
Practical Techniques in Periodontics and Implant Dentistry
Description
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A quick reference to essential techniques in periodontics and implant dentistry designed for clinical use
In Practical Techniques in Periodontics and Implant Dentistry, distinguished periodontist Dr. Edgard El Chaar delivers a comprehensive quick reference to key information on periodontics and implant dentistry. The book takes a concise and technique-based approach to the subject, a design that allows clinicians to rapidly find and apply important information in seeing cases. It provides brief chapters with plentiful and instructive images.
This manual is precise, offers quick access to the fundamentals of each of the pertinent topics in the field, and provides practitioners the ability to refer to an authoritative and straightforward resource in their daily clinical practice. It includes radiographs, histological images, clinical photographs, and line drawings.
Readers will also find:
* A thorough introduction to the anatomy and physiology of the periodontium, including an overview of gingival tissue, embryonic development, and soft tissue physiology
* Comprehensive explorations of wound healing, pathology of periodontal disease, and oral medicine and pathology
* In-depth discussions of patient examination and initial therapy, surgical anatomy and local anesthesia, and suturing techniques
* Fulsome presentations of osseous surgery, clinical crown lengthening, and the principles of implant dentistry
Perfect for general practitioners, periodontists, and implant dentists, Practical Techniques in Periodontics and Implant Dentistry will also earn a place in the libraries of dental students with an interest in periodontics.
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Content
- Cover
- Title Page
- Copyright
- Contents
- List of Contributors
- Introduction
- Part I Fundamentals
- Chapter 1 Anatomy and Physiology
- Overview of Gingival Tissue and Periodontium
- Embryonic Development
- Formation of the Epithelial Attachment
- Formation of the Cementum, Periodontal Ligament, and Alveolar Bone
- Soft Tissue Physiology
- Gingiva
- Width and Thickness of the Gingiva
- Histological Composition
- Epithelial-Connective Tissue Interaction
- Gingival Fiber Groups
- Alveolar Mucosa
- Junctional Epithelium
- Biotype
- Periodontal Biotype
- Anatomy Is Destiny
- Anatomy
- Root Surface Anatomy
- Anterior Teeth
- Developmental Anterior Grooves
- Premolars
- The Root Trunk
- Maxillary First Molars
- Mandibular First Molars
- Cervical Enamel Projections (CEPs)
- References
- Further Reading
- Chapter 2 Wound Healing
- Definitions and Terms for Clinical Outcomes
- Inflammatory Phase
- Proliferative Phase
- Remodeling Phase
- Epithelium and Connective Tissue Healing
- Flap Surgery
- Free Graft
- Bone Healing
- Healing of Extraction Sockets
- Osseointegration
- Modifiers of Wound Healing
- References
- Chapter 3 Diagnosis and Pathology of Periodontal Diseases
- Formulating a Periodontal Diagnosis
- Periodontal Health and Gingival Health
- Gingivitis: Dental Plaque-Induced
- Necrotizing Periodontal Diseases
- Periodontitis
- Other Conditions Affecting the Periodontium
- Periodontal Abscesses
- Endodontic-Periodontal Lesions
- Mucogingival Deformities and Conditions Around the Teeth
- Traumatic Occlusal Forces
- Prosthesis and Tooth-Related Factors
- References
- Chapter 4 Oral Pathology and Oral Medicine
- Introduction
- Non-Dental-Biofilm Induced Gingival Diseases
- Genetic/Developmental Disorders
- Hereditary Gingival Fibromatosis (HGF)
- Specific Infections
- Infections of Bacterial Origin
- Infections of Viral Origin
- Infections of Fungal Origin
- Inflammatory and Immune Conditions
- Hypersensitivity Reactions
- Autoimmune Diseases of Skin and Mucous Membranes
- Granulomatous Inflammatory Conditions
- Reactive Processes
- Epulides
- Pre-Malignant Lesions and Malignant Neoplasms
- Endocrine, Nutritional, and Metabolic Diseases
- Traumatic Lesions
- Physical/Mechanical Insults
- Chemical/Thermal Insults
- Gingival Pigmentation
- Endocrine, Nutritional, and Metabolic Diseases
- Genetic Disorders
- Diseases Affecting the Connective Tissues
- Acquired Immunodeficiency Diseases
- Inflammatory Diseases
- Systemic Disorders that Influence the Pathogenesis of Periodontal Disease
- Further Reading
- Chapter 5 Patient Examination and Initial Therapy
- Medical History for the Dental Patient
- Clinical and Radiographical Examination
- Clinical Examination
- Radiographic Examination
- Radiographic Artifacts
- Oral Hygiene
- Toothbrushing
- Interproximal Cleaning
- Interproximal Brushes
- Dental Floss or Tape
- Specialized Oral Hygiene Aids
- Single Tufted Brush
- Behavior Change Techniques
- Non-surgical Periodontal Therapy
- Benefits
- Limitations
- Armamentarium
- Hand Instruments
- Powered Instruments
- Techniques
- Supragingival Debridement
- Fundamental Elements of Hand Instrumentation
- Calculus Detection Technique
- Fulcrums
- Powered (Ultrasonic) Technique
- Reevaluation of Initial Therapy
- Occlusal Therapy
- Medications and Implications for Periodontal Therapy
- Sedation: Minimal and Moderate Sedation
- References
- Further Reading
- Part II Principles and Practice of Periodontal Surgery
- Chapter 6 Surgical Anatomy and Local Anesthesia
- Anatomic Landmarks
- Mandible
- Anatomic Spaces
- Maxilla
- Conclusion
- Properties of Local Anesthesia
- Properties of Ideal Anesthetic
- Techniques of Local Anesthesia
- Maxillary Anesthesia
- Mandibular Anesthesia
- Further Reading
- Chapter 7 Suturing Techniques
- Principles of Surgical Wound Closure
- Properties of Suture Materials
- Suturing Techniques and Indications for Use
- References
- Chapter 8 Osseous Surgery
- Introduction
- Osseous Surgery
- Limitations and Contraindications to Osseous Resective Surgery
- References
- Chapter 9 Functional Crown Lengthening
- Introduction
- Checklist
- Osseous Surgery
- References
- Chapter 10 Root Amputation
- Overview
- Terminology
- Indications and Contraindications
- Indications Include
- Contraindications Include
- Advantages and Disadvantages
- Armamentarium
- Surgical Technique
- Complications
- Outcome and Follow-up
- Implants Versus Root Resection
- Vital Root Resection
- References
- Further Reading
- Chapter 11 Guided Tissue Regeneration
- Overview
- Indications
- Repair and Regeneration in Periodontal Defects
- GTR for Furcation Defects
- Technique
- GTR for Periodontal Intrabony and Circumferential Defects
- Techniques
- GTR for the Treatment of Recession Defects
- Follow-up
- Further Reading
- Chapter 12 Esthetic Crown Lengthening
- Overview
- Etiology
- Treatment
- Case Surgical Description
- Post-Elongation Gingival Margin Stability
- References
- Further Reading
- Chapter 13 Soft Tissue Management in Natural Dentition
- Overview
- Classifications
- Determination of the CEJ
- Diagnostic and Treatment Considerations Based on Classification of Periodontal Biotypes, Gingiva Recession, and Root Surface Conditions
- Surgical Management of Mucogingival Deficiencies
- Free Gingival Graft (FGG)
- Pedicle Soft Tissue Graft
- Coronally Advanced Flap (CAF)
- Sub-epithelial Connective Tissue Graft (SCTG)
- Allograft
- Acellular Dermal Matrix
- Clinical Studies Comparing Soft Tissue Allograft to the SCTG
- Histological Studies on Soft Tissue Allograft
- Clinical Case
- References
- Further Reading
- Part III Principles and Practice of Implant Dentistry
- Chapter 14 Principles of Implant Dentistry
- Introduction
- Steps for Implant Success
- Factors Affecting the Implant Success
- Bone Quality Classification
- Bone to Implant Contact
- Transmucosal Attachment Around Dental Implants
- Probing Around Dental Implants
- Biological Width Around Implants
- The Microgap: Interface Between Implant and Abutment
- Platform Switching
- Fundamental Criteria in Implant Placement: Healed Ridges
- Implant Surface Topography
- Implant Topography on Wound Healing
- Implant Materials
- Bone Healing
- Principles of Surface Treatment, Topographies, and Roughness
- Implant Design
- Implant Surface Topography
- Implant Surface Specificities: Advantages and Disadvantages
- References
- Further Reading
- Chapter 15 Examination and Diagnosis
- Radiographic Examination
- Cone Beam Computed Tomography
- Clinical Parameters
- Clinical Examination
- Factors Influencing Surgical Management
- Factors Influencing Prosthetic Parameters
- References
- Further Reading
- Chapter 16 Prosthetic Considerations
- Review of the Esthetic Parameters
- The Prosthetic Space
- Temporization
- Critical Space
- Subcritical Space
- Buccal Contour
- Final Restoration
- Abutment Options
- Cemented Versus Screw Retained
- Restorative Materials
- References
- Chapter 17 Digital Workflow in Surgery
- Introduction to Digital Dentistry
- Terminology
- Description of STL
- Description of 3D Volume
- Applications of Interactive Software
- Intra-Oral Scanners (IOS)
- Virtual Implant Software Planning
- Drilling Surgical Guide
- Use of Guided Surgery in Immediate Implant Placement
- Full Arch Guided Surgery
- Aid in Ridge Deficiency Diagnosis
- References
- Further Reading
- Chapter 18 Socket Management
- Anatomical Features of the Alveolar Process
- The Alveolar Process
- The Alveolar Bone Proper
- Alveolus and Extraction Socket
- The Alveolar Ridge
- Classification of Remaining Bone
- Alterations of the Alveolar Process Following Tooth Extraction
- Biological Events and Histologic Ridge Alterations
- Overview of the Histologic Sequence of Healing
- Dimensional Ridge Alterations
- Clinical Implications for Ridge Preservation and Implant Treatment
- Atraumatic Tooth Extraction
- Indications for Ridge Preservation
- Contraindications for Ridge Preservation
- Ridge Preservation Procedures
- Maintenance of the Root and the Socket Shield Technique
- Forced Eruption
- Socket Grafting
- Management of Socket at the Esthetic Zone
- Extraction Socket Classifications
- Timing of Implant Placement
- Immediate Implant Placement
- Early Implant Placement with Partial Bone Healing (12-16 Weeks)
- Late Implant Placement Complete Bone Healing (&6 months)
- References
- Further Reading
- Chapter 19 Deficient Ridges Augmentation
- Crestal Sinus Elevation
- Background
- Indications
- Armamentarium
- Surgical Technique
- Complications
- Follow-Up
- Lateral Sinus Floor Elevation
- Background
- Indications
- Grafting Materials
- Anatomical Considerations
- Armamentarium
- Surgical Technique
- Complications
- Prevention of Complications
- Follow-up
- Ridge Augmentation
- Fundamentals of Ridge Augmentation
- Surgical Techniques
- Ridge Classifications
- Seibert
- Expectations of Ridge Augmentation
- Horizontal Ridge Augmentation
- Vertical Ridge Augmentation
- Fundamentals of Successful Surgical Technique
- Clinical Case of Ridge Augmentation
- References
- Further Reading
- Chapter 20 Soft Tissue Assessment and Enhancement in Implant Dentistry
- Introduction
- Techniques to Create Contour, Thickness, and Increase Keratinized Tissue
- A-Flap Management
- Roll Technique
- Autograft Subepithelial Connective Tissue (CTG), a Free Gingival Graft (FGG), or Allograft Dermis
- Free Gingival Graft (FGG)
- Connective Tissue Grafts (CTG)
- Techniques for Papilla Management
- Rotated Pediculated Marginal Tissue
- Rotated Pediculated Lingual Marginal Tissue
- Techniques of Soft Tissue for Extraction Socket Grafting
- References
- Further Reading
- Chapter 21 Peri-Implant Diseases
- Introduction
- Prevalence
- Criteria for Diagnosis of Peri-implantitis: Case Definition
- Risk Factors
- History of Periodontitis
- Implant Maintenance
- Number of Implants
- Clinician Experience
- Implant Brand
- Smoking
- Microbiota
- Treatment
- Nonsurgical Therapy
- Peri-implant Mucositis
- Peri-implantitis
- Surgical Treatment
- What Is the Most Predictable or Superior Treatment Modality?
- Clinical Case to Illustrate Peri-implantitis Treatment
- References
- Index
- EULA
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