Clinical Cases in Periodontics

David M. Kim, DDS, DMScHarvard School of Dental Medicine Boston, MA, USA

Soo‐Woo Kim, DMD, MSHarvard School of Dental Medicine Boston, MA, USA

Samuel Koo, DDS, MSPrivate Practice Boston, MA, USA

Tae H. Kwon, DDS, MMScPrivate Practice Keene, NH, USA

N. Joseph Laborde III, DDS, MMScPrivate Practice Fort Worth, TX, USA

Camille Neste Laboy, DDS, MPHPrivate Practice Puerto Rico, USA

Po Lee, DDS, MSTufts University School of Dental Medicine Boston, MA, USA

Samuel Lee, DMD, DMScPrivate Practice San Diego, CA, USA

Mark A. Lerman, DMDTufts University School of Dental Medicine Boston, MA, USA

Paul A. Levi, Jr., DMDTufts University School of Dental Medicine Boston, MA, USA

Liran Levin, DMD, FRCD(C), FIADT, FICDFaculty of Medicine and Dentistry, University of Alberta Edmonton, Alberta, Canada

Helen Livson, DMD, MMScPrivate Practice Wellesley, MA, USA

Mohamed A. Maksoud, DMDHarvard University School of Dental Medicine Boston, MA, USA

Lorenzo Mordini, DDS, MSTufts University School of Dental Medicine Boston, MA, USA

Marc L. Nevins, DMD, MMScHarvard School of Dental Medicine Boston, MA, USA

Myron L. Nevins, DMD, MMScHarvard School of Dental Medicine Boston, MA, USA

Thomas T. Nguyen, DMD, MSc, FRCD(C)Harvard School of Dental Medicine Boston, MA, USA

Rory O’Neil, DMD, BDS, MScTufts University School of Dental Medicine Boston, MA, USA

Panos Papaspyridakos, DDS, PhD, MSTufts University School of Dental Medicine Boston, MA, USA

Aikaterini Papathanasiou, DDM, DMDTufts University School of Dental Medicine Boston, MA, USA

Carlos Parra, DDSSchool of Dentistry, Texas A&M University Dallas, TX, USA

Campo E. Perez, Jr., DDSUniversity of Pennsylvania School of Dental Medicine Pennsylvania, PA, USA

Aruna Ramesh, BDS, MS, DMDTufts University School of Dental Medicine Boston, MA, USA

Pooyan Refahi, DMD, MSTufts University School of Dental Medicine Boston, MA, USA

Belen Retamal‐Valdes, DDS, MSc, PhDDepartment of Periodontology, Guarulhos University Guarulhos, São Paulo, Brazil

Vinicius Souza Rodrigues, DDS, SDD, DMScUniversity of Detroit Mercy Dental School Detroit, MI, USA

Samar Shaikh, BDS, MSTufts University School of Dental Medicine Boston, MA, USA

Sarah D. Shih, DDS, MS, DMScPrivate Practice Boston, MA, USA

Roslayn Sulyanto, DMD, MSHarvard School of Dental Medicine Boston, MA, USA

Ningyuan Sun, B.D.S, Ph.DTufts University School of Dental Medicine Boston, MA, USA

Jennifer F. Taschner, DDS, MMScPrivate Practice Fort Myers, FL, USA

Ronny S. Taschner, DDSPrivate Practice Fort Myers, FL, USA

Flavia Teles, DDS, MS, DMScUniversity of Pennsylvania School of Dental Medicine Pennsylvania, PA, USA

Ricardo Teles, DDS, DMSc (Deceased)Formerly University of Pennsylvania School of Dental Medicine Pennsylvania, PA, USA

Naciye G. Uzel, DMD, DMScTufts University School of Dental Medicine Boston, MA, USA

Livia Valverde, DDS, MS, PhD, DMScTufts University School of Dental Medicine Boston, MA, USA

Shankar Rengasamy Venugopalan, BDS, DDS, PhD, DMScUniversity of Iowa College of Dentistry and Dental Clinics Iowa City, IA, USA

Philip Walton, DDS, MMScPrivate Practice Toronto, Ontario, Canada

Howard H. Yen, DMDPrivate Practice Keene, NH, USA

A dental student at Tufts University School of Dental Medicine (TUSDM) recently asked me about why I chose a career in “academics.” I told the student that as I progressed through the early years of my education I was not only exposed to topics in medicine and dentistry (basic knowledge and clinical skills) but was also required to conduct a research project and obliged to present clinical cases to my fellow students. My research experiences honed skills that have served me throughout my career: the ability to ask questions (curiosity), the intellect to review the literature (interpreting the scientific evidence), and the background needed to apply research methods (quantitative and qualitative) to answer my questions. My early experiences in presenting cases to classmates and faculty allowed me the good fortune of teaching others and learning from others. It is these collective experiences that led to an academic career in clinical care, teaching and research.

As my career has progressed, that ability to balance all three aspects (the triple threat) is no longer viable in a world that is fast‐paced and much more complex. As a Dean of TUSDM I find myself involved in much administration. However, it is efforts such as editor of the second edition of Clinical Cases in Periodontology that take me back to my roots: connecting with my fellow clinicians (faculty, colleagues, and residents), taking a problem‐based approach to clinical cases, and using an evidence‐based approach to answer the clinical questions posed by the clinical cases.

I thank my current and past faculty and residents for the care they provide to their patients and for allowing me to stay connected to my roots.

Nadeem Karimbux

Tufts University School of Dental Medicine

The companion website for this book is at

www.wiley.com/go/karimbux/periodontics

The website contains –

Videos from within the book as downloadable PowerPoint slides

Figures from within the book as downloadable PowerPoint slides

1 Case 1:Examination and DocumentationTae H. Kwon, DDS, MMSc, Howard H. Yen, DMD, and Liran Levin, DMD, FRCD(C), FIADT, FICD

2 Case 2:Dental Plaque‐Induced GingivitisNadeem Karimbux, DMD, MMSc, Ningyuan Sun, B.D.S, Ph.D and Satheesh Elangovan, BDS, DSc, DMSc

3 Case 3:Non‐Plaque‐Induced Gingivitis17N. Joseph Laborde III, DDS, MMSc and Mark A. Lerman, DMD

4 Case 4:Gingival EnlargementT. Howard Howell, DDS, Maria Dona, DMD, MSD, DMSc, and Thomas T. Nguyen, DMD, MSc, FRCD(C)

5 Case 5:Aggressive PeriodontitisNadeem Karimbux, DMD, MMSc and Martin Ming‐Jen Fu, BDS, MS, DMsc

6 Case 6:Chronic PeriodontitisFlavia Teles, DDS, MS, DMSc, Ricardo Teles † , DDS, DMSc, Magda Feres, DDS, MSc, PhD, Belen Retamal‐Valdes, DDS, MSc, PhD, and Vinicius Souza Rodrigues, DDS, SDD, DMSc

7 Case 7:Local Anatomic Factors Contributing to Periodontal DiseaseDaniel Kuan‐te Ho, DMD, DMSc, MSc and David M. Kim, DDS, DMSc

8 Case 8:Oral–Systemic Links57Lorenzo Mordini, DDS, MS, Carlos Parra, DDS, and Po Lee, DDS

9 Case 9:Developments in DiagnosticsAruna Ramesh, BDS, MS, DMD and Hugo Campos, DDS, DMD

† Deceased

A 44‐year‐old Caucasian female presented with chief concern “I have pain on my upper left molar, which has gradually increased. I would like to fix my gum diseases. I would like to receive dental implants to replace my missing teeth also.”