Advanced Dental Nursing

Advanced Dental Nursing
10.1002/9781118786659.fmatter, Downloaded from https://onlinelibrary.wiley.com/doi/10.1002/9781118786659.fmatter by Test, Wiley Online Library on [18/07/2023]. See the Terms and Conditions (https://onlinelibrary.wiley.com/terms-and-conditions) on Wiley Online Library for rules of use; OA articles are governed by the applicable Creative Commons License
Advanced Dental Nursing
A John Wiley & Sons, Ltd., Publication

Postgraduate Dental Education Unit
Robert S. Ireland
Associate Clinical Professor
The University of Warwick

SECOND EDITION
BDS, MPhil, MFGDP(UK)

Edited by
This edition first published 2010
© 2010 Blackwell Publishing Ltd
Blackwell Publishing was acquired by John Wiley & Sons in February 2007. Blackwell’s publishing
programme has been merged with Wiley’s global Scientific, Technical, and Medical business to form
Wiley-Blackwell.
Registered office
John Wiley & Sons Ltd, The Atrium, Southern Gate, Chichester, West Sussex PO19 8SQ, United Kingdom
Editorial offices
9600 Garsington Road, Oxford OX4 2DQ, United Kingdom
2121 State Avenue, Ames, Iowa 50014-8300, USA
For details of our global editorial offices, for customer services and for information about how to apply
for permission to reuse the copyright material in this book please see our website at www.wiley.com/
wiley-blackwell.
The right of the author to be identified as the author of this work has been asserted in accordance with
the UK Copyright, Designs and Patents Act 1988.
All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or
transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or
otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior
permission of the publisher.
Wiley also publishes its books in a variety of electronic formats. Some content that appears in print
may not be available in electronic books.
Designations used by companies to distinguish their products are often claimed as trademarks.
All brand names and product names used in this book are trade names, service marks, trademarks or
registered trademarks of their respective owners. The publisher is not associated with any product or
vendor mentioned in this book. This publication is designed to provide accurate and authoritative
information in regard to the subject matter covered. It is sold on the understanding that the publisher
is not engaged in rendering professional services. If professional advice or other expert assistance is
required, the services of a competent professional should be sought.
Library of Congress Cataloging-in-Publication Data

Advanced dental nursing / edited by Robert S. Ireland. – 2nd ed.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-4051-9267-5 (pbk. : alk. paper) 1. Dental assistants–Outlines, syllabi, etc. 2. Dental
assistants–Vocational guidance–Great Britain. I. Ireland, Robert, MFGCP.
[DNLM: 1. Dental Assistants–Outlines. WU 18.2 A245 2010]
RK60.5.A38 2010
617.6′0233–dc22
2009049784
A catalogue record for this book is available from the British Library.
Set in 9.5/12 pt Palatino by Toppan Best-set Premedia Limited

Printed in Singapore
1 2010
Contents
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
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
v
vi Contents
Respiratory disorders, 118

Endocrine disorders, 121
Gastrointestinal and related disorders, 128
Neurological and psychiatric disorders, 138
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
5 Orthodontic Dental Nursing, 245

Anatomical structures relevant to orthodontics, 246
Biology of tooth movement, 258
Classification 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
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
Contents vii
Future developments in training and education, 391

Information technology development, 393

Research in primary care, 398
Implant stock control, 385
Medico-legal aspects, 388
Clinical governance, 394
Abbreviations, 404
7 The Future, 391
Index, 409
Author Profiles
Editor
Robert S. Ireland BDS, MPhil, MFGDP(UK)
Associate Clinical Professor
Postgraduate Dental Education Unit
The University of Warwick
Bob 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 the editor of A Clinical
Textbook for Dental Hygiene and Therapy. He is currently a presiding examiner for the
National Examining Board for Dental Nurses (NEBDN) and formerly external examiner
for dental nursing at Trinity College, Dublin.
Mary Cameron RDN, DipDHE, FEATC, Cert Health Education,

Licentiateship in Dental Nursing
Oral Health Co-ordinator/Educational Advisor –
Community Dental Service
NHS Greater Glasgow & Clyde
Mary qualified as a dental nurse in 1978. She has worked in general practice and hospitals
and, in 1998, moved to the Community Dental Service. In her previous role within the
CDS she led a team of oral health educators, with a remit to deliver and evaluate oral
health programmes throughout Glasgow. She now leads and advises on DCP training
programmes. In 1992, she became a part-time tutor delivering the post-qualification
certificate in oral health education in Scotland. She is currently an examiner with the
NEBDN and former chairperson of the Oral Health Committee. She continues her role
as an external verifier for City & Guilds and the Scottish Qualifications Authority.
Ulpee Darbar BDS, MSc, FDS (Rest Dent)RCS, FHEA

Consultant in Restorative Dentistry
Eastman Dental Hospital and Institute, London
ix
x Author Profiles
Ulpee is a full time Consultant in Restorative Dentistry and is also on the specialist lists
in Restorative Dentistry, Periodontology and Prosthodontics. She was appointed as
Clinical Director of the Eastman Dental Hospital in 2006. Her clinical focus lies in the
management of patients with complex and multidisciplinary problems including tooth
loss and its replacement with dental implants. She is extensively involved in education
and training at postgraduate level for dentists and dental care professionals. She has been
proactive in running successful training courses for dental nurses in different implant
systems and has written the first book on dental implants for dental nurses. She lectures
extensively in these areas both nationally and internationally and is on the Specialist
Advisory Board for the Royal College of Surgeons (Edinburgh) Implant Dentistry
Diploma and is also an examiner for this exam.
Janet Goodwin BA(Hons), RDN, LCGI

Qualifications Manager
National Examining Board for Dental Nurses
Janet has worked as a dental nurse in general dental practice, dental hospital and the
Community Dental Service as an oral health educator. In 1985 she started teaching oral
health and the NEBDN National Certificate in local colleges. In 1988, she was appointed
as a training officer in a large youth training scheme primarily for underprivileged
teenagers. She then returned to Leeds Dental Institute to take up the position of tutor,
before being appointed principal dental nurse in 1991, while also working as an external
verifier for City & Guilds. Janet is currently qualifications manager for the National
Examining Board for Dental Nurses, and a member of the GDC Council. She is on the
editorial board of the journal Team in Practice and was involved in the Child Protection
and the Dental Team handbook.
Tina Gorman RDN, FAETC

Director of Nursing
Dublin Dental School and Hospital
Tina trained at Belfast Dental Hospital and qualified in 1990. She was awarded the Kilner
McCourt prize for the highest mark in Ireland in the National Examination. She was the
first person in Northern Ireland to obtain the post-certificate in conscious sedation. She
moved to work for Homefirst Community Dental Service in 1999, where she assisted in
the set-up of a new sedation and general anaesthetic service for adults with physical and
learning disabilities. She is an NEBDN examiner for the National Certificate and Conscious
Sedation qualifications. She also introduced the West Midlands Special Care Dental
Nursing Course in 2001 whilst she was a dental nurse tutor. She is currently based in
Dublin Dental Hospital managing the Nursing Department. She is the dental nursing
representative on the British Society for Disability and Oral Health, member of the edito-
rial board of the Journal of Disability and Oral Heath and is the first non-dentist president
of the Irish Society for Disability and Oral Health (2008–2010).
Author Profiles xi
Jayne Harrison BDS, FDS(Orth), RCPS, MDentSci, MOrthRCS, PhD

Consultant Orthodontist
Liverpool University Dental Hospital
Jayne qualified from Cardiff Dental School in 1985 and subsequently underwent general
dental and then orthodontic training in Merseyside and North Wales. She gained her
FDS in 1989, MOrth and MDentSci in 1993, FDS(Orth) in 1998 and PhD in 2002. She was
appointed as a consultant orthodontist at Liverpool University Dental Hospital in 1998,
where she is also programme director for the orthodontic nursing course. She is on the
editorial board of the journal of Orthodontics and Cochrane Oral Health Group and has had
several papers published on orthodontic subjects and evidence-based dentistry.
Patricia Heap RDN, FETC, Dip DHE, MRSH

Principal Dental Nurse
University Dental Hospital of Manchester
Pat qualified as a dental nurse in 1963 at the University Dental Hospital of Manchester.
Since then she has been employed in all sections of dentistry and in 1972 she returned
to the Dental Hospital as senior dental nurse in periodontology, then tutor dental nurse
and finally in 1985 to the post of principal dental nurse. She has since gained the City &
Guilds Further Education Teachers certificate with credit, RSH Diploma in Oral Health
Education, Dental Sedation Nursing Post Qualification certificate and BTEC Safety in
Healthcare certificate. She is on the Board of Examiners for NEBDN and is an examiner
for both the national and sedation examinations. She currently sits on the sub-committees
for Sedation and the independent assessment for the Oral Healthcare NVQ
programme.
Lesley Longman BSc, BDS, FDS RCS(Edin), PhD

Consultant in Restorative Dentistry
Lesley was appointed lecturer in restorative dentistry at the University of Liverpool

Dental School in 1984 and gained her FDS (Ed) in the same year. She was awarded a PhD
in 1991 and appointed consultant in restorative dentistry in 1997. She is on the specialist
register for prosthodontics and restorative dentistry. She has responsibility for organising
the teaching of sedation to dental undergraduates. She currently lectures on postgraduate
dental courses in sedation and is course director for the University of Liverpool Certificate
in Conscious Sedation. She is also currently programme director for the certificate course
in sedation for dental nurses.
June Nunn BDS, MA, PhD, FDS RCS(Edin), DDPHRCS, FDS RCS
Professor of Special Care Dentistry and Head of Department
Dental School and Hospital
Trinity College Dublin, Ireland
xii Author Profiles
June moved from her post as consultant/senior lecturer in child dental health in the
School of Dentistry, University of Newcastle-upon-Tyne to the Chair in Special Care
Dentistry at Trinity College Dublin in October 2001. She is past president of both the
British Society for Disability and Oral Health, and the International Association for
Disability and Oral Health, and in 2003 was the President of the Irish Society for Disability
and Oral Health. June edits the Journal of Disability and Oral Health and edited the IADH
textbook on Disability and Oral Care. She has been an examiner at the Royal Colleges of
Surgeons of England and Edinburgh for the M Paed Dent, MSCD and DSCD, as well as
external examiner for both undergraduate and postgraduate students in a number of UK
and overseas dental schools. She is codirector for the Postgraduate Diploma in Conscious
Sedation in Trinity College Dublin.
Kathleen O’Donovan FAETC, RDN

Dental Nurse Manager
Kath qualified as a dental nurse in 1973 and has since gained the Certificate in Oral Health
Education (Nottingham University) and the NEBDN Certificate in Dental Sedation
Nursing. She is currently organising the Certificate in Orthodontic Nursing at Liverpool
University Dental Hospital. She is on the Board of Examiners for the NEBDN and is an
examiner for the Certificate in Dental Sedation and NVQ. She is involved in teaching on
dental nurse courses for dental sedation, orthodontic nursing and oral health care. She
was formerly Chairman of Council for the British Association of Dental Nurses.
Mike Wanless BDS, DipPH, DGDP(UK), MSc, PhD

Head and Clinical Director
Greater Manchester School for Dental Care Professionals
Mike is head and clinical director of the Greater Manchester School for Dental Care
Professionals (DCPs), based in Salford. He is also an educational programme director for
North Western Deanery and is a director of NEBDN, for whom he has examined since
1986. He lectures widely on communicating with dental patients.
Preface
This second edition of Advanced Dental Nursing has been produced five years after pub-
lication of the first edition. In that time there have been a considerable number of changes
in dentistry, both clinical and administrative. This edition has therefore been extensively
updated and revised to bring the book up to date with contemporary clinical practice. In
addition, a new chapter on implant nursing has been included to reflect the rapid devel-
opment of this area of restorative dentistry and the acknowledged need for dental nurses
who have knowledge, understanding and skills relevant to dental implantology.
Sadly, there are few textbooks published specifically for dental nurses. This book has
been written to fill what is perceived to be a significant gap in the continuing professional
development of dental nurses. It is primarily aimed at those nurses who are registered
with the General Dental Council in the UK or who already have some clinical experience.
It is hoped, however, that there is much useful information, particularly in the first two
chapters, for any nurse just starting out on a career in dentistry.
Each chapter, apart from the chapter on implant nursing, has been jointly written by
a dentist and a dental nurse. This not only provided an opportunity to develop team-
work, but also assured that the contents are both relevant to and appropriate for dental
nurses.
Although the reader may choose to read the book from cover to cover, it is primarily
intended that they should be able to dip into sections of specific interest for further
study or use the book in conjunction with other teaching programmes. To this end it is
anticipated that this textbook will form a useful reference source for dental clinics and
practices.
Within each chapter, many key words have been highlighted in bold for easy reference
and there is an extensive glossary (at the back of the book) of all the abbreviations used.
The reader should be aware that there is considerable reference to current regulations,
legislation and accepted clinical practice, and that these are subject to change with
the inevitable advancement in all aspects of dentistry. The reader should therefore be
prepared to consult other reference sources for changes that may have been introduced
since publication of this book.
Robert S. Ireland
xiii
Acknowledgements
Chapter 1 The authors would like to thank Anna Ireland for her advice on the structure
and scope of the Salaried Dental Service described within the book.
Chapter 5 The authors would like to acknowledge the assistance of John Scholey for
his contribution to the section on radiographs, Brian Cannell for his help with the labora-
tory skills section and John Cunningham for providing information for the medico-legal
section.
Figure 5.22 Reproduced by kind permission of The Victoria University of Manchester,

England. The SCAN scale was first published in 1987 by the European Orthodontic
Society (Evans R and Shaw W (1987) Preliminary evaluation of an illustrated scale for
rating dental attractiveness. European Journal of Orthodontics 9: 314–318).
xiv

Advanced Dental Nursing - 2010 - Ireland - Front Matter

Uploaded by

Document Information

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Advanced Dental Nursing - 2010 - Ireland - Front Matter

Uploaded by

Copyright:

Available Formats

A John Wiley & Sons, Ltd., Publication

Associate Clinical Professor

The University of Warwick

BDS, MPhil, MFGDP(UK)

Library of Congress Cataloging-in-Publication Data

Set in 9.5/12 pt Palatino by Toppan Best-set Premedia Limited

1 Career Development Pathways, 1

2 Oral Health Education, 26

3 Special Care Dentistry, 77

Respiratory disorders, 118

5 Orthodontic Dental Nursing, 245

6 Dental Implantology, 349

Future developments in training and education, 391

References and further reading, 402

Clinical governance, 394

Mary Cameron RDN, DipDHE, FEATC, Cert Health Education,

Ulpee Darbar BDS, MSc, FDS (Rest Dent)RCS, FHEA

Janet Goodwin BA(Hons), RDN, LCGI

Tina Gorman RDN, FAETC

Jayne Harrison BDS, FDS(Orth), RCPS, MDentSci, MOrthRCS, PhD

Patricia Heap RDN, FETC, Dip DHE, MRSH

Lesley Longman BSc, BDS, FDS RCS(Edin), PhD

Lesley was appointed lecturer in restorative dentistry at the University of Liverpool

Kathleen O’Donovan FAETC, RDN

Mike Wanless BDS, DipPH, DGDP(UK), MSc, PhD

Figure 5.22 Reproduced by kind permission of The Victoria University of Manchester,

You might also like