Clinical Cases in Periodontics

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The newly revised Second Edition of 
delivers a comprehensive collection of clinical cases on critical topics within the discipline of periodontology. The book is thoroughly updated to incorporate recent developments in the field, along with new classifications of periodontal disease, common diagnoses, and a wide range of treatment options. 
43 real-world clinical cases are discussed in this collection, including 8 brand-new cases unique to this edition, all of which include commentary and high-quality images to improve reader comprehension and understanding. The cases cover topics such as surgical and non-surgical treatment, regenerative therapy, mucogingival therapy, and interdisciplinary treatments. 
Clinical Cases in Periodontics  A thorough introduction to periodontic examination and diagnosis, including documentation, plaque, and non-plaque induced gingivitis A comprehensive exploration of non-surgical periodontal therapy, including local anatomic factors contributing to periodontal disease and local drug delivery Practical discussions of resective periodontal therapy, including gingivectomy and flap osseous surgery In-depth examinations of regenerative therapy, including the treatment of furcation and guided bone regeneration The latest advances in inter-disciplinary care, encompassing orthodontics, prosthodontics, and implant dentistry A companion website featuring the images from the book in PowerPoint The latest edition of 
is ideal for dental students, periodontology residents, dental practitioners, and anyone else seeking periodontal clinical case studies.

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15 7 Implant Site Preparation Case 1: Sinus Grafting: Lateral Medical History Review of Systems Social History Extraoral Examination Intraoral Examination Diagnosis Occlusion Radiographic Examination Treatment Plan Treatment Discussion References Case 2: Internal Sinus Lift Using the Crestal Window Technique Medical History Review of Systems Social History Extraoral Examination Intraoral Examination Occlusion Radiographic Examination Diagnosis Treatment Discussion References Case 3: Alveolar Ridge Preservation Medical History Review of Systems Social History Extraoral Examination Intraoral Examination Occlusion Radiographic Examination Diagnosis Treatment Plan Treatment Discussion References Case 4: Ridge Split and Osteotome Ridge Expansion TechniquesCase 4A Medical History Review of Systems Social History Oral Hygiene Status Extraoral Examination Intraoral Examination Occlusion Radiographic Examination Diagnosis Treatment Plan Treatment Case 4B Medical History Review of Systems Social History Extraoral Examination Intraoral Examination Occlusion Radiographic Examination Diagnosis Treatment Plan Treatment Discussion References

16 8 Dental Implants Case 1: Conventional Implant Placement Medical History Review of Systems Social History Extraoral Examination Intraoral Examination Occlusion Radiographic Examination Diagnosis Treatment Plan Treatment Discussion References Case 2: Immediate Implant Placement Medical History Review of Systems Social History Extraoral Examination Intraoral Examination Occlusion Radiographic Examination Diagnosis Treatment Plan Treatment Discussion References Case 3: Sinus Lift and Immediate Implant Placement Medical History Review of Systems Social History Extraoral Examination Intraoral Examination Occlusion Radiographic Examination Treatment Discussion References Case 4: Implant Rehabilitation for Missing Adjacent Teeth in the Maxillary Esthetic Zone Medical History Review of Systems Social History Extraoral Examination Intraoral Examination Occlusion Radiographic Examination Diagnosis Treatment Plan Treatment Discussion References Case 5: Combination of Implant Single Crowns and Porcelain Veneers in the Esthetic Zone Medical History Review of Systems Social History Extraoral Examination Intraoral Examination Occlusion Radiographic Examination Diagnosis Treatment Plan Treatment Discussion References

17 9 Preventive Periodontal Therapy Case 1: Plaque Removal Medical History Dental History Review of Systems Social History Extraoral Examination Intraoral Examination Occlusion Radiographic Examination Diagnosis Treatment Plan Treatment Discussion References

18 Index

19 End User License Agreement

List of Tables

1 Chapter 1.1 Table 1.1.1 Classification of periodontitis based on stages defined by seve... Table 1.1.2 Classification of periodontitis based on grades that reflect bi...

2 Chapter 1.5 Table 1.5.1 Features distinguishing molar/incisor pattern grade C periodontitis ...

3 Chapter 1.9Table 1.9.1 Median effective dose for various radiographic techniques.

4 Chapter 2.1Table 2.1.1 Advantages and disadvantages of using hand instruments versus p...

5 Chapter 3.4Table 3.4.1 Differentiating between root resection, root amputation, and he...Table 3.4.2 Indications and contraindications for root resection.

6 Chapter 5.2Table 5.2.1 Keratinized/attached gingiva.

7 Chapter 6.3Table 6.3.1 Periodontal charting.

8 Chapter 7.2Table 7.2.1 Advantages and disadvantages of all internal sinus techniques.

9 Chapter 8.3Table 8.3.1 Comparison of crestal window technique with conventional two‐sta...

List of Illustrations

1 Chapter 1.1 Figure 1.1.1 Complete series of intraoral photographs. Figure 1.1.2 Complete periodontal charting. Figure 1.1.3 Complete series of intraoral radiographs. Figure 1.1.4 Pathogenesis of periodontal diseases. Figure 1.1.5 Nabers probe (Hu‐Friedy, IL, USA). Figure 1.1.6 Mucogingival anatomy. Figure 1.1.7 Resolution of pathologic migration after successful periodontal... Figure 1.1.8 Cemental tear on tooth #24 resulting in localized alveolar bone...

2 Chapter 1.2 Figure 1.2.1 Preoperative presentation (frontal view). Figure 1.2.2 Preoperative frontal view of maxillary anteriors. Figure 1.2.3 Preoperative frontal view of mandibular anteriors. Figure 1.2.4 Probing pocket depth measurements. Figure 1.2.5 Bitewing radiographs depicting the interproximal bone levels.

3 Chapter 1.3 Figure 1.3.1 Frontal view. Figure 1.3.2 Characteristic histopathology of lichen planus demonstrates par...

4 Chapter 1.4 Figure 1.4.1 Initial presentation of a patient with phenytoin‐induced gingiv... Figure 1.4.2 Initial presentation of a patient with phenytoin‐induced gingi... Figure 1.4.3 Probing pocket depth measurements. Figure 1.4.4 Periapical radiographs depicting the interproximal bone levels....

5 Chapter 1.5 Figure 1.5.1 Preoperative frontal view. Figure 1.5.2 Preoperative maxillary dentition. Figure 1.5.3 Preoperative mandibular dentition. Figure 1.5.4 Preoperative left occlusal view. Figure 1.5.5 Preoperative right occlusal. Figure 1.5.6 Probing pocket depth measurements during phase 1 reevaluation.... Figure 1.5.7 Intraoral clinical photographs depicting deeper probing depth ... Figure 1.5.8 Periapical radiographs demonstrating the intrabony defects surr... Figure 1.5.9 Classical intrabony defect affecting a mandibular first molar i...

6 Chapter 1.6 Figure 1.6.1 Clinical presentation of the case at initial visit. Figure 1.6.2 Periodontal chart at initial visit. Figure 1.6.3 Full‐mouth periapical radiographs of the case at initial visit.... Figure 1.6.4 Clinical presentation of the case three months after therapy.... Figure 1.6.5 Periodontal chart three months after therapy. Figure 1.6.6 Clinical presentation of the case one year after therapy. Figure 1.6.7 Periodontal chart one year after periodontal therapy.

7 Chapter 1.7 Figure 1.7.1 Clinical presentation of tooth #19. Figure 1.7.2 Radiographic presentation of tooth #19. Figure 1.7.3 Periodontal probing depth measurements during initial visit. Figure 1.7.4 Cervical enamel projection (CEP) on buccal of tooth #19 (left);... Figure 1.7.5 Interproximal open contact between teeth #13 and #14 (indicated... Figure 1.7.6 Close root proximity between teeth #18 and #19. Figure 1.7.7 Cervical enamel projection (indicated by the red arrow). Figure 1.7.8 Enamel pearl (indicated by the red arrow). Figure 1.7.9 Mesial and distal root concavities of maxillary first premolar.... Figure 1.7.10 The size of the Cavitron tip is too big to enter the furcated ... Figure 1.7.11 The root divergence of #19 is more prominent than that of #17.... Figure 1.7.12 Long root trunk length (left) and short root trunk at #19 (rig... Figure 1.7.13 Palato‐gingival groove present on tooth #10 as indicated by th... Figure 1.7.14 Overhangs on the mesial and distal of tooth #30 that may event... Figure 1.7.15 Furcation arrow (red arrow) is showing furcal involvement on t...

8 Chapter 1.8 Figure 1.8.1 Clinical examination. Figure 1.8.2 Full‐mouth radiographs. Figure 1.8.3 Periodontal charting: (A) maxilla; (B) mandible. Figure 1.8.4 Follow‐up periodontal charting six weeks post treatment: (A) ma... Figure 1.8.5 Follow‐up views six weeks post treatment.

9 Chapter 1.9Figure 1.9.1 Intraoral images at the initial consultation.Figure 1.9.2 Periodontal chart during initial evaluation.Figure 1.9.3 Panoramic radiograph taken during initial evaluation.Figure 1.9.4 Full‐mouth series taken a year prior to initial evaluation.Figure 1.9.5 Panoramic radiograph taken six years previously.Figure 1.9.6 Cross‐sections of severe disuse atrophy (Siebert Class III defe...Figure 1.9.7 Comparison of cross‐sections from CBCT and periapical radiograp...Figure 1.9.8 Comparison of cross‐sections from CBCT and periapical radiograp...Figure 1.9.9 Comparison of cross‐sections from CBCT and periapical radiograp...Figure 1.9.10 Vertical fracture of tooth #13. This vertical root fracture is...

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