A.9 Permanent teeth: treatment guidelines for concussion injuries of t...

Table A.10 Permanent teeth: treatment guidelines for subluxation injuries of...

Table A.11 Permanent teeth: treatment guidelines for extrusive luxation inju...

Table A.12 Permanent teeth: treatment guidelines for lateral luxation injuri...

Table A.13 Permanent teeth: treatment guidelines for intrusive luxation inj...

Table A.14 Treatment guidelines for primary teeth: enamel fractures.

Table A.15 Treatment guidelines for primary teeth: enamel–dentin fractures (...

Table A.16 Treatment guidelines for primary teeth: complicated crown fractur...

Table A.17 Treatment guidelines for primary teeth: crown–root fractures.

Table A.18 Treatment guidelines for primary teeth: root fractures.

Table A.19 Treatment guidelines for primary teeth: alveolar fractures.

Table A.20 Treatment guidelines for primary teeth: concussion.

Table A.21 Treatment guidelines for primary teeth: subluxation.

Table A.22 Treatment guidelines for primary teeth: extrusive luxation.

Table A.23 Treatment guidelines for primary teeth: lateral luxation.

Table A.24 Treatment guidelines for primary teeth: intrusive luxation.

Table A.25 Treatment guidelines for primary teeth: avulsion.

List of Illustrations

Chapter 1

Figure 1.1 A sample health history form filled out by a patient. DK, Don't k...

Figure 1.2 ADA Health History Form.

Figure 1.3 Management of patients with prosthetic joints undergoing dental p...

Figure 1.4 Dental treatment and INR ranges.

Figure 1.5 ASA Physical Status Classification System.

Chapter 2

Figure 2.1 Palpation of the submandibular lymph nodes during an extraoral ex...

Figure 2.2 Armamentarium for the extraoral, intraoral, and oral cancer scree...

Figure 2.3 The patient's sunglasses, lipstick, and scarf will have to be rem...

Figure 2.4 My systematic clockwise approach for examining (1) lips; (2) labi...

Figure 2.5 Lymph nodes.

Figure 2.6 Mallampati score.

Figure 2.7 Brodsky grading scale for tonsils.

Figure 2.8 NIDCR oral cancer guide.

Figure 2.9 The ADA clinical practice guideline for the evaluation of potenti...

Figure 2.10 Vantage point to evaluate for any facial swelling.

Figure 2.11 A small swelling noted on the gingiva adjacent to a severely dec...

Figure 2.12 Applying pressure to the gingiva with the side of the explorer r...

Figure 2.13 The patient was asked to open her mouth. The tongue is obstructi...

Figure 2.14 The same patient was told “Say aah” and to “yawn” for better vis...

Figure 2.15 A periodontal probe adjacent to a soft tissue lesion as a refere...

Figure 2.16 Check

every square inch

for abnormalities during the EOE/IOE/OCS...

Chapter 3

Figure 3.1 Evaluating restorations on a bitewings.

Figure 3.2 With your eyes, outline the clinical crown from the crestal bone ...

Figure 3.3 Potential findings on the BW radiograph (numbers refer to the lis...

Figure 3.4 With your eyes, outline the root(s) of the tooth (numbers corresp...

Figure 3.5 Potential findings on the PA radiograph (numbers refer to the lis...

Figure 3.6 This image may appear as vertical bone loss initially, but the CE...

Figure 3.7 Subgingival calculus on every tooth and root caries on the distal...

Figure 3.8 Rendition of unsatisfactory restorations (numbers refer to the li...

Figure 3.9 Subgingival decay on lingual of #14.

Figure 3.10 Recurrent decay on #12.

Figure 3.11 Crowns with recurrent decay.

Figure 3.12 Crowns with recurrent decay.

Figure 3.13 Example of distortion with PAs.

Figure 3.14 Evaluating crown/root ratios.

Figure 3.15 Periapical radiolucencies.

Figure 3.16 Internal root resorption of #10.

Figure 3.17 External root resorption of upper and lower incisors due to orth...

Figure 3.18 (a) Panoramic anatomy; (b) airway spaces. Key: 1, maxillary sinu...

Figure 3.19 At minimum, you must document all three parts of the tooth: the ...

Figure 3.20 Radiograph settings.

Figure 3.21 Difficult to see any radiographic caries.

Figure 3.22 Zoomed out and darkened, teeth #2 and #31 appear have O decay.....

Figure 3.23 Teeth #3 and #4 have deep cavities.

Figure 3.24 By blocking out the decayed portion with your hand (or in this c...

Figure 3.25 Voids in composite #2 MO and #3 MOD.

Figure 3.26 Cotton tip applicator technique for preventing overlapping conta...

Figure 3.27 Always count the teeth when viewing radiographs: supernumerary a...

Figure 3.28 Count the teeth: gemination.

Figure 3.29 With braces you cannot determine if there is interproximal decay...

Figure 3.30 Discoloration noted on the gingiva during oral cancer screening....

Figure 3.31 The BW confirms the cause of the discoloration, an amalgam tatto...

Figure 3.32 Radiation dosage chart.

Figure 3.33 Note the decay on teeth #2, #3, and #31.

Figure 3.34 Note the decay on teeth #2, #3, and #31 one year later.

Figure 3.35 Checking for tooth fragments embedded in the lip.

Chapter 4

Figure 4.1 Useful visuals for communicating treatment plans with patients.

Figure 4.2 An example of a treatment plan within the patient’s chart note. A...

Chapter 5

Figure 5.1 Example of some oral hygiene products.

Figure 5.2 Caries risk assessment form for patients aged 0–5 [4].

Figure 5.3 Caries risk assessment form for patients aged 6 through adult [5]...

Figure 5.4 Caries self‐management menu of options [5].

Figure 5.5 It can be overwhelming figuring out which oral hygiene products t...

Figure 5.6 Demonstrate how to properly floss while the patient holds the mir...

Figure 5.7 Nonacidogenic or low‐acidogenic (cariostatic) foods.

Figure 5.8 A knee‐to‐knee examination using a lap support.

Figure 5.9 UCSF dental center informed consent for silver diamine fluoride....

Figure 5.10 Silver diamine fluoride: UCSF protocol for arresting dental cari...

Figure 5.11 Be cautious with the USS and any burs on the handpieces. Prevent...

Figure 5.12 The dental assistant can use the surgical suction to remove plaq...

Figure 5.13 Take before and after photos with the intraoral camera for docum...

Figure 5.14 Pull the lower lip out to catch the water when using the USS on ...

Chapter 6

Figure 6.1 Finding a deep periodontal pocket during the comprehensive period...

Figure 6.2 Staging and grading of periodontitis.

Figure 6.3 Periodontal diagnosis flowchart. BOP, bleeding on probing; CAL, c...

Figure 6.4 Dentsply Cavitron SofTip Ultrasonic Implant Insert to prevent scr...

Figure 6.5 Due to the heavy amounts of calculus, a full‐mouth debridement is...

Figure 6.6 Image taken immediately following a full‐mouth debridement.

Chapter 7

Figure 7.1 Removing decay with the slow‐speed round bur until no more debris...

Figure 7.2 An occlusal view of an ideal Class II prep with labels.

Figure 7.3 An interproximal view of an ideal Class II prep with labels.

Figure 7.4 A lingual view of an ideal Class II prep with labels.

Figure 7.5 Facial view of an ideal Class III prep with labels.

Figure 7.6 Interproximal view of an ideal Class III prep with labels.

Figure 7.7 Facial view of an ideal Class IV prep with labels.

Figure 7.8 Sunburst.

Figure 7.9 Facial view of an ideal Class V prep with labels.

Figure 7.10 Interproximal view of an ideal Class V prep with labels.

Figure 7.11 Creating a trough.

Figure 7.12 One method of protecting the adjacent tooth when prepping.

Figure 7.13 Another method of protecting the adjacent tooth when prepping.

Figure 7.14 Always floss after placing a restoration to remove excess bondin...

Figure 7.15 A composite restoration without flush margins has become a stain...

Figure 7.16 Steps for a Class IV composite restoration.

Figure 7.17 A clinical pearl for shaping and removing excess material when r...

Figure 7.18 Challenges faced with restoring a Class II on a tooth with a con...

Figure 7.19 The deep margin elevation technique used to restore tooth #21 DO...

Figure 7.20 Radiographs taken at the recall exam may reveal unsatisfactory r...

Figure 7.21 Follow this sequence for restoring “kissing caries.”

Figure 7.22 Pre‐cured pieces of packable composite.

Figure 7.23 A DO cavity preparation. While prepping the pulpal floor, decay ...

Figure 7.24 One approach to protecting cold‐sensitive teeth during a cavity ...

Figure 7.25 Articulating paper revealing the subtle anatomy on the maxillary...

Figure 7.26 Diagram of colors found on and inside teeth.

Figure 7.27 Note the difference between the color of the dentin on the pulpa...

Figure 7.28 Note the shadowing through the enamel at the proximal contact.

Chapter 8

Figure 8.1 Color changes found on the pulp‐chamber floor of tooth #18 acting...

Figure 8.2 Food debris (along with saliva and bacteria) packed into the endo...

Figure 8.3 Periapical radiograph of tooth #14 which was recently root canal ...

Figure 8.4 Tooth #24 has a PARL.

Figure 8.5 Determining if the patient responds to cold when the stimulus is ...

Figure 8.6 American Association of Endodontists Consensus Conference Recomme...

Figure 8.7 Formulation of pulpal and periradicular diagnoses [4].

Figure 8.8 AAE Endodontic Case Difficulty Assessment Form and Guidelines....

Figure 8.9 Winged #9 clamp should have the appearance of a butterfly flying ...

Figure 8.10 A hand file being inserted into the canal.

Figure 8.11 A rotary file being inserted into the canal.

Figure 8.12 Endodontic access shapes.

Figure 8.13 Size 10 hand file with retained pulpal tissue during a pulpectom...

Figure 8.14 Preoperative radiographic working length measurement.

Figure 8.15 Using the Apex locator to determine the working length.

Figure 8.16 EndoRing used to hold and measure hand and rotary files.

Figure 8.17 Warm vertical obturation. Placement of the master cone with seal...

Figure 8.18 Postoperative PA. Note that the “puff” of sealer should be preve...

Figure 8.19 Note tooth #9 is discolored.

Figure 8.20 Examples of portions of endodontic reports with critical informa...

Figure 8.21 CBCT image on an endo report of a missed lingual canal.

Figure 8.22 Always use rubber dam isolation for nonsurgical endodontic treat...

Chapter 9

Figure 9.1 Before extracting a tooth a mirror check is completed. This is an...

Figure 9.2 Always verify the entire tooth is out. One way is by holding the ...

Figure 9.3 Tooth #26 with severe bone loss (and external resorption of the a...

Figure 9.4 Root tip #8 with equigingival and subgingival decay.

Figure 9.5 Tooth #29 with subcrestal decay that required a surgical extracti...

Figure 9.6 Tooth #29 with subcrestal decay that required a surgical extracti...

Figure 9.7 Tooth #31 with subcrestal decay that required a surgical extracti...

Figure 9.8 Tooth #31 “banana”‐shaped mesial root that required sectioning.

Figure 9.9 (a–c) Tooth #19 has a PFM crown, subgingival root caries on the l...

Figure 9.10 Tooth #32 on the panoramic radiograph appears to have an intimat...

Figure 9.11 If tooth #2 were to require an extraction, refer to an OMFS due ...

Figure 9.12 Treatment planning for extractions.

Figure 9.13 #150 Forceps used in a counterclockwise motion in this instance....

Figure 9.14 (a, b) #88R engaging all three furcations of the upper right max...

Figure 9.15 (a, b) #23 Cowhorn for mandibular molars engaging both furcation...

Figure 9.16 (a, b) #23 Cowhorn beaks are seated subgingivally on tooth #19 a...

Figure 9.17 A rear‐venting surgical handpiece.

Figure 9.18 Comparing an area that is not anesthetized to an area that is an...

Figure 9.19 Verifying the tissue is anesthetized around the tooth planned fo...

Figure 9.20 Gauze throat pack to prevent the patient from swallowing or aspi...

Figure 9.21 A periotome used to sever the PDL.

Figure 9.22 A straight elevator placed as far apical as possible. In this im...

Figure 9.23 Rotating the straight elevator and holding it in place for 10 se...

Figure 9.24 Placing the 150 forceps as far apical as possible.

Figure 9.25 Rotating the 150 forceps clockwise and counterclockwise (not rec...

Figure 9.26 Delivering tooth #8.

Figure 9.27 Carefully inspecting tooth #8 for any missing fragments. When in...

Figure 9.28 Curetting the extraction site.

Figure 9.29 Irrigating the debris with sterile saline. Warn the patient may ...

Figure 9.30 Ridge compression following expansion at the extraction site. Th...

Figure 9.31 Placement of a hemostatic agent, in this case Surgifoam (conside...

Figure 9.32 Folding the gauze.

Figure 9.33 Have the patient bite to create firm pressure on the extraction ...

Figure 9.34 Tell the patient to not simply bite the gauze as this does not p...

Figure 9.35 Written postoperative instructions, ice pack, and gauze.

Figure 9.36 Preoperative bitewing of #3. Note the flared roots.

Figure 9.37 Preoperative periapical of #3.

Figure 9.38 Sectioned molar #3 (similar to the “Mercedes Benz” symbol).

Figure 9.39 Inspecting tooth #3 fragments.

Figure 9.40 Preoperative bitewing of #18 with deep decay to the pulp and sub...

Figure 9.41 Preoperative periapical of #18.

Figure 9.42 Inspecting tooth #18 before sectioning.

Figure 9.43 Tooth #18 immediately after sectioning the tooth to separate the...

Figure 9.44 Inspecting tooth #18 fragments.

Figure 9.45 Unable to extract tooth #31 as the remaining tooth structure is ...

Figure 9.46 An incision was made with the base of the flap wider for better ...

Figure 9.47 The blue curved line indicates the location where the bone was r...

Figure 9.48 Taking “healthy bites” (adequate amount of soft tissue) to preve...

Figure 9.49 Have the dental assistant “dab” the bleeding site to help with v...

Figure 9.50 After extraction of tooth #14, the soft tissue was plapated to c...

Figure 9.51 A sharp edge was noted, so the soft tissue was reflected and a r...

Figure 9.52 An incision made at the height of contour of an abscess on the h...

Figure 9.53 A 27‐gauge needle is used to check if it is safe to curette gran...

Figure 9.54 Preoperative PA of tooth #10 with a large PARL.

Figure 9.55 Granulation tissue or radicular cyst attached to the apex of too...

Figure 9.56 Extracted tooth #6 with attached buccal plate. Expect more posto...

Figure 9.57 The patient reported she was sucking on a hard candy and then ex...

Figure 9.58 Dry socket paste placed into the extraction site with a monoject...

Figure 9.59 An endodontic hand file (size 08) was used to retrieve a loose f...

Figure 9.60 Extraction site immediately after tooth extraction. Note the bri...

Figure 9.61 Extraction site 24 hours later. Note the dark red color of clot....

Figure 9.62 Extraction site two weeks postoperatively. Note the yellow color...

Figure 9.63 Extraction site one month postoperatively. Note the pink appeara...

Figure 9.64 Visible bone spicule.

Chapter 10

Figure 10.1 The patient after being asked to point to the location where she...

Figure 10.2 A tooth fragment.

Figure 10.3 Taking a radiograph of the lower lip to rule out any embedded to...

Figure 10.4 Evaluate the position of the tooth in the arch.

Figure 10.5 Evaluate the distance from the root to the socket.

Figure 10.6 (a, b) Tracing a sinus tract to determine or confirm the offendi...

Figure 10.7 Check all surfaces of the tooth, including the gumline. A #2 PFM...

Figure 10.8 (a, b) A tooth causing pain appeared intact but on further inves...

Chapter 11

Figure 11.1 Collage of lab prescriptions.

Figure 11.2 Tooth #2 PFM crown with recurrent decay on the palatal root surf...

Figure 11.3 Tooth #29 open margin on clinical evaluation.

Figure 11.4 A patient lost her #2 temporary crown provided by another dental...

Figure 11.5 Tooth #14 D was not examined carefully enough preoperatively and...

Figure 11.6 Dimensions to consider when evaluating a tooth. The units for al...

Figure 11.7 An analogy when looking at the intaglio (i.e. internal surface) ...

Figure 11.8 Examples of failed bridges.

Figure 11.9 A lingual metal collar was used on the PFM at the hard to reach ...

Figure 11.10 Some examples for evaluating crown reduction.

Figure 11.11 At the delivery appointment for a #21 zirconia crown, the crown...

Figure 11.12 Illustration of a poorly contoured temporary crown #4 causing g...

Figure 11.13 Temporary crown reveals a thin buccal wall due to under‐reducti...

Figure 11.14 Advice for using a triple tray.

Figure 11.15 Clearly defined crown margins and flash.

Figure 11.16 What to look for when the case comes back from the lab.

Figure 11.17 Determining the order in which multiple adjacent crowns will se...

Figure 11.18 After using SpotIt Contact Finder to locate the heavy contact f...

Figure 11.19 Perforation noted when using the Fit Checker that required adju...

Figure 11.20 Illustration of retention grooves for a bridge and a crown.

Figure 11.21 Technique for easier cement removal when cementing a bridge.

Figure 11.22 PFM metal framework.

Figure 11.23 PFM bridge.

Figure 11.24 Bridge with inadequate clearance for the interdental papilla. U...

Figure 11.25 To adjust the crown, place the crown on the die for support and...

Figure 11.26 Examples of crown removal cases.

Figure 11.27 Iatrogenic damage to tooth #8.

Figure 11.28 In preparation for sectioning a bridge, consider which teeth wi...

Figure 11.29 When sectioning a bridge, err on the side closer to the pontic ...

Figure 11.30 When sectioning a PFM bridge, warn the patient that the connect...

Figure 11.31 A custom tray for a pickup impression of #5 PFM crown.

Figure 11.1 Collage of lab prescriptions.

Figure 11.32 Example of how the lab may communicate to the dentist when ther...

Figure 11.33 Check the prep margin circumferentially with a periodontal prob...

Figure 11.34 Packing cord.

Figure 11.35 Tip for reducing confusion when delivering multiple crowns.

Figure 11.36 Cotton rolls cannot be properly disinfected. Remove before send...

Chapter 12

Figure 12.1 Position of the maxillary lingual cusps relative to the mandibul...

Figure 12.2 Traumatic ulceration from a denture.

Figure 12.3 Study model of denture.

Figure 12.4 Note the patient's poor denture hygiene. Also note the color dif...

Figure 12.5 Patient's five‐year old denture (left) and new denture (right). ...

Figure 12.6 Retention, stability, and support.

Figure 12.7 Dentca Jaw gauge.

Figure 12.8 Retained root tip noted on panoramic radiograph.

Figure 12.9 Atrophied ridge.

Figure 12.10 Smooth ridge.

Figure 12.11 Uneven ridge.

Figure 12.12 Fungal infection.

Figure 12.13 Epulis fissuratum. The patient's denture was able to rest in th...

Figure 12.14 Inadequate space for opposing teeth.

Figure 12.15 Preoperative study model.

Figure 12.16 Discuss with patient the number of visits to expect.

Figure 12.17 Stock trays for the preliminary impressions.

Figure 12.18 Custom trays.

Figure 12.19 Maxillary anatomy: 1, labial frenum; 2, labial vestibule; 3, in...

Figure 12.20 Mandibular anatomy: 1, retromolar pad (denture should cover ant...

Figure 12.21 Mandibular border molding.

Figure 12.22 Mandibular wash.

Figure 12.23 Maxillary border molding.

Figure 12.24 Maxillary wash.

Figure 12.25 Maxillary soft palate at rest.

Figure 12.26 The vibrating line.

Figure 12.27 The Valsalva technique.

Figure 12.28 Valsalva line.

Figure 12.29 PPS marked with the Thompson stick (also known as indelible mar...

Figure 12.30 PPS carved into the master cast.

Figure 12.31 Dimensions of the cast. (1) Land area 3–4 mm long; (2) Depth 1–...

Figure 12.32 Maxillary WOR.

Figure 12.33 Mandibular WOR.

Figure 12.34 Wash at the WOR appointment, but preferred at the tooth try‐in ...

Figure 12.35 This amount of incisal display was ideal for this patient.

Figure 12.36 This would lead to too much incisal display and a gummy smile. ...

Figure 12.37 This may lead to too little incisal display, but may be indicat...

Figure 12.38 Obtaining VDR.

Figure 12.39 Strained mentalis muscle.

Figure 12.40 Inscribe the midline, smile line, and the alas (side of the nos...

Figure 12.41 Nonparallel notches on the WORs.

Figure 12.42 WORs ready for mounting.

Figure 12.43 WORs ready for mounting.

Figure 12.44 Specify the tooth shade and which tooth shade guide is being us...

Figure 12.45 Specify the gum shade and which gum shade guide is being used....

Figure 12.46 Note the posterior crossbite of the WORs.

Figure 12.47 Overjet and overbite. Red, overjet; black, overbite; green, inc...

Figure 12.48 Tilts of teeth and prominent thirds.

Figure 12.49 Lingualized/balanced occlusion. Note the amount of overbite (1)...

Figure 12.50 Lateral excursions with lingualized/balanced occlusion.

Figure 12.51 Check occlusion with articulating paper.

Figure 12.52 Posterior teeth not occluding properly.

Figure 12.53 Evaluate the amount of incisal display at rest (can tell the pa...

Figure 12.54 Evaluate the amount of tooth and gum display when smiling.

Figure 12.55 Tongue, teeth, and lip position for proper phonetics.

Figure 12.56 Clearly defined PPS (i.e. post dam).

Figure 12.57 Undercuts.

Figure 12.58 Bleb on intaglio of the denture. This can lead to a sore spot....

Figure 12.59 Check for rough spots on the intaglio with gauze. These can lea...

Figure 12.60 Apply PIP with the brush creating brush strokes.

Figure 12.61 Check for burn‐through (i.e. missing PIP) and adjust as necessa...

Figure 12.62 Oral hygiene supplies and postoperative instructions to review ...

Figure 12.63 Application of the proper amount of denture adhesive cream for ...

Figure 12.64 Application of powder denture adhesive for patient education.

Figure 12.65 Place the dentures in a bag with tartar and stain removal clean...

Figure 12.66 Maxillary denture with calculus adjacent to the patient's Stens...

Figure 12.67 Mandibular denture with calculus adjacent to the patient's subm...

Figure 12.68 Esthetics and occlusion can be unsatisfactory with immediate de...

Figure 12.69 Existing denture opposing the opposing WOR.

Figure 12.70 Patient arrives to the office with a missing denture tooth.

Figure 12.71 Evaluation of the denture and fragment.

Figure 12.72 Retentive grooves made with a high‐speed bur in a denture tooth...

Figure 12.73 Checking the fit of the new denture tooth next to the adjacent ...

Figure 12.74 The new denture tooth has been added to the denture and polishe...

Figure 12.75 Instruct the patient to place dentures in a container at night ...

Figure 12.80 Denture Analyzer Chairside Guide.

Figure 12.76 Instruct the patient to chew on a wet cotton pellet (which you ...

Figure 12.77 Dr. Thompson's Sanitary Color Transfer Applicators. Referred to...

Figure 12.78 Disclosing wax on a denture prior to inserting in the mouth to ...

Figure 12.79 The right hamular notch was not captured during the impression ...

Figure 12.81 The patient is biting on cotton rolls bilaterally, stabilizing ...

Figure 12.82 The patient is biting on a cotton roll unilaterally, causing th...

Chapter 13

Figure 13.1 (

Upper left

) Cast metal RPD; (

upper right

) stayplate; (

lower lef

...

Figure 13.2 Fractured tooth #8.

Figure 13.3 A patient brought his broken cast metal RPD in a bag.

Figure 13.4 A partially edentulous patient with retained root tips on the up...

Figure 13.5 In some cases, tooth replacement is required earlier in the trea...

Figure 13.6 Be sure to inform the patient ahead of time that metal will be v...

Figure 13.7 Representative examples of partially edentulous arches classifie...

Figure 13.8 Abutment teeth (22 and 27) with no retention, even with a clasp,...

Figure 13.9 Illustration of food trap due to tipped tooth which was not reco...

Figure 13.10 In this case, #8 mesial and #10 mesial were recontoured to impr...

Figure 13.11 Unesthetic anterior open bite because the opposing teeth were n...

Figure 13.12 Unesthetic anterior open bite because the opposing teeth were n...

Figure 13.13 Patient complaining that her posterior teeth don't occlude when...

Figure 13.14 Patient complaining that he hits metal when he bites down.

Figure 13.15 Surveying the diagnostic study model.

Figure 13.16 Placement of the retentive arm below the HOCL and the reciproca...

Figure 13.17 Uneven occlusal scheme due to supraeruption. If teeth #2 and #3...

Figure 13.18 Direct retainers.

Figure 13.19 Cingulum rest seat.

Figure 13.20 Occlusal rest seat.

Figure 13.21 Occlusal rest and clasp.

Figure 13.22 Embrasure rest seat.

Figure 13.23 RPI.

Figure 13.24 Lowering the HOCL.

Figure 13.25 Options for raising the HOCL.

Figure 13.26 At the framework try‐in appointment, a gap was noted between th...

Figure 13.27 At the framework try‐in appointment, the metal framework is not...

Figure 13.28 Metal frameworks were tried in to verify the fit. Acrylic was a...

Figure 13.29 Metal framework with wax occlusal rims.

Figure 13.30 Tissue stops visible on the intaglio of the metal framework.

Figure 13.31 Opening the VDO with the wax occlusal rims.

Figure 13.32 Partial denture tooth set up on the articulator.

Figure 13.33 Teeth canted at the tooth try‐in appointment.

Figure 13.34 Evaluate the gingival margin and tooth shape and size at the to...

Figure 13.35 Evaluate the intaglio of the partial before seating in the mout...

Figure 13.36 At the delivery appointment, different materials are used to ev...

Figure 13.37 Calculus on a partial before and after removal.

Figure 13.38 Clean break.

Figure 13.39 Dog bite.

Figure 13.40 Unrepairable.

Figure 13.41 Canted teeth.

Figure 13.42 Accurate midline inscribed in the wax and marked on the model....

Figure 13.43 Molars not in proper occlusion.

Figure 13.44 Molars now in occlusion.

Figure 13.45 Adding a denture tooth and clasp after an extraction.

Figure 13.46 Extending the base to include the PPS.

Figure 13.47 At the tooth try‐in, the teeth were too long and marked to the ...

Figure 13.48 At the second tooth try‐in, the teeth were at the desired lengt...

Figure 13.49 A denture and partial were delivered and at the visit the patie...

Figure 13.50 An unesthetic “gummy smile” at the delivery appointment.

Figure 13.51 Stayplates.

Figure 13.52 Author’s stayplate designs for Kennedy Class I, II, III, and IV...

Figure 13.53 Example of burn‐through requiring adjusting.

Figure 13.54 Flexible partial with both circumferential clasps and conventio...

Figure 13.55 Immersing the flexible partial in hot water.

Figure 13.56 Fabricating an Essix appliance.

Figure 13.57 Immediate partial and new partial.

Figure 13.58 Note the amount of space between teeth #5 and #6 and the ridge ...

Figure 13.59 Provide the patient with both verbal and written instructions f...

Figure 13.60 Partial denture with dual laminate material encircling the abut...

Figure 13.61 A patient with no posterior stops.

Figure 13.62 The author does not recommend partial dentures that are this sm...

Figure 13.63 Adjusting a WW clasp on a stayplate with the bird beak pliers....

Chapter 14

Figure 14.1 The impression coping/post fully seated for the final impression...

Figure 14.2 Evaluate if enameloplasty is indicated.

Figure 14.3 Illustration of the components of a cement‐retained implant crow...

Figure 14.4 (a, b) The (untrimmed) surgical stent. This is used for communic...

Figure 14.5 The healing abutment on #4 before removal.

Figure 14.6 Image of the tray, using the open tray impression technique, imm...

Figure 14.7 The soft tissue cast for implant crown #4.

Figure 14.8 Occlusal view of the #4 screw‐retained PFM implant crown on the ...

Figure 14.9 Buccal view of the #4 screw‐retained PFM implant crown on the so...

Figure 14.10 Seat the #4 screw‐retained PFM implant crown and evaluate clini...

Figure 14.11 Vertical bitewing of the #4 screw‐retained PFM implant crown.

Chapter 15

Figure 15.1 Hard occlusal guard.

Figure 15.2 Measuring comfort.

Figure 15.3 Deviation.

Figure 15.4 Deflection.

Figure 15.5 Side view of the condyle–disc–fossa relationship upon opening: p...

Figure 15.6 Dual flat plane occlusal appliance.

Figure 15.7 QuickSplint.

Figure 15.8 Gentle Jaw.

Chapter 16

Figure 16.1 400 mg of ibuprofen and 1000 mg of acetaminophen.

Figure 16.2 Photo taken by the patient on a weekend prior to going to the ER...

Figure 16.3 Do not prescribe dosage units as “tablespoons” or “teaspoons” as...

Figure 16.4 Topical and local anesthetics used in dentistry.

Figure 16.5 Formula for calculating the maximum dosage for local anesthetics...

Figure 16.6 The maximum recommended dosage of local anesthetics.

Figure 16.7 Duration of action of injectable local anesthetics.

Figure 16.8 Dietary fluoride supplementation schedule [57].

Figure 16.9 Maximum dosage of local anesthetics recommended by the AAPD.

Figure 16.10 Dosage chart for AAPD maximum recommended dosages.

Figure 16.11 The four‐step formula.

Figure 16.12 Ibuprofen dosage table.

Figure 16.13 Acetominophen dosage table.

Chapter 17

Figure 17.1 A 13‐month‐old child.

Figure 17.2 Parulis on the buccal gingiva adjacent to tooth S.

Figure 17.3 Tooth I with resorbed roots retained only by soft tissue.

Figure 17.4 Radiolucency at the furcation of tooth S.

Figure 17.5 Baby teeth eruption chart.

Figure 17.6 Permanent teeth eruption chart.

Figure 17.7 Problems to watch for in growing children.

Figure 17.8 Open Wide mouth props.

Figure 17.9 Endodontic access outline form in primary teeth.

Figure 17.10 Lab‐fabricated band and loop space maintainers.

Figure 17.11 (a–j) Space maintainer design scenarios.

Figure 17.12 Frankl Behavioral Rating Scale.

Chapter 18

Figure 18.1 Nasal hood on the patient.

Figure 18.2 Nitrous oxide and oxygen tanks.

Figure 18.3 Nitrous oxide gauge.

Figure 18.4 Oxygen gauge.

Figure 18.5 Inventory tags.

Figure 18.6 O

2

FLUSH button and FLOW levers.

Figure 18.7 Reservoir bag.

Figure 18.8 Flowmeter with the oxygen level set to 7 l/min.

Figure 18.9 Flowmeter after bleeding the excess gases in the tubing.

3

Figure C.1 Hierarchy of scientific evidence [2].

4

Figure D.1 Sit in a neutral position aligning the ears to shoulders to hips ...

Figure D.2 With your shoulders relaxed, position patient's mouth so it is be...

Figure D.3 Maximum elbow raise to 20° [1].

Figure D.4 Maximum head tilt to 20°. Instead of lowering your head more, loo...

Figure D.5 Hinging at the hips is permitted [1].

Figure D.6 Avoid twisting when working or to grab instruments. Instead swive...

Figure D.7 Avoid uneven weight distribution on one hip [1].

Figure D.8 When working on the maxillary arch the patient should be supine w...

Figure D.9 When working on the mandibular arch the patient should be semi‐su...

Figure D.10 The height of the assistant's chair must be higher than that of ...

Guide

Cover Page

Title Page

Copyright Page

About the Author

Preface

Acknowledgments

List of Abbreviations

How to Read this Book

Table of Contents

Begin Reading

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

Wiley End User License Agreement

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Clinical Dentistry Daily Reference Guide

William A. Jacobson, DMD, MPH

General Dentist

One Community Health

Sacramento, CA, USA

Assistant Clinical Professor

Preventive and Restorative Dental Sciences

University of California, San Francisco (UCSF) School of Dentistry

San Francisco, CA, USA

This edition first published 2022© 2022 John Wiley & Sons, Inc.

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Limit of Liability/Disclaimer of WarrantyThe contents of this work are intended to further general scientific research, understanding, and discussion only and are not intended and should not be relied upon as recommending or promoting scientific method, diagnosis, or treatment by physicians for any particular patient. In view of ongoing research, equipment modifications, changes in governmental regulations, and the constant flow of information relating to the use of medicines, equipment, and devices, the reader is urged to review and evaluate the information provided in the package insert or instructions for each medicine, equipment, or device for, among other things, any changes in the instructions or indication of usage and for added warnings and precautions. While the publisher and authors have used their best efforts in preparing this work, they make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation any implied warranties of merchantability or fitness for a particular purpose. No warranty may be created or extended by sales representatives, written sales materials or promotional statements for this work. The fact that an organization, website, or product is referred to in this work as a citation and/or potential source of further information does not mean that the publisher and authors endorse the information or services the organization, website, or product may provide or recommendations it may make. This work is sold with the understanding that the publisher is not engaged in rendering professional services. The advice and strategies contained herein may not be suitable for your situation. You should consult with a specialist where appropriate. Further, readers should be aware that websites listed in this work may have changed or disappeared between when this work was written and when it is read. Neither the publisher nor authors shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages.

Library of Congress Cataloging‐in‐Publication Data applied for

PB ISBN: 9781119690719

Cover Design: WileyCover Image: © William A. Jacobson, DMD, MPH

About the Author

Courtesy: Kevin Fiscus Photography

Dr. William Jacobson is a general dentist and an educator. He completed his Bachelor of Arts in Fine Arts at University of San Francisco. Dr. Jacobson received a Doctor of Dental Medicine, Master of Public Health, and various awards of recognition at Case Western Reserve University. To further his training, he completed a General Practice Residency at University of Southern California where he treated medically compromised patients at LAC+USC Medical Center and at the Los Angeles Veterans Affairs. Since completing residency, Dr. Jacobson has been practicing general dentistry at community clinics treating the underserved. He is an Assistant Clinical Professor at University of California, San Francisco School of Dentistry. Dr. Jacobson is also a consultant for the curriculum committee at California Northstate University, College of Dental Medicine.

Dr. Jacobson is a member of the American Dental Association, California Dental Association, and the Sacramento District Dental Society. He is a native Spanish speaker and in his free time enjoys painting.

To contact the author, email [email protected]

Preface

Why I Wrote this Book?

Picture the following scenario. Monday morning you arrive to work:

8 a.m.

You need to figure out how to calculate the dosage for amoxicillin in liquid form for a 40‐pound child.

9 a.m.

A teenager shows up with an avulsed tooth from a skateboard accident and you need to review the dental trauma guidelines before treating the patient.

10 a.m.

A patient is requesting nitrous oxide sedation for a filling and you need to quickly review all the indications, contraindications, and steps for administering nitrous, since it has been over a year since you last did this.

11 a.m.

A patient comes in for an extraction and reports a history of radiation and chemotherapy and you are unsure if any treatment modifications are necessary.

11 a.m.

You are double booked with a patient whose cast metal partial denture just broke and you are not sure what the dental lab needs from you. Just the broken partial? An opposing impression? A bite? A pick‐up impression?

The scenarios are endless and it can be overwhelming having to scramble through various sources, from consulting other providers to websites to phone apps to books, to find critical information in a timely manner in order to provide our patients with the safest and best possible care.

The philosopher Plato said, “necessity is the mother of invention,” and for me as a practicing dentist and educator, a book like this is indispensable. For this reason, I made it my goal to write this book to make our lives easier as dentists.

The Journey from Conception to a Published Book

In dental school we entered clinic full time in third year. To cope with the fears that came along with treating human patients (non‐manikin) for the first time, I made it my mantra to “learn from every patient encounter,” regardless of the procedure. Every night I would go home and write in my journal. These “daily lessons” included reflecting on the clinical experiences of the day, along with researching answers to questions my patients would ask or I would ask myself. Later I learned that this is referred to as self‐directed learning. The “daily lesson” journal entries continued through my General Practice Residency, working at community clinics, and teaching dental students. While teaching dental students at UCSF I came to realize that these students could benefit from my “daily lessons” journal entries that are mostly collecting dust on a bookshelf.