Periodontology: The Essentials

Periodontology The Essentials

Last edition Elsevier The most important aspects of periodontology in one book: The fundamentals: anatomy, physiology, and parodontal microbiology Particular periodontology basics: pathogenesis, epidemiology, and classification Diagnostics: diagnosis, prevention, general medical implications Therapy: emergency treatment, causal therapy, corrective measures, aftercare This is an updated new edition The content from our 1st edition has been largely updated; some has been restructured.

Last Edition

ISBN 13:h9783131383723

Imprint:hThieme

Language:hEnglish

Authors:hPeter Muller

Pub Date:h11/2015

Pages:h272

Illus:hIllustrated

Weight:h730.00 grams

Size:h172 X 234 mm

Product Type:hSoftcover

List Price
grn     2196
$        71,99
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  • • The most considerable change are ?€?evidence boxes?€? which the author included. He summarized systematically important reviews.
  • • There are also a lot of 4-c clinical photos now whereas the previous edition had mainly graphics and just a few b/w photos.
  • • The previous edition was a 2-color book only. All the relevant information clear, to the point, and easy to access."A concise overview of current concepts in periodontology "The author has identified a need for up-to-date information to be made available as a compendium to standard textbooks in periodontology, and [succeeds] in fulfilling the stated aims of the book."
  • • Stephen Chen, Australian Orthodontic Journal Periodontology The Essentials provides readers with up-to-date information on the anatomy and physiology of the oral cavity as well as the latest methods for diagnosis, prevention, and therapy of periodontal disease.
  • • It is specifically designed to help busy dental professionals give their patients the highest level of care.
  • • Throughout this book the author stresses the important connections between periodontal disease and the patient's overall health, focusing on preventive care and the consequences of treatment. Key Features of the Second Edition:
  • • Expanded and revised coverage, lavishly illustrated by more than 300 four-color photos and drawings - Updated chapters throughout
  • • Evidence boxes giving summaries of clinical trials, meta-analyses and other studies, with graded assessment of the findings
  • • Discussion of the long-suspected association between systemic and periodontal diseases
  • • This book is a remarkably fresh text on the fundamentals of periodontology that will serve as a scientifically grounded yet practical clinical tool for students of dentistry and dental hygiene, private practitioners, hygienists, and periodontists alike. Hans-Peter Mueller, DDS, is Professor of Periodontology at the Institute of Clinical Dentistry, Faculty of Health Sciences, Arctic University of Norway, Tromsoe, Norway.
  • • Expanded and revised coverage, lavishly illustrated by more than 300 four-color photos and drawings
  • • Updated chapters throughout
  • • Evidence boxes giving summaries of clinical trials, meta-analyses and other studies, with graded assessment of the findings
  • • Discussion of the long-suspected association between systemic and periodontal diseases
  • • This book is a remarkably fresh text on the fundamentals of periodontology that will serve as a scientifically grounded yet practical clinical tool for students of dentistry and dental hygiene, private practitioners, hygienists, and periodontists alike.
  • Hans-Peter Muller (Author). Prof. Dr. rer. nat. Hans-Peter Müller is senior scientist in the Department of Neurology at Ulm University, Germany, in the Neuroimaging Group.
  • 1 Anatomy and Physiology 1 Development 1 Crown Development 2 Root Development 2 Cementogenesis 2 Marginal Periodontium 3 Macroscopic and Microscopic Anatomy .. 4 Oral Mucosa 4 Gingiva 4 Peri-implant Mucosa 7 Root Cementum 7 Periodontal Ligament 8 Alveolar Bone Proper 9 Physiology 9 Turnover Rates 9 Defense Mechanism 10 Possibilities of Repair 10
  • 2 Periodontal Microbiology 11 Ecology of the Mouth 11 Biodiversity 11 The Oral Cavity as a Biotope 13 Colonization Mechanisms 14 Biofilm Dental Plaque 14 Formation of Supragingival Plaque ... 16 Colonization of the Subgingival Region 17 Dental Calculus 18 Periodontitis: an Infectious Disease 18 Identification of Periodontal Pathogens 18 Types of Infection 20 The Susceptible Host 20 Presence of Pathogens 21 Absence of Beneficial Microorganisms 23 Conducive Environment in the Periodontal Pocket 24 Transmission 24 Peri-implantitis 27
  • 3 Pathogenesis of Biofilm-Induced Periodontal Diseases 28 Pathogenesis of Dental Biofilm-Induced Gingivitis 28 Initial Gingivitis 28 Early Gingivitis 33 Established Gingivitis 34 Peri-implant Mucositis 36 Pathogenesis of Periodontitis 36 Advanced Lesion 36 Formal Pathogenesis—Progression ... 40 Characteristics of a Multifactorial Disease 42 Genetic Component 43 Peri-implantitis 46
  • 4 Classification of Periodontal Diseases 47 Current Classification 47 Plaque-Induced Gingival Diseases 47 Systemically Modified Gingival Diseases 47 Drug-Influenced Gingival Diseases ... 49 Gingival Diseases Modified by Malnutrition 50 Gingival Diseases Not Induced by Dental Plaque 50 Gingival Diseases of Specific Bacterial Origin 50 Gingival Diseases of Viral Origin 50 Gingival Diseases of Fungal Origin ... 51 Gingival Lesions of Genetic Origin ... 51 Gingival Manifestations of Mucocutaneous Diseases 51 Allergic Reactions 53 Traumatic Lesions 53 Foreign Body Reactions 53 Periodontitis 53 Chronic Periodontitis 53 Aggressive Periodontitis 53 Periodontitis as Manifestation of Systemic Disease 55 Necrotizing Periodontal Diseases 56 Necrotizing Ulcerative Gingivitis 56 Necrotizing Ulcerative Periodontitis .. 56 Abscesses of the Periodontium 57 Gingival Abscess 57 Periodontal Abscess 57 Pericoronal Abscess 57 Combined Periodontal-Endodontic Lesions 57 Developmental or Acquired Deformities and Conditions 58 Localized, Tooth-Related Factors that Modify or Promote Plaque-Induced Gingival Diseases/Periodontitis 58 Mucogingival Deformities and Conditions around Teeth and on Edentulous Alveolar Ridges 58 Occlusal Trauma 58 Peri-implant Mucositis, Peri-implantitis .. 58
  • 5 Epidemiology of Periodontal Diseases 59 Epidemiological Terminology 59 Periodontal Epidemiology 60 Examination Methods 60 Assessment of Gingival Inflammation 60 Bacterial Deposits 61 Combined Indices 61 Attachment Loss 62 Case Definitions 62 Epidemiology of Plaque-Induced Periodontal Diseases 65 Natural History 65 Periodontitis in the United States .... 67 Europe 69 Global Trends 70 Early-Onset (Aggressive) Periodontitis 70 Prevalence, Extent, and Severity of Gingival Recession 72 Peri-implant Diseases 72
  • 6 Diagnosis of Periodontal Diseases ... 74 Anamnesis 74 Medical History 74 Dental History 74 Clinical Examination 75 Extraoral Examination 75 Intraoral Examination 75 Functional Examination 77 Periodontal Examination 77 Clinical Peri-implant Diagnosis 82 Mucogingival Examination 82 Oral Hygiene 84 Radiologic Examination 85 Panoramic Radiographs 87 Full-Mouth Radiographic Survey .... 88 Computed Tomography 90 Intraoperative Diagnosis of Defect Morphology 91 Osseous Defects 91 Furcation Involvement 92 Advanced Diagnostic Techniques 92 Diagnostic Test Systems 93 Microbiological Tests 96 Markers of Specific and Nonspecific Host Response 102 Saliva Diagnostics 104 Human Genetic Tests 104 Halitosis 105 Diagnosis 105 General Diagnosis 105 Tooth-Related Diagnosis 105 Prognosis 105 Treatment Planning 106 Case Presentation 106
  • 7 Prevention of Periodontal Diseases .. 108 Prevention-Oriented Dentistry 108 Karlstad Study 108 Possibilities of Prevention 110 Measures at the Population Level 112 Secondary and Tertiary Prevention .. 113 Preferential Treatment of High-Risk Groups 113
  • 8 General Medical Considerations 114 Systemic Phase 114 Infectious Patients 114 Increased Risk of Infective Endocarditis 114 Further Indications for Antibiotic Prophylaxis 116 Bleeding Disorders, Anticoagulant Therapy 117 Atherosclerosis, Cardiovascular Diseases 117 Associations between Periodontitis and Cardiovascular Diseases 117 Pulmonary Diseases 119 Diabetes Mellitus 120 Obesity, Metabolic Syndrome 122 Pregnancy 122 Osteopenia, Osteoporosis 124 Smoking 124 Alcohol Consumption 126 Impact of Periodontal Therapy on General Health 127
  • 9 Emergency Treatment 128 Periodontal Emergencies 128 Traumatic Injury 128 Necrotizing Ulcerative Periodontal Diseases 128 Herpetic Gingivostomatitis 129 Periodontal Abscess 130 Combined Periodontal-Endodontic Lesions 130
  • 10 Phase I—Cause-Related Treatment .. 133 Mechanical Plaque Control 133 Toothbrushing Techniques 133 Interdental Hygiene 136 Chemical Plaque Control 138 Chlorhexidine 138 Essential Oils 139 Cetylpyridinium Chloride 141 Triclosan 141 Metal Salts 141 Other Additives 141 Local Anesthesia 142 Adverse Effects of Local Anesthetics .. 142 Regional Infiltration and Block Anesthesia 143 Supragingival and Subgingival Scaling and Root Planing, Subgingival Curettage 144 Definitions 144 Aims 144 Indication 144 Contraindication 144 Instruments 144 Procedure 148 Critical Assessment 150 One-Stage, Full-Mouth Disinfection .. 151 Photodynamic Therapy, Laser 154 Re-evaluation 155 Sharpening of Instruments 155 Sickle Scalers 155 Universal Curettes 156 Area-Specific Curettes 156
  • 11 Phase II—Corrective Procedures 157 Periodontal Surgery 157 Gingivectomy 157 Aims 157 Indications 157 Contraindications 158 Instruments 158 Procedure 158 Postoperative Care 160 Critical Assessment 160 Gingivoplasty 162 Definition 162 Aim 162 Indications 162 Contraindications 162 Instruments 162 Electrosurgery 162 Procedure 162 Critical Assessment 163 Flap Operations 163 Aims 163 Indications 163 Contraindications 163 Instruments 163 Various Techniques 164 Procedure for the Modified Widman Technique 166 Postoperative Care 168 Critical Assessment 169 Periodontal Wound Healing 172 Presence of Progenitor Cells 172 Re-establishment of a Biocompatible Root Surface 173 Exclusion of Epithelium 173 Wound Stabilization 173 Bone and Bone Substitutes 175 Growth and Differentiation Factors .. 176 Root Surface Conditioning with Enamel Matrix Proteins 177 Guided Tissue Regeneration 179 Membranes 179 Indications 180 Contraindications 181 Procedure 181 Postoperative Care 184 Critical Assessment 184 Minimally Invasive Surgical Techniques .. 187 Treatment of Furcation-Involved Teeth .. 188 Fundamental Morphological Terms .. 188 Structures within the Furcation 189 Conservative Furcation Therapy 189 Root Amputation and Hemisection ... 190 Premolarization 193 Tunnel Preparation 193 Regenerative Procedures 195 Possible Treatment Strategies 198 Mucogingival Surgery 200 Widening of the Zone of Keratinized Tissue with a Free Gingival Graft .... 200 Gingival Recessions 202 Lateral Sliding Flap 202 Coronally Advanced Flap after Vestibular Extension with Free Gingival Graft 203 Coronally Advanced Flap with Connective Tissue Graft 204 Semilunar Coronally Repositioned Flap 205 Envelope Technique 205 Guided Tissue Regeneration 207 Critical Assessment 208 Frenectomy 210 Occlusal Therapy 211 Occlusal Splint 211 Occlusal Adjustment 212 Semipermanent Splinting 212 Perio-Prosthetic Aspects 213 Treatment of Peri-implant Infections .... 218
  • 12 Phase III—Supportive Periodontal Therapy 220 Risk Assessment, Risk Communication, Risk Management 220 Risk Assessment 220 Local Risk Factors 220 Dentition-Related Risk Factors 221 General Risk Factors 222 Communication 222 Risk Management 223
  • 13 Medication and Supplements 225 Antibiotic and Antimycotic Therapy 225 Systemically Administered Antibiotics 225 Topical Administration of Antimicrobial Substances 231 Local Antimycotic Therapy 232 Modulation of the Host Response 233 Inhibitors of Tissue Collagenase 233 Modulation of Bone Metabolism 233 Omega-3 Polyunsaturated Fatty Acids 233 Anti-inflammatory Drugs 233 Nonsteroidal Anti-inflammatory Drugs 233 Local Glucocorticoids 234 Nutritional Supplements, Probiotics 234 Vitamins 234 Calcium 236 Probiotics 236
  • 14 References 237
  • Index 250
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