Practical Techniques in Periodontics and Implant Dentistry A quick reference to essential techniques in periodontics and implant dentistry designed for clinical use In Practical Techniques in Periodontics and Implant Dentistry, distinguished periodontist Dr. Edgard El Chaar delivers a comprehensive quick reference to key information on periodontics and implant dentistry. The book takes a concise and technique-based approach to the subject, a design that allows clinicians to rapidly find and apply important information in seeing cases. It provides brief chapters with plentiful and instructive images. This manual is precise, offers quick access to the fundamentals of each of the pertinent topics in the field, and provides practitioners the ability to refer to an authoritative and straightforward resource in their daily clinical practice. It includes radiographs, histological images, clinical photographs, and line drawings. Readers will also find: A thorough introduction to the anatomy and physiology of the periodontium, including an overview of gingival tissue, embryonic development, and soft tissue physiology Comprehensive explorations of wound healing, pathology of periodontal disease, and oral medicine and pathology In-depth discussions of patient examination and initial therapy, surgical anatomy and local anesthesia, and suturing techniques Fulsome presentations of osseous surgery, clinical crown lengthening, and the principles of implant dentistry Perfect for general practitioners, periodontists, and implant dentists, Practical Techniques in Periodontics and Implant Dentistry will also earn a place in the libraries of dental students with an interest in periodontics.
Author(s): Edgard El Chaar
Publisher: Wiley-Blackwell
Year: 2023
Language: English
Pages: 209
City: Hoboken
Cover
Title Page
Copyright
Contents
List of Contributors
Introduction
Part I Fundamentals
Chapter 1 Anatomy and Physiology
Overview of Gingival Tissue and Periodontium
Embryonic Development
Formation of the Epithelial Attachment
Formation of the Cementum, Periodontal Ligament, and Alveolar Bone
Soft Tissue Physiology
Gingiva
Width and Thickness of the Gingiva
Histological Composition
Epithelial–Connective Tissue Interaction
Gingival Fiber Groups
Alveolar Mucosa
Junctional Epithelium
Biotype
Periodontal Biotype
Anatomy Is Destiny
Anatomy
Root Surface Anatomy
Anterior Teeth
Developmental Anterior Grooves
Premolars
The Root Trunk
Maxillary First Molars
Mandibular First Molars
Cervical Enamel Projections (CEPs)
References
Further Reading
Chapter 2 Wound Healing
Definitions and Terms for Clinical Outcomes
Inflammatory Phase
Proliferative Phase
Remodeling Phase
Epithelium and Connective Tissue Healing
Flap Surgery
Free Graft
Bone Healing
Healing of Extraction Sockets
Osseointegration
Modifiers of Wound Healing
References
Chapter 3 Diagnosis and Pathology of Periodontal Diseases
Formulating a Periodontal Diagnosis
Periodontal Health and Gingival Health
Gingivitis: Dental Plaque‐Induced
Necrotizing Periodontal Diseases
Periodontitis
Other Conditions Affecting the Periodontium
Periodontal Abscesses
Endodontic–Periodontal Lesions
Mucogingival Deformities and Conditions Around the Teeth
Traumatic Occlusal Forces
Prosthesis and Tooth‐Related Factors
References
Chapter 4 Oral Pathology and Oral Medicine
Introduction
Non‐Dental‐Biofilm Induced Gingival Diseases
Genetic/Developmental Disorders
Hereditary Gingival Fibromatosis (HGF)
Specific Infections
Infections of Bacterial Origin
Infections of Viral Origin
Infections of Fungal Origin
Inflammatory and Immune Conditions
Hypersensitivity Reactions
Autoimmune Diseases of Skin and Mucous Membranes
Granulomatous Inflammatory Conditions
Reactive Processes
Epulides
Pre‐Malignant Lesions and Malignant Neoplasms
Endocrine, Nutritional, and Metabolic Diseases
Traumatic Lesions
Physical/Mechanical Insults
Chemical/Thermal Insults
Gingival Pigmentation
Endocrine, Nutritional, and Metabolic Diseases
Genetic Disorders
Diseases Affecting the Connective Tissues
Acquired Immunodeficiency Diseases
Inflammatory Diseases
Systemic Disorders that Influence the Pathogenesis of Periodontal Disease
Further Reading
Chapter 5 Patient Examination and Initial Therapy
Medical History for the Dental Patient
Clinical and Radiographical Examination
Clinical Examination
Radiographic Examination
Radiographic Artifacts
Oral Hygiene
Toothbrushing
Interproximal Cleaning
Interproximal Brushes
Dental Floss or Tape
Specialized Oral Hygiene Aids
Single Tufted Brush
Behavior Change Techniques
Non‐surgical Periodontal Therapy
Benefits
Limitations
Armamentarium
Hand Instruments
Powered Instruments
Techniques
Supragingival Debridement
Fundamental Elements of Hand Instrumentation
Calculus Detection Technique
Fulcrums
Powered (Ultrasonic) Technique
Reevaluation of Initial Therapy
Occlusal Therapy
Medications and Implications for Periodontal Therapy
Sedation: Minimal and Moderate Sedation
References
Further Reading
Part II Principles and Practice of Periodontal Surgery
Chapter 6 Surgical Anatomy and Local Anesthesia
Anatomic Landmarks
Mandible
Anatomic Spaces
Maxilla
Conclusion
Properties of Local Anesthesia
Properties of Ideal Anesthetic
Techniques of Local Anesthesia
Maxillary Anesthesia
Mandibular Anesthesia
Further Reading
Chapter 7 Suturing Techniques
Principles of Surgical Wound Closure
Properties of Suture Materials
Suturing Techniques and Indications for Use
References
Chapter 8 Osseous Surgery
Introduction
Osseous Surgery
Limitations and Contraindications to Osseous Resective Surgery
References
Chapter 9 Functional Crown Lengthening
Introduction
Checklist
Osseous Surgery
References
Chapter 10 Root Amputation
Overview
Terminology
Indications and Contraindications
Indications Include
Contraindications Include
Advantages and Disadvantages
Armamentarium
Surgical Technique
Complications
Outcome and Follow‐up
Implants Versus Root Resection
Vital Root Resection
References
Further Reading
Chapter 11 Guided Tissue Regeneration
Overview
Indications
Repair and Regeneration in Periodontal Defects
GTR for Furcation Defects
Technique
GTR for Periodontal Intrabony and Circumferential Defects
Techniques
GTR for the Treatment of Recession Defects
Follow‐up
Further Reading
Chapter 12 Esthetic Crown Lengthening
Overview
Etiology
Treatment
Case Surgical Description
Post‐Elongation Gingival Margin Stability
References
Further Reading
Chapter 13 Soft Tissue Management in Natural Dentition
Overview
Classifications
Determination of the CEJ
Diagnostic and Treatment Considerations Based on Classification of Periodontal Biotypes, Gingiva Recession, and Root Surface Conditions
Surgical Management of Mucogingival Deficiencies
Free Gingival Graft (FGG)
Pedicle Soft Tissue Graft
Coronally Advanced Flap (CAF)
Sub‐epithelial Connective Tissue Graft (SCTG)
Allograft
Acellular Dermal Matrix
Clinical Studies Comparing Soft Tissue Allograft to the SCTG
Histological Studies on Soft Tissue Allograft
Clinical Case
References
Further Reading
Part III Principles and Practice of Implant Dentistry
Chapter 14 Principles of Implant Dentistry
Introduction
Steps for Implant Success
Factors Affecting the Implant Success
Bone Quality Classification
Bone to Implant Contact
Transmucosal Attachment Around Dental Implants
Probing Around Dental Implants
Biological Width Around Implants
The Microgap: Interface Between Implant and Abutment
Platform Switching
Fundamental Criteria in Implant Placement: Healed Ridges
Implant Surface Topography
Implant Topography on Wound Healing
Implant Materials
Bone Healing
Principles of Surface Treatment, Topographies, and Roughness
Implant Design
Implant Surface Topography
Implant Surface Specificities: Advantages and Disadvantages
References
Further Reading
Chapter 15 Examination and Diagnosis
Radiographic Examination
Cone Beam Computed Tomography
Clinical Parameters
Clinical Examination
Factors Influencing Surgical Management
Factors Influencing Prosthetic Parameters
References
Further Reading
Chapter 16 Prosthetic Considerations
Review of the Esthetic Parameters
The Prosthetic Space
Temporization
Critical Space
Subcritical Space
Buccal Contour
Final Restoration
Abutment Options
Cemented Versus Screw Retained
Restorative Materials
References
Chapter 17 Digital Workflow in Surgery
Introduction to Digital Dentistry
Terminology
Description of STL
Description of 3D Volume
Applications of Interactive Software
Intra‐Oral Scanners (IOS)
Virtual Implant Software Planning
Drilling Surgical Guide
Use of Guided Surgery in Immediate Implant Placement
Full Arch Guided Surgery
Aid in Ridge Deficiency Diagnosis
References
Further Reading
Chapter 18 Socket Management
Anatomical Features of the Alveolar Process
The Alveolar Process
The Alveolar Bone Proper
Alveolus and Extraction Socket
The Alveolar Ridge
Classification of Remaining Bone
Alterations of the Alveolar Process Following Tooth Extraction
Biological Events and Histologic Ridge Alterations
Overview of the Histologic Sequence of Healing
Dimensional Ridge Alterations
Clinical Implications for Ridge Preservation and Implant Treatment
Atraumatic Tooth Extraction
Indications for Ridge Preservation
Contraindications for Ridge Preservation
Ridge Preservation Procedures
Maintenance of the Root and the Socket Shield Technique
Forced Eruption
Socket Grafting
Management of Socket at the Esthetic Zone
Extraction Socket Classifications
Timing of Implant Placement
Immediate Implant Placement
Early Implant Placement with Partial Bone Healing (12–16 Weeks)
Late Implant Placement Complete Bone Healing (>6 months)
References
Further Reading
Chapter 19 Deficient Ridges Augmentation
Crestal Sinus Elevation
Background
Indications
Armamentarium
Surgical Technique
Complications
Follow‐Up
Lateral Sinus Floor Elevation
Background
Indications
Grafting Materials
Anatomical Considerations
Armamentarium
Surgical Technique
Complications
Prevention of Complications
Follow‐up
Ridge Augmentation
Fundamentals of Ridge Augmentation
Surgical Techniques
Ridge Classifications
Seibert
Expectations of Ridge Augmentation
Horizontal Ridge Augmentation
Vertical Ridge Augmentation
Fundamentals of Successful Surgical Technique
Clinical Case of Ridge Augmentation
References
Further Reading
Chapter 20 Soft Tissue Assessment and Enhancement in Implant Dentistry
Introduction
Techniques to Create Contour, Thickness, and Increase Keratinized Tissue
A‐Flap Management
Roll Technique
Autograft Subepithelial Connective Tissue (CTG), a Free Gingival Graft (FGG), or Allograft Dermis
Free Gingival Graft (FGG)
Connective Tissue Grafts (CTG)
Techniques for Papilla Management
Rotated Pediculated Marginal Tissue
Rotated Pediculated Lingual Marginal Tissue
Techniques of Soft Tissue for Extraction Socket Grafting
References
Further Reading
Chapter 21 Peri‐Implant Diseases
Introduction
Prevalence
Criteria for Diagnosis of Peri‐implantitis: Case Definition
Risk Factors
History of Periodontitis
Implant Maintenance
Number of Implants
Clinician Experience
Implant Brand
Smoking
Microbiota
Treatment
Nonsurgical Therapy
Peri‐implant Mucositis
Peri‐implantitis
Surgical Treatment
What Is the Most Predictable or Superior Treatment Modality?
Clinical Case to Illustrate Peri-implantitis Treatment
References
Index
EULA
