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• Cover
• Volume 1: BASIC CONCEPTS
• Title Page
• Copyright Page
• Contributors
• Preface
• Part 1: Anatomy
• Chapter 1: Anatomy and Histology of Periodontal Tissues
• Introduction
• Gingiva
• Periodontal ligament
• Root cementum
• Bone of the alveolar process
• Blood supply of the periodontium
• Lymphatic system of the periodontium
• Nerves of the periodontium
• Acknowledgment
• References and further reading
• Chapter 2: Bone as a Living Organ
• Introduction
• Development
• Structure
• Function
• Skeletal homeostasis
• Conclusion
• Acknowledgments
• References
• Chapter 3: The Edentulous Ridge
• Clinical considerations
• Topography of the alveolar process
• From an alveolar process to an edentulous ridge
• Topography of the edentulous ridge: summary
• References
• Chapter 4: The Mucosa at Teeth and Implants
• Gingiva
• Peri-implant mucosa
• Probing gingiva and peri-implant mucosa
• Dimensions of the buccal soft tissue at implants
• Dimensions of the papilla between teeth and implants
• Dimensions of the “papilla” between adjacent implants
• References
• Chapter 5: Osseointegration
• Introduction
• Implant installation
• Process of osseointegration
• Morphogenesis of osseointegration
• References
• Part 2: Epidemiology
• Chapter 6: Epidemiology of Periodontitis
• Introduction
• Methodological issues
• Prevalence of periodontitis
• Risk factors for periodontitis
• Concluding remarks
• References
• Chapter 7: Epidemiology of Peri-Implant Diseases
• Introduction
• Disease definition
• Case definition
• Examination methods
• Prevalence of peri-implant diseases
• Etiology of peri-implant diseases
• Risk factors for peri-implant diseases
• Concluding remarks
• References
• Part 3: Microbiology
• Chapter 8: Dental Biofilms and Calculus
• Introduction
• The human microbiome
• The oral microbiome
• The mouth as a microbial habitat
• Methods to determine the composition and function of the oral microbiome
• The development and composition of the oral microbiome
• Dental biofilm formation
• The significance of a biofilm and community lifestyle for microorganisms
• Benefits to the host of a resident oral microbiota.
• Biofilms on implant surfaces
• Dental calculus
• Conclusions
• References
• Chapter 9: Periodontal and Peri-Implant Infections
• Periodontal infections
• Peri-implant infections
• Acknowledgment
• References
• Part 4: Host–Parasite Interactions
• Chapter 10: Pathogenesis of Gingivitis and Periodontitis
• Introduction
• Gingivitis
• Factors influencing the pathogenesis of gingivitis
• Periodontitis
• Conversion of gingivitis to periodontitis
• Control of the Th1/Th2 balance
• Autoimmunity
• Connective tissue matrix destruction
• Bone loss
• Conclusion
• References
• Chapter 11: Systemic and Environmental Modifying Factors
• Introduction
• Diabetes mellitus
• Tobacco smoking
• Obesity and nutrition
• Osteoporosis
• Stress
• References
• Chapter 12: Genetic Susceptibility to Periodontal Disease
• Introduction
• Evidence for the role of genetics in periodontitis
• Heritability
• Gene mutation of major effect on human disease and its association with periodontitis
• Identification of genetic risk factors of periodontitis
• Epigenetic signatures
• From genetic disease susceptibility to improved oral care
• References
• Part 5: Trauma from Occlusion
• Chapter 13: Effect of Load on Periodontal and Peri-Implant Tissues
• INTRODUCTION
• PART I: PERIODONTAL TISSUES
• Definition and terminology
• Occlusal trauma and plaque-associated periodontal disease
• Conclusion
• PART II: PERI-IMPLANT TISSUES
• Orthodontic loading and alveolar bone
• Bone reactions to functional loading
• Excessive occlusal load on implants
• Static and cyclic loads on implants
• Load and loss of osseointegration
• Masticatory occlusal forces on implants
• Tooth–implant supported reconstructions
• References
• Part 6: Periodontal Pathology
• Chapter 14: Non-Plaque-Induced Gingival Diseases
• Introduction
• Genetic/developmental disorders
• Specific infections
• Inflammatory and immune conditions
• Reactive processes
• Neoplasms
• Endocrine, nutritional, and metabolic diseases
• Traumatic lesions
• Gingival pigmentation
• References
• Chapter 15: Plaque-Induced Gingivitis
• Clinical features of plaque-induced gingivitis
• Diagnostic criteria to assess a gingivitis lesion
• Diagnostic criteria to define and grade a gingivitis case
• Epidemiology of gingivitis
• Impact of gingivitis on patient-reported quality of life
• Impact of gingivitis on systemic inflammation
• Prognostic value of gingivitis
• Potential modifying factors of plaque-induced gingivitis
• Prevention and management of plaque-induced gingivitis
• References
• Chapter 16: Current Classification of Periodontitis
• Introduction
• A brief historical perspective: recently used periodontitis classification systems
• Need for the new classification
• Key concepts and ground rules of the new classification of periodontitis
• Implementation of the current classification: clinical examples
• Interpretational challenges and “gray zones”
• The value of the 2018 periodontitis classification
• Acknowledgment
• References
• Chapter 17: Effect of Periodontal Diseases on General Health: Periodontal Medicine
• Introduction
• Atherosclerotic vascular disease
• Diabetes mellitus
• Adverse pregnancy outcomes
• Chronic renal disease
• Cognitive decline/dementia
• Cancer
• Conclusion
• References
• Chapter 18: Periodontitis and Systemic Diseases (Cardiovascular Disease and Diabetes): Biological Perspectives for Oral/Periodontal Implications
• Introduction
• Plausibility of periodontal disease as a risk factor for diseases at distant tissues
• Biological plausibility of a link between periodontal diseases and cardiovascular diseases
• Biological plausibility of a link between periodontal diseases and diabetes
• Conclusion
• References
• Chapter 19: Abscesses, Necrotizing Lesions of the Periodontium, and Endo-Periodontal Lesions
• Introduction
• Abscesses in the periodontium
• Necrotizing periodontal diseases
• Endo-periodontal lesions
• Summary
• References
• Part 7: Peri-implant Pathology
• Chapter 20: Peri-Implant Mucositis and Peri-Implantitis
• Introduction
• Healthy peri-implant mucosa
• Peri-implant mucositis
• Peri-implantitis
• Conclusion
• References
• Part 8: Tissue Regeneration
• Chapter 21: Periodontal Wound Healing and Regeneration
• Introduction
• Wound healing: Outcomes and definitions
• Wound healing biology
• Periodontal wound healing
• Advanced regenerative approaches to periodontal tissue reconstruction
• Conclusion
• Acknowledgments
• References
• Volume 2: CLINICAL CONCEPTS
• Title Page
• Copyright Page
• Contributors
• Part 9: Examination Protocols
• Chapter 22: Examination of Patients
• Patient’s history
• Genetic testing before periodontal and implant therapy
• Signs and symptoms of periodontal diseases and their assessment
• Diagnosis and classification of periodontitis
• Oral hygiene status
• Additional dental examinations
• Conclusion
• References
• Chapter 23: Diagnostic Imaging of the Periodontal and Implant Patient
• Introduction
• Basic principles of diagnostic imaging in dental medicine
• Diagnostic imaging in periodontology
• Diagnostic imaging in oral implantology
• Conclusions and future outlook
• References
• Chapter 24: Patient-Specific Risk Assessment for Implant Therapy
• Introduction
• Systemic factors
• Untreated periodontitis and oral hygiene habits
• History of treated periodontitis
• Compliance with supportive therapy
• Tobacco use history
• Genetic susceptibility traits
• Conclusion
• References
• Part 10: Treatment Planning Protocols
• Chapter 25: Treatment Planning of Patients with Periodontal Diseases
• Introduction
• Treatment goals
• Screening for periodontal disease
• Diagnosis
• Treatment planning
• Case presentations
• Conclusion
• References
• Chapter 26: Systemic Phase of Therapy
• Introduction
• Protection of the dental team and their patients against infectious diseases
• Protection of the patient’s health
• Prevention of complications
• Systemic diseases, disorders, or conditions influencing pathogenesis and healing potential
• Specific medications: bisphosphonates as a threat to implant therapy
• Control of anxiety and pain
• Conclusion
• References
• Part 11: Initial Periodontal Therapy (Infection Control)
• Chapter 27: Oral Hygiene Motivation
• Health behavior change counseling in periodontal care
• Evidence for health behavior change counseling
• Understanding health behavior change counseling
• The patient activation fabric
• Case examples
• Conclusion
• References
• Chapter 28: Mechanical Supragingival Plaque Control
• Importance of supragingival plaque removal
• Self-performed plaque control
• Toothbrushing
• Interdental cleaning
• Dentifrices
• Side effects
• Importance of instruction and motivation in mechanical plaque control
• Conclusion
• Acknowledgments
• References
• Chapter 29: Chemical Dental Biofilm Control
• Rationale for supragingival biofilm control
• Oral hygiene products
• Mechanical biofilm control
• Limitations of mechanical biofilm control
• Chemical biofilm control
• Mechanism of action
• Evaluation of activity of agents for chemical biofilm control
• Active agents
• Delivery formats
• Clinical indications for chemical plaque control: selection of agents
• Conclusion
• References
• Chapter 30: Non-Surgical Therapy
• Introduction
• Goal of non-surgical pocket/root instrumentation
• Debridement, scaling, and root planing
• Instruments used for non-surgical pocket/root debridement
• Approaches to subgingival debridement
• Clinical outcomes following various approaches to pocket/root instrumentation
• Microbiologic outcomes following various approaches to pocket/root instrumentation
• Considerations in relation to selection of instruments and treatment approach
• Re-evaluation following initial non-surgical periodontal treatment
• Efficacy of repeated non-surgical pocket/root instrumentation
• References
• Chapter 31: Treatment of Acute Periodontal and Endo-Periodontal Lesions
• Introduction
• Treatment of periodontal abscesses
• Treatment of necrotizing periodontal diseases
• Treatment of endo-periodontal lesions
• References
• Part 12: Additional Therapy
• Chapter 32: Periodontal Surgery
• Introduction
• Techniques in periodontal surgery (historical perspective)
• Techniques in periodontal surgery (current perspective)
• Specific surgical interventions for papilla management
• Outcomes of surgical periodontal therapy
• Conclusion
• References
• Chapter 33: Treatment of Furcation-Involved Teeth
• Anatomy
• Diagnosis of furcation involvement
• Furcations and risk of tooth loss
• Treatment options
• Long-term maintenance of teeth with furcation involvement
• References
• Chapter 34: Non-Surgical Therapy of Peri-Implant Mucositis and Peri-Implantitis
• Introduction
• Non-surgical therapy of peri-implant mucositis
• Non-surgical therapy of peri-implantitis
• References
• Chapter 35: Surgical Treatment of Peri-Implantitis
• Introduction and goals of surgical therapy
• Implant surface decontamination
• Pocket elimination/reduction procedures
• Reconstructive procedures
• Conclusion
• References
• Chapter 36: Systemic Antibiotics in Periodontal Therapy
• Introduction
• Microbiological basis for periodontal treatment
• Rationale for the use of adjunctive systemic antibiotics in periodontal treatment
• Systemic antibiotics in periodontal therapy
• Which antimicrobial(s) would provide the most predictable results? A historical perspective
• Use of systemic antimicrobials: associated risks
• Emergence of resistant strains/global increase in antibiotic resistance
• Concluding remarks and recommendations for clinical practice
• References
• Chapter 37: Local Antimicrobial Delivery for the Treatment of Periodontitis and Peri-Implant Diseases
• General principles of local drug delivery
• Local antimicrobial delivery for the treatment of periodontitis
• Local antimicrobial delivery for the treatment of peri-implant diseases
• References
• Part 13: Reconstructive Therapy
• Chapter 38: Regenerative Periodontal Therapy
• Introduction
• Classification and diagnosis of periodontal osseous defects
• Clinical indications
• Long-term effects and benefits of regeneration
• Evidence for clinical efficacy and effectiveness
• Patient, defect, and tooth prognostic factors
• Factors affecting the clinical outcomes in furcations
• Relevance of the surgical approach
• Surgical approach to intrabony defects
• Barrier materials for regenerative surgery
• Bone replacement grafts
• Biologically active regenerative materials
• Combination therapy
• Clinical potential and limits for regeneration
• Clinical strategies
• Clinical flowcharts
• Conclusion
• References
• Chapter 39: Mucogingival Therapy: Periodontal Plastic Surgery
• Introduction
• Mucogingival conditions
• Mucogingival condition without gingival recession
• Mucogingival condition with gingival recessions
• Root coverage procedures
• Interdental papilla reconstruction
• Crown-lengthening procedures
• References
• Part 14: Surgery for Implant Installation
• Chapter 40: Timing of Implant Placement
• Introduction
• Type 1 placement as part of the same surgical procedure as and immediately following tooth extraction
• Type 2 placement: completed soft tissue coverage of the tooth socket
• Type 3 placement: substantial bone fill has occurred in the extraction socket
• Type 4 placement: alveolar process is healed following tooth loss
• Clinical concepts
• Conclusion
• References
• Part 15: Reconstructive Ridge Therapy
• Chapter 41: Ridge Augmentation Procedures
• Introduction: principles of alveolar bone regeneration
• Treatment objectives
• Diagnosis and treatment planning
• Biologic principles of guided bone regeneration
• Regenerative materials
• Evidence‐based results for ridge augmentation procedures
• Emerging technologies
• Conclusion
• Acknowledgments
• References
• Chapter 42: Maxillary Sinus Floor Augmentation
• The maxillary sinus
• Options for the rehabilitation of the posterior edentulous maxilla
• Maxillary sinus floor augmentation techniques
• Summary
• References
• Part 16: Occlusal and Prosthetic Therapy
• Chapter 43: Tooth-Supported Fixed Dental Prostheses
• Clinical symptoms of trauma from occlusion
• Treatment of increased tooth mobility
• References
• Chapter 44: Implant-Supported Fixed Dental Prostheses
• Introduction
• Indications for implants in the posterior dentition
• Diagnostics
• General considerations and decision-making for implants in the posterior dentition
• Applied clinical concepts
• Acknowledgment
• References
• Chapter 45: Implants in the Zone of Esthetic Priority
• Introduction
• Patient safety first: how to protect patients from avoidable harm?
• Preoperative diagnostics
• Preoperative risk assessment
• Provisional restorations and timing of the treatment sequences
• Surgical considerations when dealing with implants in the zone of esthetic priority
• Clinical concepts for replacement of a single missing tooth
• Clinical concepts for replacement of multiple missing teeth
• Prosthetic reconstruction in the zone of esthetic priority
• Adverse esthetic outcomes
• Concluding remarks and perspectives
• Acknowledgments
• References
• Chapter 46: Technical Complications in Implant Dentistry
• Introduction
• Implant fractures
• Implant complications
• Abutment and abutment screw complications
• Residual cement as a technical problem
• Prosthesis attrition and fracture
• Prevention of technical complications
• Conclusion
• References
• Part 17: Orthodontics and Periodontics
• Chapter 47: Tooth Movement in the Periodontally Compromised Patient
• Introduction: biologic principles of orthodontic tooth movement
• Periodontal and orthodontic diagnosis
• Treatment planning
• Orthodontic treatment
• Specific orthodontic tooth movements
• Orthodontic tooth movements and periodontal regeneration
• Pathologic tooth migration
• Multidisciplinary treatment of esthetic problems
• References
• Part 18: Supportive Care
• Chapter 48: Supportive Periodontal Therapy
• Introduction
• Definition
• Basic paradigms for the prevention of periodontal disease
• Patients at risk for periodontitis without regular supportive periodontal therapy
• Supportive periodontal therapy for patients with gingivitis
• Supportive periodontal therapy for patients with periodontitis
• Continuous multilevel risk assessment
• Objectives for supportive periodontal therapy
• Supportive periodontal therapy in daily practice
• References
• Index
• End User License Agreement