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Risk Assessment and Oral Diagnostics in Clinical Dentistry (eBook)

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2012
John Wiley & Sons (Verlag)
978-1-118-48324-4 (ISBN)

Lese- und Medienproben

Risk Assessment and Oral Diagnostics in Clinical Dentistry - Dena J. Fischer, Nathaniel S. Treister, Andres Pinto
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Many diseases can have an impact upon oral health and/or the safe delivery of dental care. Consequently, oral health care providers need to be comfortable with assessing the risk of providing dental care to their patients with systemic disease as well as the evaluation of oral conditions that may represent manifestations or consequences of systemic disease. Risk Assessment and Oral Diagnostics in Clinical Dentistry aims to enable the dental practitioner to comfortably and capably assess when medical conditions may impact dental care and diagnose oral conditions using routine testing modalities.

This clinical guide contains succinct and detailed text with visual aids regarding how to obtain and perform diagnostic tests, how to interpret these tests, and the implications of tests results upon the management of medically complex dental patients and patients with oral conditions. Color photographs show conditions, testing equipment, and test results. An appendix highlights the ten most common oral medicine disorders encountered in dental practice.

Dena Fischer, DDS, MSD, MS, is Assistant Professor, Oral Medicine and Diagnostic Sciences at the University of Illinois at Chicago College of Dentistry.

Nathaniel Treister, DMD, DMSc, is Assistant Professor, Department of Oral Medicine, Infection and Immunity, at the Harvard School of Dental Medicine and is Associate Surgeon at Brigham and Women's Hospital in Boston.

Andres Pinto, DMD, MPH, FDS, RCSEd, is Associate Professor, Department of Oral Medicine, at the University of Pennsylvania School of Dental Medicine and Attending Physician at the Division of Oral Medicine at the University of Pennsylvania Medical Center in Philadelphia.


Many diseases can have an impact upon oral health and/or the safe delivery of dental care. Consequently, oral health care providers need to be comfortable with assessing the risk of providing dental care to their patients with systemic disease as well as the evaluation of oral conditions that may represent manifestations or consequences of systemic disease. Risk Assessment and Oral Diagnostics in Clinical Dentistry aims to enable the dental practitioner to comfortably and capably assess when medical conditions may impact dental care and diagnose oral conditions using routine testing modalities. This clinical guide contains succinct and detailed text with visual aids regarding how to obtain and perform diagnostic tests, how to interpret these tests, and the implications of tests results upon the management of medically complex dental patients and patients with oral conditions. Color photographs show conditions, testing equipment, and test results. An appendix highlights the ten most common oral medicine disorders encountered in dental practice.

Dena Fischer, DDS, MSD, MS, is Assistant Professor, Oral Medicine and Diagnostic Sciences at the University of Illinois at Chicago College of Dentistry. Nathaniel Treister, DMD, DMSc, is Assistant Professor, Department of Oral Medicine, Infection and Immunity, at the Harvard School of Dental Medicine and is Associate Surgeon at Brigham and Women's Hospital in Boston. Andres Pinto, DMD, MPH, FDS, RCSEd, is Associate Professor, Department of Oral Medicine, at the University of Pennsylvania School of Dental Medicine and Attending Physician at the Division of Oral Medicine at the University of Pennsylvania Medical Center in Philadelphia.

Risk Assessment and Oral Diagnostics in Clinical Dentistry 5
Copyright 6
Contents 7
Authors 9
Preface 11
Acknowledgements 13
Part A: Guidelines for Risk Assessment of Systemic Conditions that may Complicate or be Complicated by Dental Treatment 15
1 Basics of the Health History, Physical Examination, and Clinical Investigations 17
1.0 Introduction 17
1.1 Obtaining a complete medical history 17
1.2 Physical examination 21
1.3 Ordering and performing laboratory tests 23
1.4 Radiology studies 34
1.5 Suggested literature 40
2 Basic Tests and Evaluation Methods of Systemic Health 41
2.0 Introduction 41
2.1 Vital signs 41
2.2 Diagnostic fluids 44
2.3 General blood tests 45
2.4 Serum chemistry and electrolytes 53
2.5 Suggested literature 59
3 Potential for Bleeding 61
3.0 Introduction 61
3.1 Platelets 64
3.2 Coagulation 69
3.3 Suggested literature 76
4 Potential for Infection 77
4.0 Introduction 77
4.1 Medical conditions associated with an increased risk of oral infection 77
4.2 Medications associated with an increased risk of infection 82
4.3 Tests for evaluating infection risk 83
4.4 Implications of abnormal wbc tests on provision of oral care 86
4.5 Antibiotic prophylaxis for dental procedures 87
4.6 Suggested literature 89
5 Potential for Poor Wound Healing 91
5.0 Introduction 91
5.1 Diabetes mellitus 92
5.2 Adrenal disorders 96
5.3 Bone metabolism 99
5.4 Other considerations 101
5.5 Suggested literature 101
Part B: Guidelines for Diagnosis of Orofacial Conditions 103
6 Dental Caries and Periodontal Conditions 105
6.0 Introduction 105
6.1 Dental caries 105
6.2 Periodontal disease 114
6.3 Selected literature 118
7 Oral Infection 121
7.0 Introduction 121
7.1 Bacterial infection 121
7.2 Fungal infection 128
7.3 Viral infection 131
7.4 Factors that may contribute to infection 135
7.5 Selected literature 135
8 Salivary Conditions 137
8.0 Introduction 137
8.1 Implications of salivary hypofunction 138
8.2 Diagnostic tests for saliva and salivary glands 139
8.3 Diagnosis of salivary gland disorders 143
8.4 Sjögren syndrome 147
8.5 Suggested literature 151
9 Oral Neoplastic Disease 153
9.0 Introduction 153
9.1 Benign neoplasms of the oral cavity 157
9.2 Oral potentially malignant lesions 157
9.3 Oral squamous cell carcinoma 158
9.4 Other cancers of the oral cavity 159
9.5 Diagnostic tests 160
9.6 Adjunctive tests 162
9.7 Selected literature 164
10 Oral Complications Associated with Cancer Therapy 165
10.0 Introduction 165
10.1 Cancer pre-treatment risk assessment 166
10.2 Early effects of cancer treatment 170
10.3 Early/late effects of cancer treatment 173
10.4 Late effects of cancer treatment 176
10.5 Selected literature 183
11 Oral Manifestations of Autoimmune, Immune-Mediated, and Allergic Disorders 185
11.0 Introduction 185
11.1 Autoimmune conditions 185
11.2 Immune-mediated conditions 195
11.3 Allergic disorders 202
11.4 Suggested literature 205
12 Orofacial Pain Conditions 207
12.0 Introduction 207
12.1 Pain mechanisms 209
12.2 General classification of pain 209
12.3 Pain assessment 210
12.4 Classification and diagnosis of pain conditions 216
12.5 Selected literature 222
Appendix 225
Index 229

Erscheint lt. Verlag 12.11.2012
Sprache englisch
Themenwelt Medizin / Pharmazie Gesundheitsfachberufe
Medizin / Pharmazie Medizinische Fachgebiete
Medizin / Pharmazie Zahnmedizin
Schlagworte Care • Clinical • Comfortable • Contains • Dental • dentistry • Diagnostics • Diseases • Guide • Health • Impact • many • Mundheilkunde / Biologie • Oral • Oral Biology • Oralpathologie • Oral Pathology • patients • PERFORM • Practitioner • providers • Risk • safe delivery • succinct • upon • Visual • Zahnmedizin
ISBN-10 1-118-48324-3 / 1118483243
ISBN-13 978-1-118-48324-4 / 9781118483244
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