口腔修復(fù)學(xué)、正畸學(xué)與兒童口腔醫(yī)學(xué)

前言

The philosophy of this textbook remains unchanged from that of the First Edition, where the emphasis was placed on understanding, learning and self-assessment so that the reader is able to explore their own level of knowledge, identify their strengths and, perhaps more importantly, weaknesses or gaps in their knowledge base, which can then be addressed. Basically, the book comprises chapters on aspects of restorative dentistry, paediatric dentistry and orthodontics. There is also a chapter on law and ethics that has been updated considerably since the First Edition as a consequence of the considerable developments and restructuring that have occurred within the General Dental Council of the United Kingdom. Changes with respect to registerable qualifications, development of specialist lists and the International Qualifying Examination have also underpinned significant rewriting of this chapter. There is also a new chapter that addresses the restorative manage- ment of dental implants in which the objective is to pres- ent the reader with the basic restorative concepts of dental implantology whilst recognising that those postgraduates who may have a broadening interest in this subject will need to refer to a more specialist text.　 　　Another innovation has been the inclusion of extended matching item （EMI） questions in all of the self-assessment sections. This type of question is becoming more popu- lar as a form of assessment in UK dental schools and it is widely recognised that they are an effective and valid assessment tool as well as being a significant challenge for examiners to prepare！ The popularity of various assess- ment tools, however, tends to change on a regular basis and every effort will be made to ensure that the assessment methods presented in this textbook will remain in touch with contemporary education philosophy.Finally, I should like to record my sincerest thanks to the contributing authors to this book, all of whom are recognised experts in their respective specialties and who have worked　dilieentlv to update their chapters for this Second Edition.

內(nèi)容概要

本書(shū)是口腔醫(yī)學(xué)專業(yè)雙語(yǔ)教學(xué)的核心教材，以簡(jiǎn)明易讀的形式講述口腔修復(fù)學(xué)正畸學(xué)與兒童口腔醫(yī)學(xué)基本要點(diǎn)。編寫(xiě)過(guò)程中使用了大量示意圖與照片，方便學(xué)生學(xué)習(xí)與掌握學(xué)科核心內(nèi)容。每一部分皆附有多種形式的自我測(cè)試題和解析，有益于學(xué)生復(fù)習(xí)備考和提高應(yīng)試能力。本套叢書(shū)是口腔醫(yī)學(xué)專業(yè)本科生及研究生的實(shí)用教材和理想的復(fù)習(xí)備考用書(shū)。

作者簡(jiǎn)介

作者：(英國(guó))Peter Heasman

書(shū)籍目錄

ContributorsAcknowledgmentPrefaceUsing this book1．Periodontology    Philip Preshaw and Peter Heasman2．Endodontics    Philip Lumley3．Conservative dentistry    Stewart Barclay4．Prosthodontics    Craig Barclay5  Restorative management of dental implants    Glies McCracken    6．Conscious sedation in dentistry    Nigel Robb7．Paediatric dentistry I    Richard Welbury and Alison Cairns8．Paediatric dentistry II    Richard Welbury and Alison Caims9．0rthodontics I：development，assessment and treatment planning    Declan Millett10．Orthodontics II：management of occlusal problems    Declan Millett11．Orthodontics III：appliances and tooth movement    Declan Millett12．Law and ethics    Douglas LovelockIndex

章節(jié)摘錄

TechniquesFor effective instrumentation, the operator should be com- fortably seated, the patient should be supine in the dental chair and there should be good illumination. An assis- tant should retract the oral soft tissues, where necessary, and maintain a clean operating field through the use of an aspirator. The operator should have a good knowledge of dental anatomy and root morphology, and appropriately selected, sharp instruments should be used. The modified pen grip is preferred, in which the instrument is held by the thumb, index finger and middle finger in the same way as a pen is held. However, the index finger is bent so it can be positioned well above the middle finger on the instru- ment handle. In this way, a triangle of force is applied to the instrument, and this tripod effect allows for stability and tactility during use. The fourth finger （ring finger） is used as a finger rest to stabilise the hand and reduce the likelihood of uncontrolled movements and injury. The fin- ger rest also acts as a fulcrum for working movements of the instrument. Finger rests may be on tooth surfaces in the immediate vicinity of the working area, they may be cross arch （on tooth surfaces in the other side of the same arch）, opposite arch or extraoral.Calculus should be identified prior to RSI. Supragingival calculus can be seen with good lighting and a dry field. The dark colour of subgingival calculus may be visible through thin overlying gingival tissues. An air syringe to retract the gingiva may also reveal subgingival calculus. Interproximal calculus may be visible radiographically. An explorer should be used subgingivally to check for calcu- lus, grooves, furcations and other anatomical structures.Scaling instruments should be adapted to the tooth sur- face, which means that the cutting edge of the instrument conforms to the anatomy of the root surface. This results in maximal efficiency during scaling and minimal damage to the adjacent tissues. The cutting edge should be angled at between 45 and 90 ~~ to the root surface: less than 45° and the instrument will not engage the calculus, more than 90° and tissue trauma will be achieved instead. Instruments should be placed apical to the calculus and pulled coro- nally with firm, controlled strokes to remove the calcu-lus. Increasing lateral pressure may need to be applied to remove particularly tenacious deposits. Following RSI, debris should be flushed from the pocket with an irrigat- ing solution （e.g. chlorhexidine） in a syringe with a blunt needle.　 Scaling is indicated for removal of plaque and calculus from enamel surfaces. On root surfaces, however, calcu- lus and plaque grow in surface irregularities of cementum, and this thin layer of cementum may need to be removed during RSI. Furthermore, bacterial products, sucl~~ as endo- toxin, penetrate into the cementum surface, and removal of a superficial layer of cementum promotes healing. It is not necessary, however, to remove extensive amounts of cementum and/or dentine during RSI, and to do so can cause dentine hypersensitivity, pulpitis and, at extremes, render the tooth susceptible to fracture.Historically, dentists aimed to leave root surfaces 'glassy smooth and hard' following RSI （referred to then as root planing）. However, research has shown that this is not nec- essary, and indeed, may result in excessive damage to the tooth by removal of excess cementum. Instead, we now consider that RSI aims to remove plaque and calculus and disrupt the subgingival biofilm so that the host-parasite balance is tipped in favour of the host to promote healing. The pockets should not be probed sooner than 6-8 weeks after RSI as this may interfere with the healing process. Post-treatment evaluation of the healing response to RSI should be considered together with patient plaque-control capabilities and motivation prior to embarking on further treatments, such as additional RSI, adjunctive antimicro- bial usage or periodontal surgery.

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《口腔修復(fù)學(xué)、正畸學(xué)與兒童口腔醫(yī)學(xué)(第2版)》是口腔醫(yī)學(xué)基本要點(diǎn)叢書(shū)之一。

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