Advanced Dental Nursing

Professor Robert Ireland has been a part-time lecturer at the University of Liverpool and a senior partner in a group dental practice for 30 years. In 1995 he was appointed Professor of Primary Dental Care and Director of the Dental Therapy Course at the University of Liverpool. He has produced three educational videos for the dental team and has been extensively involved in hospital and practice dental nurse training. He is currently a presiding examiner for the National Examining Board for Dental Nurses and external examiner for dental nursing at Trinity College, Dublin.

Author Profiles ix

Preface xiii

Acknowledgements xiv

1 Career Development Pathways 1

Introduction 2

Governing bodies and professional associations 3

Continuing professional development (CPD) 5

Further activities and resources for CPD 7

Career opportunities 11

Interprofessional development 20

Teaching and training 23

References and further reading 25

2 Oral Health Education 26

Promoting oral health 27

Care of appliances and advanced restorations 63

Dental public health 65

Planning and setting up a preventive dental unit 69

Planning and preparing an exhibition or display 71

References and further reading 76

3 Special Care Dentistry 77

Introduction 78

Legislative framework 81

Working principles 83

A practical approach 85

Learning disability 91

Physical impairment 95

Cardiovascular system 107

Cancer of the head and neck region 117

Respiratory disorders 118

Endocrine disorders 121

Gastrointestinal and related disorders 128

Neurological and psychiatric disorders 138

References and further reading 158

4 Sedation 159

Management of anxiety 160

Patient assessment 168

Applied physiology and anatomy 174

Monitoring 183

Pharmacology 189

Sedation techniques: practical considerations 204

Medical emergencies 224

Medico-legal issues 234

References and further reading 243

5 Orthodontic Dental Nursing 245

Anatomical structures relevant to orthodontics 246

Biology of tooth movement 258

Classifi cation of occlusion and malocclusion 261

Indications for orthodontic treatment 265

Orthodontic treatment 267

Orthodontic assessment 275

Orthodontic appliances and treatment options 293

Timing of orthodontic treatment 320

Cleft lip and palate 321

Infection control 325

Laboratory skills 326

Oral health and care of appliances 328

Orthodontic stock control 331

Medico-legal aspects 332

Occlusal indices 338

References and further reading 347

6 Dental Implantology 349

Introduction 350

Management of the missing tooth 350

Applied anatomy 360

Patient assessment 367

Implant treatment 373

Types of surgical procedure 377

Implant-retained prostheses 379

Maintenance and monitoring of dental implants 382

Implant stock control 385

Medico-legal aspects 388

References and further reading 390

7 The Future 391

Future developments in training and education 391

Information technology development 393

Clinical governance 394

Research in primary care 398

References and further reading 402

Abbreviations 404

Index 409