Practical Periodontics

2nd Edition - September 30, 2022
Editors: Kenneth A Eaton, Philip Ower
Language: English
Paperback ISBN:
9 7 8 - 0 - 3 2 3 - 8 7 8 4 5 - 6
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 8 7 8 4 6 - 3

The second edition of this popular textbook provides a concise and easy-to-follow guide that will increase the confidence of students and clinicians alike in managing all as… Read more

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The second edition of this popular textbook provides a concise and easy-to-follow guide that will increase the confidence of students and clinicians alike in managing all aspects of periodontal care.

Practical Periodontics
provides evidence-based information on the essentials of clinical periodontology, written by internationally renowned contributors in an accessible, practical style. It covers all aspects of the discipline, including the aetiology of periodontal diseases, clinical management, patient education, paediatric care, and the interaction of periodontology with other dental disciplines such as implant dentistry and orthodontics. This book will be invaluable to all undergraduate dentistry, hygiene and therapy students. It is also highly relevant for practising dentists, dental hygienists and therapists as a source of up-to-date, evidence-based information on periodontics.

Instructions for online access
Cover image
Title page
Disclaimer
Table of Contents
Copyright
Foreword
Preface
Contributors
Section 1. Aetiology of Periodontal Diseases
1.1. The Macro- And Microanatomy Of Periodontal Tissues
Introduction
Embryological Origins of the Periodontal Tissues
Microanatomy of the Gingival Tissues
Microanatomy of the Periodontal Ligament and Cementum
Microanatomy of the Alveolar Bone
Acknowledgement
1.2. The Pathogenesis Of Periodontal Diseases
Periodontal Disease or Diseases?
Introduction
Bacterial Factors
Host Factors
Acknowledgement
1.3. Epidemiology of Periodontal Diseases
Introduction
Principles of Descriptive Epidemiology
Why is There a Need for Data on Periodontal Health/Disease?
Indices used in Epidemiological Surveys
Problems with Periodontal Epidemiology
National Surveys
Positive Developments
Possible Future Developments
1.4. Host Response And Susceptibility
Introduction
Definitions
Host Susceptibility
Host Response to the Bacterial Biofilm
Normal Host Response
The Pathogenesis of Periodontal Lesions
Cell Signalling
Innate Immunity
Acquired Immunity
The Contribution of Genes to Host Responses
Acknowledgements
1.5. The Role Of Biofilms In Health And Disease
Introduction
What are Biofilms?
Biofilms in the Mouth
Methods to Determine the Microbial Composition of Dental Biofilms
Microbial Composition of Dental Biofilms in Health
Stages in the Formation of Dental Biofilms
Reduced Sensitivity of Biofilms to Antimicrobial Agents
Benefits of the Resident Oral Microbiome
Microbial Composition of Dental Biofilms in Periodontal Diseases
Contemporary Perspectives on the Aetiology of Periodontal Diseases
Concluding Remarks
1.6. Periodontal Risk – Modifying And Predisposing Factors
Introduction
Risk Factors, Markers and Predictors
Complex Diseases and Causal Theory
Risk Assessment and the “At Risk” Patient
Classification of Risk Factors
Risk Factors in Periodontitis Progression
Systemic Risk (Modifying) Factors
Periodontal Risk Assessment
Local Risk (Predisposing) Factors
Acknowledgement
Section 2. Periodontal Diagnosis and Prognosis
2.1. Classification and Diagnosis of Periodontal Diseases
Introduction
Summary
2.2. Periodontal Assessment and Monitoring
Introduction
What should be Assessed?
The Basic Periodontal Examination
Assessment of Disease Activity
Assessment of Plaque (BIOFILM)
Assessment of the Gingivae
Assessment of Calculus
Assessment of Periodontal Pockets
Assessment of Attachment Loss
Assessment of Bleeding on Probing
Assessment of Tooth Mobility
Assessment of Furcation Involvement
Assessment of Suppuration
Assessment of Bone Support
Radiographs in Periodontal Assessment
Monitoring a Periodontal Patient
2.3. Gingival Enlargement
Introduction
The Aetiology of Gingival Enlargement
The Mechanisms of Gingival Enlargement
Common Causes of Gingival Enlargement
Conclusion – Reaching a Diagnosis
2.4. Periodontitis and Systemic Diseases
Introduction
Periodontitis and Systemic Disease
Summary
2.5. Determining Periodontal Prognosis
Introduction
What is a Prognosis?
Factors Affecting Prognosis
Assigning Prognosis
When to Determine Prognosis
Weighting Prognostic Factors
Section 3. Periodontal Treatment Planning
3.1. Treatment Planning – Gingivitis And Periodontitis
Introduction
Management of Simple Plaque-Induced Gingivitis
Acute Gingival Conditions and Their Management
Treatment Planning for Periodontitis
Achieving the Ideal End Points of Treatment
Management of Furcations
3.2. The Management of Mucogingival Conditions (Gingival Recession)
Introduction
Definitions
Prevalence of Gingival Recession and Dentine Hypersensitivity
Mechanisms for Gingival Recession
Mechanisms for Sensory Transmission of Dentine Hypersensitivity Sensitivity
Aetiology of Gingival Recession and Dentine Hypersensitivity
Classification of Gingival Recession
Predisposing Factors for Gingival Recession
Precipitating Factors for Gingival Recession
Management and Treatment of Gingival Recession Defects and Dentine Hypersensitivity
Summary
3.3. Treatment Planning: Periodontal Problems in Children and Adolescents
Introduction
Periodontal Diseases that can Affect Children and Adolescents
Periodontal History, Examination and Simplified Basic Periodontal Examination
Treatment Planning and Periodontal Therapy
3.4. Referral to a Periodontal Specialist
Introduction
Why Refer?
Who to Refer
What to Refer
When to Refer
Where to Refer
How to Refer
What to expect from a Referral
After Referral
Legal and Ethical Issues
On Conclusion of Specialist Care
Managing the Patient Who Declines Referral
Section 4. The Role of Self-Care and Oral Hygiene Methods
4.1. Patient Education and Self-Performed Biofilm Control
Introduction
Patients’ Health Beliefs
Motivating Patients to Clean Optimally
Tailoring Oral Health Advice
Techniques for Oral Hygiene
Delivery of Oral Hygiene Advice
Toothbrushing
Brushing Technique
Interdental Cleaning
Adjunctive Antiseptic Agents
Conclusions
4.2. Clinical Imaging in Patient Assessment and Motivation
Introduction
Types of Imaging Systems
Factors to Consider
Clinical Imaging to Enhance Adherence
4.3. Patient Adherence
Importance of Adherence in Periodontal Care
European Federation of Periodontology S3-Level Clinical Practice Guideline 2020
Improving Adherence and Affecting Behaviour Change
Adherence to Oral Hygiene and Other Advice
Assessing Adherence in Practice
Conclusion
Section 5. Non-surgical Periodontal Management
5.1. The Diseased Root Surface in Periodontitis
The Clinical Presentation of Periodontitis
Treating the Diseased Root Surface
5.2. Periodontal Instrumentation
Introduction
Treatment Objectives
Terminology and Definitions
Types of Instruments
Instrumentation Strategies
Full-Mouth or Quadrant Approaches?
Adjuncts to Periodontal Instrumentation
Conclusions
5.3. Antibiotics in the Management of Periodontal Diseases
The Rationale for Antibiotic use
Which Periodontal Conditions can be Treated with Antibiotics?
Reasons for the Failure of Root Surface Debridement
Antibiotics as an Alternative Monotherapy to Rsd
Comparison of Local or Systemic Delivery of Antibiotics
Evaluating Studies which use Antibiotics as Adjuncts to Rsd
The Evidence for Antibiotic use in Periodontal Therapy
Systemic Delivery Antibiotics
Recommendations on the Use of Systemic Antibiotics in Periodontal Therapy
5.4. Assessment of Treatment Outcomes and Supportive Periodontal Therapy
Introduction
What is Supportive Periodontal Therapy?
Gingival Inflammation
Value of SPT
Assessment of Treatment Outcomes
When and How to Provide SPT
Risk Assessment
Section 6. Surgical Periodontal Therapy
6.1. Rationale for Periodontal Surgery
Introduction
When is Periodontal Surgery Appropriate?
Case Selection for All Forms of Periodontal Surgery
Surgical Approaches
Surgical Treatment of Furcation-Involved, Multi-Rooted Teeth
Regenerative Techniques
Summary
Section 7. Interaction with Other Dental Disciplines
7.1. The Periodontal–Restorative Interface
General Restorative Considerations
Patient Engagement
Crown and Bridge Construction
Supracrestal Tissue Attachment
Partial Dentures
Occlusion
Mobility
Periodontitis and Implant Dentistry
Endodontic/Periodontal Relationships
Summary
7.2. The Periodontal–Orthodontic Interface
Introduction
The Role of Orthodontics in Periodontal Therapy
The Role of Periodontics in Orthodontic Therapy
Preparing Periodontal Patients for Orthodontic Treatment
7.3. Dental Implants – Anatomy, Complications, Management of Peri-Implant Diseases
The Anatomical Architecture of Natural Teeth and Dental Implants
Implant Complications
Aetiology and Pathogenesis of Peri-Implant Diseases
Management of Peri-Implant Diseases
Summary
Appendix 1. World Workshop on Classification of Periodontal and Peri-implant Diseases and Conditions 2017 - Staging and Grading of Periodontitis
Appendix 2. Implementing the 2017 Classification of Periodontal Diseases to Reach a Diagnosis in Clinical Practice
Appendix 3. European Federation of Periodontology S3-Level Clinical Treatment Guidelines - Stepwise Approach
Appendix 4. BSP UK Clinical Practice Guidelines for the Treatment of Periodontal Diseases
Index

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Kenneth A Eaton

Philip Ower