Periodontology: The Essentials

Periodontology: The Essentials

by Hans-Peter Mueller
     
 

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ISBN-10: 1588903559

ISBN-13: 9781588903556

Pub. Date: 11/09/2004

Publisher: Thieme

Stressing the connections between periodontal disease and the patient's total health, Muller (dentistry, University School of Dentistry, Germany) focuses on preventive care and the consequences of treatment in this compendium for students of dentistry and dental hygiene, private practitioners, and periodontists. After an overview of the anatomy, physiology, and

Overview

Stressing the connections between periodontal disease and the patient's total health, Muller (dentistry, University School of Dentistry, Germany) focuses on preventive care and the consequences of treatment in this compendium for students of dentistry and dental hygiene, private practitioners, and periodontists. After an overview of the anatomy, physiology, and microbiology of the oral cavity, the book covers fundamentals of pathogenesis, epidemiology, prevention, classification, and diagnosis, as well as all phases of therapy, and discusses the latest techniques and research in the field. B&w photos and two-color diagrams illustrate techniques. Annotation ©2004 Book News, Inc., Portland, OR

Product Details

ISBN-13:
9781588903556
Publisher:
Thieme
Publication date:
11/09/2004
Pages:
188
Product dimensions:
6.70(w) x 9.40(h) x 0.40(d)

Table of Contents

Background
1Anatomy and Physiology2
Development2
General Remarks2
Crown Development3
Root Development3
Cementogenesis3
Marginal Periodontium5
Macroscopic and Microscopic Anatomy5
Oral Mucosa5
Gingiva6
Root Cementum7
Periodontal Ligament8
Alveolar Bone Proper9
Physiology9
General Remarks9
Turnover Rates9
Defense Mechanisms10
Possibilities of Repair10
2Periodontal Microbiology12
Ecology of the Mouth12
The Oral Cavity as a Biotope12
Colonization Mechanisms12
Biofilm Dental Plaque13
Formation of Supragingival Plaque14
Colonization of the Subgingival Region15
Dental Calculus16
Periodontitis: An Infectious Disease16
Identification of Periodontal Pathogens16
Types of Infection17
The Susceptible Host19
Presence of Pathogens19
Absence of Beneficial Microorganisms20
Conducive Environment in the Periodontal Pocket21
Transmission22
3Pathogenesis of Plaque-Induced Periodontal Diseases24
Pathogenesis of Plaque-Induced Gingivitis24
General Remarks24
Initial Gingivitis25
Early Gingivitis29
Established Gingivitis29
Pathogenesis of Periodontitis31
Advanced Lesion31
Formal Pathogenesis-Progression34
Characteristics of a Multifactorial Disease36
4Epidemiology of Periodontal Diseases38
Epidemiological Terminology38
General Remarks38
Periodontal Epidemiology38
Examination Methods39
General Remarks39
Assessment of Gingival Inflammation39
Bacterial Deposits40
Combined Indices40
Attachment Loss40
Epidemiology of Plaque-Induced Periodontal Diseases41
General Remarks41
Natural History42
NHANES III43
Europe45
Early-Onset (Aggressive) Periodontitis45
Prevalence, Extent, and Severity of Gingival Recession46
5Prevention of Periodontal Disease47
Prevention-Oriented Dentistry47
General Remarks47
Karlstad Study47
Possibilities for Prevention48
Measures at the Population Level48
Secondary and Tertiary Prevention49
Preferential Treatment of High-Risk Groups49
6Classification of Periodontal Diseases50
Current Classification50
General Remarks50
Plaque-Induced Gingival Diseases52
General Remarks52
Systemically Modified Gingival Diseases52
Drug-Influenced Gingival Diseases52
Gingival Diseases Modified by Malnutrition53
Gingival Diseases of Specific Bacterial Origin53
Gingival Diseases of Viral Origin53
Gingival Diseases of Fungal Origin53
Gingival Manifestations of Mucocutaneous Diseases54
Allergic Reactions55
Traumatic Lesions55
Foreign Body Reactions55
Periodontitis56
Chronic Periodontitis56
Aggressive Periodontitis56
Periodontitis as Manifestation of Systemic Disease56
Necrotizing Periodontal Diseases57
General Remarks57
Necrotizing Ulcerative Gingivitis58
Necrotizing Ulcerative Periodontitis58
Abscesses of the Periodontium58
Gingival Abscess58
Periodontal Abscess58
Pericoronal Abscess59
Combined Periodontic-Endodontic Lesions59
Developmental or Acquired Deformities and Conditions59
Localized, Tooth-Related Factors That Modify or Promote Plaque-Induced Gingival Diseases/Periodontitis59
Mucogingival Deformities and Conditions Around Teeth and on Edentulous Alveolar Ridges59
Occlusal Trauma59
Diagnosis
7Diagnosis of Periodontal Disease62
History62
General Remarks62
Medical History62
Dental History62
Clinical Examination63
Extraoral Examination63
Intraoral Examination63
Functional Examination65
Periodontal Examination65
Mucogingival Examination69
Oral Hygiene71
Radiological Examination72
General Remarks72
Panoramic Radiographs72
Full-Month-Radigraphic-Survey72
Computed Tomography75
Intraoperative Diagnosis of Defect Morphology75
General Remarks75
Osseous Defects75
Furcation Involvement76
Advanced Diagnostic Techniques76
General Remarks76
Diagnostic Test Systems76
Microbiological Tests79
Markers of Specific and Nonspecific Host Response83
Human Genetic Tests85
Bad Breath86
Diagnosis86
General Diagnosis86
Tooth-Related Diagnosis87
Prognosis88
Treatment Planning88
General Remarks88
Case Presentation88
8General Medical Considerations89
Systemic Phase89
General Remarks89
Infectious Patients89
Increased Risk of Infective Endocarditis89
Further Indications for Antibiotic Prophylaxis91
Bleeding Disorders, Anticoagulant Therapy91
Atherosclerosis, Cardiovascular Diseases92
Associations Between Marginal Periodontitis and Cardiovascular Diseases92
Diabetes Mellitus93
Pregnancy95
Osteopenia, Osteoporosis96
Smoking96
Therapy
9Emergency Treatment100
Periodontal Emergencies100
Traumatic Insults100
Necrotizing Ulcerative Periodontal Disease100
Herpetic Gingivostomatitis101
Periodontal Abscess101
Combined Periodontic-Endodontic Lesions102
10Phase I: Cause-Related Treatment103
Mechanical Plaque Control103
General Remarks103
Tooth Brushing Techniques103
Interdental Hygiene104
Chemical Plaque Control105
General Remarks105
Chlorhexidine107
Triclosan107
Metal Salts107
Other Additives108
Local Anesthesia108
General Remarks108
Adverse Effects of Local Anesthetics108
Regional Infiltration and Block Anesthesia109
Supragingival and Subgingival Scaling and Root Planing, Subgingival Curettage109
General Remarks109
Definitions109
Aims109
Indication109
Contraindication109
Instruments110
Procedure112
Critical Assessment114
One-Stae, Full-Mouth Disinfection116
Reevaluation116
Sharpening of Instruments116
General Remarks116
Sickle Scalers116
Universal Curettes117
Area-Specific Curettes117
11Phase II: Corrective Procedures119
Periodontal Surgery119
General Remarks119
Gingivectomy119
General Remarks119
Aims120
Indications120
Contraindications120
Instruments120
Procedure121
Postoperative Care122
Critical Assessment122
Gingivoplasty123
Definition123
Aim123
Indications123
Contraindications123
Instruments123
Procedure124
Critical Assessment124
Flap Operations124
Aims124
Indications124
Contraindications124
Instruments124
Various Techniques125
Procedure for the Modified Widman Technique126
Postoperative Care129
Critical Assessment130
Periodontal Wound Healing132
General Remarks132
Presence of Progenitor Cells132
Reestablishment of a Biocompatible Root Surface133
Exclusion of Epithelium133
Wound Stabilization133
Bone and Bone subsitutes134
Growth and Differentiation Factors134
Root Surface Conditioning with Enamel Matrix Proteins135
Guided Tissue Regeneration136
Membranes136
Indications138
Contraindications138
Procedure138
Postoperative Care139
Critical Assessment140
Treatment of Furcation-Involved Teeth141
General Remarks141
Fundamental Morphological Terms142
Structures Within Furcations142
Conservative Furcation Therapy143
Root Amputation and Hemisection143
Premolarization146
Tunnel Preparation146
Regenerative Procedures148
Possible Treatment Strategies151
Mucogingival Surgery151
General Remarks151
Widening of the Zone of Keratinized Tissue with a Free Gingival Graft151
Gingival Recessions155
Lateral Sliding Flap155
Coronally Advanced Flap After Vestibular Extension with Free Gingival Graft156
Coronally Advanced Flap with Connective Tissue Graft157
Semilunar Coronally Repositioned Flap158
Envelope Technique159
Guided Tissue Regeneration160
Critical Assessment161
Frenectomy161
Occlusal Therapy162
General Remarks162
Occlusal Splint163
Occlusal Adjustment164
Semipermanent Splinting164
Perioprosthetic Aspects165
12Phase III: Supportive Periodontal Therapy169
Risk Assessment, Risk Communication, Risk Management169
General Remarks169
Risk Assessment169
Local Risk Factors169
Dentition-Related Risk Factors170
General Risk Factors171
Communication171
Risk Management172
13Drug Therapy174
Antibiotic and Antimycotic Therapy174
Systemically Administered Antibiotics174
Local Administration of Antimicrobial Substances177
Inhibitors of Tissue Collagenase179
Antiinflammatory Drugs179
Nonsteroidal Antiinflammatory Drugs179
Local Glucocorticosteroids17

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