Practical Approach to Special Care in Dentistry

A Practical Approach to Special Care in Dentistry
 
Learn to treat dental patients with disabilities or who are medically compromised
 
A Practical Approach to Special Care in Dentistry delivers a comprehensive and robust overview of special care dentistry reflecting the most common compromised clinical conditions dentists will regularly encounter. It discusses more than 50 topics based on real-world clinical cases focusing on two main areas: patients with disabilities and medically compromised patients.
 
The book uses a problem-based learning approach and helps the reader to apply knowledge in a clinical case context. Each chapter contains a case report establishing the main risk factors relating to the provision of dental treatment. That is followed by a practical and realistic set of adaptations for the reader to follow to minimise the rate and severity of potential complications for their patient. The book also includes:
* A thorough introduction to patients with disabilities, including physical disabilities, like cerebral palsy and epilepsy, and cognitive impairments, like Down's Syndrome
* Comprehensive explorations of the treatment of medically compromised patients, like those with infectious diseases, endocrine diseases, hepatorenal disease, and cardiovascular disease
* Practical discussions of other special patient situations, like those with allergies, antiresorptive and antiangiogenic drugs, terminal patients, underhoused patients, and pregnant or breastfeeding patients
 
Perfect for general dentists, undergraduate students of odontology, and graduate students of special care dentistry, A Practical Approach to Special Care in Dentistry is also a must-read resource for dental specialists in special care dentistry, hospital odontology, geriatric odontology, oral surgery, and dental hygienists.

List of contents

About the Authors ix
 
List of Contributors x
 
Preface xiii
 
1 Physical Disability 1
 
1.1 Cerebral Palsy 1
 
1.2 Epilepsy 8
 
1.3 Muscular Dystrophy 17
 
2 Cognitive Impairment 24
 
2.1 Attention Deficit and Hyperactivity Disorder (ADHD) 24
 
2.2 Autism Spectrum Disorders 31
 
2.3 Down Syndrome 38
 
3 Sensory Impairment 47
 
3.1 Visual Deficit 47
 
3.2 Auditory Deficit 54
 
4 Infectious Diseases 61
 
4.1 Tuberculosis 61
 
4.2 Human Immunodeficiency Virus (HIV) Infection/AIDS 68
 
4.3 Viral Hepatitis 77
 
5 Endocrine Diseases 85
 
5.1 Diabetes Mellitus 85
 
5.2 Hypothyroidism 94
 
5.3 Hyperthyroidism 101
 
6 Hepatorenal Diseases 108
 
6.1 Hepatic Cirrhosis 108
 
6.2 Chronic Kidney Disease (Dialysis) 115
 
7 Bone Diseases 125
 
7.1 Osteoporosis 125
 
7.2 Paget Disease 132
 
7.3 Rheumatoid Arthritis 137
 
8 Cardiovascular Diseases 146
 
8.1 Arterial Hypertension 146
 
8.2 Angina Pectoris 156
 
8.3 History of Myocardial Infarction 164
 
8.4 Carrier of Coronary Pacemaker 172
 
8.5 Carrier of Valvular Prosthesis 181
 
8.6 Carrier of Coronary Stent 190
 
9 Respiratory Disease 196
 
9.1 Chronic Obstructive Pulmonary Disease (COPD) 196
 
9.2 Asthma 205
 
10 Bleeding Disorders 216
 
10.1 Haemophilia 216
 
10.2 Treatment with Heparin 229
 
10.3 Treatment with Warfarin (Acenocoumarol) 238
 
10.4 Treatment with Direct Oral Anticoagulants 247
 
10.5 Treatment with Antiplatelets 254
 
11 Blood Dyscrasias 263
 
11.1 Thalassaemia 263
 
11.2 Sickle Cell Anaemia 271
 
11.3 Neutropenia 279
 
11.4 Thrombocytopenia 286
 
11.5 Leukaemias 293
 
11.6 Lymphoma 304
 
11.7 Bone Marrow Transplantation 314
 
12 Immunosuppression 323
 
12.1 Systemic Corticosteroids 323
 
12.2 Antineoplastic Agents (Chemotherapy) 332
 
12.3 Immunosuppressants (Solid Organ Transplantation) 346
 
13 Head and Neck Cancer 358
 
13.1 Surgery 358
 
13.2 Radiation Therapy 366
 
13.3 Oral Cancer Survivor 374
 
14 Neurological Disorders and Strokes 382
 
14.1 Alzheimer Disease 382
 
14.2 Parkinson Disease 391
 
14.3 Multiple Sclerosis 400
 
14.4 Motor Neuron Disease 409
 
14.5 Stroke 418
 
15 Psychiatric Disorders 428
 
15.1 Anxiety and Phobia 428
 
15.2 Depression 439
 
15.3 Schizophrenia 448
 
15.4 Recreational Drug Use 457
 
15.5 Alcoholism 468
 
16 Other Special Considerations 477
 
16.1 Allergies 477
 
16.2 Antiresorptive and Antiangiogenic Drugs 486
 
16.3 Pregnancy and Breastfeeding 497
 
16.4 Bariatric Patients 504
 
16.5 Homelessness 513
 
16.6 End of Life 521
 
Appendix 529
 
Appendix A Case Mix Model 529
 
Appendix B Common Oral Manifestations of Systemic Diseases 530
 
Appendix C American Society of Anesthesiologists (ASA) Physical Status Classification System 533
 
Appendix D Glasgow Coma Scale (GCS) 534
 
Appendix E WHO Three-step
 
Ladder for Pain Relief 535
 
Appendix F Medical Conditions Associated with Increased Bleeding Risk 536
 
Appendix G Classes of Drugs Associated with Increased Bleeding Risk 537
 
Appendix H Bleeding Risk Associated with Dental Procedures 538
 
Appendix I Topical Haemo

About the author

Pedro Diz Dios is Professor, Consultant, and Head of the Special Needs Unit, School of Medicine and Dentistry, University of Santiago de Compostela & Galician Health Services (SERGAS), Santiago de Compostela, Spain.
Navdeep Kumar is Divisional Clinical Director at the Royal National ENT & Eastman Dental Hospitals, Consultant in Special Care Dentistry at University College London Hospitals NHS Foundation Trust, and Honorary Senior Lecturer at University College London, UK.

Summary

A Practical Approach to Special Care in Dentistry

Learn to treat dental patients with disabilities or who are medically compromised

A Practical Approach to Special Care in Dentistry delivers a comprehensive and robust overview of special care dentistry reflecting the most common compromised clinical conditions dentists will regularly encounter. It discusses more than 50 topics based on real-world clinical cases focusing on two main areas: patients with disabilities and medically compromised patients.

The book uses a problem-based learning approach and helps the reader to apply knowledge in a clinical case context. Each chapter contains a case report establishing the main risk factors relating to the provision of dental treatment. That is followed by a practical and realistic set of adaptations for the reader to follow to minimise the rate and severity of potential complications for their patient. The book also includes:
* A thorough introduction to patients with disabilities, including physical disabilities, like cerebral palsy and epilepsy, and cognitive impairments, like Down's Syndrome
* Comprehensive explorations of the treatment of medically compromised patients, like those with infectious diseases, endocrine diseases, hepatorenal disease, and cardiovascular disease
* Practical discussions of other special patient situations, like those with allergies, antiresorptive and antiangiogenic drugs, terminal patients, underhoused patients, and pregnant or breastfeeding patients

Perfect for general dentists, undergraduate students of odontology, and graduate students of special care dentistry, A Practical Approach to Special Care in Dentistry is also a must-read resource for dental specialists in special care dentistry, hospital odontology, geriatric odontology, oral surgery, and dental hygienists.

Report

"In summary, A Practical Approach to Special Care in Dentistry is an outstanding resource for those who dedicate their time to learn about and treat the growing population of persons with special care needs."
- Leo Marchini, Oral Diseases, June 2022

Product details

• Authors: P Diz Dios, Pedro Diz Dios, Pedro (Santiago De Compostela University Diz Dios, Pedro Kumar Diz Dios, Navdeep Kumar
• Assisted by: Pedr Diz Dios (Editor), Pedro Diz Dios (Editor), Kumar (Editor), Kumar (Editor), Navdeep Kumar (Editor), Kumar Navdeep (Editor)
• Publisher: Wiley, John and Sons Ltd
• Languages: English
• Product format: Hardback
• Released: 30.11.2021
• EAN: 9781119600046
• ISBN: 978-1-119-60004-6
• No. of pages: 576
• Subjects: Natural sciences, medicine, IT, technology > Medicine > Non-clinical medicine; Zahnmedizin, dentistry, Allg. Zahnmedizin, Berufspraxis i. d. Zahnmedizin, Dental Professional Practice