Periodontology: The Essentials,9781588903556

Periodontology: The Essentials

by ;
Edition: 1st
ISBN13: 9781588903556
ISBN10: 1588903559
Format: Paperback
Pub. Date: 2004-12-01
Publisher(s): Thieme Medical Pub
List Price: $62.65

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Summary

This concise summary of the practice of periodontology provides an excellent review of the physiology of the oral cavity, the newest information on diagnosis and therapy of periodontologic diseases, and the theoretical basics. Practice-related parallel topics such as trauma, material incompatibility, emergency treatment, and antibiotic therapy are covered in this text, as well.This is an excellent guide for dentists and oral surgeons involved in the treatment of periodontal diseases. It also makes a wonderful companion to the legendary Rateitschak atlas.

Author Biography

Hans-Peter Mueller Professor of Dentistry, University School of Dentistry, Heidelberg, Germany

Table of Contents

Background
Anatomy and Physiology
2(10)
Development
2(3)
General Remarks
2(1)
Crown Development
3(1)
Root Development
3(1)
Cementogenesis
3(2)
Marginal Periodontium
5(1)
Macroscopic and Microscopic Anatomy
5(4)
Oral Mucosa
5(1)
Gingiva
6(1)
Root Cementum
7(1)
Periodontal Ligament
8(1)
Alveolar Bone Proper
9(1)
Physiology
9(3)
General Remarks
9(1)
Turnover Rates
9(1)
Defense Mechanisms
10(1)
Possibilities of Repair
10(2)
Periodontal Microbiology
12(12)
Ecology of the Mouth
12(4)
The Oral Cavity as a Biotope
12(1)
Colonization Mechanisms
12(1)
Biofilm Dental Plaque
13(1)
Formation of Supragingival Plaque
14(1)
Colonization of the Subgingival Region
15(1)
Dental Calculus
16(1)
Periodontitis: An Infectious Disease
16(8)
Identification of Periodontal Pathogens
16(1)
Types of Infection
17(2)
The Susceptible Host
19(1)
Presence of Pathogens
19(1)
Absence of Beneficial Microorganisms
20(1)
Conducive Environment in the Periodontal Pocket
21(1)
Transmission
22(2)
Pathogenesis of Plaque-Induced Periodontal Diseases
24(14)
Pathogenesis of Plaque-Induced Gingivitis
24(7)
General Remarks
24(1)
Initial Gingivitis
25(4)
Early Gingivitis
29(1)
Established Gingivitis
29(2)
Pathogenesis of Periodontitis
31(7)
Advanced Lesion
31(3)
Formal Pathogenesis---Progression
34(2)
Characteristics of a Multifactorial Disease
36(2)
Epidemiology of Periodontal Diseases
38(9)
Epidemiological Terminology
38(1)
General Remarks
38(1)
Periodontal Epidemiology
38(1)
Examination Methods
39(2)
General Remarks
39(1)
Assessment of Gingival Inflammation
39(1)
Bacterial Deposits
40(1)
Combined Indices
40(1)
Attachment Loss
40(1)
Epidemiology of Plaque-Induced Periodontal Diseases
41(6)
General Remarks
41(1)
Natural History
42(1)
NHANES III
43(2)
Europe
45(1)
Early-Onset (Aggressive) Periodontitis
45(1)
Prevalence, Extent, and Severity of Gingival Recession
46(1)
Prevention of Periodontal Disease
47(3)
Prevention-Oriented Dentistry
47(3)
General Remarks
47(1)
Karlstad Study
47(1)
Possibilities for Prevention
48(1)
Measures at the Population Level
48(1)
Secondary and Tertiary Prevention
49(1)
Preferential Treatment of High-Risk Groups
49(1)
Classification of Periodontal Diseases
50(12)
Current Classification
50(2)
General Remarks
50(2)
Plaque-Induced Gingival Diseases
52(4)
General Remarks
52(1)
Systemically Modified Gingival Diseases
52(1)
Drug-Influenced Gingival Diseases
52(1)
Gingival Diseases Modified by Malnutrition
53(1)
Gingival Diseases of Specific Bacterial Origin
53(1)
Gingival Diseases of Viral Origin
53(1)
Gingival Diseases of Fungal Origin
53(1)
Gingival Manifestations of Mucocutaneous Diseases
54(1)
Allergic Reactions
55(1)
Traumatic Lesions
55(1)
Foreign Body Reactions
55(1)
Periodontitis
56(1)
Chronic Periodontitis
56(1)
Aggressive Periodontitis
56(1)
Periodontitis as Manifestation of Systemic Disease
56(1)
Necrotizing Periodontal Diseases
57(1)
General Remarks
57(1)
Necrotizing Ulcerative Gingivitis
58(1)
Necrotizing Ulcerative Periodontitis
58(1)
Abscesses of the Periodontium
58(1)
Gingival Abscess
58(1)
Periodontal Abscess
58(1)
Pericoronal Abscess
59(1)
Combined Periodontic-Endodontic Lesions
59(1)
Developmental or Acquired Deformities and Conditions
59(3)
Localized, Tooth-Related Factors That Modify or Promote Plaque-Induced Gingival Diseases/Periodontitis
59(1)
Mucogingival Deformities and Conditions Around Teeth and on Edentulous Alveolar Ridges
59(1)
Occlusal Trauma
59(3)
Diagnosis
Diagnosis of Periodontal Disease
62(27)
History
62(1)
General Remarks
62(1)
Medical History
62(1)
Dental History
62(1)
Clinical Examination
63(9)
Extraoral Examination
63(1)
Intraoral Examination
63(2)
Functional Examination
65(1)
Periodontal Examination
65(4)
Mucogingival Examination
69(2)
Oral Hygiene
71(1)
Radiological Examination
72(3)
General Remarks
72(1)
Panoramic Radiographs
72(1)
Full-Month-Radigraphic-Survey
72(3)
Computed Tomography
75(1)
Intraoperative Diagnosis of Defect Morphology
75(1)
General Remarks
75(1)
Osseous Defects
75(1)
Furcation Involvement
76(1)
Advanced Diagnostic Techniques
76(10)
General Remarks
76(1)
Diagnostic Test Systems
76(3)
Microbiological Tests
79(4)
Markers of Specific and Nonspecific Host Response
83(2)
Human Genetic Tests
85(1)
Bad Breath
86(1)
Diagnosis
86(2)
General Diagnosis
86(1)
Tooth-Related Diagnosis
87(1)
Prognosis
88(1)
Treatment Planning
88(1)
General Remarks
88(1)
Case Presentation
88(1)
General Medical Considerations
89(11)
Systemic Phase
89(11)
General Remarks
89(1)
Infectious Patients
89(1)
Increased Risk of Infective Endocarditis
89(2)
Further Indications for Antibiotic Prophylaxis
91(1)
Bleeding Disorders, Anticoagulant Therapy
91(1)
Atherosclerosis, Cardiovascular Diseases
92(1)
Associations Between Marginal Periodontitis and Cardiovascular Diseases
92(1)
Diabetes Mellitus
93(2)
Pregnancy
95(1)
Osteopenia, Osteoporosis
96(1)
Smoking
96(4)
Therapy
Emergency Treatment
100(3)
Periodontal Emergencies
100(3)
Traumatic Insults
100(1)
Necrotizing Ulcerative Periodontal Disease
100(1)
Herpetic Gingivostomatitis
101(1)
Periodontal Abscess
101(1)
Combined Periodontic--Endodontic Lesions
102(1)
Phase I: Cause-Related Treatment
103(16)
Mechanical Plaque Control
103(2)
General Remarks
103(1)
Tooth Brushing Techniques
103(1)
Interdental Hygiene
104(1)
Chemical Plaque Control
105(3)
General Remarks
105(2)
Chlorhexidine
107(1)
Triclosan
107(1)
Metal Salts
107(1)
Other Additives
108(1)
Local Anesthesia
108(1)
General Remarks
108(1)
Adverse Effects of Local Anesthetics
108(1)
Regional Infiltration and Block Anesthesia
109(1)
Supragingival and Subgingival
Scaling and Root Planing, Subgingival Curettage
109(1)
General Remarks
109(1)
Definitions
109(1)
Aims
109(1)
Indication
109(1)
Contraindication
109(1)
Instruments
110(2)
Procedure
112(2)
Critical Assessment
114(2)
One-Stae, Full-Mouth Disinfection
116(1)
Reevaluation
116(1)
Sharpening of Instruments
116(3)
General Remarks
116(1)
Sickle Scalers
116(1)
Universal Curettes
117(1)
Area-Specific Curettes
117(2)
Phase II: Corrective Procedures
119(50)
Periodontal Surgery
119(1)
General Remarks
119(1)
Gingivectomy
119(4)
General Remarks
119(1)
Aims
120(1)
Indications
120(1)
Contraindications
120(1)
Instruments
120(1)
Procedure
121(1)
Postoperative Care
122(1)
Critical Assessment
122(1)
Gingivoplasty
123(1)
Definition
123(1)
Aim
123(1)
Indications
123(1)
Contraindications
123(1)
Instruments
123(1)
Procedure
124(1)
Critical Assessment
124(1)
Flap Operations
124(8)
Aims
124(1)
Indications
124(1)
Contraindications
124(1)
Instruments
124(1)
Various Techniques
125(1)
Procedure for the Modified Widman Technique
126(3)
Postoperative Care
129(1)
Critical Assessment
130(2)
Periodontal Wound Healing
132(4)
General Remarks
132(1)
Presence of Progenitor Cells
132(1)
Reestablishment of a Biocompatible Root Surface
133(1)
Exclusion of Epithelium
133(1)
Wound Stabilization
133(1)
Bone and Bone subsitutes
134(1)
Growth and Differentiation Factors
134(1)
Root Surface Conditioning with Enamel Matrix Proteins
135(1)
Guided Tissue Regeneration
136(5)
Membranes
136(2)
Indications
138(1)
Contraindications
138(1)
Procedure
138(1)
Postoperative Care
139(1)
Critical Assessment
140(1)
Treatment of Furcation-Involved Teeth
141(10)
General Remarks
141(1)
Fundamental Morphological Terms
142(1)
Structures Within Furcations
142(1)
Conservative Furcation Therapy
143(1)
Root Amputation and Hemisection
143(3)
Premolarization
146(1)
Tunnel Preparation
146(2)
Regenerative Procedures
148(3)
Possible Treatment Strategies
151(1)
Mucogingival Surgery
151(11)
General Remarks
151(1)
Widening of the Zone of Keratinized Tissue with a Free Gingival Graft
151(4)
Gingival Recessions
155(1)
Lateral Sliding Flap
155(1)
Coronally Advanced Flap After Vestibular Extension with Free Gingival Graft
156(1)
Coronally Advanced Flap with Connective Tissue Graft
157(1)
Semilunar Coronally Repositioned Flap
158(1)
Envelope Technique
159(1)
Guided Tissue Regeneration
160(1)
Critical Assessment
161(1)
Frenectomy
161(1)
Occlusal Therapy
162(7)
General Remarks
162(1)
Occlusal Splint
163(1)
Occlusal Adjustment
164(1)
Semipermanent Splinting
164(1)
Perioprosthetic Aspects
165(4)
Phase III: Supportive Periodontal Therapy
169(5)
Risk Assessment, Risk Communication, Risk Management
169(5)
General Remarks
169(1)
Risk Assessment
169(1)
Local Risk Factors
169(1)
Dentition-Related Risk Factors
170(1)
General Risk Factors
171(1)
Communication
171(1)
Risk Management
172(2)
Drug Therapy
174(6)
Antibiotic and Antimycotic Therapy
174(5)
Systemically Administered Antibiotics
174(3)
Local Administration of Antimicrobial Substances
177(2)
Inhibitors of Tissue Collagenase
179(1)
Antiinflammatory Drugs
179(1)
Nonsteroidal Antiinflammatory Drugs
179(1)
Local Glucocorticosteroids
179(1)
References 180(4)
Index 184

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