Periodontology at a Glance (eBook)

Valerie Clerehugh, PhD, BDS, FDSRCS (Ed), FHEA is Emeritus Professor of Periodontology at the University of Leeds School of Dentistry, UK, where she was previously Head of the Division and Department of Restorative Dentistry. She is former President of the British Society of Periodontology and Implant Dentistry (BSP) and has been Chair of the British Society for Dental Research Periodontal Research Group. Val has served as Honorary Editor of BSP, Associate Editor of Journal of Dentistry, and Clinical Editor for the British Dental Journal. Aradhna Tugnait, PhD, MDentSci, BChD, FDS RCS(Ed), FHEA is Associate Professor of Restorative Dentistry at the University of Leeds School of Dentistry, UK. She is also an Education Associate at the General Dental Council, and a former member of the Council and Chair of the Teachers Section of the British Society of Periodontology and Implant Dentistry (BSP). Michael R Milward, PhD, BDS, MFGDP, MFDS RCPS, FHEA is Professor of Periodontology and Honorary Consultant at the University of Birmingham, UK. He is a founding member of the Photonics Research Group, and member of the Periodontology Research group at Birmingham School of Dentistry. He was former Director of Education at the Faculty of Medical & Dental Sciences, University of Birmingham and President of the of the British Society of Periodontology and Implant Dentistry (2023). Iain L C Chapple, MBE, PhD, BDS, FDSRCPS, FDSRCS, CCST(RCS) is Professor of Periodontology/Honorary Consultant in Restorative Dentistry. He is former Head of Birmingham University Dental School UK, Associate Editor (AE) of J Clinical Periodontology, J Periodontal Research, and current AE for Periodontology 2000. He co-chairs the European Federation of Periodontology (EFP) workshops, previously served as EFP Treasurer and Secretary General and President for the British Society of Periodontology and Implant Dentistry (BSP). Iain's MBE was awarded in the 2022 Queen's New Years honours.

Preface to the Second Edition vii

Acknowledgements viii

Dedications ix

Part 1 Foundations 1

1 Anatomy of the periodontium 2

2 Classification of periodontal diseases 4

3 Periodontal epidemiology 8

4 Role of plaque in the aetiology of periodontal diseases 12

5 Plaque biofilm microbiology 16

6 Calculus 20

7 Host defences 24

8 Development of periodontal disease 28

9 Progression of periodontitis 32

Part 2 Risk and periodontal diseases 37

10 Risk and periodontal diseases 38

11 Systemic risk factors for periodontitis 42

12 Periodontal diseases and general health 46

13 Diet and periodontal diseases 50

14 Local risk factors for periodontal diseases 54

15 Occlusion and periodontal diseases 58

Part 3 Reaching a periodontal diagnosis and treatment plan 61

16 Periodontal history, examination and diagnosis 62

17 Periodontal screening 64

18 Role of radiographs in periodontal diagnosis 68

19 Principles of periodontal diagnosis and treatment planning 72

Part 4 Fundamentals for periodontal patient care 77

20 Plaque control 78

21 Non-surgical periodontal therapy 82

22 Periodontal tissue response, healing and monitoring 84

23 Role of antimicrobial therapy in periodontal diseases 86

Part 5 Advanced periodontal patient care: periodontal surgery, dental implants, periodontal-orthodontic interface 89

24 Periodontal surgery 90

25 Types of periodontal surgery 92

26 Regenerative periodontal therapy 96

27 Bone defects and furcation lesions 100

28 Dental implants 104

29 Peri-implant mucositis and peri-implantitis 108

30 Periodontal-orthodontic interface 112

Part 6 Periodontal diseases and periodontal management 117

31 Plaque biofilm-induced gingivitis 118

32 Non-plaque-induced gingival conditions and lesions 122

33 Gingival recession 126

34 Gingival enlargement 130

35 Periodontitis 134

36 Staging and grading 138

37 Periodontal management of patients who smoke 140

38 Periodontal management of patients with diabetes 144

39 Necrotising periodontal diseases 148

40 Periodontal abscesses and endodontic-periodontal lesions 150

41 Periodontal diseases in children and adolescents 154

42 Periodontal management of the older adult 158

43 The delivery of periodontal care 160

Appendices Appendix 1: Unabridged Figure 2.2 (b): 2018 Classification of gingival diseases: non-dental plaque-induced 164

Appendix 2: Unabridged Figure 2.4: 2018 Classification of systemic diseases and conditions that affect the periodontal supporting tissues 165

Appendix 3: Implementing the 2018 Classification of periodontal diseases to reach a diagnosis in Clinical Practice 166

Appendix 4: BSP UK Clinical Practice guideline for the treatment of periodontal diseases 168

Appendix 5: References and further reading 170

Index 179