Economic Periodontal and Implant Dentistry

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Economic Periodontal and Implant Dentistry presents a comprehensive approach to periodontal and implant dentistry. It combines basic standard knowledge with updated information about the latest advances in periodontal and implant therapy, while also providing an adequate response to the increasing demands that health, implants and aesthetics are making on the dental community. Key features of this text include -a focus on interdisciplinary treatment concepts in periodontics, implant dentistry, and economic healthcare delivery -new insights gained from research directly linked to clinical applications -synoptic concepts based on strategies for infection control in diseased periodontal tissues -text outlined to improve daily patient care in dental practice The book will renew readers’ understanding of periodontal disease, diagnosis and implant therapy. It is a key reference for dental practitioners and healthcare delivery professionals.

Author(s): Rainer Buchmann
Publisher: Bentham Science Publishers
Year: 2017

Language: English
Pages: 518
City: Singapore

CONTENTS
PREFACE
CONFLICT OF INTEREST
ACKNOWLEDGEMENTS
MISSION
Economic Periodontal and Implant Dentistry
1.1. POTENTIAL
1.2. VISION
1.3. ECONOMICS
1.4. BILLING
1.5. EDUCATION
REFERENCES
Oral Biology
2.1. INTRODUCTION
2.2. ORAL CAVITY
2.3. GINGIVA
2.4. DENTO-GINGIVAL JUNCTION
2.5. CONNECTIVE TISSUE
2.6. ALVEOLAR BONE
2.6.1. Alveolar Bone
2.6.2. Periodontal Ligament
2.7. TOOTH MOBILITY AND TRAUMA FROM OCCLUSION
2.7.1. Increased Tooth Mobility
2.7.2. Manual Evaluation of Tooth Mobility
2.7.3. Instrumental Measurement of Tooth Mobility
2.7.4. Trauma from Occlusion
2.7.5. Adaptation in Primary Occlusal Trauma
2.7.6. Progression in Secondary Occlusal Trauma
2.8. PLAQUE AND CALCULUS
2.8.1. Subgingival Calculus
2.8.2. Supragingival Plaque
2.8.3. Subgingival Plaque
2.9. GINGIVAL INFLAMMATION
2.9.1. Development of Gingivitis
2.9.2. Development of Periodontitis
2.10. PERIODONTAL IMMUNOLOGY
2.10.1. Acute Defense by Phagocytosis
2.10.2. Regulation of the Host Responses
2.10.3. Amplification of the Host Responses
2.11. GENETIC PREDISPOSITION AND SUSCEPTIBILITY
2.11.1. Susceptibility
REFERENCES
Current Facts in Periodontology
3.1. CONDITIONS IN EU, USA AND ASIA
3.2. NEW INSIGHTS
3.2.1. Periodontal Infection Control
3.2.2. Re-evaluation of Non-surgical Therapy
3.2.3. Hots and Nots in Regenerative Periodontal Therapy
3.2.4. Periodontal Esthetics
3.3. CLASSIFICATION OF PERIODONTAL DISEASES
3.3.1. Diagnostic Procedure
3.4. ETIOLOGY OF PERIODONTITIS – WHAT’S NEW?
3.5. PERIODONTAL INFECTION
3.5.1. Infection and Susceptibility
3.5.2. Chronic Periodontitis
3.5.3. Aggressive Periodontitis
3.5.3.1. Refractory Periodontitis
3.6. AGGREGATIBACTER ACTINOMYCETEMCOMITANS
3.6.1. Assessment in Untreated Periodontitis
3.6.2. Infection Control in Supportive Care
3.6.3. Pathogens in Maintenance Therapy
3.7. ENVISIONING THE FUTURE OF PERIODONTAL AND IMPLANT DENTISTRY
3.8. FORWARD-THINKING ABOUT FINANCES
3.9. ECONOMIC PERIODONTICS AS 10-ITEM CHECKLIST
REFERENCES
Inflammation, Pain and Hygiene
4.1. RELEVANCE OF MEDICAL KNOWLEDGE
4.2. MEDICAL AWARENESS
4.3. FACTOR INFLAMMATION
4.4. VASCULAR AND METABOLIC REGULATION
4.5. DISEASE PERCEPTION
4.6. AGING
4.7. FOREIGN BODY INFECTION
REFERENCES
Systematic Diagnosis of Periodontal Diseases
5.1. PERIODONTAL CASE HISTORY
5.2. TRANSITION PERIOD
5.3. PERIODONTAL RECORDING
5.4. EARLY DIAGNOSIS AND INTERVENTION
5.5. RELEVANT DEVELOPMENTS IN DIAGNOSIS
5.5.1. Patients with General Diseases
5.6. AGGRESSIVE PERIODONTAL DISEASES
5.6.1. Prepubertal Periodontitis
5.6.2. Aggressive Periodontitis Localized
5.6.3. Aggressive Periodontitis Generalized
5.7. SYSTEMATIC MICROBIOLOGICAL DIAGNOSIS
Pre-Treatment Pathogen Determination (Phase I):
Microbial Testing During Maintenance (Phase III):
5.7.1. Microbial Testing
5.7.2. Practical Handling
5.7.3. Sampling
5.7.4. Antibiotic Selection Following Basic Microbial Testing
5.8. SPECIFIC ANTIBIOTIC USAGE
5.9. MICROBIAL RESISTANCE
5.10. ANTIBIOTIC THERAPY AND GENERAL DISEASES
Low and Medium Risk
High General Risk of Disease
5.11. PERIODONTAL ESTHETICS
5.11.1. Miller Classification
5.11.2. Root Surface and Esthetics
5.11.3. Biological Methods of Investigation
REFERENCES
Diagnosis of High Risk Periodontal Patients
6.1. TREATMENT DESIGN
6.2. RELEVANT DEVELOPMENTS IN PERIODONTAL CARE
6.3. GENETICS AND MAJOR RISK FACTORS
6.4. SYSTEMATIC DIAGNOSIS
6.4.1. Established and Possible Risk Factors
6.5. PREVENTION OF HIGH PERIODONTAL RISK
6.6. SYSTEMIC DISEASES AND IMPLICATIONS
6.7. INFECTION CONTROL
6.8. ORAL DISINFECTION
REFERENCES
Treatment of Periodontal Diseases
7.1. MEDICAL THERAPY
7.2. MUCOGINGIVAL THERAPY
7.3. REGENERATIVE THERAPY
7.3.1. Posterior
7.4. ESTHETIC PERIODONTAL SURGERY
7.5. MICROSURGERY AND TREATMENT SUCCESS
REFERENCES
Treatment of High Risk Periodontal Patients
8.1. PATIENT MANAGEMENT
8.2. EVALUATION OF RISK FACTORS
8.3. ORGANIZATION AND PRACTICAL IMPLICATIONS
8.4. EXPOSED ROOT SURFACES
8.5. TREATMENT DESIGN
8.6. DRUG REGULATION
Future Developments:
8.7. FUTURE PROSPECTS
REFERENCES
Economic Periodontal Therapy
9.1. PERIODONTAL TREATMENT PLAN
9.2. ORAL HYGIENE
9.3. MEDICAL THERAPY
9.4. MICRO-INCISION SURGERY
9.4.1. Tunnel Technique
9.5. TOOTH REMOVAL AND IMPLANT PLACEMENT
9.6. BILLING
REFERENCES
Esthetic Periodontal Surgery
10.1. MEDICAL RELEVANCE
10.2. PLASTIC SURGERY
10.3. PERIODONTICS AND ESTHETICS
10.4. IMPLANTS AND ESTHETICS
10.5. EVALUATION
REFERENCES
Natural Esthetics
11.1. NATURALNESS AND DEFENSIVE THERAPY
11.2. PATIENT BENEFITS
11.3. BIOLOGICAL WIDTH
11.4. TOOTH PREPARATION
11.5. INTERDENTAL SITES
11.5.1. Shaping
11.5.2. Cover Profile
11.6. ADDITIONAL VENEERS AND CHIPS
REFERENCES
General Diseases and Periodontal Therapy
12.1. MEDICAL KNOWLEGDE
12.2. INFLAMMATION AND CHRONIC DISEASES
12.3. COPING WITH STRESS
12.4. CARDIOVASCULAR DISEASES
12.5. CEREBRAL ISCHEMIA AND STROKE
12.6. OVERWEIGHT AND OBESITY
12.7. PREGNANCY, PREMATURE BIRTH AND LOW BIRTH WEIGHT
12.8. DIABETES MELLITUS
12.9. PATIENT INFORMATION
REFERENCES
Periodontics Meet Implant Dentistry
13.1. IMPLANTS VERSUS PERIODONTALLY AFFECTED TEETH
13.2. GUIDELINES FOR ECONOMIC SUCCESS
13.3. CLINICAL DECISION-MAKING
13.4. INFLAMMATION, ORAL HYGIENE AND BIOFILMS
13.5. TREATMENT FOCUS MEDICINE
REFERENCES
Implant Planning
14.1. EARLY DECISION MAKING
14.2. FUNCTIONAL DECOMPENSATION
14.3. DIGITAL IMAGING 3D
14.4. INTERIMPLANT DISTANCE
14.5. PERFUSION
14.6. PERIIMPLANT TISSUE (VOLUME)
14.7. SHORT AND DIAMETER-REDUCED IMPLANTS
14.8. AUGMENTATION AND REVISION
14.8.1. Mucositis
14.8.2. Periimplantitis
REFERENCES
Economic Implant Dentistry
15.1. NEW ECONOMY
15.2. PRACTICAL IMPLANT DENTISTRY
15.3. PERIODONTAL AND IMPLANT THERAPY
15.4. FOCUS OF TREATMENT: MEDICINE
15.5. TOOTH REMOVAL AND IMPLANT THERAPY
15.6. IMPLANT TREATMENT PLAN
15.7. AUGMENTATION
15.8. SHORT IMPLANTS
15.9. FUTURE OF IMPLANT DENTISTRY
REFERENCES
Soft Tissue Surgery and Augmentation
16.1. MUCOGINGIVAL THERAPY
16.2. PERIIMPLANT TISSUE STABILIZATION
16.3. RECONSTRUCTION AND FUNCTION
16.4. RECONSTRUCTION AND ESTHETICS
16.5. AUGMENTATION IN IMPLANT DENTISTRY
16.6. CONCLUDING REMARKS
REFERENCES
Periimplant Treatment
17.1. GOAL OF RESTORATION
17.2. PARAMETER FOR DIAGNOSIS
17.3. IMPLEMENTATION INTO THE DENTAL OFFICE
17.4. PREVALENCE OF IMPLANT LOSS
17.5. PERIIMPLANT MUCOSITIS
17.6. TREATMENT OF MUCOSITIS
17.7. TREATMENT PLAN
17.8. PERIIMPLANTITIS
17.9. SURGICAL THERAPY OF PERIIMPLANT DISEASE
17.10. PERIIMPLANT MAINTENANCE
REFERENCES
Implants from the Patient’s Perspective
18.1. PATIENT AND DENTAL IMPLANTS
18.2. NATURAL TEETH VERSUS IMPLANTS
18.3. IMPLANTS AND CHARGES
18.4. LIFE WITH IMPLANTS
18.5. ESTHETICS
18.6. INFLAMMATION
18.7. SHAPING THE FUTURE
REFERENCES
Dental Hygiene Professionals
19.1. PREREQUISITE EDUCATION
19.2. ECONOMIC PERIODONTAL THERAPY
19.3. PREVENTIVE CARE IN IMPLANT DENTISTRY
19.3.1. Tasks and Responsibilities
19.3.2. Oral Hygiene
19.3.3. Diagnostics
19.3.4. Point of Decision: Supportive Care
19.4. PERIODONTAL AND IMPLANT MAINTENANCE
19.5. INTERDISCIPLINARY COLLABORATION
19.6. EDUCATION AND TRAINING
REFERENCES
SUBJECT INDEX