Periodontal diseases : a manual of diagnosis, treatment and maintenance / by Hans R. Preus and Lars Laurell.

Format:

Book

Author/Creator:

Preus, Hans R.

Contributor:

Laurell, Lars.

Language:

English

Subjects (All):

Periodontal disease--Diagnosis.

Periodontal disease.

Periodontal disease--Treatment.

Physical Description:

89 pages : illustrations (chiefly color) ; 25 cm

Place of Publication:

London ; Chicago : Quintessence Pub. Co., [2003]

Contents:

Chapter 1 Diagnosis of Periodontal Diseases 11

Different types of periodontal diseases 11

The slowly progressive periodontal diseases 13

The rapidly progressive periodontal diseases 13

Several types of periodontitis in the same mouth 14

Gingivitis 14

Periodontitis 14

Diagnosis of Periodontitis 15

Plaque 15

Bleeding and suppuration 15

Pocket measurement 15

The periodontal attachment level 16

Furcation involvement 16

Periodontal probes 17

Roentgen diagnosis 17

Tooth mobility 18

Active or ongoing destruction 18

Mechanical treatment as a diagnostic tool 19

Microbiological Diagnosis 19

Differential Diagnosis 21

Periapical ostitis 21

Root fractures 22

Enamel projections 22

Drug-related gingival hyperplasia 22

Pregnancy gingivitis 23

Estrogen gingivitis 23

Root remnants from the deciduous dentition 23

Risk Factors 24

Diseases and conditions predisposing for periodontal disease 24

Familial aggregation of periodontal disease

transmission 24

Systemic conditions/disorders

risk factors 25

Age 26

Race 26

Socio-economic and nutritional status 26

Diabetes mellitus 27

Pregnancy and sex hormones 27

Down's syndrome 27

Other, rare diseases 27

Stress and Periodontal diseases 28

Tobacco related implications 28

Genetic aspects 28

Association between periodontitis and other diseases or conditions 29

Chapter 2 Initial Therapy

Patient Management 31

Comprehensive treatment strategy 31

Prognosis 32

Treatment planning 32

Treatment 32

Re-evaluation 32

Periodontal disease categories 33

Oral hygiene instructions 33

Patient motivation 34

Communication technique 35

Oral hygiene instruction 36

About motivation 37

About instruction 38

Important statements 38

Chapter 3 Mechanical Treatment

A Matter of Systematics and Individualization 39

Systematic Mechanical Treatment 40

Scaling and root planing 40

Time consumption 40

Instrumentation 40

Machine instruments 40

Hand instruments 41

Sharpening of hand instruments 43

Periodontal Surgery 44

Indications 44

Surgery 44

Surgical techniques 45

Indications for gingivectomy 46

Indications for flap procedures 46

Gingivectomy 46

Modern periodontal flap procedures 48

Incision 48

Flap elevation 48

Defect debridement and root surface instrumentation 48

Bone resection 50

Suturing 50

Post-surgical complications 50

Post-surgical instructions and care 52

Post-surgical follow-up 53

Chapter 4 The Use of Antibiotics in Periodontal Disease Control 55

Antibiotic therapy 56

Flowchart of periodontal treatment 57

Refractory periodontal disease 58

Advanced periodontitis (Young, aggressive) 58

Rapidly progressing periodontitis 58

Acute periodontal abscess 58

Rational for the use of antibiotics in periodontal disease control 58

Differential diagnosis 58

An antibiotic must target the periodontal pocket 59

Antibiotic prophylaxis 60

The risk for side effects 60

Resistance development 60

Types of antibiotics and antiseptics in periodontal disease control 62

Selection of antibiotics based on microbiological tests 63

Local antibiotic formulas 64

Target area 64

Concentration 64

Antibiotic drugs for local administration against periodontitis 65

Chapter 5 Advanced Periodontal Surgical Techniques 67

Periodontal surgery with membranes 67

Periodontal wound healing 67

GTR

a technique sensitive treatment modality 69

Post-surgical instruction and care 69

Prognosis for GTR therapy 70

Membrane products 70

Periodontal regeneration with Enamel Matrix Proteins

Emdogain 71

Economical aspects 71

Periodontal plastic surgery (muco-gingival surgery) 72

Miller's classification 72

Coronally repositioned flaps 74

Post-surgical instructions and follow-up is the same as with any other periodontal surgery 75

Coronally repositioned flap with subepithelial connective tissue graft 75

Epithelialized connective tissue graft 77

Chapter 6 Follow-up and Maintenance 79

Supportive treatment 81

Risk factors at the individual level 81

Tooth level 81

Site level 81

Chapter 7 Strategies When Treating Periodontal Diseases

a Summary 83

Pre-treatment initial diagnosis 84

Subgingival scaling

treatment and diagnostics 85

The 'treatment resistant'

recalcitrant

refractory

periodontal disease 85

Adjunct antibiotic treatment in periodontal disease control 86

The follow-up phase 86

Strategies for treatment of periodontal diseases 89.

ISBN:

1850970726

OCLC:

54112041