Economic Periodontal and Implant Dentistry

Description

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. 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