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312174620.Pdf 11830 Westline Industrial Drive St. Louis, Missouri 63146 TREATMENT PLANNING IN DENTISTRY ISBN-13: 978-0323-03697-9 ISBN-10: 0-323-03697-X Copyright © 2007, 2001 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Permissions may be sought directly from Elsevier’s Health Sciences Rights Department in Philadelphia, PA, USA: phone: (+1) 215 239 3804, fax: (+1) 215 239 3805, e-mail: [email protected]. You may also complete your request on-line via the Elsevier homepage (http://www.elsevier.com), by selecting ‘Customer Support’ and then ‘Obtaining Permissions.’ Notice Knowledge and best practice in this field are constantly changing. As new research and experience broaden our knowledge, changes in practice, treatment and drug therapy may become necessary or appropriate. Readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of the practitioner, relying on their own experience and knowledge of the patient, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the Editors assumes any liability for any injury and/or damage to persons or property arising out or related to any use of the material contained in this book. The Publisher Library of Congress Cataloging-in-Publication Data Treatment planning in dentistry / [edited by] Stephen J. Stefanac, Samuel Paul Nesbit.—2nd ed. p. cm. ISBN 0-323-03697-X (alk. paper) 1. Dental therapeutics—Planning. I. Stefanac, Stephen J. II. Nesbit, Samuel Paul. RK318.T74 2007 617.7—dc22 2006045758 Publishing Director: Linda Duncan Senior Editor: John Dolan Developmental Editor: John Dedeke Publishing Services Manager: Pat Joiner Senior Project Manager: Rachel E. Dowell Design Direction: Andrea Lutes Printed in the United States of America Last digit is the print number: 987654321 FM-A03697.qxd 24/6/06 11:45 AM Page v Contributors Robert E. Barsley, DDS, JD Preetha Panose Kanjirath, BDS, MDS, MS Director, Dental Health Resources Assistant Professor, Department of Periodontics and Professor, Department of Oral Diagnosis, Medicine, and Oral Medicine Radiology The University of Michigan School of Dentistry Louisiana State University Health Science Center Ann Arbor, Michigan School of Dentistry New Orleans, Louisiana Justine L. Kolker, DDS, MS, PhD Angela M. Broome, DDS, FAGD Assistant Professor, Department of Operative Dentistry The University of Iowa College of Dentistry Clinical Assistant Professor, Department of Diagnostic Iowa City, Iowa Sciences and General Dentistry University of North Carolina School of Dentistry Chapel Hill, North Carolina Lorne D. Koroluk, DMD, MSD, MS, FRCD(C) Associate Professor, Departments of Pediatric Dentistry Patricia M. Crum, RPh, DDS, MPA and Orthodontics The University of North Carolina at Chapel Hill Chief of Dental Service, Department of Veteran Affairs School of Dentistry Ann Arbor Healthcare System; Chapel Hill, North Carolina Associate Clinical Professor, Department of Periodontics and Oral Medicine University of Michigan Dental School Henrietta L. Logan, PhD Ann Arbor, Michigan Professor, Department of Community Dentistry and Behavioral Sciences Deborah A. DesRosiers, DDS, MS University of Florida College of Dentistry Assistant Director, General Practice Residency, Gainesville, Florida Department of Veteran Affairs Ann Arbor Healthcare System; Cindy L. Marek, PharmD, FACA Associate Clinical Professor University of Detroit Mercy and Clinical Pharmacist University of Michigan Dental School Clinical Associate Professor Department of Oral Ann Arbor, Michigan Pathology, Radiology, and Medicine The University of Iowa College of Dentistry; Gretchen Gibson, DDS, MPH Clinical Associate Professor, Department of Clinical and Administrative Pharmacy VA Medical Center The University of Iowa College of Pharmacy Fayetteville, Arkansas Iowa City, Iowa v FM-A03697.qxd 24/6/06 11:45 AM Page vi vi Contributors Linda C. Niessen, DMD, MPH Allen D. Samuelson, DDS Vice President, Clinical Education Director, Geriatric Clinic; DENTSPLY International; Clinical Associate Professor Clinical Professor University of North Carolina at Chapel Hill School of Department of Restorative Sciences Dentistry Baylor College of Dentistry, Texas A&M Health Science Chapel Hill, North Carolina Center Dallas, Texas Helen M. Sharp, PhD Edwin T. Parks, DMD, MS Assistant Professor, Department of Speech Pathology and Audiology Professor of Diagnostic Sciences, Department of Oral Western Michigan University Pathology, Medicine, and Radiology Kalamazoo, Michigan; Indiana University School of Dentistry Adjunct Assistant Professor, Department of Preventive Indianapolis, Indiana and Community Dentistry The University of Iowa College of Dentistry Christoph A. Ramseier, Dr. Med. Dent. Iowa City, Iowa Research Fellow, Michigan Center for Oral Health John B. Valentine, DMD, MSD Research Assistant Professor, Department of Periodontics and Associate Director of Clinics Oral Medicine Clinical Associate Professor, Department of Dentistry The University of Michigan School of Dentistry Faculty of Medicine and Dentistry Ann Arbor, Michigan University of Alberta Edmonton, Alberta Debbie S. Robinson, CDA, MS Paul J. Vankevich, DMD Former Coordinator of Dental Assisting University of North Carolina Assistant Professor, Department of General Dentistry Chapel Hill, North Carolina Tufts University School of Dental Medicine Boston, Massachusetts To our wives and families for their love and support. And to our students—past, present, and future—who have been the real inspiration for this work. FM-A03697.qxd 24/6/06 11:45 AM Page ix Foreword he superb first edition of Treatment Planning in Den- modalities used in dentistry. Current data are already Ttistry has been widely acclaimed. This second edition beginning to modulate treatment planning decisions and maintains the practical philosophy and general approach will commence to have legal implications as well. that has made the original so valuable to students and The current edition follows through on the general entry-level practitioners alike. Authors Stefanac and practitioner-driven mode of treatment throughout. Nesbit have achieved significant expansion and improve- Stefanac and Nesbit’s extensive experience in chair-side ment throughout. All existing chapters have been treatment planning is evident throughout the book. This enhanced and updated. Eleven new contributors have along with readability, sequential and logical presenta- been brought on board. Three illuminating new chapters tions of current philosophies, information, and high have been added on helpful subjects, such as special care quality illustrations guarantees that this second edition patients, the patient with oral cancer, and the alcohol- or will match or surpass the success of its forerunner. The substance-dependent patient. accompanying CD-ROM offers the reader the opportu- Strategies have been utilized throughout to maintain nity to practice applying the book’s information in the a balance between ideal and practical treatment planning. treatment planning of five cases. The patients’ special needs and best interests drive all decisions, as do their informed choices! Ethical consider- Norman K. Wood, DDS, MS, PhD ations are further developed by the more recent concept Emeritus Professor of Dentistry of evidence-based dentistry. It is anticipated that this rela- Faculty of Medicine and Dentistry tively new area of study will yield much valuable infor- University of Alberta, Edmonton, Canada mation on the success/failure rates of various treatment Former Dean, Faculty of Dentistry ix FM-A03697.qxd 24/6/06 11:45 AM Page xi Preface his second edition of Treatment Planning in Dentistry is critical to managing patient care, especially for patients Tis a significant expansion from its predecessor. Eleven with complex needs. Managing the patient’s general new contributors and three new chapters have been physical health before and during treatment represents added, and all the existing chapters have been revised and the systemic phase of treatment. The chapter on the acute expanded. The purpose of this book still remains to phase presents a discussion of the diagnosis and manage- provide the reader with the fundamental knowledge ment of frequently encountered urgent treatment needs. needed to create treatment plans for adolescent and adult The disease control phase focuses on the management of patients. To assist practitioners at all levels of experience dental caries, initial therapy for periodontal disease, and we present strategies for bridging the gap between the the resolution of other oral infections and pathologies. real or perceived divide between “ideal” and “practical” The chapter discussing the definitive phase, often the core dental treatment planning. We continue to emphasize of the treatment plan, includes discussions of orthodon- the central role of the patient, whose needs and informed tic care, advanced periodontal treatment, single tooth choices should
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