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Practical Periodontal Diagnosis and Treatment Planning


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Table of Contents

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

About the Author

Serge Dibart is Professor and Director of the periodontal residency program at Boston University Goldman School of Dental Medicine. Thomas Dietrich is Professor and Head of Oral Surgery at the School of Dentistry, The University of Birmingham, UK and Associate Professor of Health Policy and Health Services Research at Boston University Goldman School of Dental Medicine.

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