Practical Advanced Periodontal Surgery

Serge Dibart is clinical director of the periodontal residency program at Boston University Goldman School of Graduate Dentistry.

List of Contributors vii Acknowledgments ix 1. Introduction 3 Thomas Van Dyke 2. Bone Physiology and Metabolism 5 Jean-Pierre Dibart Bone Composition 5 Bone Types 5 Bone Formation 5 Bone Density Measuring Techniques 8 Implications for Dental Treatments 8 3. The Wound-Healing Process 13 Albert Price Anatomic Review (Emphasis on Vascular Supply) 13 The Tissues and Their Vascular Supply 13 Alveolar and Basal Bone 14 Normal Soft Connective Tissues 16 Cementum 19 Normal Epithelial Structure 19 The Wound-Healing Process Per Se 20 4. The Contribution of Periodontics to Orthodontic Therapy 23 Donald J. Ferguson, M. Thomas Wilcko, William M. Wilcko, and M. Gabriela Marquez Periodontally Accelerated Osteogenic Orthodontics (PAOO) 23 History 23 Indications 23 Biological Rationale 27 Periodontally Accelerated Osteogenic Orthodontics in the Treatment of Crowding 28 Rapid Recovery of Impacted Teeth 28 Recovery of Labially Impacted Canines 29 Recovery of Deep Palatally Impacted Canines 35 Periodontal Surgical Procedures for Orthodontic Access, Aesthetics, and Stability 38 Miniscrew Implants for Orthodontic Anchorage 43 History 43 Indications 43 Armamentarium 47 Complications 49 5. The Contribution of Periodontics to Endodontic Therapy: The Surgical Management of Periradicular Periodontitis 51 Mani Moulazadeh History and Evolution 51 Tooth Conservation Versus Implants 51 Treatment of Failed Root Canal Therapy 52 Rationale for Endodontic Surgery 52 Indications for Endodontic Surgery 52 Contraindications for Endodontic Surgery 54 Types of Endodontic Surgery 56 Periradicular Surgery 58 Phases of Apicoectomy and Surgical Technique 59 Recall 67 6. The Contribution of Periodontics to Prosthodontics: Treatment Planning of Patients Requiring Combined Periodontal and Prosthodontic Care 69 Haneen N. Bokhadoor, Nawaf J. Al-Dousari, and Steven Morgano Introduction 69 Diagnostic Phase (Data Collection) 69 Treatment-Planning Phase 70 Final Prognosis 71 Conclusion 114 7. The Contribution of Periodontics to the Correction of Vertical Alveolar Ridge Deficiencies 117 Serge Dibart Alveolar Distraction Osteogenesis Surgery 117 08. Papillary Construction After Dental Implant Therapy 127 Peyman Shahidi, Serge Dibart, and Yun Po Zhang History 127 Indications 127 Contraindications 127 Armamentarium 127 Technique 127 Postoperative Instructions 129 Surgical Indexing 129 Possible Complications 129 Healing 130 9. Dental Implant Placement Including the Use of Short Implants 131 Albert Price and Ming Fang Su History 131 Indications 133 Technique 134 Implant Placement 134 Site Preparation 135 Fixture Installation 138 Possible Problems and Complications 138 10. Periodontal Medicine Including Biopsy Techniques 143 Vikki Noonan and Sadru Kabani Gingival Nodules 143 Parulis 143 Fibroma 143 Peripheral Ossifying Fibroma 144 Pyogenic Granuloma 144 Peripheral Giant Cell Granuloma 144 Diagnosis and Treatment of Reactive Gingival Nodules 144 Gingival Cyst of the Adult 144 Mucocele 145 Desquamative Gingivitis 146 Lichen Planus 146 Pemphigus Vulgaris 146 Mucous Membrane (Cicatricial) Pemphigoid 147 Diagnosis and Treatment of Desquamative Gingival Lesions 147 Plasma Cell Gingivitis 148 Erythema Multiforme 149 Gingival Enlargement 149 Epulis Fissuratum 149 Medication-Induced Gingival Overgrowth 150 Hyperplastic Gingivitis 150 Leukemia 150 Gingival Fibromatosis 151 Ligneous Gingivitis and Conjunctivitis 151 Wegener's Granulomatosis 151 Pigmented Lesions 151 Physiologic Pigmentation 152 Medication-Induced Pigmentation 152 Smoker's Melanosis 152 Amalgam Tattoo 153 Melanotic Macule 153 Oral Melanoacanthoma (Melanoacanthosis) 154 Oral Melanocytic Nevus 154 Oral Melanoma 154 Sanguinara-Induced Leukoplakia 155 Proliferative Verrucous Leukoplakia 155 Malignant Neoplasia 155 Squamous Cell Carcinoma 156 Verrucous Carcinoma 156 Metastatic Disease 157 Infections 157 Herpes 157 HIV-Associated Gingivitis 158 Oral Soft Tissue Biopsy Techniques 158 Armamentarium 159 Incisional Scalpel Biopsy 159 Excisional Scalpel Biopsy 159 Biopsy Data Sheet 160 11. Sinus Augmentation Using Tissue-Engineered Bone 165 Ulrike Schulze-Spate and Luigi Montesani History 165 Indications 165 Contraindications 165 Armamentarium 166 Sinus Augmentation Using Tissue-Engineered Bone Discs 166 Transplant Implantation Surgery (Sinus Augmentation Procedure Using Tissue-Engineered Bone Discs) 167 Index 173