Levisons Textbook for Dental Nurses by Carole Hollins by Levisos

2013·9.39 MB·english

by  carole hollins

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About the Author i
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Carole hollins is a dental practitioner and member of the British Dental Association. She is a member n
of the Faculty of General Dental Practitioners and a former presiding examiner for the NEBDN. She was
a previous Chairman of both the National Certificate Committee and the Qualifications Council. Carole
Hollins is the author of NVQs for Dental Nurses, Questions and Answers for Dental Nurses and Basic
Guide to Dental Procedures. h
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Questions and Answers for dental nurses, basic Guide to Anatomy and Physiology for L
3rd edition dental Care Professionals L
Carole Hollins Carole Hollins i
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ISBN: 978-0-470-67090-3 ISBN: 978-0-470-65611-2
nvQs for dental nurses, 2nd edition Advanced dental nursing, 2nd edition s
Carole Hollins Robert Ireland
ISBN: 978-1-4051-9256-9 ISBN: 978-1-4051-9267-5
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Levison’s Textbook
for Dental Nurses
This book is dedicated to the memory of Henry Levison – a visionary dentist and author
who set the standard for dental nurse training and education.
Levison’s Textbook
for Dental Nurses
Eleventh Edition
Carole Hollins
General Dental Practitioner
Member of the British Dental Association
Former presiding examiner for the National Examining Board for Dental Nurses
This edition first published 2013. © 2013 John Wiley & Sons, Ltd
© 2004, 2008 Blackwell Munksgaard
© 1960, 1963, 1969, 1971, 1978, 1985, 1991, 1997 Blackwell Science Ltd
First edition published 1960; Second edition published 1963; Third edition published 1969; Fourth edition published 1971; Fifth edition
published 1978; Sixth edition published 1985; Seventh edition published 1991; Eighth edition published 1997; Ninth edition published 2004;
Tenth edition published 2008; Eleventh edition published 2013.
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Library of Congress Cataloging-in-Publication Data
Hollins, Carole.
Levison’s textbook for dental nurses / Carole Hollins. – 11th ed.
p. ; cm.
Textbook for dental nurses
Includes bibliographical references and index.
ISBN 978-1-118-50044-6 (pbk. : alk. paper) – ISBN 978-1-118-50043-9 (ePub) – ISBN 978-1-118-50042-2 (Mobi) – ISBN 978-1-118-50041-5 –
ISBN 978-1-118-68990-5
I. Levison, H. (Henry). Textbook for dental nurses. II. Title. III. Title: Textbook for dental nurses.
[DNLM: 1. Dental Assistants. 2. Dental Care. WU 90]
RK60.5
617.6′0233–dc23
2013012752
A catalogue record for this book is available from the British Library.
Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books.
Cover image: © Irfan Ahmad, BDS
Cover design by Meaden Creative
Set in 10/12pt Calibri by SPi Publisher Services, Pondicherry, India
1 2013
Contents
Introduction to the Eleventh Edition vi
Introduction to the First Edition viii
Acknowledgements ix
Abbreviations x
How to use your Textbook and Companion Website xiii
Copyright Information xv
Chapter 1: Structure of the Dental Profession 1
Chapter 2: The Dental Nurse 9
Chapter 3: Legal and Ethical Issues 30
Chapter 4: Health and Safety in the Dental Workplace 74
Chapter 5: General Anatomy and Physiology 123
Chapter 6: Medical Emergencies 155
Chapter 7: Microbiology and Pathology 181
Chapter 8: Infection Control and Cleanliness 197
Chapter 9: Head and Neck Anatomy and Physiology 229
Chapter 10: Oral Anatomy and Physiology 248
Chapter 11: Oral Disease 274
Chapter 12: Oral Health Assessment and Diagnosis 307
Chapter 13: Oral Health Promotion and Disease Prevention 352
Chapter 14: Pain and Anxiety Control 386
Chapter 15: Restorative Dentistry 417
Chapter 16: Prosthodontics 473
Chapter 17: Extractions and Minor Oral Surgery 529
Index 556
Introduction to
the Eleventh Edition
Since the last edition was written, dental nurses have joined other members of the dental
team to become registered professionals with the General Dental Council (GDC), and have at
last been elevated to their well-deserved status as invaluable dental care professionals.
With this professional recognition comes the necessity for set standards of attitude and
behaviour outside the workplace, as well as suitable qualification, ethical work practices
and the requirement for lifelong learning and continuous professional development during
their careers.
This edition provides the underpinning knowledge required to cover the extensive curriculum
contents of the National Examining Board for Dental Nurses’ (NEBDN) new National Diploma
qualification, which supersedes the old National Certificate. You can view the full curriculum for
the NEBDN National Diploma in Dental Nursing at http://www.nebdn.org/diploma_in_dental_
nursing.html. A similar textbook will be available to cover the City & Guilds’ curriculum for its new
Diploma in Dental Nursing qualification. Although the same register-able qualification is awarded
to successful candidates following either route to registration, the training and assessment
methods involved for each are quite different.
The revised and updated text of this latest edition embraces all the numerous legislative and
regulatory changes that have occurred in the last 5 years, including issues around Health and
Safety, infection control, information governance, quality assurance requirements and the
expansion of the concept of continuous professional development into that of team members
becoming ‘reflective practitioners’. In particular, the text in relevant chapters puts particular
emphasis on the standards to be attained in becoming dental professionals, and has been
continuously cross-referenced to the GDC’s own Standards Guidance booklets, as well as some of
its other publications such as Fitness to Practise, in the hope that their content is easily absorbed
into the understanding and knowledge base of the readers.
In addition and where appropriate, website addresses are included to allow readers to access
further information on many topics covered throughout the text – especially links to the NEBDN’s
curriculum and charting booklet download facilities, and links to more information on subject
topics with national variations, such as infection control.
Introduction to the Eleventh Edition
It is hoped that the increased use of photographs and illustrations, as well as that of bullet vii
points to highlight key facts throughout the text, makes this edition particularly user-friendly and
easy to understand for all readers, without detracting from the high standards now expected of
dental nurse students as they evolve into fully fledged dental professionals. Finally, and as always,
I sincerely hope that this text stimulates at least some readers into becoming sufficiently inspired
during their studies to continue their careers beyond their initial qualification, and consider
extended duties, postregistration qualifications and further dental professional careers.
NEBDN National Diploma in Dental Nursing
You can view the full curriculum for the NEBDN National Diploma in Dental Nursing at
http://www.nebdn.org/diploma_in_dental_nursing.html.
Carole Hollins
Introduction to
the First Edition
This book is designed to cover the syllabus for the British Dental Nurses and Assistants Examination.
Although written primarily for nurses preparing for this examination, it also provides an outline of
dental surgery for those embarking on a career of dental nursing, thus helping them gain a greater
understanding of the nature and aims of their duties. For examination purposes, the subject
matter is deliberately presented in a dogmatic fashion and, to aid final revision, there is a summary
after each chapter.
The text was prepared during a winter spent in the North Isles of Shetland with the School
Health Service mobile dental unit; and for helpful advice and encouragement throughout, I am
indebted to my former dental nurse, Miss M.E. Isbister. I wish to thank my wife for typing the man-
uscript; my sister, Miss B. Levison, for the drawings; the Amalgamated Dental Trade Distributors
Ltd for providing some new blocks; and Mr P. Saugman of Blackwell Science for his guidance.
H. Levison