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April 2018




The scope of practice continues to grow for dental hygienists. From screening for systemic health conditions to providing referrals for addiction support to advising patients on sound nutritional choices, dental hygienists are involved beyond the oral cavity. However, they may be less familiar with some dental specialties, such as orthodontics and endodontics. This issue features some insightful pieces on hypersensitivity in orthodontic patients and endodontic diagnostic techniques, in addition to more traditional fare, such as community water fluoridation, remineralization, and ultrasonics.  



This Month's Features


Hypersensitivity in the Orthodontic Patient
Hard tissue and soft tissue hypersensitivity may be experienced by patients undergoing different types of orthodontic treatment.
By Bhoomika Ahuja, BDS, MS

Strategies to Boost Remineralization
Products that aid in the remineralization process should be considered as part of an overall caries prevention and management plan for at-risk patients.
By Martha McComas, RDH, MS

 Community Water Fluoridation 
Oral health professionals need to be prepared to effectively educate patients regarding the benefits of this public health effort to prevent caries.
By Lori Rainchuso, RDH, MS, DHSc

 Ultrasonic Instrumentation Tips for Premolars 
Effective ultrasonic instrumentation for these teeth depends on the clinician's knowledge of tooth anatomy, ultrasonic insert/tip designs, and technique.
By Kathleen O. Hodges, RDH, MS

 Endodontic Diagnosis for the Dental Hygienist 
Endodontic diagnosis and diagnostic techniques may not be familiar to dental hygienists but their use can improve patient flow, efficiency, and outcomes.
By Eugene A. Pantera, Jr, DDS, MS, and Carole T. Pantera, DDS, MS

 Caring for Patients With Diabetes 
Oral health professionals can play a role in supporting both the oral and systemic health of patients with diabetes.
By Kelly K. Shutoff, RDH, BSDH, MEd, and Linda D. Boyd, RDH, RD, EdD

 Maintaining the Oral Health of Patients With Sjögren's Syndrome 
Identifying and addressing oral complications are essential to successful management of this chronic inflammatory autoimmune disease.
By Ava J. Wu, DDS

 Treating Patients With Anxiety Disorders 
Proper preparation will help clinicians effectively care for this population, improving the likelihood that patients will return for regular oral health care.
By Kristen M. Stephens, RDH, MS, and JoAnn R. Gurenlian, RDH, MS, PhD



 Editor's Note
RTs Are Our Partners in Care
By Jill Rethman, RDH, BA


 Industry Info 


 Ask the Expert
Providing Culturally Competent Care
By Nancy K. Mann, RDH, MSEd 





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