The Editors Cheryl M. Westphal Theile, EdD, RDH, is a Clinical Professor, Associate Dean for Allied Dental Programs, and Director of Dental Hygiene at New York University College of Dentistry in New York, NY, USA. Mea A. Weinberg, DMD, MSD, RPh, is a Diplomate, American Board of Periodontology and a Clinical Professor of Periodontology and Implant Dentistry at the New York University College of Dentistry in New York, NY, USA. Stuart L. Segelnick, DDS, MS, is in private practice in Brooklyn, NY, USA. He is a Diplomate, American Board of Periodontology; Diplomate, International Congress of Oral Implantologists and is an Adjunct Clinical Professor of Periodontology and Implant Dentistry at the New York University College of Dentistry in New York, NY, USA.

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• List of Contributors . xiPreface xvChapter 1 Patient Examination 1Case 1 Examination and Documentation 2 Stefania Moglia WillisCase 2 Head and Neck Examination 9Stefania Moglia WillisCase 3 Radiographic Exam 15Aaron E. YancoskieCase 4 Occlusal Examination 21Stefania Moglia WillisCase 5 Gingival Examination 29Aaron E. YancoskieCase 6 Periodontal Exam 36Aaron E. YancoskieChapter 2 Dental Hygiene Diagnosis 43Case 1 Plaque‐Induced Gingivitis 44Holly S. HarperCase 2 Non‐Plaque‐Induced Gingivitis 49Holly S. HarperCase 3 Drug‐Induced Gingivitis 54Holly S. HarperCase 4 Chronic Periodontitis 60Holly S. HarperCase 5 Aggressive Periodontics 65Holly S. HarperCase 6 Local Contributing Factors 70Holly S. HarperChapter 3 Planning and Managing Dental Hygiene Care 75Case 1 Infection Control 76Shirley S. Birenz and Cynthia J. HowardCase 2 Emergency Situations and Provision of Appropriate Care 82Shirley S. Birenz and Cynthia J. HowardCase 3 Individualized Patient Care 88Shirley S. Birenz and Cynthia J. HowardCase 4 Nutritional Counseling 94Shirley S. Birenz and Cynthia J. HowardCase 5 Dental Hygiene Treatment Strategies 101Shirley S. Birenz and Cynthia J. HowardChapter 4 Nonsurgical Periodontal Procedures 109Case 1 Periodontal Debridement (Hand, Ultrasonic, Sonic Instrumentation) 110Judith Kreismann and Marija L. CahoonCase 2 Reassessment and Maintenance 116Judith Kreismann and Marija L. CahoonCase 3 Oral Hygiene Instruction with Limited Dexterity 122Judith Kreismann and Marija L. CahoonChapter 5 Pharmacology 127Case 1 Pain and Anxiety Control: Analgesics 128Ronald J. LehaneCase 2 Pain and Anxiety Control: Topical and Local Anesthetics 133Ronald J. LehaneCase 3 Pain and Anxiety Control: Nitrous Oxide 138Ronald J. LehaneCase 4 Topical Drug Delivery (Local Drug Delivery, Oral Rinses, and Irrigation) 143Ronald J. LehaneCase 5 Systemic Antibiotics and Enzyme Suppression Therapy 149Ronald J. LehaneChapter 6 Surgical Periodontal Procedures 155Case 1 Surgical Support Services 156Edgard S. El Chaar and Stephanie E. CruzCase 2 Implant Procedures and Maintenance 161Edgard S. El Chaar and Stephanie E. CruzChapter 7 Preventive Therapies 167Case 1 Plaque Removal; Individualized Patient Education 168Kellie R. KennedyCase 2 Fluoride – Systemic and Topical 176Mark S. WolffCase 3 Pit and Fissure Sealants 180Mark S. WolffChapter 8 Introduction to Biomaterials 187Case 1 Biomaterials: Dental Implants and Peri‐implantitis 189Lorilei KirbyCase 2 Polishing Restored and Natural Teeth 194Lorilei KirbyCase 3 Alginate Impressions 200Lorilei KirbyCase 4 Dentinal Hypersensitivity 207Kim AttanasiChapter 9 Management of Special Needs Patients 213Case 1 Older Adult 214Rosemary D. Hays, Eva M. Lupovici, and Sarah Yoon KangCase 2 Psychiatric Disability 220Rosemary D. Hays, Eva M. Lupovici, and Sarah Yoon KangCase 3 Abuse 224Rosemary D. Hays, Eva M. Lupovici, and Sarah Yoon KangCase 4 Substance‐Related Disorder 231Rosemary D. Hays, Eva M. Lupovici, and Sarah Yoon KangChapter 10 Management of Medically Complex Patients 237Case 1 Patient with Diabetes 238Debra FerraioloCase 2 Patient with Asthma 244Miriam R. RobbinsCase 3 Patient with Hypertension 248Silvia SpivakovskyCase 4 Patient Taking Antithrombotic Drugs – Valve Replacement 252Analia Veitz‐KeenanCase 5 Patient with Kidney Disease 258Joan A. PhelanChapter 11 Professional Responsibility 263Case 1 Ethical Principles – Informed Consent 264Winnie FurnariCase 2 Regulatory Compliance 271Winnie FurnariCase 3 Patient and Professional Communication 276Winnie FurnariChapter 12 Community and Oral Health Promotion 283Case 1 Participating in Community Programs 284Lisa B. Stefanou and Dianne L. SefoCase 2 Promoting Health and Preventing Disease within Groups 290Lisa B. Stefanou and Dianne L. SefoIndex 297