A fully updated second edition of this well-illustrated guide to advanced surgical procedures in periodontology
Practical Advanced Periodontal Surgery, Second Edition is a step-by-step guide to cutting-edge surgical techniques and interdisciplinary treatment approaches in periodontology. Written by leading experts in the field, the book provides solutions to complex daily dental challenges with innovative approaches to each treatment modality. Procedures are described in a practical and accessible style, highlighting complex and advanced procedures using a highly illustrated visual format.
This expanded edition includes three new chapters that cover IV sedation, digital technologies in clinical restorative dentistry, and advanced implant therapies in the esthetic zone post extraction. Well balanced and solidly grounded in the science, this reference work is an indispensable resource for the practitioner of advanced dentistry. This important guide:
• Offers an easy-to-use, practical step-by-step format
• Contains clinical photographs that detail the surgical procedures presented
• Reviews the most advanced techniques in periodontal surgery and their integration with digital treatment planning and workflow
• Discusses the pros and cons for each procedure, as well as limitations and potential complications
• Features video clips illustrating key points in the procedures described on a companion website
Written for periodontists, periodontal residents and general or restorative dentists, this revised edition of Practical Advanced Periodontal Surgery is a practical and complete clinical manual filled with illustrations for easy reference.
Table of Contents
List of Contributors xi
Acknowledgments xiii
About the Companion Website xv
Introduction 1
Thomas Van Dyke
1 Conscious IV Sedation Utilizing Midazolam 3
Jess Liu
Introduction 3
Midazolam (Versed) 3
Armamentarium 4
Steps in IV Sedation 4
2. Bone Physiology and Metabolism 11
Jean‐Pierre Dibart
Bone Composition 11
Bone Types 11
Bone Formation 11
Bone Density Measuring Techniques 14
Implications for Dental Treatments 15
3. Anatomy of the Dental/Alveolar Structures and Wound Healing 19
Albert Price
Anatomic Review (Emphasis on Vascular Supply) 19
Vascular Supply: Macro and Micro 19
Blood Supply Within the Alveolar and Basal Bone of the Dental Arches 21
Microarchitecture of the Bone/Tooth Relationship and the Interface of Soft and Hard Connective Tissues 21
Anatomy and Vascular Supply of the Investing Soft Connective Tissues 25
Cementum 28
Antatomy and Vascular Supply of the Epithelial Structures 28
The Wound‐Healing Process 29
4. PiezocisionTM Assisted Orthodontics in Everyday Practice 35
Serge Dibart, Elif Keser, and Donald Nelson
Introduction 35
The Technique 35
Computer Guided Piezocision‐Orthodontics 35
Dynamically Guided Piezocision 37
Piezocision Assisted Orthodontics With Clear Aligners 38
Incorporating Piezocision in Multidisciplinary Treatment 39
Post‐Operative Care 41
Contraindications for Piezocision 42
Potential Complications 42
5. The Contribution of Periodontics to Endodontic Therapy: The Surgical Management of Periradicular Periodontitis 43
Mani Moulazadeh
History and Evolution 43
Tooth Conservation Versus Implants 43
Treatment of Failed Root Canal Therapy 44
Rationale for Endodontic Surgery 44
Indications for Endodontic Surgery 44
Contraindications for Endodontic Surgery 46
Types of Endodontic Surgery 48
Periradicular Surgery 51
Phases of Apicoectomy and Surgical Technique 52
Recall 60
6. The Contribution of Periodontics to Prosthodontics: Treatment Planning of Patients Requiring Combined Periodontal and Prosthodontic Care 61
Haneen N. Bokhadoor, Nawaf J. Al‐Dousari, and Steven Morgano
Introduction 61
Diagnostic Phase (Data Collection) 61
Treatment-Planning Phase 63
Final Prognosis 63
Conclusion 105
7. The Contribution of Periodontics to the Correction of Vertical Alveolar Ridge Deficiencies 107
Serge Dibart
Alveolar Distraction Osteogenesis Surgery 107
8. Papillary Construction After Dental Implant Therapy 117
Peyman Shahidi, Serge Dibart, and Yun Po Zhang
History 117
Indications 117
Contraindications 117
Armamentarium 117
Technique 117
Postoperative Instructions 119
Surgical Indexing 119
Possible Complications 119
Healing 119
9. Dental Implant Placement Including the Use of Short Implants 121
Albert Price and Ming Fang Su
History 121
Indications 123
Surgical Technique 123
Implant Placement 125
Site Preparation 125
The Fixture (Implant) Installation 130
Possible Problems and Complications 130
10. Periodontal Medicine Including Biopsy Techniques 137
Vikki Noonan and Sadru Kabani
Gingival Nodules 137
Parulis 137
Fibroma 137
Peripheral Ossifying Fibroma 137
Pyogenic Granuloma 138
Peripheral Giant Cell Granuloma 138
Diagnosis and Treatment of Reactive Gingival Nodules 139
Gingival Cyst of the Adult 139
Mucocele 139
Desquamative Gingivitis 140
Lichen Planus 140
Pemphigus Vulgaris 141
Mucous Membrane (Cicatricial) Pemphigoid 141
Diagnosis and Treatment of Desquamative Gingival Lesions 142
Plasma Cell Gingivitis 142
Erythema Multiforme 143
Gingival Enlargement 144
Epulis Fissuratum 144
Medication‐Induced Gingival Overgrowth 144
Hyperplastic Gingivitis 144
Leukemia 145
Gingival Fibromatosis 145
Ligneous Gingivitis and Conjunctivitis 145
Wegener’s Granulomatosis 146
Pigmented Lesions 146
Physiologic Pigmentation 146
Medication‐Induced Pigmentation 146
Smoker’s Melanosis 147
Amalgam Tattoo 147
Melanotic Macule 148
Oral Melanoacanthoma (Melanoacanthosis) 148
Oral Melanocytic Nevus 148
Oral Melanoma 149
Sanguinaria‐Induced Leukoplakia 149
Proliferative Verrucous Leukoplakia 149
Malignant Neoplasia 150
Squamous Cell Carcinoma 150
Verrucous Carcinoma 151
Metastatic Disease 151
Infections 152
Herpes 152
HIV‐Associated Gingivitis 152
Oral Soft Tissue Biopsy Techniques 153
Armamentarium 153
Incisional Scalpel Biopsy 153
Excisional Scalpel Biopsy 154
Biopsy Data Sheet 154
11. Sinus Augmentation Using Tissue‐Engineered Bone 159
Ulrike Schulze‐Späte, Luigi Montesani, and Lorenzo Montesani
History 159
Indications 159
Contraindications 160
Armamentarium 160
Sinus Augmentation Using Tissue-Engineered Bone Discs 160
Transplant Implantation Surgery (Sinus Augmentation Procedure Using Tissue-Engineered Bone Discs) 161
Sinus Lift Using Autogenous Mesenchymal Cells Processed Chairside 165
12. Extraction Site Management in the Esthetic Zone: Hard and Soft Tissue Reconstruction 169
Sherif Said
Introduction 169
The Influence of Tissue Volume on the Peri‐Implant “Pink” Esthetics 169
Tissue Volume Availability and Requirements 169
Pre‐Operative Implant Site Assessment 172
Tissue Augmentation at the Time of Tooth Extraction 175
Management of Class I Sockets 177
Armamentarium 177
Three‐Dimensional Implant Positioning 179
Selection of the Bone Graft Material 180
Rationale 181
Socket Seal 183
Autogenous Tissue for Concomitant Buccal Volume Augmentation and Socket Seal Procedures 186
Sub‐Epithelial Connective Tissue Graft 186
Compromised Sockets 192
Flapless Ridge Preservation 192
Ridge Preservation Utilizing Barrier Membranes 193
Esthetic Ridge Augmentation 194
Open Flap Approach for Extraction Site Management 197
Site Analysis and Classification 197
Surgical Phase 198
Suturing of the Graft 203
Stabilization of the Graft 205
Closure 205
Managing Implant Tissue Deficiencies 206
Conclusion 210
13. Digital Technologies in Clinical Restorative Dentistry 213
Vygandas Rutkūnas, Rokas Borusevičius, Agnė Gečiauskaitė, and Justinas Pletkus
From Conventional to Digital Technologies 213
Digital Solutions for Planning and Manufacturing of Teeth‐Supported Restorations 214
Digital Solutions for Planning and Manufacturing of Implant‐Supported Restorations 223
Future Perspectives 227
Index 233
