Clinical Periodontology and Implant Dentistry 5th Edition, 2 Volumes

Contents
Contributors
Preface
Volume 1: BASIC CONCEPTS
	Part 1: Anatomy
		Chapter 1: The Anatomy of Periodontal Tissues
			Introduction
			Gingiva
				Macroscopic anatomy
				Microscopic anatomy
			Periodontal ligament
			Root cementum
			Alveolar bone
			Blood supply of the periodontium
			Lymphatic system of the periodontium
			Nerves of the periodontium
		Chapter 2: The Edentulous Alveolar Ridge
			Clinical considerations
				Remaining bone in the edentulous ridge
				Classification of remaining bone
			Topography of the alveolar process
			Alterations of the alveolar process following tooth extraction
				Intra-alveolar processes
				Extra-alveolar processes
			Topography of the edentulous ridge
		Chapter 3: The Mucosa at Teeth and Implants
			The gingiva
				Biologic width
				Dimensions of the buccal tissue
				Dimensions of the interdental papilla
			The peri-implant mucosa
				Biologic width
				Quality
				Vascular supply
			Probing gingiva and peri-implant mucosa
			Dimensions of the buccal soft tissue at implants
			Dimensions of the papilla between teeth and implants
			Dimensions of the “papilla” between adjacent implants
		Chapter 4: Bone as a Tissue
			Basic bone biology
				Bone cells
				Modeling and remodeling
				Growth factors and alveolar bone healing
			Local and systemic factors affecting bone volume and healing
				Metabolic disorders affecting bone metabolism
			Bone healing
				Bone grafting
				Human experimental studies on alveolar bone repair
		Chapter 5: Osseointegration
			The edentulous site
			Osseointegration
			Implant installation
				Tissue injury
				Wound healing
			Cutting and non-cutting implants
			The process of osseointegration
		Chapter 6: Periodontal Tactile Perception and Peri-implant Osseoperception
			Introduction
			Neurophysiological background
				Afferent nerve fibres and receptors
			Trigeminal neurophysiology
				Trigeminal neurosensory pathway
				Neurovascularization of the jaw bones
				Mandibular neuroanatomy
				Maxillary neuroanatomy
			Periodontal innervation
			Testing tactile function
				Neurophysiological assessment
				Psychophysical assessment
			Periodontal tactile function
				Active threshold determination
				Passive threshold determination
				Influence of dental status on tactile function
				Activation of oral mechanoreceptors during oral tactile function
			Functional testing of the oral somatosensory system
				Oral stereognosis
				Influence of dental status on stereognostic ability
				Other compromising factors for oral stereognosis
				Receptor activation during oral stereognosis
			From periodontal tactile function to peri-implant osseoperception
				Tooth extraction considered as sensory amputation
				Histological background of peri-implant osseoperception
				Cortical plasticity after tooth extraction
				From osseoperception to implant-mediated sensory motor interactions
				Clinical implications of implant-deviated sensory motor interaction
			Conclusions
	Part 2: Epidemiology
		Chapter 7: Epidemiology of Periodontal Diseases
			Introduction
			Methodological issues
				Examination methods – index systems
				Critical evaluation
			Prevalence of periodontal diseases
				Introduction
				Periodontitis in adults
				Periodontal disease in children and adolescents
				Periodontitis and tooth loss
			Risk factors for periodontitis
				Introduction – definitions
				Non-modifiable background factors
				Environmental, acquired, and behavioral factors
			Periodontal infections and risk for systemic disease
				Atherosclerosis – cardiovascular/cerebrovascular disease
				Pregnancy complications
				Diabetes mellitus
	Part 3: Microbiology
		Chapter 8: Oral Biofilms and Calculus
			Microbial considerations
			General introduction to plaque formation
			Dental plaque as a biofilm
			Structure of dental plaque
				Supragingival plaque
				Subgingival plaque
				Peri-implant plaque
			Dental calculus
				Clinical appearance, distribution, and clinical diagnosis
				Attachment to tooth surfaces and implants
				Mineralization, composition, and structure
				Clinical implications
		Chapter 9: Periodontal Infections
			Introduction
				Similarities of periodontal diseases to other infectious diseases
				Unique features of periodontal infections
			Historical perspective
				The early search
				The decline of interest in microorganisms
				Non-specific plaque hypothesis
				Mixed anaerobic infections
				Return to specificity in microbial etiology of periodontal diseases
				Changing concepts of the microbial etiology of periodontal diseases
			Current suspected pathogens of destructive periodontal diseases
				Criteria for defining periodontal pathogens
				Periodontal pathogens
				Mixed infections
			The nature of dental plaque – the biofilm way of life
				The nature of biofilms
				Properties of biofilms
				Techniques for the detection and enumeration of bacteria in oral biofilm samples
				The oral biofilms that lead to periodontal diseases
				Microbial complexes
				Factors that affect the composition of subgingival biofilms
				Microbial composition of supra- and subgingival biofilms
				Development of supra- and subgingival biofilms
			Prerequisites for periodontal disease initiation and progression
				The virulent periodontal pathogen
				The local environment
				Host susceptibility
			Mechanisms of pathogenicity
				Essential factors for colonization of a subgingival species
			Effect of therapy on subgingival biofilms
		Chapter 10: Peri-implant Infections
			Introduction
			Early biofilm development on implant surfaces
			Time of implant exposure and climax community complexity
			The microbiota on implants in edentulous subjects
			The microbiota on implants in partially edentulous subjects
			The microbiota on implants in subjects with a history of periodontal disease
			The microbiota of peri-implantitis sites
	Part 4: Host–Parasite Interactions
		Chapter 11: Pathogenesis of Periodontitis
			Introduction
			Clinically healthy gingiva
			Gingival inflammation
				Histopathological features of gingivitis
			Different lesions in gingivitis/periodontitis
				The initial lesion
				The early lesion
				The established lesion
				The advanced lesion
			Host–parasite interactions
				Microbial virulence factors
			Host defense processes
				Important aspects of host defense processes
				The innate defense systems
				The immune or adaptive defense system
		Chapter 12: Modifying Factors
			Diabetes mellitus
				Type 1 and type 2 diabetes mellitus
				Clinical symptoms
				Oral and periodontal effects
				Association of periodontal infection and diabetic control
				Modification of the host–bacteria relationship in diabetes
				Periodontal treatment
			Puberty, pregnancy, and the menopause
				Puberty and menstruation
				Pregnancy
				Menopause and osteoporosis
				Hormonal contraceptives
			Tobacco smoking
				Periodontal disease in smokers
				Modification of the host–bacteria relationship in smoking
				Smoking cessation
		Chapter 13: Susceptibility
			Introduction
			Evidence for the role of genetics in periodontitis
				Heritability of aggressive periodontitis (early onset periodontitis)
				Heritability of chronic periodontitis (adult periodontitis)
			A gene mutation with major effect on human disease and its association with periodontitis
			Disease-modifying genes in relation to periodontitis
				IL-1 and TNF-a gene polymorphisms
				FcgR gene polymorphisms
				Gene polymorphisms in the innate immunity receptors
				Vitamin D receptor gene polymorphisms
				IL-10 gene polymorphisms
				Miscellaneous gene polymorphisms
			Disease-modifying genes in relation to implant failures and peri-implantitis
				Early failures in implant dentistry
				Late failures in implant dentistry
			Conclusions and future developments
	Part 5: Trauma from Occlusion
		Chapter 14: Trauma from Occlusion: Periodontal Tissues
			Definition and terminology
			Trauma from occlusion and plaque-associated periodontal disease
				Analysis of human autopsy material
				Clinical trials
				Animal experiments
		Chapter 15: Trauma from Occlusion: Peri-implant Tissues
			Introduction
			Orthodontic loading and alveolar bone
			Bone reactions to functional loading
			Excessive occlusal load on implants
			Static and cyclic loads on implants
			Load and loss of osseointegration
			Masticatory occlusal forces on implants
			Tooth–implant supported reconstructions
	Part 6: Periodontal Pathology
		Chapter 16: Non-Plaque Induced Inflammatory Gingival Lesions
			Gingival diseases of specific bacterial origin
			Gingival diseases of viral origin
				Herpes virus infections
			Gingival diseases of fungal origin
				Candidosis
				Linear gingival erythema
				Histoplasmosis
			Gingival lesions of genetic origin
				Hereditary gingival fibromatosis
			Gingival diseases of systemic origin
				Mucocutaneous disorders
				Allergic reactions
				Other gingival manifestations of systemic conditions
			Traumatic lesions
				Chemical injury
				Physical injury
				Thermal injury
				Foreign body reactions
		Chapter 17: Plaque-Induced Gingival Diseases
			Classification criteria for gingival diseases
			Plaque-induced gingivitis
			Gingival diseases associated with endogenous hormones
				Puberty-associated gingivitis
				Menstrual cycle-associated gingivitis
				Pregnancy-associated gingival diseases
			Gingival diseases associated with medications
				Drug-influenced gingival enlargement
				Oral contraceptive-associated gingivitis
			Gingival diseases associated with systemic diseases
				Diabetes mellitus-associated gingivitis
				Leukemia-associated gingivitis
				Linear gingival erythema
			Gingival diseases associated with malnutrition
			Gingival diseases associated with heredity
			Gingival diseases associated with ulcerative lesions
			Treatment of plaque-induced gingival diseases
			The significance of gingivitis
		Chapter 18: Chronic Periodontitis
			Clinical features of chronic periodontitis
			Overall characteristics of chronic periodontitis
			Gingivitis as a risk for chronic periodontitis
			Susceptibility to chronic periodontitis
			Prevalence of chronic periodontitis
			Progression of chronic periodontitis
			Risk factors for chronic periodontitis
				Bacterial plaque
				Age
				Smoking
				Systemic disease
				Stress
				Genetics
			Scientific basis for treatment of chronic periodontitis
		Chapter 19: Aggressive Periodontitis
			Classification and clinical syndromes
			Epidemiology
				Primary dentition
				Permanent dentition
				Screening
			Etiology and pathogenesis
				Bacterial etiology
				Genetic aspects of host susceptibility
				Environmental aspects of host susceptibility
				Current concepts
			Diagnosis
				Clinical diagnosis
				Microbiologic diagnosis
				Evaluation of host defenses
				Genetic diagnosis
			Principles of therapeutic intervention
				Elimination or suppression of the pathogenic flora
		Chapter 20: Necrotizing Periodontal Disease
			Nomenclature
			Prevalence
			Clinical characteristics
				Development of lesions
				Interproximal craters
				Sequestrum formation
				Involvement of alveolar mucosa
				Swelling of lymph nodes
				Fever and malaise
				Oral hygiene
				Acute and recurrent/chronic forms of necrotizing gingivitis and periodontitis
			Diagnosis
				Differential diagnosis
			Histopathology
			Microbiology
				Microorganisms isolated from necrotizing lesions
				Pathogenic potential of microorganisms
			Host response and predisposing factors
				Systemic diseases
				Poor oral hygiene, pre-existing gingivitis, and history of previous NPD
				Psychologic stress and inadequate sleep
				Smoking and alcohol use
				Caucasian background
				Young age
			Treatment
				Acute phase treatment
				Maintenance phase treatment
		Chapter 21: Periodontal Disease as a Risk for Systemic Disease
			Early twentieth century concepts
			Periodontitis as a risk for cardiovascular disease
				Biologic rationale
			Periodontitis as a risk for adverse pregnancy outcomes
				Association of periodontal disease and pre-eclampsia
			Periodontitis as a risk for diabetic complications
			Periodontitis as a risk for respiratory infections
			Effects of treatment of  periodontitis on systemic diseases
		Chapter 22: The Periodontal Abscess
			Introduction
			Classification
			Prevalence
			Pathogenesis and histopathology
			Microbiology
			Diagnosis
				Differential diagnosis
			Treatment
			Complications
				Tooth loss
				Dissemination of the infection
		Chapter 23: Lesions of Endodontic Origin
			Introduction
			Disease processes of the dental pulp
				Causes
				Progression and dynamic events
				Accessory canals
				Periodontal tissue lesions to root canal infection
			Effects of periodontal disease and periodontal therapy on the condition of the pulp
				Influences of periodontal disease
				Influence of periodontal treatment measures on the pulp
				Root dentin hypersensitivity
	Part 7: Peri-implant Pathology
		Chapter 24: Peri-implant Mucositis and Peri-implantitis
			Definitions
			Ridge mucosa
			Peri-implant mucosa
			Peri-implant mucositis
				Clinical features
				Prevalence
				Histopathology
			Peri-implantitis
				Clinical features
				Prevalence
				Histopathology
	Part 8: Tissue Regeneration
		Chapter 25: Concepts in Periodontal Tissue Regeneration
			Introduction
			Regenerative periodontal surgery
			Periodontal wound healing
				Regenerative capacity of bone cells
				Regenerative capacity of gingival connective tissue cells
				Regenerative capacity of periodontal ligament cells
				Role of epithelium in periodontal wound healing
				Root resorption
			Regenerative concepts
				Grafting procedures
				Root surface biomodification
				Growth regulatory factors for periodontal regeneration
				Guided tissue regeneration (GTR)
			Assessment of periodontal regeneration
				Periodontal probing
				Radiographic analysis and re-entry operations
				Histologic methods
	Index
Volume 2: CLINICAL CONCEPTS
	Part 9: Examination Protocols
		Chapter 26: Examination of Patients with Periodontal Diseases
			History of periodontal patients
				Chief complaint and expectations
				Social and family history
				Dental history
				Oral hygiene habits
				Smoking history
				Medical history and medications
			Signs and symptoms of periodontal diseases
				The gingiva
				The periodontal ligament and the root cementum
				The alveolar bone
			Diagnosis of periodontal lesions
			Oral hygiene status
			Additional dental examinations
		Chapter 27: Examination of the Candidate for Implant Therapy
			Dental implants in periodontally compromised patients
			Patient history
				Chief complaint and expectations
				Social and family history
				Dental history
				Motivation and compliance
				Habits
				Medical history and medications
			Local examination
				Extraoral
				General intraoral examination
				Radiographic examination
				Implant-specific intraoral examination
			Patient-specific risk assessment
				Risk assessment for sites without esthetic implications
				Risk assessment for sites with esthetic implications
		Chapter 28: Radiographic Examination of the Implant Patient
			Introduction
			Radiographic examination for implant planning purposes – general aspects
				The clinical vs. the radiologic examination
				What is the necessary radiographic information?
				Radiographic methods for obtaining the information required for implant planning
			Radiographic examination for implant planning purposes – upper jaw examination
			Radiographic examination for implant planning purposes – lower jaw examination
			Radiographic monitoring of implant treatment
				Radiation detectors for intraoral radiography
			Image-guided surgery
		Chapter 29: Examination of Patients with Implant-Supported Restorations
			Identification of the presence of implants and implant systems
				Screening
				Implant pass
				Questionnaire for new patients
				Anamnestic information from patients on maintenance
				The development of implant recognition software
			Clinical inspection and examination
				Characteristics of implantsupported restorations
				Characteristics of prosthetic components and components of implant systems
			Technical failures/complications
			Function
				Functional analysis
				Articulation, phonetics
			Implant
				Clinical test of mobility
				Electronic tools to assess the quality of osseointegration
				Bacterial deposits
			Soft tissues
				Mucosa
				Palpation/sensitivity
				Recession, pocket probing depth, probing attachment level, bleeding on probing
			Esthetics
				Papillae, interdental space and type of mucosa
				Condition of adjacent teeth
				Color shades
		Chapter 30: Risk Assessment of the Implant Patient
			Principles of risk assessment
				Clinical information required for risk assessment
				Technical procedures to help minimize risk
			Local risk factors and conditions
				Presence of ongoing oral infections
			Systemic risk factors
				Age
				Smoking
				Medication history
				Immunosuppression
				History of radiation therapy to the jaws
				Diabetes mellitus
				Metabolic bone disease
				Connective tissue and autoimmune disorders
				Xerostomia
				Hematologic and lymphoreticular disorders
				Genetic traits and disorders
			Importance of behavioral considerations in risk assessment
				Dental history of compliance behaviors
				Substance use/abuse
				Psychiatric/psychological issues
				Lack of understanding or communication
				Patient’s expectations
			Interest and commitment to post-treatment care and maintenance program
	Part 10: Treatment Planning Protocols
		Chapter 31: Treatment Planning of Patients with Periodontal Diseases
			Screening for periodontal disease
				Basic periodontal examination
			Diagnosis
			Treatment planning
				Initial treatment plan
				Pre-therapeutic single tooth prognosis
				Case presentation
			Case report
				Patient S.K. (male, 35 years old)
		Chapter 32: Treatment Planning for Implant Therapy in the Periodontally Compromised Patient
			Prognosis of implant therapy in the periodontally compromised patient
			Strategies in treatment planning
			Treatment decisions – case reports
				Posterior segments
				Tooth versus implant
				Aggressive periodontitis
				Furcation problems
				Single-tooth problem in the esthetic zone
		Chapter 33: Systemic Phase of Therapy
			Introduction
			Protection of the dental team and other patients against infectious diseases
			Protection of the patient’s health
			Prevention of complications
				Infection, specifically bacterial endocarditis
				Bleeding
				Cardiovascular incidents
				Allergic reactions and drug interactions
			Systemic diseases, disorders or conditions influencing pathogenesis and healing potential
			Control of anxiety and pain
			Smoking counseling
	Part 11: Initial Periodontal Therapy (Infection Control)
		Chapter 34: Motivational Interviewing
			The importance of behavioral change counseling in periodontal care
			Development of motivational interviewing
				History of motivational interviewing
				What is motivational interviewing?
			Evidence for motivational interviewing
			Implementation of motivational interviewing into the periodontal treatment plan
				Key principles of motivational interviewing
				Basic communication skills
				Giving advice
			Case examples for oral hygiene motivation
				Oral hygiene motivation 1
				Oral hygiene motivation 2
			Case example for tobacco use cessation
		Chapter 35: Mechanical Supragingival Plaque Control
			Importance of supragingival plaque removal
			Self-performed plaque control
				Brushing
				Interdental cleaning
				Adjunctive aids
				Side effects
			Importance of instruction and motivation in mechanical plaque control
		Chapter 36: Chemical Supragingival Plaque Control
			Classification and terminology of agents
			The concept of chemical supragingival plaque control
				Supragingival plaque control
				Chemical supragingival plaque control
				Rationale for chemical supragingival plaque control
				Approaches to chemical supragingival plaque control
				Vehicles for the delivery of chemical agents
			Chemical plaque control agents
				Systemic antimicrobials including antibiotics
				Enzymes
				Bisbiguanide antiseptics
				Quaternary ammonium compounds
				Phenols and essential oils
				Natural products
				Fluorides
				Metal salts
				Oxygenating agents
				Detergents
				Amine alcohols
				Salifluor
				Acidified sodium chlorite
				Other antiseptics
			Chlorhexidine
				Toxicology, safety, and side effects
				Chlorhexidine staining
				Mechanism of action
				Chlorhexidine products
				Clinical uses of chlorhexidine
			Evaluation of chemical agents and products
				Studies in vitro
				Study methods in vivo
				Clinical trial design considerations
		Chapter 37: Non-surgical Therapy
			Introduction
			Detection and removal of dental calculus
			Methods used for non-surgical root surface debridement
				Hand instrumentation
				Sonic and ultrasonic scalers
				Reciprocating instruments
				Ablative laser therapy
				Choice of debridement method
			The influence of mechanical debridement on subgingival biofilms
			Implication of furcation involvement
			Pain and discomfort following non-surgical therapy
			Re-evaluation
				Interpretation of probing measurements at re-evaluation
				Average changes in measurements due to non-surgical therapy
				Interpretation of longitudinal changes at individual sites
			Prediction of outcome and evaluation of treatment
			Full-mouth disinfection
	Part 12: Additional Therapy
		Chapter 38: Periodontal Surgery: Access Therapy
			Introduction
			Techniques in periodontal pocket surgery
				Gingivectomy procedures
				Flap procedures
				Regenerative procedures
			Distal wedge procedures
			Osseous surgery
				Osteoplasty
				Ostectomy
			General guidelines for periodontal surgery
				Objectives of surgical treatment
				Indications for surgical treatment
				Contraindications for periodontal surgery
				Local anesthesia in periodontal surgery
				Instruments used in periodontal surgery
				Selection of surgical technique
				Root surface instrumentation
				Root surface conditioning/biomodification
				Suturing
				Periodontal dressings
				Post-operative pain control
				Post-surgical care
			Outcome of surgical periodontal therapy
				Healing following surgical pocket therapy
				Clinical outcome of surgical access therapy in comparison to non-surgical therapy
		Chapter 39: Treatment of Furcation-Involved Teeth
			Terminology
			Anatomy
				Maxillary molars
				Maxillary premolars
				Mandibular molars
				Other teeth
			Diagnosis
				Probing
				Radiographs
			Differential diagnosis
				Trauma from occlusion
			Therapy
				Scaling and root planing
				Furcation plasty
				Tunnel preparation
				Root separation and resection (RSR)
				Regeneration of furcation defects
				Extraction
			Prognosis
		Chapter 40: Endodontics and Periodontics
			Introduction
			Infectious processes in the periodontium of endodontic origin
				General features
				Clinical presentations
				Distinguishing lesions of endodontic origin from periodontitis
				Endo–perio lesions – diagnosis and treatment aspects
				Endodontic treatments and periodontal lesions
			Iatrogenic root perforations
			Vertical root fractures
				Mechanisms
				Incidence
				Clinical expressions
				Diagnosis
				Treatment considerations
			External root resorptions
				Mechanisms of hard tissue resorption in general
				Clinical presentations and identification
				Different forms
		Chapter 41: Treatment of Peri-implant Lesions
			Introduction
			The diagnostic process
			Treatment strategies
				Resolution of peri-implantitis lesions
			Cumulative Interceptive Supportive Therapy (CIST)
				Preventive and therapeutic strategies
				Mechanical debridement; CIST protocol A
				Antiseptic therapy; CIST protocol A+B
				Antibiotic therapy; CIST protocol A+B+C
				Regenerative or resective therapy; CIST protocol A+B+C+D
		Chapter 42: Antibiotics in Periodontal Therapy
			Principles of antibiotic therapy
				The limitations of mechanical therapy: can antimicrobial agents help?
				Specific characteristics of the periodontal infection
				Drug delivery routes
			Evaluation of antibiotics for periodontal therapy
				Systemic antimicrobial therapy in clinical trials
				Systemic antibiotics in clinical practice
				Local antimicrobial therapy in clinical trials
				Local antibiotics in clinical practice
				Overall conclusion
	Part 13: Reconstructive Therapy
		Chapter 43: Regenerative Periodontal Therapy
			Introduction
			Classification and diagnosis of periodontal osseous defects
			Clinical indications
			Long-term effects and benefits of regeneration
			Evidence for clinical efficacy and effectiveness
			Patient and defect prognostic factors
				Patient factors
				Defect factors
				Tooth factors
				Factors affecting the clinical outcomes of GTR in furcations
			The relevance of the surgical approach
				Papilla preservation flaps
				Modified papilla preservation technique
				Simplified papilla preservation flap
				Minimally invasive surgical technique
				Post-operative regime
				Post-operative morbidity
			Barrier materials for regenerative surgery
				Non-absorbable materials
				Bioabsorbable materials
				Membranes in intrabony defects
				Membranes for furcation involvement
				Surgical issues with barrier membranes
			Bone replacement grafts
			Biologically active regenerative materials
			Membranes combined with other regenerative procedures
			Root surface biomodification
			Clinical strategies
		Chapter 44: Mucogingival Therapy – Periodontal Plastic Surgery
			Introduction
			Gingival augmentation
				Gingival dimensions and periodontal health
				Marginal tissue recession
				Marginal tissue recession and orthodontic treatment
				Gingival dimensions and restorative therapy
				Indications for gingival augmentation
				Gingival augmentation procedures
				Healing following gingival augmentation procedures
			Root coverage
				Root coverage procedures
				Clinical outcome of root coverage procedures
				Soft tissue healing against the covered root surface
			Interdental papilla reconstruction
				Surgical techniques
			Crown-lengthening procedures
				Excessive gingival display
				Exposure of sound tooth structure
				Ectopic tooth eruption
			The deformed edentulous ridge
				Prevention of soft tissue collapse following tooth extraction
				Correction of ridge defects by the use of soft tissue grafts
				Surgical procedures for ridge augmentation
		Chapter 45: Periodontal Plastic Microsurgery
			Microsurgical techniques in dentistry (development of concepts)
			Concepts in microsurgery
				Magnification
				Instruments
				Suture materials
				Training concepts (surgeons and assistants)
			Clinical indications and limitations
			Comparison to conventional mucogingival interventions
		Chapter 46: Re-osseointegration
			Introduction
			Is it possible to resolve a marginal hard tissue defect adjacent to an oral implant?
				Non-contaminated, pristine implants at sites with a wide marginal gap (crater)
				Contaminated implants and crater-shaped bone defects
				Re-osseointegration
			Is re-osseointegration a feasible outcome of regenerative therapy?
				Regeneration of bone from the walls of the defect
				“Rejuvenate” the contaminated implant surface
			Is the quality of the implant surface important in a healing process that may lead to re-osseointegration?
				The surface of the metal device in the compromised implant site
	Part 14: Surgery for Implant Installation
		Chapter 47: Timing of Implant Placement
			Introduction
			Type 1: placement of an implant as part of the same surgical procedure and immediately following tooth extraction
				Ridge corrections in conjunction with implant placement
				Stability of implant
			Type 2: completed soft tissue coverage of the tooth socket
			Type 3: substantial bone fill has occurred in the extraction socket
			Type 4: the alveolar ridge is healed following tooth loss
			Clinical concepts
				Aim of therapy
				Success of treatment and long-term outcomes
		Chapter 48: The Surgical Site
			Bone: shape and quality
				Clinical examination
				Radiographic examination
				Planning for implant placement
			Implant placement
				Guiding concept
				Flap elevation
				Flapless implant insertion
				Model-based guided surgery
				Bone preparation
			Anatomic landmarks with potential risk
			Implant position
				Number of implants
			Implant direction
			Healing time
	Part 15: Reconstructive Ridge Therapy
		Chapter 49: Ridge Augmentation Procedures
			Introduction
			Patient situation
			Bone morphology
				Horizontal bone defects
				Vertical bone defects
			Soft tissue morphology
			Augmentation materials
				Membranes
				Bone grafts and bone graft substitutes
			Long-term results
			Clinical concepts
				Ridge preservation
				Extraction sockets (class I)
				Dehiscence defects (classes II and III)
				Horizontal defects (class IV)
				Vertical defects (class V)
			Future developments
				Growth and differentiation factors
				Delivery systems for growth and differentiation factors
				Membrane developments
				Future outlook
		Chapter 50: Elevation of the Maxillary Sinus Floor
			Introduction
			Treatment options in the posterior maxilla
			Sinus floor elevation with a lateral approach
				Anatomy of the maxillary sinus
				Pre-surgical examination
				Indications and contraindications
				Surgical techniques
				Post-surgical care
				Complications
				Grafting materials
				Success and implant survival
			Sinus floor elevation with the crestal approach (osteotome technique)
				Indications and contraindications
				Surgical technique
				Post-surgical care
				Grafting material
				Success and implant survival
			Short implants
			Conclusions and clinical suggestions
	Part 16: Occlusal and Prosthetic Therapy
		Chapter 51: Tooth-Supported Fixed Partial Dentures
			Clinical symptoms of trauma from occlusion
				Angular bony defects
				Increased tooth mobility
				Progressive (increasing) tooth mobility
			Tooth mobility crown excursion/root displacement
				Initial and secondary tooth mobility
				Clinical assessment of tooth mobility (physiologic and pathologic tooth mobility)
			Treatment of increased tooth mobility
				Situation I
				Situation II
				Situation III
				Situation IV
				Situation V
		Chapter 52: Implants in Restorative Dentistry
			Introduction
			Treatment concepts
				Limited treatment goals
				Shortened dental arch concept
			Indications for implants
				Increase the subjective chewing comfort
				Preservation of natural tooth substance and existing functional, satisfactory reconstructions
				Replacement of strategically important missing teeth
		Chapter 53: Implants in the Esthetic Zone
			Basic concepts
				General esthetic principles and related guidelines
				Esthetic considerations related to maxillary anterior implant restorations
			Anterior single-tooth replacement
				Sites without significant tissue deficiencies
				Sites with localized horizontal deficiencies
				Sites with extended horizontal deficiencies
				Sites with major vertical tissue loss
			Multiple-unit anterior fixed implant restorations
				Sites without significant tissue deficiencies
				Sites with extended horizontal deficiencies
				Sites with major vertical tissue loss
			Conclusions and perspectives
				Scalloped implant design
				Segmented fixed implant restorations in the edentulous maxilla
		Chapter 54: Implants in the Posterior Dentition
			Basic concepts
				General considerations
				Indications for implant restorations in the load carrying part of the dentition
				Controversial issues
			Restoration of the distally shortened arch with fixed implant-supported prostheses
				Number, size, and distribution of implants
				Implant restorations with cantilever units
				Combination of implant and natural tooth support
				Sites with extended horizontal bone volume deficiencies and/or anterior sinus floor proximity
			Multiple-unit tooth-bound posterior implant restorations
				Number, size, and distribution of implants
				Splinted versus single-unit restorations of multiple adjacent posterior implants
			Posterior single-tooth replacement
				Premolar-size single-tooth restorations
				Molar-size single-tooth restorations
				Sites with limited vertical bone volume
			Clinical applications
				Screw-retained implant restorations
				Abutment-level impression versus implant shoulder-level impression
				Cemented multiple-unit posterior implant prostheses
				Angulated abutments
				High-strength all-ceramic implant restorations
				Orthodontic and occlusal considerations related to posterior implant therapy
			Concluding remarks and perspectives
				Early and immediate fixed implant restorations
		Chapter 55: Implant–Implant and Tooth–Implant Supported Fixed Partial Dentures
			Introduction
			Initial patient assessment
			Implant treatment planning for the edentulous arch
				Prosthesis design and full-arch tooth replacement therapy
				Complete-arch fixed complete dentures
			Prosthesis design and partially edentulous tooth replacement therapy
				Implant per tooth versus an implant-to-implant FPD?
				Cantilever pontics
				Immediate provisionalization
				Disadvantages of implant–implant fixed partial dentures
			Tooth–implant fixed partial dentures
		Chapter 56: Complications Related to Implant-Supported Restorations
			Introduction
			Clinical complications in conventional fixed restorations
			Clinical complications in implant-supported restorations
				Biologic complications
				Mechanical complications
			Other issues related to prosthetic complications
				Implant angulation and prosthetic complications
				Screw-retained vs. cement-retained restorations
				Ceramic abutments
				Esthetic complications
				Success/survival rate of implant-supported prostheses
	Part 17: Orthodontics and Periodontics
		Chapter 57: Tooth Movements in the Periodontally Compromised Patient
			Orthodontic tooth movement in adults with periodontal tissue breakdown
				Orthodontic treatment considerations
				Esthetic finishing of treatment results
				Retention – problems and solutions; long-term follow-up
				Possibilities and limitations; legal aspects
			Specific factors associated with orthodontic tooth movement in adults
				Tooth movement into infrabony pockets
				Tooth movement into compromised bone areas
				Tooth movement through cortical bone
				Extrusion and intrusion of single teeth – effects on periodontium, clinical crown length, and esthetics
				Regenerative procedures and orthodontic tooth movement
				Traumatic occlusion (jiggling) and orthodontic treatment
				Molar uprighting, furcation involvement
				Tooth movement and implant esthetics
			Gingival recession
				Labial recession
				Interdental recession
			Minor surgery associated with orthodontic therapy
				Fiberotomy
				Frenotomy
				Removal of gingival invaginations (clefts)
				Gingivectomy
		Chapter 58: Implants Used for Orthodontic Anchorage
			Introduction
			Evolution of implants for orthodontic anchorage
			Prosthetic implants for orthodontic anchorage
				Bone reaction to orthodontic implant loading
				Indications of prosthetic oral implants for orthodontic anchorage
				Prosthetic oral implant anchorage in growing orthodontic patients
			Orthodontic implants as temporary anchorage devices
				Implant designs and dimensions
				Insertion sites of palatal implants
				Palatal implants and their possible effects in growing patients
				Clinical procedures and loading time schedule for palatal implant installation
				Direct or indirect orthodontic implant anchorage
				Stability and success rates
				Implant removal
				Advantages and disadvantages
	Part 18: Supportive Care
		Chapter 59: Supportive Periodontal Therapy (SPT)
			Definitions
			Basic paradigms for the prevention of periodontal disease
			Patients at risk for periodontitis without SPT
			SPT for patients with gingivitis
			SPT for patients with periodontitis
			Continuous multi-level risk assessment
				Subject risk assessment
				Tooth risk assessment
				Site risk assessment
				Radiographic evaluation of periodontal disease progression
				Clinical implementation
			Objectives for SPT
			SPT in daily practice
				Examination, re-evaluation, and diagnosis (ERD)
				Motivation, reinstruction, and instrumentation (MRI)
				Treatment of reinfected sites (TRS)
				Polishing, fluorides, determination of recall interval (PFD)
	Part 19: Halitosis
		Chapter 60: Halitosis Control
			Introduction
				Epidemiology
				Odor characteristics
				Pathogenesis of intraoral halitosis
				Pathogenesis of extraoral halitosis
			Diagnosis
				Flowchart in a halitosis practice
				Before first consultation
				At the first examination
				Classification of halitosis
			Therapy
				Pseudo-halitosis and halitophobia
				Temporary halitosis
				Extraoral halitosis
				Intraoral halitosis
				Physiologic halitosis
				Treatment planning
				Adjustment of therapy
				Future perspectives
	Index