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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5523_Библиотеки_им_академика_М_И_Перельмана.pdf
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- •Preface
- •Using this book
- •Philosophy of the book
- •Layout and contents
- •How to use this book
- •Effective learning
- •Approaching the examinations
- •The main types of examination
- •Multiple choice questions
- •Extended matching items (EMIs)
- •Essays
- •Short notes
- •Picture questions
- •Case history questions
- •Viva/oral examination
- •Conclusions
- •List of contributors
- •1 Periodontology
- •Overview
- •1.1 Healthy periodontium
- •Radiographic features
- •Histology
- •Periodontal tissues in children
- •Radiographic features
- •Gingival crevicular fluid
- •Clinical gingival health on a reduced periodontium
- •1.2 History and examination
- •Presenting complaint
- •Gingival bleeding
- •Drifting of teeth
- •Loose teeth
- •Bad taste and halitosis
- •Pain
- •Dental history
- •Social history
- •Medical history
- •Examination
- •Extraoral examination
- •Intraoral examination
- •Gingiva
- •Periodontal probing
- •Furcation involvement
- •Tooth mobility
- •Radiographic evaluation
- •1.3 Gingivitis
- •Gingivitis: Dental biofilm-induced
- •Clinical features
- •Treatment
- •Gingivitis: Mediated by systemic or local risk factors
- •Gingivitis: Mediated by sex steroid hormones
- •Clinical features
- •Treatment
- •Primary herpetic gingivostomatitis
- •Clinical features
- •Treatment
- •Complications
- •Plasma cell gingivitis
- •Clinical features
- •Treatment
- •Desquamative gingivitis
- •Clinical features
- •Treatment
- •1.4 Periodontal diseases
- •Necrotising periodontal diseases
- •Clinical features
- •Aetiology
- •Pathology
- •Risk factors
- •Treatment
- •Periodontitis
- •Clinical features
- •Pocket formation
- •Bleeding
- •Alveolar bone resorption
- •Tooth mobility
- •Gingival recession
- •Furcation lesions
- •1.5 Microbiology and pathogenesis of periodontal diseases
- •Microbiology of periodontal diseases
- •Dental plaque
- •Supragingival plaque
- •Subgingival plaque
- •Composition and formation of plaque
- •Dental calculus
- •Supragingival calculus
- •Subgingival calculus
- •Periodontal health
- •Plaque-induced gingivitis
- •Periodontitis
- •Pathogenesis of periodontal diseases
- •Gingivitis
- •Pathogenesis
- •Histopathology
- •Initiation of gingivitis
- •Periodontitis
- •Pathogenesis
- •Histopathology
- •Risk factors
- •Tobacco smoking
- •Diabetes mellitus
- •Predisposing (plaque-retentive) factors
- •Overhanging restorations
- •Treatment
- •Defective crown margins
- •Treatment
- •Bridge pontics
- •Treatment
- •Partial dentures
- •Prevention
- •Treatment
- •Orthodontic appliances
- •Prevention
- •Treatment
- •1.7 Furcation and periodontal–endodontic lesions
- •Periodontal abscesses
- •Treatment
- •Furcation lesions
- •Furcation anatomy
- •Root anatomy
- •Distribution of furcation lesions
- •Treatment
- •Root surface instrumentation
- •Flap surgery
- •Furcoplasty
- •Tunnel preparation
- •Bone regeneration
- •Root amputation
- •Extraction
- •Prognosis
- •Endodontic–periodontal lesions
- •Primary endodontic lesions
- •Endodontic lesions with secondary periodontal involvement
- •Primary periodontal lesions
- •Periodontal lesions with secondary endodontic involvement
- •Combined lesions
- •1.8 Gingival problems
- •Gingival recession
- •Aetiology
- •Clinical features
- •Predisposing factors
- •Treatment
- •Gingival enlargement
- •Gingival fibromatosis
- •Chronic hyperplastic gingivitis
- •Incidence
- •Clinical features
- •Histopathology
- •Pathogenesis
- •Treatment
- •Crohn’s disease
- •Orofacial granulomatosis
- •Acute leukaemia
- •Treatment
- •Sarcoidosis
- •Wegener’s granulomatosis
- •Epulides
- •Aetiology
- •Clinical features
- •Treatment
- •Iatrogenic gingival enlargement
- •Denture-induced enlargement
- •Patterns of progression of periodontitis
- •1.6 Risk factors and predisposing factors
- •Orthodontically induced enlargement
- •Cystic lesions
- •1.9 Trauma and the periodontium
- •Self-inflicted trauma
- •Factitious gingivitis
- •Oral hygiene practices
- •Iatrogenic trauma
- •Traumatic occlusal forces
- •Historical perspective
- •Occlusal interferences
- •Clinical features
- •Treatment
- •Traumatic incisor relationships
- •Treatment
- •1.10 Periodontal manifestations of syndromes and medical conditions
- •Down syndrome
- •Clinical features
- •Treatment
- •Papillon–lefevre syndrome
- •Clinical features
- •Treatment
- •Ehlers–danlos syndrome
- •Clinical features
- •Pathology
- •Treatment
- •Leukocyte adhesion-deficiency syndrome
- •Clinical features
- •Pathology
- •Treatment
- •Langerhans cell histiocytosis
- •Clinical features
- •Hypophosphatasia
- •Clinical features
- •Treatment
- •1.11 Treatment of periodontal disease
- •Mechanical plaque control
- •Powered toothbrushes
- •Toothbrushes
- •Toothpastes
- •Toothbrushing techniques
- •Bass technique
- •Charters’ technique
- •Interproximal cleaning AIDS
- •Dental floss
- •Interspace brushes
- •Interdental brushes
- •Chemical plaque control
- •Cationic agents
- •Chlorhexidine digluconate
- •Quaternary ammonium compounds
- •Phenols
- •Listerine
- •Triclosan
- •Root surface instrumentation
- •Periodontal instruments
- •Techniques
- •Surgical treatment
- •Flap surgery
- •Replaced flap, no bone removal
- •Indications
- •Advantages
- •Disadvantages
- •Apically repositioned flap, no bone removal
- •Indications
- •Advantage
- •Disadvantage
- •Apically repositioned flap, with bone removal
- •Indications
- •Advantage
- •Disadvantages
- •Crown lengthening
- •Indications for crown lengthening
- •Gingivectomy
- •Guided tissue regeneration
- •Mucogingival surgery
- •Self-assessment: Questions
- •Multiple choice questions (true/false)
- •Extended matching items questions
- •Single best answer questions
- •Case history question
- •Picture questions
- •Picture 1
- •Picture 2
- •Picture 3
- •Picture 4
- •Picture 5
- •Short note questions
- •Self-assessment: Answers
- •Multiple choice answers
- •Extended matching items answers
- •Single best answer questions answers
- •Case history answers
- •Picture answers
- •Picture 1
- •Picture 2
- •Picture 3
- •Picture 4
- •Picture 5
- •Short note answers
- •References
- •2 Endodontics
- •Overview
- •2.1 Pulpal and periradicular pathology
- •Infective source - bacteria
- •Mechanical irritants
- •Chemical irritants
- •Pulp disease
- •Periradicular disease
- •2.2 Patient assessment
- •Patient history
- •Clinical examination
- •Extraoral examination
- •Intraoral examination
- •Special tests
- •Checklist for radiographic assessment
- •Diagnosis
- •Case selection and treatment
- •Treatment planning
- •2.3 Vital pulp therapy
- •Strategies for vital pulp treatment (VPT)
- •Indirect pulp capping
- •Procedure outline (fig. 2.4)
- •Direct pulp capping
- •Procedure outline (fig. 2.5)
- •Partial pulpotomy
- •Procedure outline (fig. 2.6)
- •Full pulpotomy
- •Procedure outline (fig. 2.7)
- •Pulpectomy
- •Follow-up and outcomes for VPT
- •2.4 Root canal morphology
- •Important general considerations of pulpal anatomy
- •Pulp chamber anatomy
- •Root anatomy
- •Apical anatomy changes with age
- •Access
- •Coronal access
- •Radicular access
- •Endodontic access openings, lengths and configurations
- •Incisor and canine teeth
- •Premolar teeth
- •Maxillary molars
- •Mandibular molars
- •Access: Prior considerations
- •Dental dam
- •Access technique
- •2.5 Root canal preparation – cleaning and shaping of the root canal system
- •Biological objectives of cleaning and shaping the root canal system
- •Mechanical objectives of cleaning and shaping the root canal system
- •Instrument manipulation
- •Irrigation
- •Canal preparation
- •Canal exploration
- •Pre-enlargement and straight-line radicular access
- •Length determination and apical patency
- •Apical patency
- •Apical preparation
- •Apical preparation with conventional instruments
- •Apical preparation with NiTi instruments
- •Rotary Nickel–Titanium instrumentation technique
- •One visit root canal treatment
- •2.6 Root canal obturation
- •Requirements before root canal filling
- •Types of root filling materials
- •Gutta-Percha filling techniques
- •Single cone
- •Lateral condensation of Gutta-Percha
- •Thermomechanical compaction
- •Lateral condensation and thermocompaction of Gutta-Percha
- •Warm vertical condensation
- •Carrier-based systems
- •Management of the wide and open apex
- •Coronal seal
- •Overfills
- •2.7 Restoration of endodontically treated teeth
- •2.8 Root canal retreatment
- •Retreatment procedures
- •Access for retreatment
- •Removal of post and cores
- •Removing cast and metal posts
- •Removal of glass-fibre posts
- •Removal of root canal obturation materials
- •Removal of Gutta-Percha
- •Removal of pastes
- •Removal of silver points
- •Removal of fractured instruments
- •Success rate of root canal retreatment
- •2.9 Surgical endodontics
- •Surgical assessment
- •Consent
- •Procedure
- •Site preparation and local anaesthesia
- •Flap design, elevation and retraction
- •Bone removal
- •Root end resection
- •Haemostasis
- •Root end preparation
- •Root end filling materials
- •Debridement and closure
- •Corrective surgery
- •Extraction with subsequent replantation
- •Self-assessment: Questions
- •Multiple choice questions (true/false)
- •Single best answer questions
- •Picture questions
- •Short notes questions
- •Self-assessment: Answers
- •Multiple choice answers
- •Single best answer question answers
- •Picture questions answers
- •Short notes answers
- •Reference
- •3 Conservative dentistry
- •Overview
- •3.1 Examination, diagnosis and treatment planning
- •Relevant anatomy
- •Enamel
- •Dentine
- •3.2 Caries
- •Principles of management
- •Current systems of assessment and management
- •Risk assessment
- •Clinical assessment
- •Risk management
- •Initial management
- •Root caries
- •Non-operative management
- •Operative management
- •Deep lesions
- •Cavity finalisation
- •Liners
- •Isolation
- •Matrix use
- •3.3 Resin bonding
- •Enamel bonding
- •Dentine bonding
- •Bond degradation
- •3.4 Materials for direct restorations
- •Indications for restoration
- •Direct resin composite restorative materials
- •Placement techniques
- •Advantages and disadvantages of composite restorations
- •Amalgam
- •Disadvantages
- •Glass ionomer cements
- •3.5 Tooth surface loss
- •Erosion
- •Abrasion
- •Attrition
- •Abfraction
- •Management
- •3.6 Indirect restorations
- •Coverage
- •Extracoronal
- •Intracoronal
- •Material
- •Manufacture
- •Layering
- •Retention of indirect restorations
- •Mechanical retention
- •Adhesive retention
- •Why indirect restorations?
- •Clinical evidence
- •Indirect restorations and root filled teeth
- •Why are root filled teeth extracted?
- •3.7 Biomechanical considerations
- •Stabilisation and managing risk
- •Indirect restorations and loss of pulp vitality
- •Planning aesthetic changes
- •Occlusal considerations
- •Tooth preparation
- •Measuring reduction
- •Crown preparations
- •Occlusal reduction
- •Axial reduction
- •Margin location
- •In relation to gingival margins
- •In relation to adjacent teeth
- •In relation to restorations
- •Onlay preparations
- •Posterior indications for indirect restorations
- •Compromised anterior teeth
- •Veneers
- •Indirect restoration impression techniques
- •Provisionalisation
- •Cementation
- •Laboratory prescription
- •Survival of indirect restorations
- •3.8 Bridges
- •Clinical assessment
- •Periodontal health
- •Tooth positions in relation to the edentulous span
- •Previous restoration
- •Fixed–fixed or cantilever design?
- •Pontic design
- •Material choices
- •Adhesive bridgework: To prepare or not to prepare?
- •Marginal preparation of teeth
- •Obtaining interocclusal space
- •Preparation of teeth to provide interocclusal space
- •Self-assessment: Questions
- •Single best answer questions
- •Multiple choice questions (true/false)
- •Case history questions
- •Case history 1
- •Case history 2
- •Case history 3
- •Self-assessment: Answers
- •Single best answer questions answers
- •Multiple choice answers
- •Case history answers
- •Case history 1
- •Case history 2
- •Case history 3
- •4 Prosthodontics
- •Overview
- •4.1 Complete dentures
- •Patient assessment
- •Retention
- •Stability
- •Occlusion
- •Clinical techniques
- •Visit 1: Preliminary impressions
- •Laboratory prescription
- •Requirements for trays
- •Visit 2: Master impressions
- •Laboratory prescription
- •Visit 3: Recording jaw relations
- •Clinical procedure
- •Laboratory prescription
- •Visit 4: Trial dentures
- •Final laboratory prescription
- •Porosity
- •Visit 5: Final dentures
- •Check record
- •Advice to patients
- •Denture maintenance
- •Common complaints of the edentulous patient
- •Relines or rebases
- •Advantages of a reline
- •Advantages of a rebase
- •4.2 Copy/duplicate dentures
- •Indications
- •Clinical advantages
- •Technical advantages
- •Alginate copy box/silicone copy technique
- •First clinical stage
- •Laboratory stage
- •Second clinical stage
- •Final laboratory stage
- •Third clinical stage
- •Common problems
- •4.3 Immediate replacement dentures
- •Advantages of immediate dentures
- •Disadvantages of immediate dentures
- •Types of immediate denture
- •Diagnosis
- •Treatment planning
- •Clinical stages
- •Laboratory stage
- •Surgery
- •Review appointments
- •4.4 Overdentures
- •Indications
- •Contraindications
- •Advantages of overdentures
- •Abutment
- •Periodontal disease
- •Preparation of coronal root surface
- •Evidence base for this clinical approach to overdenture denture construction (Crum and Rooney 1978)
- •The McGill consensus statement on overdentures (Feine et al 2002)
- •4.5 Removable partial dentures
- •Partial denture classification
- •Preliminary impressions
- •Laboratory prescription
- •Design
- •Second clinical visit
- •Recording jaw relationships
- •Occlusal contact in intercuspal position
- •Laboratory prescription
- •Master impressions
- •Laboratory prescription
- •The metal framework
- •Altered cast technique
- •The trial denture
- •Laboratory prescription
- •Final denture insertion
- •Advice to the patient
- •Review appointment
- •Evidence-based approach to the provision of partial dentures (Graham et al 2006)
- •Why do dentists struggle with removable partial denture design? An assessment of financial and educational issues (Lynch and Allen 2006)
- •Critical review of some dogmas in prosthodontics (Carlsson 2009)
- •Self-assessment: Questions
- •Multiple choice questions (true/false)
- •Extended matching items questions
- •Case history questions
- •Case history 1
- •Case history 2
- •Short note questions
- •Essay question
- •Self-assessment: Answers
- •Multiple choice answers
- •Extended matching items answers
- •Case history answers
- •Case history 1
- •Case history 2
- •Short note answers
- •Essay answer
- •Introduction
- •Important features to discuss
- •References
- •5 Restorative management of dental implants
- •Overview
- •5.1 Basic implant terminology and componentry
- •Implants
- •Abutments
- •Implant restorations
- •5.2 Planning implant restorations
- •Indications
- •Contraindications and relative contraindications
- •Case selection
- •Prosthodontically driven (or reverse) planning
- •Special investigations and detailed planning
- •Types of restoration
- •Timing of procedures
- •5.3 Surgical phases
- •Pre-implant placement
- •Implant placement
- •Abutment connection
- •Immediate restoration of implants
- •Delayed restoration of implants
- •5.5 Maintenance phase
- •Long-term follow-up
- •Complications
- •Self-assessment: Questions
- •Extended matching items questions
- •Short notes question
- •Single best answer questions
- •Self-assessment: Answers
- •Extended matching items answers
- •Short notes answer
- •Single best answer questions answers
- •6 Conscious sedation in dentistry
- •Introduction
- •6.1 Conscious sedation
- •Indications for sedation
- •Psychosocial indications
- •Medical indications
- •Dental indications
- •Contraindications to sedation
- •Psychosocial contraindications
- •Unaccompanied patients
- •Medical contraindications
- •Severe or uncontrolled systemic disease
- •Chronic obstructive pulmonary disease
- •Severe psychological/psychiatric problems
- •Thyroid dysfunction
- •Pregnancy and lactation
- •Contraindications to inhalation sedation with nitrous oxide
- •Contraindications to intravenous sedation with midazolam
- •Dental contraindications
- •Patient assessment
- •The assessment process
- •Dental history
- •Medical history
- •Dental examination
- •Physical examination
- •Establish rapport with the patient and deal with misconceptions
- •6.2 Pharmacology of sedative agents
- •Nitrous oxide
- •Physical properties of nitrous oxide
- •Anaesthetic and analgesic properties
- •Effects of chronic exposure to nitrous oxide
- •The benzodiazepines
- •Mechanism of action
- •Side-effects of intravenous benzodiazepines
- •Available benzodiazepines for sedation
- •Midazolam
- •Other benzodiazepines
- •The future
- •Remimiazolam
- •Benzodiazepine antagonist drugs
- •Flumazenil
- •Opioids
- •Opioid antagonist drugs
- •Naloxone
- •Propofol
- •Clinical effects of propofol
- •Side-effects of propofol
- •The distribution and elimination of propofol
- •Ketamine
- •6.3 Current conscious sedation techniques
- •Basic sedation techniques
- •Inhalation sedation
- •Advantages of inhalation sedation
- •Disadvantages of inhalation sedation
- •Technique for inhalation sedation
- •Signs and symptoms of adequate sedation with nitrous oxide
- •Signs and symptoms of oversedation
- •Recovery from sedation
- •Dental professionals who can administer inhalation sedation
- •Intravenous sedation
- •Advantages of intravenous sedation
- •Disadvantages of intravenous sedation
- •Technique of intravenous sedation
- •Equipment required for intravenous sedation
- •Preparation of the drugs
- •Preparation of the patient
- •Intravenous cannulation
- •Signs of adequate sedation
- •Dental treatment under intravenous sedation
- •Recovery from intravenous sedation
- •Complications of intravenous sedation
- •Complications associated with intravenous cannulation.
- •Problems associated with sedation.
- •Reversal of intravenous sedation
- •Indications for reversal
- •Contraindications to reversal
- •Oral sedation and transmucosal sedation
- •Disadvantages
- •Technique for oral sedation
- •Technique for intranasal sedation
- •Advanced sedation techniques
- •Intravenous sedation with combinations of drugs
- •Intravenous sedation with propofol
- •Inhalation sedation using any agent other than nitrous oxide/oxygen alone
- •Monitoring of sedated patients
- •Clinical monitoring
- •Electromechanical monitoring
- •Non-invasive blood pressure recording during sedation
- •Pulse oximetry
- •Reservoir bag on a relative analgesia machine
- •The future
- •Capnography
- •Bispectral index monitoring
- •6.4 Dental treatment planning
- •6.5 Medicolegal aspects
- •Self-assessment: Questions
- •Multiple choice questions
- •Extended matching items questions
- •Case history question
- •Case history
- •Medical history
- •Dental history
- •Intraoral examination
- •Picture questions
- •Picture 1
- •Picture 2
- •Short note questions
- •Viva questions
- •Self-assessment: Answers
- •Multiple choice answers
- •Extended matching items answers
- •Case history answer
- •Picture answers
- •Picture 1
- •Picture 2
- •Short note answers
- •Viva answers
- •7 Paediatric dentistry I
- •Overview
- •7.1 Tooth development and eruption
- •7.2 Management of the child patient
- •Motor development
- •Perceptual development
- •Language development
- •Social development
- •Adolescence
- •Helping anxious patients cope
- •7.3 History, examination and treatment planning
- •Extraoral
- •Intraoral
- •Caries diagnosis
- •Abnormalities in dental development
- •Detection of bony or dental pathology
- •Cone beam computed tomography (CBCT)
- •Other investigations
- •7.4 Caries
- •Restorative materials
- •Isolation
- •Management of caries affecting primary teeth
- •Management of caries affecting permanent teeth
- •Anterior teeth
- •7.5 Tooth discolouration
- •Indications
- •Effectiveness
- •Indication
- •Contraindications
- •Vital bleaching
- •Indications in paediatric dentistry
- •Recall
- •Effectiveness
- •Indications
- •Contraindications
- •7.6 Tooth surface loss (wear)
- •Long-term review
- •7.7 Endodontics
- •Primary teeth
- •Indications
- •Isolation
- •Indications
- •Indications
- •Vital pulp therapy immature permanent molars:
- •Indications
- •Endodontic treatment of root fractured teeth:
- •Root resorption of permanent teeth
- •7.8. Molar-incisor hypomineralisation
- •Self-assessment: Questions
- •Self-assessment: Answers
- •References
- •8 Paediatric dentistry II
- •Overview
- •8.1 Traumatic injuries
- •Assessment
- •History
- •Dental history
- •Medical history
- •Extraoral examination
- •Intraoral examination
- •Radiographic examination
- •Periapical radiographs
- •Occlusal radiographs
- •Orthopantogram
- •Photography
- •Primary dentition
- •Crown fractures
- •Uncomplicated crown fracture
- •Complicated crown fracture
- •Crown root fracture
- •Root fracture
- •Concussion, subluxation and luxation injuries
- •Concussion
- •Subluxation
- •Extrusive luxation
- •Lateral luxation
- •Intrusive luxation
- •Avulsion
- •Sequelae of injuries to the primary dentition
- •Pulpal necrosis
- •Pulpal obliteration
- •Root resorption
- •Injuries to developing permanent teeth
- •Permanent dentition
- •Injuries to the hard dental tissues and the pulp
- •Enamel infraction
- •Enamel fracture
- •Enamel–dentine fracture
- •Complicated crown fracture
- •Uncomplicated crown root fracture
- •Complicated crown root fracture
- •Root fracture
- •Splinting
- •Periodontal ligament injuries
- •Apical and middle third root fractures
- •Dento-alveolar fractures
- •Coronal third root fractures
- •Splint construction
- •Injuries to the periodontal tissues
- •Concussion
- •Subluxation
- •Extrusive luxation
- •Lateral luxation
- •Intrusive luxation
- •Avulsion and replantation
- •Injuries to supporting alveolar bone
- •Child safeguarding
- •8.2 Dental anomalies
- •Number and morphology
- •Hypodontia
- •Incidence
- •Management
- •Supernumerary teeth
- •Incidence
- •Diagnosis
- •Management
- •Macrodontia
- •Incidence
- •Management
- •Microdontia
- •Incidence
- •Management
- •Double teeth
- •Incidence
- •Dens invaginatus
- •Incidence
- •Management
- •Dens evaginatus
- •Incidence
- •Management
- •Talon cusp
- •Incidence
- •Management
- •Taurodontism
- •Incidence
- •Defects of enamel
- •Chronological disturbances
- •Fluorosis
- •Amelogenesis imperfecta
- •Incidence
- •Management
- •Defects of dentine
- •Dentinogenesis imperfecta type II (hereditary opalescent dentine)
- •Incidence
- •Dentine dysplasia type I (radicular dentine dysplasia; rootless teeth)
- •Dentine dysplasia type II (coronal dentine dysplasia)
- •Dentinogenesis imperfecta type I with osteogenesis imperfecta
- •Environmentally determined dentine defects
- •Management of enamel and dentine defects
- •Eruption and exfoliation disorders
- •Premature eruption
- •Natal and neonatal teeth
- •Management
- •Delayed eruption
- •Premature exfoliation
- •Delayed exfoliation
- •Incidence of infraocclusion
- •Treatment of infraocclusion
- •8.3 Special needs
- •Congenital cardiac disease
- •Dental management
- •Bleeding disorders
- •Inherited coagulation disorders
- •Thrombocytopenia
- •Dental management.
- •Haemophilias
- •von Willebrand’s disease
- •Red and white cell disorders
- •Red cell disorders: Anaemias
- •Management
- •Neutrophils
- •Neutrophil deficiencies and t cell defects
- •B cell deficiencies
- •Dental management
- •Leukaemia
- •Dental management
- •Respiratory disease
- •Asthma
- •Dental management
- •Cystic fibrosis
- •Dental management
- •Metabolic and endocrine disorders
- •Diabetes mellitus
- •Dental management
- •Hypopituitarism
- •Hyperpituitarism (gigantism)
- •Thyroid disorders
- •Dental management
- •Parathyroid disorders
- •Neoplastic disease
- •Dental management
- •Organ transplantation
- •Kidney, heart, liver and pancreas transplantation
- •Dental management
- •Bone marrow transplantation
- •Dental management
- •Graft-versus-host disease
- •Diagnosis
- •Oral disease associated with HIV
- •Renal disease
- •Dental management
- •Drug interactions in renal disease
- •Hepatic disease
- •Dental management
- •Hepatitis A, b, c
- •Neurological disease
- •Febrile convulsions
- •Epilepsy
- •Dental management
- •Cerebral palsy
- •Visual impairment
- •Deafness
- •Developmental disability
- •Dental management
- •Autism
- •Self-assessment: Questions
- •Multiple choice questions (true/false)
- •Extended matching items questions
- •Picture questions
- •Picture 1
- •Picture 2
- •Short note questions
- •Single best answer questions
- •Self-assessment: Answers
- •Multiple choice answers
- •Extended matching items answers
- •Picture answers
- •Picture 1
- •Picture 2
- •Short note answers
- •Single best answer question answers
- •References
- •9 Orthodontics I: Development, assessment and treatment planning
- •Overview
- •9.1 Craniofacial growth and occlusal development
- •Craniofacial growth
- •Pattern of craniofacial growth
- •Control of facial growth
- •Growth prediction
- •Growth of the craniofacial skeleton
- •Calvarium
- •Cranial base
- •Maxillary complex
- •Mandible
- •Growth rotations
- •Soft tissue growth
- •Occlusal development
- •Development of the primary dentition
- •Development of the permanent dentition
- •Maturational changes in the occlusion
- •Classification of malocclusion
- •Index of orthodontic treatment need (IOTN)
- •Index of orthognathic functional treatment need (IOFTN)
- •Aetiology of malocclusion
- •Skeletal problems
- •Crowding
- •9.3 Patient assessment in orthodontics
- •Assessment
- •Timing
- •Demand for treatment
- •History
- •Medical history
- •Cardiac defects with infective endocarditis risk
- •Recurrent oral ulceration
- •Epilepsy
- •Diabetes
- •Hay fever/asthma
- •Transverse plane
- •Soft tissue assessment
- •Speech
- •Habits
- •Temporomandibular joints
- •Mandibular path of closure
- •Intraoral examination
- •Assessment of the upper and lower arches
- •Lower arch
- •Upper arch
- •Assessments with the teeth in occlusion
- •Diagnostic records
- •Study models
- •Extra- and intraoral photographs
- •Special investigations
- •Sensibility tests
- •Radiography – conventional or digital
- •Dental panoramic tomograph (DPT)
- •Upper anterior occlusal
- •Periapical and bitewing radiographs
- •Cone beam computed tomography (CBCT)
- •Lateral cephalometric radiograph
- •Cephalometric analysis
- •Uses of lateral cephalometric analysis
- •A diagnostic aid and pre-treatment reference
- •A means of checking treatment progress
- •A means of assessing treatment and growth changes
- •Dentofacial research
- •Aim and objective of cephalometric analysis
- •Cephalometric interpretation
- •Anteroposterior skeletal pattern
- •Vertical skeletal pattern (MMPA and facial proportion) (fig. 9.12)
- •Incisor position
- •Analysis of soft tissues
- •9.4 Principles of orthodontic treatment planning
- •Problem list and treatment need
- •Dental health and function
- •Nickel allergies
- •Latex allergy
- •Bleeding diatheses
- •Arthritis or osteoporosis/bisphosphonates
- •Dental history
- •Social history
- •Clinical examination
- •Extraoral examination
- •Anteroposterior plane
- •Vertical plane
- •Summary
- •Limitations of orthodontic treatment
- •Aims of treatment
- •Treatment planning
- •Plan the lower arch
- •Plan the upper arch
- •Plan the final buccal segment relationship and the need for closure of any residual spaces
- •Plan the mechanics and consider the anchorage demands
- •Treatment timing
- •Retention
- •Final presentation
- •Creating space for desired tooth movement
- •Space assessment
- •Extractions
- •General factors
- •Local factors
- •Extraction of teeth in the buccal segment
- •Extraction of teeth in the labial segment
- •Canines
- •Interproximal reduction (IPR)
- •Arch expansion (lateral or anteroposterior)
- •Distal movement of the upper molars
- •Combination of means
- •Self-assessment: Questions
- •Multiple choice questions (true/false)
- •Extended matching items questions
- •Case history question
- •Picture questions
- •Picture 1
- •Picture 2
- •Data interpretation question
- •Short note questions
- •Viva questions
- •Single best answer questions
- •Self-assessment: Answers
- •Multiple choice answers
- •Extended matching items answers
- •Case history answers
- •Picture answers
- •Picture 1
- •Picture 2
- •Data interpretation answer
- •Short note answers
- •Viva answers
- •Single best answer question answers
- •10 Orthodontics II: Management of occlusal problems
- •Overview
- •10.1 Problem solving in the developing dentition
- •Anomalies of eruption and exfoliation
- •Natal teeth
- •Eruption of teeth
- •Hypodontia
- •Absent third molars
- •Absent upper lateral incisors
- •Space closure.
- •Absent second premolars
- •Absent lower central incisors
- •Supernumerary teeth
- •Conical teeth
- •Tuberculate teeth
- •Supplemental teeth
- •Anomalies of development
- •First permanent molars with poor long-term prognosis
- •Infraoccluded primary molars
- •Impaction of the maxillary first permanent molar
- •Aberrant position of second premolars
- •Posterior crossbite with mandibular displacement
- •Treatment of anomalies by serial extractions
- •Other developmental problems
- •Early loss of primary teeth
- •Incisors
- •Canines
- •First molars
- •Second primary molars
- •Space maintenance for early tooth loss
- •Upper median diastema
- •Dilaceration
- •Traumatic loss of an upper permanent central incisor
- •Incisors in crossbite
- •Habits
- •Increased overjet
- •Ectopic maxillary canines
- •Transposition
- •Estimating the maxillary canine position
- •Management of canine displacement
- •Anomalies of size and form
- •Size
- •Form
- •Double teeth
- •Accessory cusps and evaginated teeth
- •10.2 Class I malocclusion
- •Treatment
- •Bimaxillary proclination
- •Spacing
- •10.3 Class II malocclusion
- •Division 1
- •Prevalence and aetiology
- •Skeletal relationships
- •Lips, tongue and habits
- •Crowding
- •Occlusal, dental and gingival characteristics
- •Treatment
- •Treatment for an underlying class II skeletal relationship
- •Retention and post-treatment stability
- •Division 2
- •Aetiology
- •Skeletal relationships
- •Soft tissues
- •Dental factors
- •Occlusal features
- •Treatment planning
- •Treatment
- •Proclination of the upper incisors and growth modification.
- •Post-treatment stability
- •10.4 Class III malocclusion
- •Aetiology
- •Skeletal pattern
- •Soft tissues
- •Dental factors
- •Occlusal features
- •Treatment
- •Treatment planning
- •The potential direction and extent of future facial growth
- •The incisor inclinations
- •The amount of overbite
- •The ability to achieve an edge-to-edge incisor relationship
- •The degree of upper and lower arch crowding
- •Treatment
- •Treatment in class I or mild class III skeletal pattern
- •Treatment in mild-to-moderate class III skeletal pattern
- •Treatment in severe class III skeletal pattern
- •10.5 Open bite and crossbite
- •Open bite
- •Anterior open bite
- •Aetiology
- •Treatment
- •Posterior open bite
- •Crossbite
- •Aetiology
- •Skeletal factors
- •Soft tissue factors
- •Crowding
- •Local causes
- •Treatment
- •Treatment of anterior crossbite
- •Treatment of unilateral buccal crossbite
- •Treatment of bilateral buccal crossbite
- •Treatment of lingual crossbite
- •10.6 Adult and surgical–orthodontic treatment
- •Adult orthodontics
- •Special consideration in adults
- •Adjunctive or comprehensive orthodontic treatment in the adult
- •Adjunctive treatment
- •Comprehensive treatment
- •Surgical–orthodontic treatment
- •Timing of treatment
- •Indications
- •Planning surgical–orthodontic treatment
- •Record analysis and planning
- •Orthodontic management
- •Presurgical orthodontics and at surgery
- •Surgical procedures
- •Maxilla
- •Mandible
- •Bimaxillary procedures
- •Distraction osteogenesis
- •Adjunctive facial procedures
- •Postsurgical orthodontics and follow-up
- •Stability and relapse
- •10.7 Cleft lip and palate
- •Self-assessment: Questions
- •Multiple choice questions (true/false)
- •Extended matching items questions
- •Case history questions
- •Case history 1
- •Case history 2
- •Case history 3
- •Picture questions
- •Picture 1
- •Picture 2
- •Picture 3
- •Picture 4
- •Picture 5
- •Picture 6
- •Picture 7
- •Short note questions
- •Viva question
- •Single best answer questions
- •Self-assessment: Answers
- •Multiple choice answers
- •Extended matching items answers
- •Case history answers
- •Case history 1
- •Case history 2
- •Case history 3
- •Picture answers
- •Picture 1
- •Picture 2
- •Picture 3
- •Picture 4
- •Picture 5
- •Picture 6
- •Picture 7
- •Short note answers
- •Viva answer
- •Single best answer question answers
- •11 Orthodontics III: Appliances and tooth movement
- •Overview
- •11.1 Removable appliances
- •Indications for removable appliance therapy
- •Designing a removable appliance
- •Active components
- •Retention component
- •Anchorage
- •Extraoral reinforcement of anchorage
- •Safety with headgear
- •Base plate
- •Common tooth movements required
- •Managing problems during treatment
- •Clear aligner therapy
- •11.2 Fixed appliances
- •Components
- •Brackets, bonded molar tubes and bands
- •Archwires
- •Accessories
- •Indications for fixed appliances
- •Tooth movement
- •Anchorage control
- •Appliance types
- •Preadjusted appliances
- •Fully customised appliances
- •Appliance management
- •11.3 Functional appliances
- •Mechanism of action
- •Indications
- •Practical management of patients with a functional appliance
- •Types of functional appliance
- •Twin-block appliance
- •Herbst appliance
- •Bionator
- •Medium opening activator
- •Frankel appliance
- •Headgear addition to functional appliances
- •Effects of functional appliances
- •Dentoalveolar
- •Skeletal
- •11.4 Orthodontic tooth movement and retention
- •Orthodontic tooth movement
- •Pressure zones
- •Tension zones
- •Mechanisms of tooth movement
- •Types of tooth movement, force magnitude and duration
- •Accelerated tooth movement
- •Undesirable sequelae of orthodontic force
- •Pulpal damage
- •Root resorption
- •Loss of alveolar bone height
- •Pain and mobility
- •Retention
- •Forces from the supporting tissues
- •Soft tissues
- •Occlusal factors
- •Facial growth
- •Retention strategies
- •Selection of a retention regime
- •Retainers
- •Adjunctive procedures
- •Self-assessment: Questions
- •Multiple choice questions (true/false)
- •Extended matching items questions
- •Case history questions
- •Case history 1
- •Case history 2
- •Picture questions
- •Picture 1
- •Picture 2
- •Picture 3
- •Picture 4
- •Short note questions
- •Viva questions
- •Single best answer questions
- •Self-assessment: Answers
- •Multiple choice answers
- •Extended matching items answers
- •Case history answers
- •Case history 1
- •Case history 2
- •Picture answers
- •Picture 1
- •Picture 2
- •Picture 3
- •Picture 4
- •Short note answers
- •Viva answers
- •Single best answer question answers
- •12 Professionalism, law and ethics
- •Overview
- •12.1 Principles
- •12.2 The general dental council
- •Registration with the GDC
- •Temporary registration
- •International qualifying examination
- •Overseas registration examination
- •Licence in dental surgery
- •Continuing professional development
- •Personal development planning
- •Professional standards authority
- •12.3 Titles and descriptions
- •Dentists
- •Dental care professionals (formerly professions complementary to dentistry)
- •Dental hygienists
- •Dental therapists
- •Dental nurses
- •Orthodontic therapists
- •Dental technicians
- •Clinical dental technicians
- •Direct access
- •12.4 Requirements for the practice of dentistry
- •Regulation by the general dental council
- •Education
- •Conduct
- •When concerns are raised
- •Fitness to practise investigations
- •Initial assessment of concern or received information
- •Investigating committee
- •The interim orders committee
- •The practice committees
- •Advertising
- •Websites
- •Other requirements for the practice of dentistry
- •Professional indemnity
- •The first steps
- •Continuing education
- •Dental core training (DCT)
- •Specialist training
- •General dental practice
- •Continuing professional education
- •Professional organisations and societies
- •Ability and experience
- •Referrals
- •12.5 Records and documentation
- •Records
- •Data protection
- •Retention of records
- •Medical history
- •Consent and related matters
- •Implied consent
- •Verbal consent
- •Written consent
- •Special cases
- •Age of the patient
- •Adults lacking capacity
- •Life-saving procedures
- •Chaperones
- •12.6 General anaesthesia and sedation
- •General anaesthesia
- •The referring dentist
- •The dentist treating a patient under general anaesthesia
- •Treatment under general anaesthesia
- •Sedation
- •Chaperones
- •12.7 Complaints procedure and negligence
- •‘Mixing’
- •Parliamentary and health service ombudsman
- •GDC complaints service
- •Negligence
- •Contributory negligence
- •Unsuitable treatment
- •Vicarious liability
- •The bolam principle test
- •Time limits
- •Legal aid/contingency fees
- •The woolf report
- •Fast-track timetable
- •Multitrack timetable
- •12.8 Laws and regulations
- •Employment
- •Termination
- •Discrimination
- •Employers’ liabilities
- •Premises and working environment
- •Health and safety at work legislation
- •Ionising radiations regulations
- •Control of substances hazardous to health regulations 2002 (COSHH)
- •The control of mercury (enforcement) regulations 2017
- •Reporting of injuries, diseases and dangerous occurrences regulations (2013)
- •Freedom of information act (2000 or 2002 in Scotland)
- •Care quality commission
- •Disclosure and barring service (DBS)
- •Never events
- •Safeguarding
- •Whistleblowing
- •Friends and family tests
- •General liability
- •Discrimination
- •Legislation involved in dental treatment
- •The consumer protection act 1987
- •Social security acts
- •Agreements and contracts of employment
- •Awareness of the law
- •Acronyms
- •Self-assessment: Questions
- •Multiple choice questions (true/false)
- •Single best answer questions
- •Essay questions
- •Self-assessment: Answers
- •Multiple choice answers
- •Single best answer question answers
- •Essay questions
- •Index

Index
347
Restorations (Continued)
direct, 92 – 94
amalgam, 93 – 94
composite materials, 93
glass ionomer cements, 94
materials for, 92 – 94
placement techniques, 93
endodontically treated teeth, 68 – 70
extracoronal, 92
indications for, 93
indirect
ceramic restorations, 96
coverage, 96
impression techniques, 105 – 106
layering, 97
loss of pulp vitality, 99
materials, 96
metal restorations, 96
posterior indications, 103 – 104
retention, 97 – 98
root filled teeth, 98
survival, 107
intracoronal, 92
laboratory prescriptions, 107
occlusal considerations, 99 – 100
onlay preparations, 103
overhanging, 18
provisionalisation, 106
removal, root canal retreatment
fractured instruments, 73 – 74, 74f, 79Q
gutta-percha, 73
pastes, 73
post and cast, 72 – 73
restorative materials, 72
silver points, 73
resistance, 97
stabilisation, 98 – 99
tooth preparation, 100 – 101
veneers, 104 – 105
Rest vertical dimension (RVD), 134
Retainers
fixed, 300
removable, 300
Retention
adhesive, 97 – 98
adjunctive procedures, 300
definition, 97
dentures, 120
facial growth, 300
indirect restoration, 97 – 98
mechanical, 97
orthodontic treatment, 242
regime, 300
removable appliances, 290
retainers, 300
retention, 321
soft tissues, 299 – 300
strategies, 300
supporting tissues, forces from, 299
Retroclination, 264
Reversible pulpitis, 49
Review
immediate replacement dentures, 131
implants, 149
removable partial dentures, 136 – 137
Rheumatic fever, 4 – 5, 198
Rheumatoid arthritis, 231
Rickett’s E plane, 238
Ridge-lap pontics, 109
Right touch regulation, 313
Rigid trays, 106
Risk factors
caries, in children, 176
defined, 17
root resorption, 299
tobacco smoking, 17
Root anatomy, 56
furcation lesions, 19 – 20
Root canal
blockage, 79Q
exploration, 61
morphology, 56 – 58
portals of exit, 56
requirements before filling, 64
Root canal morphology
access, 58, 58b
access technique, 58, 59b
apical anatomy changes, 57
coronal access, 57
dental dam, 58
incisor and canine teeth, 57, 57f
mandibular molars, 58
maxillary molars, 58, 58f
premolar teeth, 57 – 58, 58f
pulpal anatomy, 56 – 57
radicular access, 57
root anatomy, 56
root canal orifices, 56
Root canal orifices, 56
Root canal preparation, 58 – 64
apical, 62 – 64
apical patency, 62
canal exploration, 61
current trends, 60
files, 60
instrument manipulation, 60
irrigation, 60 – 61, 79Q
length determination, 62
objectives, 58 – 59b
pre-enlargement and straight-line radicular
access, 61 – 62, 61f, 79Q
rotary nickel-titanium instrumentation
techniques, 63 – 64
rotary nickel–titanium instruments, 79Q
Root canal retreatment
Masserann kit, 72 – 73
procedures, 72
restoration removal
fractured instruments, 73 – 74
gutta-percha, 73
pastes, 73
post and cast, 72 – 73
restorative materials, 72
silver points, 73
success rate, 75
Root canal therapy
extraradicular causes of failure, 71
failure, 71, 79Q
filling materials, 65, 78, 78f, 79Q
intraradicular causes of failure, 71
obturation, 64 – 68, 79Q
one visit, 64
pulpal inflammation, 49
Root caries, 89
Root end preparation, surgical endodontics,
77 – 78, 78f
Root end resection, 77, 77f
Root fractures, 199, 202, 216Q
Rootless teeth, 208
Root resorption
tooth movement force, 299
traumatic injuries in children, 200
Root surface area (RSA), 290
Root surface instrumentation (RSI),
32 – 34, 39Q
furcation lesions, 21
gingival enlargement, 27
periodontal diseases, 32 – 34
Rotary nickel-titanium instrumentation
techniques, 63 – 64
Rotary nickel–titanium instruments, 79Q
Rotations, growth, 223 – 224, 224f, 245Q
Royal Surgical Colleges, 320
RSI see Root surface instrumentation (RSI)
S
Saddles, free-end (dentures), 133f
Safeguarding, 204 – 205, 331
Safety factors, headgear, 290
Sagittal split osteotomy, 273
Salivary flow test, 176
Salivary gland enlargement, HIV infection,
214
Sanitary pontics, 109
Sarcoidosis, 26
Scaling, 1
Scaling and root planning (SRP), 32
Schiller iodine solution, 2, 5 – 6
Scottish Dental Clinical Effectiveness
Programme (SDCEP), 166, 178 – 179
Screw-retained zirconium dioxide abutment,
146f
Screws, removable appliances, 267
Sealers, 65
Second permanent molars, 244
Sedation, 152 – 1, 324, 335Q
advanced techniques, 152, 164
antagonist drugs, 157
assessment of patient, 155
basic techniques, 152, 158 – 164
benzodiazepines, 156 – 157
children under twelve years of age, 166
chronic obstructive pulmonary disease
contraindications, 153
combined routes, 164
consciousness of patient, 164
conscious sedation, defined, 324
contraindications, 153 – 154
dental, 154
flumazenil, 157
medical, 153 – 154
psychosocial, 153
unaccompanied patients, 153
defined, 152
dental examination, 155
dental history, 155
dental indications for, 153
examination, 155
indications for, 152 – 153
inhalation see Inhalation sedation
intranasal, 164
intravenous see Intravenous sedation
ketamine, 158
learning difficulties, 153
medical history, 155
medical indications for, 153
medicolegal aspects, 166 – 167
monitoring of sedated patients, 164 – 165
clinical, 164
electromechanical, 164 – 165
movement difficulties, 153
need for, 155
nitrous oxide, 155 – 156
opioids, 157
oral/transmucosal
disadvantages, 163
technique, 163
pharmacology, sedative agents, 155 – 158
physical examination, 155
physiological ability to tolerate dental
treatment, 155
pregnancy and lactation contraindication, 154
propofol, 157 – 158
psychological ability to tolerate dental
treatment, 154 – 155
psychological/psychiatric problems (severe),
contraindicated in, 153 – 154

348
Index
psychosocial indications for, 152 – 153
rapport, establishing, 155
scavenging, 167Q
thyroid dysfunction contraindication, 154
type and amount of dental treatment
required, 155
whether treatment practical under, 155
Selective enamel etching, 91
Selenomonas spp, 10
Self-etching, 91
Self-etching primers (SEPs), 292
Self-ligating appliances, 294
Sensibility tests, orthodontic assessment, 235
Sensitivity
test, 175
tests (pulp), 50
tooth whitening, 181
Sensitivity/sensibility testing, 175
Sensorimotor development, 173
Separation anxiety, 173
Serial extractions, 256 – 257
Serious professional misconduct, 318
Sevoflurane, 164
Sexual fantasy production, 156 – 157
Sheath of Hertwig, 56
Shim, 96
Shortened dental arch (SDA), 137
Sickle cell anaemia, 211
Sickle crisis, 211
Sickle scalers, 33
Side-effects
benzodiazepines, 156 – 157
intravenous sedation, 156 – 157
opioids, 157
propofol, 158
see also Complications
Silver points, 65
removal of, 73
Single cone technique, 65
Sinus tract exploration, 52
Situational Judgement Testing (SJT), 319
Sjogren’s syndrome, 88
Skeleton
cleft lip and palate, 275
craniofacial, 222 – 223
crossbite, 269
and malocclusion, 229
class I, 261
class II (Division 1), 262
class II (Division 2), 264
class III, 266
open bite, 268
vertical pattern, 238
Skin colour, sedated patients, 164
Small claims track, 327
Smartclip (self-ligating appliance), 294
Smile, 233
Smoking
necrotising periodontal diseases, 10
social history, 4
Social development, 173
Social history, 4
caries, 176
orthodontic assessment, 231
paediatric dentistry, 174
Social Security Acts, 332
Socket-fit dentures, 130
Sodium hypochlorite, 125
Soft tissues
analysis, 238
children, 175
facial growth, control, 222
growth, 224
immediate replacement denture, 130
implants, complication, 150
Soft tissues (Continued)Sedation (Continued)
malocclusion
class I, 261
class II (Division 2), 264
class III, 266
open bite, 268
orthodontic assessment, 232 – 233, 238
retention, 299 – 300
Solid and semisolid materials, 65
Southend clasp, 290
Space
closure (absent upper lateral incisors),
254 – 255
maintenance for early tooth loss, 257
malocclusion
class I, 262
class II (Division 1), 263
class II (Division 2), 265
opening (absent upper lateral incisors), 254
orthodontic assessment
lower dental arch, 234
upper dental arch, 234
orthodontic treatment, 242 – 245
permanent upper incisors, 245Q
residual, need for closure, 242
for tooth movement, creating, 242 – 245
Spacing, 225
Specialist registration, 335
Specialist Training, 319 – 320
Speech
orthodontic assessment, 233
orthodontic treatment, 240
Speed (self-ligating appliance), 294
Splints
apical and middle third root fractures, 202
construction, 202 – 203
coronal third root fractures, 202
dento-alveolar fractures, 202
functional, technique for, 203b
periodontal ligament injury, 203 – 204
Split-cast technique, complete dentures, 124
Springs, 267, 289 – 290, 293
Stability
bimaxillary proclination, 262
complete dentures, 120
implants, 143 – 144
malocclusion class II (Division 2) treatment,
265 – 266
Stains
localised composite resin restorations, 183
Schiller iodine solution, 2, 5 – 6
tooth discolouration, 180t
Standing Committee on Sedation for Dentistry,
152
Staphylococcus aureus, 211
Static occlusion, 99 – 100
Stillman’s cleft, 24, 25f
Stock trays, complete dentures, 120
Straight-line radicular access, 61 – 62, 61f
Streptococcus spp, 176
Stress, 4
Subepithelial connective tissue graft, 37,
38b, 38f
Subgingival calculus, 13
Subgingival microflora, 18
Subluxation
permanent dentition, 203
primary dentition, 199
Sulcular epithelium, 2
Supernumerary teeth, 206, 255, 276Q
conical teeth, 255
supplemental teeth, 255
tuberculate teeth, 255
Supplemental teeth, 255
Supracrestal tissue attachment, 2
Supragingival calculus, 13
Supragingival crown margins, 18
Surgery
corrective, 78 – 79
immediate replacement denture, 131
implants, 147 – 148
open bite, 268 – 269
tuberculate teeth, 255
Surgical endodontics, 75 – 79
bone removal, 77
consent, 75 – 76
corrective surgery, 78 – 79
debridement and closure, 78
extractions with subsequent replantation, 79
flap design, 76 – 78, 76f
haemostasis, 77
indications, 75
procedure, 76 – 79
root end
filling materials, 78, 78f
preparation, 77 – 78, 78f
resection, 77, 77f
surgical assessment, 75
Surgically assisted rapid palatal expansion
(SARPE), 270
Surgical-orthodontic treatment
distraction osteogenesis, 274
indications for, 272
planning, 272 – 273
presurgical orthodontics, 273
procedures
adjunctive facial, 274
bimaxillary, 274
body osteotomy, 274
genioplasty, 274
Le Fort I osteotomy, 273
Le Fort II osteotomy, 273
Le Fort III osteotomy, 273
mandible, 273 – 274
maxilla, 273
postsurgical orthodontics and follow-up,
274
sagittal split osteotomy, 273
segmental, 273
surgically-assisted rapid palatal
expansion, 273
vertical subsigmoid osteotomy, 273 – 274
record analysis, 272 – 273
relapses, 274
stability, 274
timing, 272
see also Orthodontic treatment
Surgical–orthodontic treatment, 272 – 274
Swallowing reflex, cerebral palsy, 215
Symmetry and alignment, assessment
lower dental arch, 234
upper dental arch, 234
Symptomatic periradicular periodontitis, 50
Systematic desensitisation, 174
Systemic disease, severe or uncontrolled, as
contraindication for sedation, 153
T
Talon cusp, 207
Taurodontism, 207
T cell defects, 211
Teeth
anterior see Anterior teeth
children see Children
condition, 244
conical, 255
cracks in, 52
development, 172
discolouration see Discolouration of teeth
double, 206, 260 – 261
drifting of, 290

Index
349
endodontically treated, restoration, 68 – 70
eruption, 172
extractions see Extractions
fragments, refitting, 201b
impaction, 240
individual, position of, 244
larger than normal (macrodontia), 206
mobility see Tooth mobility
movement, creating space for see Movement
of teeth, creating space for
natal, 208, 253
neonatal, 208
primary see Primary teeth
rootless, 208
smaller than normal (microdontia), 206
supernumerary, 206, 255, 276Q
supplemental teeth, 255
surface loss see Tooth surface loss (TSL)
tuberculate teeth, 255
Temporary anchorage devices (TADs), 242,
263, 294
Temporomandibular joint dysfunction
syndrome (TMJDS), 240
Temporomandibular joints, orthodontic
assessment, 233
Tender to percussion (TTP), 203
Tetanus status, medical history, 198
Thalassaemia, 211
Thermal tests, 51
Thermomechanical compaction, 66
gutta-percha filling techniques, 66
Thermoplasticised gutta-percha, 66, 67b
Third molars, 244
Thrombocytopenia, 210
Thumb-sucking, 233, 268, 269, 276Q
Thyroid dysfunction
in children, 213
sedation contraindication, 154
Tip-Edge appliance, 294
Tipping movement, effect, 242, 298f
Titanium molybdenum (TMA), 293
Titles and descriptions
clinical dental technicians, 315
dental care professionals, 314 – 316
dental hygienists, 315
dental nurses, 166, 315
dental technicians, 315
dental therapists, 315 – 316
dentists, 313 – 314
Dentists’ Act 1878, 310
direct access, 315 – 316
orthodontic therapists, 315
Tongue
malocclusion, class II (Division 1), 262
soft tissues, orthodontic assessment, 233
Tooth see Teeth
Tooth-borne indirect restoration, 92
Toothbrushes, 31
powered, 40Q
toothbrushing techniques, 177
Toothbrushing techniques, 31
Tooth development, 172
Tooth-friendly snacks, 178b
Tooth mobility
examination, 7
history taking, 4
loss of teeth, 4
pathological, 11
physiological, 11
radiographic features, 2
social history, 4
tooth movement force, 299
Toothpastes, 31
relative dentine abrasivity (RDA), 94 – 95
strength advice, 177
Tooth preparation
chamfer preparation, 101f
depth cuts, 100
interocclusal space, 110
marginal preparation, 109 – 110
materials and designs, 100t
over-preparation, 100
reduction, 100 – 101
restorations, 100
under-preparation, 100
veneer preparation, 101f
veneers, 104
Tooth surface loss (TSL)
abfraction, 95
abrasion, 94 – 95, 184
aetiology, 184 – 185
attrition, 95, 184
definitive management, 186
dietary causes, 185
erosion, 94, 184
and gastric regurgitation, 185
immediate management, 185 – 186
long-term review, 186
management, 95
parafunctional activity, 185
prevalence, 184
treatment technique, 186t
Tooth whitening
non-vital bleaching, 181 – 183
vital teeth, 181
Total-etching, 91, 92
Training
ability and experience, 320
continuing education, 319 – 320
continuing professional development
(CPD), 166
Continuing Professional Education, 320
Dental Core Training (DCT), 319
Dental Foundation Training (DFT), 319
dental nurses, 166
general dental practice, 320
professional organisations/societies, 320
specialist, 319 – 320
Transillumination, tooth cracks, 52
Transplantation of organs and bone marrow,
in children, 213 – 214
Transverse plane, orthodontic assessment, 232
Trauma
factitious gingivitis, 27
iatrogenic, 27
incisor, 240
self-inflicted, 27
upper permanent central incisor, loss, 258
Traumatic injuries in children
amnesia, 197
assessment, 197 – 199
avulsion, 200
concussion, 199
dental history, 197 – 198
enamel infraction, 200
extraoral examination, 198
fractures, 199
headache, 197
incidence, 197 – 205
intraoral examination, 198 – 199
location, 197
luxation
extrusive, 199
intrusive, 199
lateral, 199, 216Q
medical history, 198
nature of accident, 197
peak times, 197
permanent teeth, 216Q
aims and principles of treatment, 200
developing, injury to, 200
Traumatic injuries in children (Continued)Teeth (Continued)
emergency, intermediate and permanent
actions, 200
hard tissues and pulp, injuries to,
200 – 202
periodontal tissues, injury to, 203 – 204,
204b
replantation, 203 – 204
splints, 200 – 202
primary teeth, 199 – 200
primary tooth, 216Q
radiography, 199
subluxation, 199
timing, 197
types, 197
vomiting, 197
Traumatic occlusal forces, 27 – 28
Trays
borders, 121
complete dentures, preliminary impressions,
120 – 121
lower, 120 – 121
upper, 120 – 121
Treatment
adjunctive, adult orthodontics, 271 – 272, 274
and case selection, 52 – 53
comprehensive, adult orthodontics,
271 – 272
discolouration of teeth, 180 – 184
furcation lesions, 21, 21t
gingival recession, 25
infraocclusion, 209
malocclusion, 226 – 229
orthodontic see Orthodontic treatment
plaque accumulation, 18 – 19
unsuitable, as negligence, 326
Treatment plan
caries, in children, 178 – 180
children, 175 – 176
immediate replacement denture, 130
malocclusion
class I, 261 – 262
class II (Division 1), 263
class II (Division 2), 264 – 265
class III, 266 – 267
orthodontic treatment, 241 – 242
patient assessment, 53
sedation, 165 – 166
Triclosan, 32
T-spring, 270
Tuberculate teeth, 255
Twin-block appliance, 295, 296f, 301Q
U
UK General Dental Council, 336
Ulceration
HIV infection, 214
lower arch, 138f
recurrent oral, 230
Ultrasonic root end preparation, 79Q
Ultrasonic scalers, 33
Unilateral buccal crossbite, 235f, 256f, 270
Unsuitable treatment, as negligence, 326
Upper removable appliance (URA), 245f
V
Veillonella, 13
Veneers, 96, 104 – 105
composite, 104
composite resin, 183 – 184
incisal edge design, 104 – 105
porcelain, 104, 184
tooth discolouration, 183 – 184
tooth preparation, 104

350
Index
Venospasm, intravenous sedation, 161
Verbal consent, 322
Vertical condensation, gutta-percha filling
techniques, 66 – 67, 67b, 67f
Vertical plane, orthodontic assessment,
231 – 232
Vertical subsigmoid osteotomy, 273 – 274
Vicarious liability, 326
Visual impairment, 215
Vitality testing, 175
Vital pulp therapy, 53 – 56
benefits, 53
calcium silicate cements, 54
direct pulp capping, 54 – 55, 55f
follow-up and outcomes, 56
full pulpotomy, 55, 55f
indirect pulp capping, 54, 54f
material properties, 54
partial pulpotomy, 55, 55f
pulpectomy, 55
strategies for, 54
Vocational Training (VT), 319
von Willebrand’s disease, 210
W
Warm vertical condensation obturation
technique, 66 – 67, 67b, 67f
Watchwinding, root canal preparation, 60
Wax rims, complete dentures, 122
Wear, tooth see Tooth surface loss (TSL)
Wegener’s granulomatosis, 26
Wet bonding, 91 – 92
White surface demineralisation, 176
Wire
functional appliances, 293
removable appliances, 289
Wire ligatures, fixed appliances, 293
Wire splints, 202
Wits analysis, orthodontic assessment,
238
Woolf report (1996), negligence, 327
World Health Organization (WHO), 197
Written consent, 322
X
Xerostomia, 88, 212
Y
York Consensus Statement, overdentures, 132
Z
Zinc oxide eugenol cement, 128
Zirconia-based restoration, 96
Zirconia wings, 109
Z-springs, removable appliances, 267

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