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Practical Periodontal Diagnosis and Treatment Planning

Practical Periodontal Diagnosis and Treatment Planning

Serge Dibart, Thomas Dietrich (Editor)

ISBN: 978-1-118-71067-8 May 2013 Wiley-Blackwell 188 Pages




Practical Periodontal Diagnosis and Treatment Planning offers its readers a step-by-step guide to diagnosing and planning treatment for periodontal patients through the latest evidence-based protocols. It summarizes the available scientific evidence for efficacy and effectiveness and links it to everyday clinical practice in a concise, user-friendly manner.

Practical Periodontal Diagnosis and Treatment Planning begins with the basics of periodontal diagnosis, following the latest classification by the AAP.  Modifiable and non-modifiable risk factors are assessed in detail, emphasizing the treatment planning intricacies associated with each one. The book discusses all presentations of periodontal disease ranging from gingivitis to aggressive periodontitis, highlighting topics such as occlusion, scaling and root planning. The full range of treatment modalities are also presented, providing practical instruction for osseous resective surgery, regenerative and supportive periodontal therapy, and dental implant complication management.

Designed to improve and expand the reader’s repertoire of clinical skills, Practical Periodontal Diagnosis and Treatment Planning provides comprehensive coverage of this core part of periodontal training in a concise, highly illustrated, step-by-step format.

Contributor List ix

Chapter 1. The Necessity of an Evidence-based Approach to Diagnosis and Treatment 3
Paul Farsai and Thomas Van Dyke

Problems with Introducing EBD 5

Advantages of EBD 5

Chapter 2. Classification of Periodontal Diseases and Conditions 7
Serge Dibart and Melanie Campese

I. Gingival Diseases 7

II. Chronic Periodontitis (Discarded Old Terminology: Adult Periodontitis) 14

III. Aggressive Periodontitis (Discarded Old Terminology: Early Onset Periodontitis) 15

IV. Periodontitis as a Manifestation of Systemic Diseases 18

V. Necrotizing Periodontal Disease 19

VI. Periodontal Abscess 20

VII. Periodontitis Associated with Endodontic Lesion 21

VIII. Developmental or Acquired Deformities and Conditions 22

Chapter 3. Periodontal Risk Factors and Modification 25
Clemens Walter, Christoph Ramseier, and Thomas Dietrich

Non-modifiable Risk Factors 25

Modifiable Risk Factors 27

Risk Factor Modification 32

Chapter 4. Scaling and Root Planing 43
Rahman Kohli

Instrumentation 43

Scaling and Root Planing 46

Root Surface Smoothness 49

Full-Mouth Debridement 49

Practical Aspects 50

Chapter 5. Occlusion 55
Steven Morgano, Adnan Ishgi, and Carlos Sabrosa

Centric Relation and Centric Occlusion 55

Balanced Articulation 55

Occlusal Concepts for Conventional Fixed Prosthodontics 57

Anterior Disclusion (Canine Disclusion) and Group Function 58

Splinting 59

Implant-supported Artificial Occlusion 60

Articulators 64

Authors’ Views/Comments 65

Chapter 6. Systemic and Local Drug Delivery of Antimicrobials 69
Dimitra Sakellari

Evidence-based Outcomes 69

Indications 72

Techniques 72

Author’s Views/Comments 74

Chapter 7. Periodontal Osseous Resective Surgery 77
Luca Landi

Indications and Endpoints 77

Physiologic and Pathologic Alveolar Bone Anatomy 77

Principles 79

Technique 80

Modifications to the Original Surgical Approach 83

Soft Tissue Management 85

Effect of Surgery on the Alveolar Bone 86

Evidence-based Outcomes 87

Author’s Views/Comments 97

Chapter 8. Regenerative Periodontal Therapy 99
Joseph Fiorellini and Mehmet Ilhan Uzel

Periodontal Regenerative Techniques 100

Future of Periodontal Regenerative Therapy 105

Future Regenerative Therapy with rhPDGF 109

Chapter 9. Surgical vs. Non-surgical Treatment of Periodontitis 115
Thomas Dietrich

Evidence-based Outcomes 115

Author’s Views/Comments 115

Chapter 10. Supportive Periodontal Therapy 121
Geoff Bateman

Indications 121

Technique 121

Evidence-based Outcomes 123

Author’s Views/Comments 125

Chapter 11. Dental Implants Therapy 127
Serge Dibart

Indications 127

Evidence-based Outcomes 127

Chapter 12. Inflammation and Bone Healing Around Dental Implants 131
Thomas Van Dyke and Sheilesh Dave

Bone Function and Structure 131

Bone Healing Following Implant Placement 132

Inflammatory Bone Loss Around the Integrated Implant 133

Appendix 1. A Little Slice of History: The Periodontal Condition of Napoleon’s Grand Army: A Forensic Evaluation 137
Yves Macia

Appendix 2. How to Write and Read a Scientific Paper 147
Cataldo Leone

Index 165

  • Practical, concise step-by-step format

  • Discusses treatment planning and diagnosis within periodontology

  • Synthesizes evidence base with clinical protocols

  • Fully illustrated in full color