Periodontology at a Glance

Valerie Clerehugh is Professor of Periodontology at Leeds Dental Institute, University of Leeds, UK. Professor Clerehugh has been the Honorary Editor and President of the British Society of Periodontology, Clinical Editor of the British Dental Journal and Associate Editor of the Journal of Dentistry. She is joined by Aradhna Tugnait, who is Lecturer in Restorative Dentistry, also at Leeds. Dr Tugnait has a key leadership role in undergraduate dental education at Leeds Dental Institute and her research interests include periodontal microbiology and the role of radiographs in periodontal diagnosis. Robert Genco is Distinguished Professor of Oral Biology and Microbiology at the State University of New York at Buffalo, USA. Professor Genco is a senior figure in the American Academy of Periodontology and was Editor-in-Chief of the Journal of Periodontology for 18 years.

Preface vii

Acknowledgements and Dedications ix

1 Anatomy of the periodontium 2

2 Classification of periodontal diseases 4

3 Periodontal epidemiology 6

4 Role of plaque in the aetiology of periodontal diseases 8

5 Plaque microbiology 10

6 Calculus 12

7 Host defences 14

8 Development of periodontal diseases 16

9 Progression of periodontal diseases 18

10 Risk and periodontal diseases 20

11 Systemic risk factors for periodontal diseases 22

12 Periodontal diseases and general health 24

13 Diet and periodontal diseases 26

14 Local risk factors for periodontal diseases 28

15 Occlusion and periodontal diseases 30

16 Periodontal history, examination and diagnosis 32

17 Periodontal screening 34

18 Role of radiographs in periodontal diagnosis 36

19 Principles of periodontal diagnosis and treatment planning 38

20 Plaque control and non-surgical periodontal therapy 40

21 Patient communication in dental care 42

22 Periodontal tissue response, healing and monitoring 44

23 Role of antimicrobial therapy in periodontal diseases 46

24 Periodontal surgery 48

25 Types of periodontal surgery 50

26 Regenerative periodontal therapy 52

27 Bone defects and furcation lesions 54

28 Dental implants and peri-implantology 56

29 Periodontic–orthodontic interface 58

30 Plaque-induced gingivitis 60

31 Non-plaque-induced gingival conditions and lesions 62

32 Gingival recession 64

33 Gingival overgrowth 66

34 Chronic periodontitis 68

35 Aggressive periodontitis 70

36 Periodontal management of patients who smoke 72

37 Periodontal management of patients with diabetes 74

38 Necrotising periodontal diseases 76

39 Periodontal abscess and periodontic–endodontic lesions 78

40 Periodontal diseases in children and adolescents 80

41 Periodontal management of the older adult 82

42 Team working in dental care 84

43 The decision to treat or refer periodontal patients 86

Appendix: References and further reading 88

Index 91