Plaque and calculus removal

Plaque and calculus removal

Vol. 25, No. 2; pp. 171-172, 1997 Journal ofDentistry, Copyright 0 1997 Published by Elsevier Science Ltd. All rights reserved Printed in Great Britai...

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Vol. 25, No. 2; pp. 171-172, 1997 Journal ofDentistry, Copyright 0 1997 Published by Elsevier Science Ltd. All rights reserved Printed in Great Britain 0300-5712/97 $17.00+0.00 ELSEVIER

Book Reviews Section Editor: P. N. Hirschmann

This book promotes the concept of Interdisciplinary Dentofacial Therapy (IDT). The principle of IDT is in the ‘ultimate utilization of the expertise and skills in the various dental disciplines’, and is different from a ‘multidisciplinary’ approach in that each of the disciplines does not act as a separate entity. Chapter 2 discusses the features of ‘unidisciplinary therapy’, and ‘interdisciplinary therapy’ in some detail, compares and contrasts them, and gives several case study examples. Chapter 3 describes the ‘Preliminary therapy’ of IDT, and covers the initial visit, relief of pain and ‘initial dentofacial counselling’. Chapter 4 continues with the ‘Diagnostics’ or ‘Phase I’ of IDT, in which a general dentofacial examination is carried out, enabling the dentist to select the interdisciplinary team. From the specialist team evaluations, a ‘multidisciplinary database’ can be compiled. This is used at a team conference to compile an ‘interdisciplinary problem list’, a diagnosis and hence (Chapter 5), a ‘tentative treatment plan’. Following the ‘definitive patient conference’, a ‘definitive treatment plan’ is formulated. Chapter 6 comprises almost half the book and considers the ‘Definitive Therapy’, or Phase III of IDT, in some detail. ‘Restorative Therapy’, for example, is divided into ‘Preparative Restorative Therapy, Types I to IV’, each of which integrates with ‘specific definitive therapies’. At the end of the chapter there is an excellent list of 219 references, and there are case studies throughout. Finally, Chapter 7 describes the Maintenance Phase (Phase IV), and Chapter 8 is titled ‘Coordinating an Interdisciplinary Team’. Overall, this is an interesting and unusual book, in that it takes a very prescriptive approach; indeed, on p. 24, the authors use the word ‘regimental’. This results in a considerable amount of jargon and some examples are given above. In today’s society, however, the reader cannot help considering the economic implications for the patient in visiting several specialists. I would be reluctant to recommend this text for undergraduate use, but it does provide some thought-provoking reading and some excellent case reports. M.J. Tyas

to remove plaque and calculus, including patient plaque control. However, the authors also state that the book is not intended to be a comprehensive review of plaque and calculus, nor to describe specific mechanical aspects of removal techniques, nor to provide in-depth discussions of aetiology or pathogenesis. It thus starts with something of an identity crisis. In some places, they are to be commended for correctly quoting research results, for instance in relation to plaque accumulation and gingivitis development. However, in other places they state dogma which is by no means clearly established, such as that the tongue ‘retains plaque and requires brushing’; and research has shown that, if anything, closed root planing is a more time-consuming approach to treatment than surgery, rather than the reverse (p. 9). There are also some real or apparent contradictions. If no toothbrushing method has been ‘shown to be clinically superior’ (p. 17), why is the Bass technique ‘generally considered the method of choice’? And if the correct therapeutic endpoint for scaling and root planing is a satisfactory healing response rather than a calculus-free root surface (p. 8), why is this not discussed when studies are quoted (p. IO) to the effect that surgical procedures are more effective in calculus removal? The chapter on mechanical plaque control by the patient is well-written, apart from the small points stated above. The chapter on professional plaque and calculus removal suffers from long verbal descriptions of how instruments are applied to the root surface. The text is desperately in need of diagrams here rather than the pleasant colour illustrations which convey little information. I defy anyone who does not know the shape and operating principle of a Gracey curette to understand its use from this text. The book also contains useful short accounts of powered instruments, maintenance of instruments, mouthrinses and implant maintenance. However, I do not agree with the opinion that powered instruments are preferable to hand instruments. More diagrams would be helpful in describing instrument sharpening. Do I think this text is worth reading? Yes, but with the proviso that it is, as the authors state, ‘supplemental material to the more detailed texts’. Would I personally pay E29 for this loo-page paperback? No. T.L.P. Watts

Plaque and Calculus Removal. D.L. Cochran, K.L. Kalkwarf and M.A. Brunsvold. PO. 109. 1994. New Malden, Quintessence. Hardback, f29.0& ISBN 0 86715 285 0.

Implant-Supported Prostheses: Occlusion, Clinical Cases, and Laboratory Procedures. V. Jimenez-Lopez. Pp. 256. 1995. New Malden, Quintessence. Hardback, E108.00. ISBN 0 86715 257 5.

The sub-title of this book is ‘considerations for the professional’, and the preface states that it is to assist the general dentist and hygienist in understanding various consequences of plaque accumulation, and what is required

This book is concerned with divided into three parts. The with case selection, treatment greater detail, it concentrates

Interdisciplinary Dentofacial Therapy. R.D. Roblee. Pp. 236. 1994. New Malden, Quintessence. Hardback, f98.00. ISBN 0 86715 188 9.

the BrAnemark implant and introductory chapters deal planning and then in much on occlusion, relating it to