Procedures Manual to Accompany Dental Hygiene

Theory and Practice


  • Michele Darby, BSDH, MS, Eminent Scholar, University Professor, Graduate Program Director, G.W. Hirschfield School of Dental Hygiene and Dental Assisting, College of Health Sciences, Old Dominion University, Norfolk, VA
  • Margaret Walsh, RDH, MS, MA, EdD, Professor, Department of Preventative and Restorative Dental Sciences, Graduate Program Director, Dental Hygiene Master of Science Program, School of Dentistry, University of California, San Francisco, San Francisco, CA

Reinforce your classroom knowledge and learn to perform clinical procedures with ease and accuracy. The Procedures Manual to Accompany Dental Hygiene: Theory and Practice contains step-by-step descriptions with information about the materials and equipment necessary to carry out the procedures. Rationales are included to ensure that you comprehend the science behind each step of the procedure. The manual also includes client education handouts and helpful tables and lists covering assessment, evaluation, and general client care. You'll want to keep this book by your side as a quick reference in clinics and as a refresher once you start your practice.
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Book information

  • Published:
  • Imprint: SAUNDERS
  • ISBN: 978-1-4557-3618-8

Table of Contents


Section 2: Preparation for the Appointment

Chapter 8: Medical Emergencies

Procedure 8-1: Initial Assessment
Procedure 8-2: Rescue Breathing–Adult, Child, Infant
Procedure 8-3: Single-Rescuer CPR–Adult, Child, Infant
Procedure 8-4: Two-Rescuer CPR–Adult and Child
Procedure 8-5: Single-Rescuer CPR Using an AED–Adult and Child
Procedure 8-6: Conscious Choking–Adult and Child
Procedure 8-7: Unconscious Choking–Adult and Child
Procedure 8-8: Conscious Choking–Infant
Procedure 8-9: Unconscious Choking–Infant

Section 3: Assessments

Chapter 11: Vital Signs

Procedure 11-1: Taking an Oral Temperature Measurement with a Mercury-in-Glass Thermometer
Procedure 11-2: Taking an Oral Temperature Measurement with an Electric Thermometer
Procedure 11-3: Measuring the Radial Pulse
Procedure 11-4: Measuring Respirations
Procedure 11-5: Assessing Blood Pressure by Auscultation

Chapter 13: Extraoral and Intraoral Clinical Assessment

Procedure 13-1: Conducting Extraoral Assessments
Procedure 13-2: Conducting Intraoral Assessments

Chapter 14: Assessment of the Dentition

Procedure 14-1: Use of an Electric Pulp Tester to Determine Pulp Vitality

Chapter 15: Oral Hygiene Assessment: Soft Deposits and Hard Deposits

Procedure 15-1: Oral Deposit Assessment

Section 5: Implementation

Chapter 22: Mechanical Plaque Biofilm Control: Interdental & Supplemental Self-Care Devices

Procedure 22-1: Spool Flossing Method–Adults
Procedure 22-2: Loop Flossing Method–Children and Clients with Limited Manual Dexterity
Procedure 22-3: Use of a Floss Holder
Procedure 22-4: Use of a Floss Threader
Procedure 22-5: Use of a Toothpick in a Toothpick Holder
Procedure 22-6: Use of a Wedge Stimulator
Procedure 22-7: Use of a Rubber Tip Stimulator
Procedure 22-8: Use of an Interdental Brush
Procedure 22-9: Use of a Tongue Cleaner
Procedure 22-10: Use of a Dental Water Jet–Jet Tip

Chapter 24: Hand-Activated Instruments

Procedure 24-1: Basic Positioning for Assessment and Treatment
Procedure 24-2: Use of the Periodontal Probe
Procedure 24-3: Use of the Periodontal Explorer
Procedure 24-4: Use of the Anterior Sickle Scaler
Procedure 24-5: Use of the Posterior Sickle Scaler
Procedure 24-6: Use of the Universal Curet
Procedure 24-7: Use of Area-Specific Curets
Procedure 24-8: Operator Positioning Strategies of Protective Scaling

Chapter 25: Ultrasonic Instrumentation

Procedure 25-1: Instrumentation with the Magnetostrictive Ultrasonic Unit

Chapter 26: Root Morphology and Instrumentation Applications

Procedure 26-1: Root Morphology and Implications for Root Instrumentation

Chapter 27: Management of Extrinsic and Intrinsic Stains

Procedure 27-1: Rubber-Cup Polishing
Procedure 27-2: Air Polishing

Chapter 28: Decision Making Related to Nonsurgical Periodontal Therapy

Procedure 28-1: Use of Extended-Shank and Mini-Blade Curets

Chapter 29: Chemotherapy for the Control of Periodontal Diseases

Procedure 29-1: Placement of Controlled-Release Drug: Tetracycline Fiber
Procedure 29-2: Placement of Controlled-Release Drug: Chlorhexidine Chip
Procedure 29-3: Placement of Controlled-Release Drug: Doxycycline Gel
Procedure 29-4: Placement of Controlled-Release Drug: Minocycline Hydrochloride Microspheres

Chapter 30: Acute Gingival and Periodontal Conditions, Lesions of Endodontic Origin, and Avulsed Teeth

Procedure 30-1: Emergency Management of the Avulsed Tooth

Chapter 31: Caries Management: Fluorides, Chlorhexidine, Xylitol, and Amorphous Calcium Phosphates

Procedure 31-1: Professionally Applied Topical Fluoride Using the Tray Technique
Procedure 31-2: Professionally Applied Sodium Fluoride Varnish Using the Paint-On Technique

Chapter 32: Pit and Fissure Sealants

Procedure 32-1: Applying Light-Cured (Photopolymerized) Sealants
Procedure 32-2: Applying Self-Cured (Autopolymerizing) Sealants

Chapter 35: Impressions, Study Casts, and Oral Stents

Procedure 35-1: Selecting the Correct Tray Size and Preparing It for Use
Procedure 35-2: Mixing Alginate
Procedure 35-3: Making a Mandibular Preliminary Impression
Procedure 35-4: Making a Maxillary Preliminary Impression
Procedure 35-6: Making a Wax-Bite Registration
Procedure 35-6: Pouring the Cast and the Base
Procedure 35-7: Constructing and Custom-Made Stent

Chapter 36: Restorative Therapy

Procedure 36-1: Applying a Rubber Dam
Procedure 36-2: Removing a Rubber Dam
Procedure 36-3: Placing a Tofflemire Matrix System
Procedure 36-4: Placing an Amalgam Restoration
Procedure 36-5: Finishing and Polishing Amalgam Restorations
Procedure 36-6: Placing and Finishing a Resin Composite Restoration
Procedure 36-7: Placing a Glass Ionomer Cement Restoration of Class V Abrasion Lesions
Procedure 36-8: Restoring a Carious Lesion Using Alternative Restorative Therapy
Procedure 36-9: Placing a Stainless Steel Crown
Procedure 36-10: Placing a Retraction Cord
Procedure 36-11: Preparing Reinforced Zinc Oxide and Eugenol Temporary Restorations (Class II Cavity Preparation)

Section 6: Pain and Anxiety Control

Chapter 37: Behavior Management of Dental Fear and Anxiety

Procedure 37-1: Preparing the Client for Relaxation Therapy
Procedure 37-2: Teaching Deep Breathing to a Fearful Client
Procedure 37-3: Guided Imagery
Procedure 37-4: Guiding the Client into Progressive Muscle Relaxation
Procedure 37-5: Guiding the Client into Progressive Relaxation
Procedure 37-6: Awakening the Client after Relaxation Therapy

Chapter 38: Dental Hypersensitivity Management

Procedure 38-1: Administration of Desensitizing Agents

Chapter 39: Local Anesthesia

Procedure 39-1: Loading the Metallic or Plastic Cartridge-Type Syringe
Procedure 39-2: Unloading the Breech-Loading Metallic or Plastic Cartridge-Type Syringe

Chapter 40: Nitrous Oxide–Oxygen Analgesia

Procedure 40-1: Administration of Nitrous Oxide–Oxygen Analgesic Using the Constant Liter Flow Technique

Section 7: Individuals with Special Needs

Chapter 41: Persons with Disabilities

Procedure 41-1: Transferring a Client from a Wheelchair to a Dental Chair Using a One-Person Lift
Procedure 41-2: Transferring a Client from a Wheelchair to a Dental Chair Using a Two-Person Lift

Chapter 45: Persons with HIV Infection

Procedure 45-1: Dental Hygiene Care for the HIV-Infected Client

Chapter 49: Persons with Respiratory Diseases

Procedure 49-1: Management of an Acute Asthmatic Episode

Chapter 55: Persons with Fixed and Removable Dentures

Procedure 55-1: Dental Hygiene Care for Clients with Fixed and Removable Dentures
Procedure 55-2: Daily Oral and Denture Hygiene Care for Individuals with Removable Prostheses
Procedure 55-3: Daily Oral Care for Individuals with Fixed Prostheses


Section 1: General Dentistry

Congenitally Missing Teeth* Fluorosis, Mottled Enamel, and White Spots * You Can Have Whiter Teeth! * At-Home Tray System: Tooth Whitening Instructions * Prophylactic Antiobiotics for Premedication * Staying Well: How to Keep Your Mouth Healthy * How to Brush! How to Floss! * Juice Drink Alert * Prevention of Decay * When Radiographs Are Necessary * Reversing Decay * Topical Fluoride: At Home and in the Dental Office * Attrition and Abrasion * Bad Breath * Sensitive Teeth * Xerostomia: Dry Mouth Syndrome

Section 2: Pediatric Dentistry

A Child’s First Visit to the Dentist * Early Childhood Caries * Eruption Patterns of Teeth * Prevention of Dental Disease in Infants and Children * Sealants * Supplemental Fluoride

Section 3: Periodontics

Furcation Involvement * Gingival Hyperplasia * Gingivitis * Insufficient Attached Gingiva * Necrotizing Periodontal Disease * Periodontal Disease * Periodontal Disease and Systemic Health * Pocket Depth Measurement * Smoking and Adult Periodontitis * Prophylaxis * Scaling and Root Planing * Scaling and Root Planing: Posprocedure Instructions * Scaling and Root Planing: Reevaluation * Soft Tissue Management * Chlorhexidine Gluconate Oral Rinse 0.12% * Periostat: Systemic Submicrobial Dose of Doxycycline * Site-Specific Antibiotic Therapy * Subgingival Irrigation