Contemporary Periodontal Surgery: An Illustrated Guide to the Art behind the Science

Title Page
Copyright Page
Table of Contents
Foreword
Preface
Acknowledgements
Chapter 1: Principles and Practice of Periodontal Surgery 1: Case Selection and Planning
	Aim
	Outcome
	The Art and Science of Surgery
	The Right Procedure
	The Right Patient
	Preoperative Management
		Record-Keeping
		Antimicrobial Chemotherapy
		Analgesia
		Surgical Analgesia and Haemostasis
	Operative Management
	Post-operative Management
		Achieving Post-operative Haemostasis
		Analgesia
		Post-operative Instructions
		Review Visit
	References
	Further Reading
Chapter 2: Principles and Practice of Periodontal Surgery 2: Basic Surgical Principles
	Aim
	Outcome
	Introduction
	Tenets of Halsted
	Operative Management
		Flap Design
		Incision
		Reflection
		Retraction
		Bone Management
		Flap Compression and Closure
	References
	Further Reading
Chapter 3: Surgical Management of Gingival Overgrowth
	Aim
	Outcome
	Introduction
		Drug-induced Gingival Overgrowth
		Inflammatory Gingival Overgrowth
		Epulides
		Hereditary Gingival Fibromatosis
	Presurgical Management
		Reasons for Surgical Intervention
		Some Medical Considerations
	Surgical Management
		Gingivectomy
		Inverse Bevel Incisions for Tissue Debulking
		Epulis Excision
		Wedge Excision
		Periodontal Dressings
	Maintenance
	Further Reading
Chapter 4: Access Flaps for Surgical Root Surface Debridement
	Aim
	Outcome
	Introduction
	Presurgical Management
		Aggressive Periodontitis
	Surgical Management
		Objectives of Surgical Root Surface Debridement
		Simple Replaced Flap (Envelope Flap)
		The Modified Widman Flap
		Suturing
		The Use of a Periodontal Pressure Dressing
		Post-operative Instructions
		Review
	Periodontal Maintenance
	Key Points
	References
	Further Reading
Chapter 5: Regenerative Periodontal Techniques
	Aim
	Outcome
	Introduction
	Terminology
	Biological Principles Underpinning GTR
	Surgical Planning for Membrane GTR
		Indications
		Contraindications
		What Went Wrong in Practice and Why?
		Objectives of GTR surgery
		Criteria for Success
		The Need for Two-stage Surgery
		Case Selection and Planning
		The Surgical Phase
		Post-operative Care
		The Outcome of GTR
		Modifications to the Original Membranes
	Resorbable GTR membranes
	Enamel Matrix Proteins (Emdogain)
	Bone Grafting and Bioceramic Bone Substitutes
	Cocktail Procedures
	Growth Factors
	Guided Bone Regeneration
	Key Points
	References
	Further Reading
Chapter 6: Periradicular Surgery
	Aim
	Outcome
	Introduction
	Orthograde Retreatment or Periradicular Surgery?
	Case Selection
		Indications for Periradicular Surgery
		Contraindications for Periradicular Surgery
		Holistic Restorative Treatment Planning
		Tooth-specific Assessment
		Site-specific Surgical Contraindications
		Alternative Treatment Options and their Predictability
		Operator-related Factors
		Patient-related Factors
	Pre-surgical preparation
		Presurgical Endodontics
		Informed Consent
	The Surgical Phase
		Analgesia
		Flap Design
		Incision
		Reflection
		Root End Identification and Curettage
		Root End Resection
		Crypt Control
		Root-end Preparation
		Root-end Restoration
		Closure
	Post-surgical Management
	Key Points
	Further Reading
Chapter 7: Resective Hard Tissue Surgery
	Aim
	Outcome
	Introduction
	Examination, diagnosis and treatment planning
		Indications for Root Amputation/Resection and Hemisection
		Contraindications to Resective Surgery
	Assessment of Teeth for Resective Surgery
		Tooth-specific Assessment
		General Assessment
	Procedure
		Presurgical Preparation
		Furcation Plasty
		Tunnelling
		Root Amputation and Hemisection
		Definitive Restoration
	Maintenance
	Key Points
	Further Reading
Chapter 8: Crown-lengthening Surgery
	Aim
	Outcome
	Introduction
	Biological Width
	Case Selection
		Indications for Croum-lengthening Surgery
		Contraindications for Croum-lengthening Surgery
	Presurgical Preparation
		Tooth Preparation
		Informed Consent
	Surgical Procedures
		Gingivectomy
		Apically Repositioned Flap Surgery
		Osseous Reduction
	Post-surgical Management
	Key Points
	References
	Further Reading
Chapter 9: Mucogingival Grafting Procedures – An Overview
	Aim
	Outcome
	Introduction
	Risk Factors for Gingival Recession
	Miller’s Classification of Recession
	Management of Gingival Recession
		Presurgical Management
		Indications for Surgical Intervention
		Case Selection and Outcome-related Factors
		Preparatory Treatment
		Root Preparation
	Surgery
		Free Soft Tissue Graft Procedures
		Pedicle Soft-tissue Graft Procedures
	Post-operative Instructions
	Creeping Attachment
	Assessing Outcomes
	Key Points
	References
Chapter 10: Hard Tissue Surgery (Ridge Augmentation) for Dental Implants
	Aim
	Outcome
	Introduction
	Operative Management
		Bone Augmentation Procedures for the Anterior Maxilla
		Bone Augmentation Procedures for the Posterior Maxilla
		Bone Augmentation Procedures for the Mandible
	Factors Affecting Success
	Key Points
	References
	Further Reading
Chapter 11: Soft Tissue Surgery Around Dental Implants
	Aim
	Outcome
	Introduction
	Peri-implant Soft Tissue Characteristics
		Implants Do Not Have a Periodontal Ligament
		Implant Components Affect Soft Tissue Behaviour
		Soft Tissue Quality
	Mucogingival Procedures Around Implants
		Types of Peri-implant Surgical Procedures
		Timing of Surgical Procedures Around Implants
	Free Epithelialised Soft Tissue Graft
		Recipient Site Preparation
	Epithelialised Graft Harvest from Hard Palate (Fig 11-3a—d)
		Graft Modification
		Insetting the Graft
		Grafting at Second Stage Surgery
		Late Procedures
	Free Connective Tissue Grafts
	Local Peri-implant Flap Procedures
		Simple Flap Adaptation
		Semi-submerged Healing
		Tissue Punch Exposure
		Palatal “U” Flap Exposure
		Papilla Creation Technique
		The Roll Flap
	Key Points
	References
	Further Reading