Economic Periodontal and Implant Dentistry

CONTENTS
PREFACE
	CONFLICT OF INTEREST
	ACKNOWLEDGEMENTS
MISSION
Economic Periodontal and Implant Dentistry
	1.1. POTENTIAL
	1.2. VISION
	1.3. ECONOMICS
	1.4. BILLING
	1.5. EDUCATION
	REFERENCES
Oral Biology
	2.1. INTRODUCTION
	2.2. ORAL CAVITY
	2.3. GINGIVA
	2.4. DENTO-GINGIVAL JUNCTION
	2.5. CONNECTIVE TISSUE
	2.6. ALVEOLAR BONE
		2.6.1. Alveolar Bone
		2.6.2. Periodontal Ligament
	2.7. TOOTH MOBILITY AND TRAUMA FROM OCCLUSION
		2.7.1. Increased Tooth Mobility
		2.7.2. Manual Evaluation of Tooth Mobility
		2.7.3. Instrumental Measurement of Tooth Mobility
		2.7.4. Trauma from Occlusion
		2.7.5. Adaptation in Primary Occlusal Trauma
		2.7.6. Progression in Secondary Occlusal Trauma
	2.8. PLAQUE AND CALCULUS
		2.8.1. Subgingival Calculus
		2.8.2. Supragingival Plaque
		2.8.3. Subgingival Plaque
	2.9. GINGIVAL INFLAMMATION
		2.9.1. Development of Gingivitis
		2.9.2. Development of Periodontitis
	2.10. PERIODONTAL IMMUNOLOGY
		2.10.1. Acute Defense by Phagocytosis
		2.10.2. Regulation of the Host Responses
		2.10.3. Amplification of the Host Responses
	2.11. GENETIC PREDISPOSITION AND SUSCEPTIBILITY
		2.11.1. Susceptibility
	REFERENCES
Current Facts in Periodontology
	3.1. CONDITIONS IN EU, USA AND ASIA
	3.2. NEW INSIGHTS
		3.2.1. Periodontal Infection Control
		3.2.2. Re-evaluation of Non-surgical Therapy
		3.2.3. Hots and Nots in Regenerative Periodontal Therapy
		3.2.4. Periodontal Esthetics
	3.3. CLASSIFICATION OF PERIODONTAL DISEASES
		3.3.1. Diagnostic Procedure
	3.4. ETIOLOGY OF PERIODONTITIS – WHAT’S NEW?
	3.5. PERIODONTAL INFECTION
		3.5.1. Infection and Susceptibility
		3.5.2. Chronic Periodontitis
		3.5.3. Aggressive Periodontitis
			3.5.3.1. Refractory Periodontitis
	3.6. AGGREGATIBACTER ACTINOMYCETEMCOMITANS
		3.6.1. Assessment in Untreated Periodontitis
		3.6.2. Infection Control in Supportive Care
		3.6.3. Pathogens in Maintenance Therapy
	3.7. ENVISIONING THE FUTURE OF PERIODONTAL AND IMPLANT DENTISTRY
	3.8. FORWARD-THINKING ABOUT FINANCES
	3.9. ECONOMIC PERIODONTICS AS 10-ITEM CHECKLIST
	REFERENCES
Inflammation, Pain and Hygiene
	4.1. RELEVANCE OF MEDICAL KNOWLEDGE
	4.2. MEDICAL AWARENESS
	4.3. FACTOR INFLAMMATION
	4.4. VASCULAR AND METABOLIC REGULATION
	4.5. DISEASE PERCEPTION
	4.6. AGING
	4.7. FOREIGN BODY INFECTION
	REFERENCES
Systematic Diagnosis of Periodontal Diseases
	5.1. PERIODONTAL CASE HISTORY
	5.2. TRANSITION PERIOD
	5.3. PERIODONTAL RECORDING
	5.4. EARLY DIAGNOSIS AND INTERVENTION
	5.5. RELEVANT DEVELOPMENTS IN DIAGNOSIS
		5.5.1. Patients with General Diseases
	5.6. AGGRESSIVE PERIODONTAL DISEASES
		5.6.1. Prepubertal Periodontitis
		5.6.2. Aggressive Periodontitis Localized
		5.6.3. Aggressive Periodontitis Generalized
	5.7. SYSTEMATIC MICROBIOLOGICAL DIAGNOSIS
		Pre-Treatment Pathogen Determination (Phase I):
		Microbial Testing During Maintenance (Phase III):
		5.7.1. Microbial Testing
		5.7.2. Practical Handling
		5.7.3. Sampling
		5.7.4. Antibiotic Selection Following Basic Microbial Testing
	5.8. SPECIFIC ANTIBIOTIC USAGE
	5.9. MICROBIAL RESISTANCE
	5.10. ANTIBIOTIC THERAPY AND GENERAL DISEASES
		Low and Medium Risk
		High General Risk of Disease
	5.11. PERIODONTAL ESTHETICS
		5.11.1. Miller Classification
		5.11.2. Root Surface and Esthetics
		5.11.3. Biological Methods of Investigation
	REFERENCES
Diagnosis of High Risk Periodontal Patients
	6.1. TREATMENT DESIGN
	6.2. RELEVANT DEVELOPMENTS IN PERIODONTAL CARE
	6.3. GENETICS AND MAJOR RISK FACTORS
	6.4. SYSTEMATIC DIAGNOSIS
		6.4.1. Established and Possible Risk Factors
	6.5. PREVENTION OF HIGH PERIODONTAL RISK
	6.6. SYSTEMIC DISEASES AND IMPLICATIONS
	6.7. INFECTION CONTROL
	6.8. ORAL DISINFECTION
	REFERENCES
Treatment of Periodontal Diseases
	7.1. MEDICAL THERAPY
	7.2. MUCOGINGIVAL THERAPY
	7.3. REGENERATIVE THERAPY
		7.3.1. Posterior
	7.4. ESTHETIC PERIODONTAL SURGERY
	7.5. MICROSURGERY AND TREATMENT SUCCESS
	REFERENCES
Treatment of High Risk Periodontal Patients
	8.1. PATIENT MANAGEMENT
	8.2. EVALUATION OF RISK FACTORS
	8.3. ORGANIZATION AND PRACTICAL IMPLICATIONS
	8.4. EXPOSED ROOT SURFACES
	8.5. TREATMENT DESIGN
	8.6. DRUG REGULATION
		Future Developments:
	8.7. FUTURE PROSPECTS
	REFERENCES
Economic Periodontal Therapy
	9.1. PERIODONTAL TREATMENT PLAN
	9.2. ORAL HYGIENE
	9.3. MEDICAL THERAPY
	9.4. MICRO-INCISION SURGERY
		9.4.1. Tunnel Technique
	9.5. TOOTH REMOVAL AND IMPLANT PLACEMENT
	9.6. BILLING
	REFERENCES
Esthetic Periodontal Surgery
	10.1. MEDICAL RELEVANCE
	10.2. PLASTIC SURGERY
	10.3. PERIODONTICS AND ESTHETICS
	10.4. IMPLANTS AND ESTHETICS
	10.5. EVALUATION
	REFERENCES
Natural Esthetics
	11.1. NATURALNESS AND DEFENSIVE THERAPY
	11.2. PATIENT BENEFITS
	11.3. BIOLOGICAL WIDTH
	11.4. TOOTH PREPARATION
	11.5. INTERDENTAL SITES
		11.5.1. Shaping
		11.5.2. Cover Profile
	11.6. ADDITIONAL VENEERS AND CHIPS
	REFERENCES
General Diseases and Periodontal Therapy
	12.1. MEDICAL KNOWLEGDE
	12.2. INFLAMMATION AND CHRONIC DISEASES
	12.3. COPING WITH STRESS
	12.4. CARDIOVASCULAR DISEASES
	12.5. CEREBRAL ISCHEMIA AND STROKE
	12.6. OVERWEIGHT AND OBESITY
	12.7. PREGNANCY, PREMATURE BIRTH AND LOW BIRTH WEIGHT
	12.8. DIABETES MELLITUS
	12.9. PATIENT INFORMATION
	REFERENCES
Periodontics Meet Implant Dentistry
	13.1. IMPLANTS VERSUS PERIODONTALLY AFFECTED TEETH
	13.2. GUIDELINES FOR ECONOMIC SUCCESS
	13.3. CLINICAL DECISION-MAKING
	13.4. INFLAMMATION, ORAL HYGIENE AND BIOFILMS
	13.5. TREATMENT FOCUS MEDICINE
	REFERENCES
Implant Planning
	14.1. EARLY DECISION MAKING
	14.2. FUNCTIONAL DECOMPENSATION
	14.3. DIGITAL IMAGING 3D
	14.4. INTERIMPLANT DISTANCE
	14.5. PERFUSION
	14.6. PERIIMPLANT TISSUE (VOLUME)
	14.7. SHORT AND DIAMETER-REDUCED IMPLANTS
	14.8. AUGMENTATION AND REVISION
		14.8.1. Mucositis
		14.8.2. Periimplantitis
	REFERENCES
Economic Implant Dentistry
	15.1. NEW ECONOMY
	15.2. PRACTICAL IMPLANT DENTISTRY
	15.3. PERIODONTAL AND IMPLANT THERAPY
	15.4. FOCUS OF TREATMENT: MEDICINE
	15.5. TOOTH REMOVAL AND IMPLANT THERAPY
	15.6. IMPLANT TREATMENT PLAN
	15.7. AUGMENTATION
	15.8. SHORT IMPLANTS
	15.9. FUTURE OF IMPLANT DENTISTRY
	REFERENCES
Soft Tissue Surgery and Augmentation
	16.1. MUCOGINGIVAL THERAPY
	16.2. PERIIMPLANT TISSUE STABILIZATION
	16.3. RECONSTRUCTION AND FUNCTION
	16.4. RECONSTRUCTION AND ESTHETICS
	16.5. AUGMENTATION IN IMPLANT DENTISTRY
	16.6. CONCLUDING REMARKS
	REFERENCES
Periimplant Treatment
	17.1. GOAL OF RESTORATION
	17.2. PARAMETER FOR DIAGNOSIS
	17.3. IMPLEMENTATION INTO THE DENTAL OFFICE
	17.4. PREVALENCE OF IMPLANT LOSS
	17.5. PERIIMPLANT MUCOSITIS
	17.6. TREATMENT OF MUCOSITIS
	17.7. TREATMENT PLAN
	17.8. PERIIMPLANTITIS
	17.9. SURGICAL THERAPY OF PERIIMPLANT DISEASE
	17.10. PERIIMPLANT MAINTENANCE
	REFERENCES
Implants from the Patient’s Perspective
	18.1. PATIENT AND DENTAL IMPLANTS
	18.2. NATURAL TEETH VERSUS IMPLANTS
	18.3. IMPLANTS AND CHARGES
	18.4. LIFE WITH IMPLANTS
	18.5. ESTHETICS
	18.6. INFLAMMATION
	18.7. SHAPING THE FUTURE
	REFERENCES
Dental Hygiene Professionals
	19.1. PREREQUISITE EDUCATION
	19.2. ECONOMIC PERIODONTAL THERAPY
	19.3. PREVENTIVE CARE IN IMPLANT DENTISTRY
		19.3.1. Tasks and Responsibilities
		19.3.2. Oral Hygiene
		19.3.3. Diagnostics
		19.3.4. Point of Decision: Supportive Care
	19.4. PERIODONTAL AND IMPLANT MAINTENANCE
	19.5. INTERDISCIPLINARY COLLABORATION
	19.6. EDUCATION AND TRAINING
	REFERENCES
SUBJECT INDEX