Practical Periodontal Diagnosis and Treatment Planning

Practical Periodontal Diagnosis and Treatment Planning
offers its readers a step-by-step guide to diagnosing and planning
treatment for periodontal patients through the latest
evidence-based protocols. It summarizes the available scientific
evidence for efficacy and effectiveness and links it to everyday
clinical practice in a concise, user-friendly manner.

Practical Periodontal Diagnosis and Treatment Planning
begins with the basics of periodontal diagnosis, following the
latest classification by the AAP. Modifiable and
non-modifiable risk factors are assessed in detail, emphasizing the
treatment planning intricacies associated with each one. The book
discusses all presentations of periodontal disease ranging from
gingivitis to aggressive periodontitis, highlighting topics such as
occlusion, scaling and root planning. The full range of treatment
modalities are also presented, providing practical instruction for
osseous resective surgery, regenerative and supportive periodontal
therapy, and dental implant complication management.

Designed to improve and expand the reader's repertoire of
clinical skills, Practical Periodontal Diagnosis and Treatment
Planning provides comprehensive coverage of this core part of
periodontal training in a concise, highly illustrated, step-by-step
format.

Auteur

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.

Résumé
Practical Periodontal Diagnosis and Treatment Planning offers its readers a step-by-step guide to diagnosing and planning treatment for periodontal patients through the latest evidence-based protocols. It summarizes the available scientific evidence for efficacy and effectiveness and links it to everyday clinical practice in a concise, user-friendly manner. Practical Periodontal Diagnosis and Treatment Planning begins with the basics of periodontal diagnosis, following the latest classification by the AAP. Modifiable and non-modifiable risk factors are assessed in detail, emphasizing the treatment planning intricacies associated with each one. The book discusses all presentations of periodontal disease ranging from gingivitis to aggressive periodontitis, highlighting topics such as occlusion, scaling and root planning. The full range of treatment modalities are also presented, providing practical instruction for osseous resective surgery, regenerative and supportive periodontal therapy, and dental implant complication management.

Designed to improve and expand the reader's repertoire of clinical skills, Practical Periodontal Diagnosis and Treatment Planning provides comprehensive coverage of this core part of periodontal training in a concise, highly illustrated, step-by-step format.

Contenu

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