, CASE STUDIES IN
DENTAL HYGIENE
Third Edition
Evelyn M. Thomson, BSDH, MS
Adjunct Assistant Professor
Gene W. Hirschfeld School of Dental Hygiene
Old Dominion University
Norfolk, Virginia
Boston Columbus Indianapolis New York San Francisco Upper Saddle River Amsterdam
Cape Town Dubai London Madrid Milan Munich Paris Montreal Toronto Delhi Mexico City
Sao Paulo Sydney Hong Kong Seoul Singapore Taipei Tokyo
,Publisher: Julie Levin Alexander Senior Art Director: Jayne Conte
Publisher’s Assistant: Regina Bruno Cover Designer: Bruce Kenselaar
Executive Editor: John Goucher Cover Art: sjlocke/istockphoto.com
Assistant Editor: Nicole Ragonese Media Editor: Amy Peltier
Director of Marketing: David Gesell Lead Media Project Manager: Lorena Cerisano
Executive Marketing Manager: Katrin Beacom Full-Service Project Management: Bruce Hobart,
Marketing Coordinator: Michael Sirinides Laserwords, Maine
Senior Managing Editor: Patrick Walsh Composition: Laserwords
Project Manager: Christina Zingone-Luethje Printer/Binder: R.R. Donnelley/Willard
Senior Operations Supervisor: Ilene Sanford Cover Printer: Lehigh-Phoenix Color/Hagerstown
Operations Specialist: Lisa McDowell Text Font: Minion 10/12
Case G photo source: Michael Newman/PhotoEdit.
Copyright © 2013, 2009, 2003 by Pearson Education, Inc.
All rights reserved. Manufactured in the United States of America. This publication is protected by Copyright
and permission should be obtained from the publisher prior to any prohibited reproduction, storage in a
retrieval system, or transmission in any form or by any means, electronic, mechanical, photocopying, recording,
or likewise. To obtain permission(s) to use material from this work, please submit a written request to Pearson
Education, Inc., Permissions Department, One Lake Street, Upper Saddle River, New Jersey 07458 or you may fax
your request to 201-236-3290.
Many of the designations by manufacturers and seller to distinguish their products are claimed as trademarks.
Where those designations appear in this book, and the publisher was aware of a trademark claim, the designa-
tions have been printed in initial caps or all caps.
Notice: The author and the publisher of this volume have taken care that the information and technical
recommendations contained herein are based on research and expert consultation, and are accurate and
compatible with the standards generally accepted at the time of publication. Nevertheless, as new informa-
tion becomes available, changes in clinical and technical practices become necessary. The reader is advised to
carefully consult manufacturers’ instructions and information material for all supplies and equipment before
use, and to consult with a health care professional as necessary. This advice is especially important when
using new supplies or equipment for clinical purposes. The author and publisher disclaim all responsibility
for any liability, loss, injury, or damage incurred as a consequence, directly or indirectly, of the use and appli-
cation of any of the contents of this volume.
Library of Congress Cataloging-in-Publication Data
Thomson, Evelyn M.
Case studies in dental hygiene / Evelyn M. Thomson. — 3rd ed.
p. ; cm.
Includes bibliographical references and index.
ISBN-13: 978-0-13-291308-9
ISBN-10: 0-13-291308-9
I. Title.
[DNLM: 1. Dental Care—methods—Case Reports. 2. Dental Care—methods—Examination Questions.
3. Dental Hygienists—Case Reports. 4. Dental Hygienists—Examination Questions. 5. Dental Prophylaxis—
methods—Case Reports. 6. Dental Prophylaxis—methods—Examination Questions. 7. Oral Health—Case
Reports. 8. Oral Health—Examination Questions. WU 18.2]
617.6’01—dc23
2012013266
10 9 8 7 6 5 4 3 2 1
ISBN 10: 0-13-291308-9
ISBN 13: 978-0-13-291308-9
, CONTENTS
Preface v
Acknowledgments ix
Reviewers x
PART I INTRODUCTION AND TUTORIAL 1
CHAPTER 1 INTRODUCTION—HOW TO USE THIS BOOK 1
CHAPTER 2 TUTORIAL—GETTING STARTED WITH A SAMPLE CASE
MARGARET SNOWDEN 11
PART II PEDIATRIC PATIENTS 35
CHAPTER 3 CASE A MAYA PATEL 35
CHAPTER 4 CASE B ZACK WARE 47
CHAPTER 5 CASE C ANDREW CHRISTIANSON 59
PART III ADULT-PERIODONTAL PATIENTS 71
CHAPTER 6 CASE D KATHERINE FLYNN 71
CHAPTER 7 CASE E LOUIS RIDDICK 83
CHAPTER 8 CASE F BANU RADPUR-ANSARI 95
PART IV GERIATRIC PATIENTS 107
CHAPTER 9 CASE G JUAN HERNANDEZ 107
CHAPTER 10 CASE H VIRGINIA CARSON 119
CHAPTER 11 CASE I ELEANOR GRAY 131
PART V SPECIAL NEEDS PATIENTS 143
CHAPTER 12 CASE J THOROUGHGOOD EPPS 143
CHAPTER 13 CASE K JOHNNIE JOHNSON 155
CHAPTER 14 CASE L THOMAS SMALL 167
PART VI MEDICALLY COMPROMISED PATIENTS 179
CHAPTER 15 CASE M NANCY FOSTER 179
CHAPTER 16 CASE N BRIAN BARTLETT 191
CHAPTER 17 CASE O EILEEN OLDS 203
iii
DENTAL HYGIENE
Third Edition
Evelyn M. Thomson, BSDH, MS
Adjunct Assistant Professor
Gene W. Hirschfeld School of Dental Hygiene
Old Dominion University
Norfolk, Virginia
Boston Columbus Indianapolis New York San Francisco Upper Saddle River Amsterdam
Cape Town Dubai London Madrid Milan Munich Paris Montreal Toronto Delhi Mexico City
Sao Paulo Sydney Hong Kong Seoul Singapore Taipei Tokyo
,Publisher: Julie Levin Alexander Senior Art Director: Jayne Conte
Publisher’s Assistant: Regina Bruno Cover Designer: Bruce Kenselaar
Executive Editor: John Goucher Cover Art: sjlocke/istockphoto.com
Assistant Editor: Nicole Ragonese Media Editor: Amy Peltier
Director of Marketing: David Gesell Lead Media Project Manager: Lorena Cerisano
Executive Marketing Manager: Katrin Beacom Full-Service Project Management: Bruce Hobart,
Marketing Coordinator: Michael Sirinides Laserwords, Maine
Senior Managing Editor: Patrick Walsh Composition: Laserwords
Project Manager: Christina Zingone-Luethje Printer/Binder: R.R. Donnelley/Willard
Senior Operations Supervisor: Ilene Sanford Cover Printer: Lehigh-Phoenix Color/Hagerstown
Operations Specialist: Lisa McDowell Text Font: Minion 10/12
Case G photo source: Michael Newman/PhotoEdit.
Copyright © 2013, 2009, 2003 by Pearson Education, Inc.
All rights reserved. Manufactured in the United States of America. This publication is protected by Copyright
and permission should be obtained from the publisher prior to any prohibited reproduction, storage in a
retrieval system, or transmission in any form or by any means, electronic, mechanical, photocopying, recording,
or likewise. To obtain permission(s) to use material from this work, please submit a written request to Pearson
Education, Inc., Permissions Department, One Lake Street, Upper Saddle River, New Jersey 07458 or you may fax
your request to 201-236-3290.
Many of the designations by manufacturers and seller to distinguish their products are claimed as trademarks.
Where those designations appear in this book, and the publisher was aware of a trademark claim, the designa-
tions have been printed in initial caps or all caps.
Notice: The author and the publisher of this volume have taken care that the information and technical
recommendations contained herein are based on research and expert consultation, and are accurate and
compatible with the standards generally accepted at the time of publication. Nevertheless, as new informa-
tion becomes available, changes in clinical and technical practices become necessary. The reader is advised to
carefully consult manufacturers’ instructions and information material for all supplies and equipment before
use, and to consult with a health care professional as necessary. This advice is especially important when
using new supplies or equipment for clinical purposes. The author and publisher disclaim all responsibility
for any liability, loss, injury, or damage incurred as a consequence, directly or indirectly, of the use and appli-
cation of any of the contents of this volume.
Library of Congress Cataloging-in-Publication Data
Thomson, Evelyn M.
Case studies in dental hygiene / Evelyn M. Thomson. — 3rd ed.
p. ; cm.
Includes bibliographical references and index.
ISBN-13: 978-0-13-291308-9
ISBN-10: 0-13-291308-9
I. Title.
[DNLM: 1. Dental Care—methods—Case Reports. 2. Dental Care—methods—Examination Questions.
3. Dental Hygienists—Case Reports. 4. Dental Hygienists—Examination Questions. 5. Dental Prophylaxis—
methods—Case Reports. 6. Dental Prophylaxis—methods—Examination Questions. 7. Oral Health—Case
Reports. 8. Oral Health—Examination Questions. WU 18.2]
617.6’01—dc23
2012013266
10 9 8 7 6 5 4 3 2 1
ISBN 10: 0-13-291308-9
ISBN 13: 978-0-13-291308-9
, CONTENTS
Preface v
Acknowledgments ix
Reviewers x
PART I INTRODUCTION AND TUTORIAL 1
CHAPTER 1 INTRODUCTION—HOW TO USE THIS BOOK 1
CHAPTER 2 TUTORIAL—GETTING STARTED WITH A SAMPLE CASE
MARGARET SNOWDEN 11
PART II PEDIATRIC PATIENTS 35
CHAPTER 3 CASE A MAYA PATEL 35
CHAPTER 4 CASE B ZACK WARE 47
CHAPTER 5 CASE C ANDREW CHRISTIANSON 59
PART III ADULT-PERIODONTAL PATIENTS 71
CHAPTER 6 CASE D KATHERINE FLYNN 71
CHAPTER 7 CASE E LOUIS RIDDICK 83
CHAPTER 8 CASE F BANU RADPUR-ANSARI 95
PART IV GERIATRIC PATIENTS 107
CHAPTER 9 CASE G JUAN HERNANDEZ 107
CHAPTER 10 CASE H VIRGINIA CARSON 119
CHAPTER 11 CASE I ELEANOR GRAY 131
PART V SPECIAL NEEDS PATIENTS 143
CHAPTER 12 CASE J THOROUGHGOOD EPPS 143
CHAPTER 13 CASE K JOHNNIE JOHNSON 155
CHAPTER 14 CASE L THOMAS SMALL 167
PART VI MEDICALLY COMPROMISED PATIENTS 179
CHAPTER 15 CASE M NANCY FOSTER 179
CHAPTER 16 CASE N BRIAN BARTLETT 191
CHAPTER 17 CASE O EILEEN OLDS 203
iii
