Clinical Cases in Periodontics

Clinical Cases in Periodontics
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The newly revised Second Edition of  Clinical Cases in Periodontics delivers a comprehensive collection of clinical cases on critical topics within the discipline of periodontology. The book is thoroughly updated to incorporate recent developments in the field, along with new classifications of periodontal disease, common diagnoses, and a wide range of treatment options.  43 real-world clinical cases are discussed in this collection, including 8 brand-new cases unique to this edition, all of which include commentary and high-quality images to improve reader comprehension and understanding. The cases cover topics such as surgical and non-surgical treatment, regenerative therapy, mucogingival therapy, and interdisciplinary treatments.  Clinical Cases in Periodontics  offers:  A thorough introduction to periodontic examination and diagnosis, including documentation, plaque, and non-plaque induced gingivitis A comprehensive exploration of non-surgical periodontal therapy, including local anatomic factors contributing to periodontal disease and local drug delivery Practical discussions of resective periodontal therapy, including gingivectomy and flap osseous surgery In-depth examinations of regenerative therapy, including the treatment of furcation and guided bone regeneration The latest advances in inter-disciplinary care, encompassing orthodontics, prosthodontics, and implant dentistry A companion website featuring the images from the book in PowerPoint The latest edition of  Clinical Cases in Periodontics  is ideal for dental students, periodontology residents, dental practitioners, and anyone else seeking periodontal clinical case studies.

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Группа авторов. Clinical Cases in Periodontics

Table of Contents

List of Tables

List of Illustrations

Guide

Pages

Clinical Cases in Periodontics

Clinical Cases in. Periodontics

DEDICATION

CONTRIBUTORS

PREFACE

ABOUT THE COMPANION WEBSITE

1 Examination and Diagnosis

Case 1 Examination and Documentation. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Dental History

Soft Tissue and Gingival Examination

Comprehensive Periodontal Examination

Radiographic Examination

Diagnosis

Self‐Study Questions

References

TAKE‐HOME POINTS

Case 1.2 Dental Plaque‐Induced Gingivitis. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Social History

Extraoral Examination

Intraoral Examination

Occlusion

Radiographic Examination

Diagnosis

Treatment Plan

Treatment

Discussion

Self-Study Questions

References

TAKE‐HOME POINTS

Case 1.3 Non‐Plaque‐Induced Gingivitis. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Dental History

Social History

Family History

Extraoral Examination

Intraoral Examination

Hard Tissue Examination

Periodontal Examination

Occlusion

Radiographic Examination

Diagnosis

Treatment Plan

Discussion

Self‐Study Questions

References

TAKE‐HOME POINTS

Case 1.4 Gingival Enlargement. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Social History

Extraoral and Intraoral Examinations

Occlusion

Radiographic Examination

Diagnosis

Treatment Plan

Treatment

Discussion

Self-Study Questions

References

TAKE‐HOME POINTS

Case 1.5 Aggressive Periodontitis. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Social History

Extraoral Examination

Intraoral Examination

Occlusion

Radiographic Examination

Diagnosis and Prognosis

Treatment Plan

Discussion

Self-Study Questions

References

TAKE‐HOME POINTS

Case 1.6 Chronic Periodontitis. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Social History

Extraoral Examination

Intraoral Examination

Occlusion

Radiographic Examination

Diagnosis

Treatment Plan

Treatment

Discussion

Self-Study Questions

References

TAKE‐HOME POINTS

Case 1.7 Local Anatomic Factors Contributing to Periodontal Disease. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Social History

Oral Hygiene Status

Extraoral Examination

Intraoral Examination

Occlusion

Radiographic Examination

Diagnosis

Treatment Plan

Treatment

Discussion

Self-Study Questions

ACKNOWLEDGMENT

References

TAKE‐HOME POINTS

Case 1.8 Oral–Systemic Links. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Social History

Extraoral Examination

Intraoral Examination

Clinical Investigations

Occlusion

Radiographic Examination

Diagnosis

Prognosis

Treatment Plan

Treatment

Discussion

Self-Study Questions

References

TAKE‐HOME POINTS

Case 1.9 Developments in Diagnostics. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Social History

Extraoral Examination

Intraoral Examination

Occlusion

Radiographic Examination

Diagnosis and Prognosis

Treatment

Discussion

Self-Study Questions

References

TAKE‐HOME POINTS

2 Nonsurgical Periodontal Therapy

Case 1 Hand and Automated Instrumentation. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Social History

Extraoral Examination

Intraoral Examination

Radiographic Examination

Occlusion

Diagnosis

Treatment Plan

Treatment

Discussion

Self‐Study Questions

References

TAKE‐HOME POINTS

Case 2 Local Drug Delivery. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Social History

Extraoral Examination

Intraoral Examination

Occlusion

Radiographic Examination

Diagnosis

Treatment Plan

Reevaluation of Post‐initial Treatment

Discussion

Self‐Study Questions

ACKNOWLEDGMENTS

References

TAKE‐HOME POINTS

Case 3 Systemic Antibiotics. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Social History

Extraoral Examination

Intraoral Examination

Occlusion

Radiographic Examination

Diagnosis

Treatment Plan

Treatment

Discussion

Self‐Study Questions

References

TAKE‐HOME POINTS

Case 4 Use of Lasers in Periodontology. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Family History

Social History

Extraoral Examination

Intraoral Examination

Diagnosis

Treatment Plan

Treatment

Discussion

Self‐Study Questions

References

TAKE‐HOME POINTS [2]

3 Resective Periodontal Therapy

Case 1 Gingivectomy. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Dental History

Social History

Oral Hygiene

Extraoral and Intraoral Examinations

Occlusion

Radiographic Examination

Diagnosis

Treatment Plan

Treatment

Discussion

Self‐Study Questions

ACKNOWLEDGMENT

References

TAKE‐HOME POINTS

Case 2 Preprosthetic Hard Tissue and Soft Tissue Crown Lengthening. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Social History

Extraoral Examination

Intraoral Examination

Occlusion

Radiographic Examination

Diagnosis

Treatment Plan

Treatment

Preoperative Consultation

Crown Lengthening Procedure

Self‐Study Questions

ACKNOWLEDGMENTS

References

TAKE‐HOME POINTS

Case 3 Flap Osseous Surgery. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Social History

Extraoral Examination

Intraoral Examination

Radiographic Examination

Occlusion

Treatment Plan

Treatment

Preoperative Consultation

Flap Osseous Procedure (Figures 3.3.4 and 3.3.5)

Discussion

Self-Study Questions

References

TAKE‐HOME POINTS

Case 4 Root Resection. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Social History

Extraoral Examination

Intraoral Examination

Occlusion

Radiographic Examination

Diagnosis

Treatment Plan

Phase 1

Phase 2

Phase 3

Phase 4

Treatment. Phase 1

Phase 2

Discussion

Self‐Study Questions

References

TAKE‐HOME POINTS

4 Regenerative Therapy

Case 1 Treatment of Furcations. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Social History

Extraoral Examination

Intraoral Examination

Occlusion

Diagnosis

Treatment Plan

Treatment

Discussion

Self‐Study Questions

References

TAKE‐HOME POINTS

Case 2 Treatment of Intrabony Defects Using Allografts. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Social History

Extraoral Examination

Intraoral Examination

Radiographic Examination

Occlusion

Treatment Plan

Treatment

Preoperative Consultation

Guided Tissue Regeneration Procedure

Discussion

Self‐Study Questions

References

TAKE‐HOME POINTS

Case 3 Treatment of Intrabony Defects Using Growth Factors. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Dental History

Examinations

Radiographic Examination

Treatment Options

Treatment

Self‐Study Questions

References

TAKE‐HOME POINTS

Case 4 Treatment of Intrabony Defects Using Alloplastic Materials. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Social History

Extraoral Examination

Intraoral Examination

Occlusion

Radiographic Examination

Diagnosis

Treatment Plan

Treatment

Self‐Study Questions

References

TAKE‐HOME POINTS

Case 5 Guided Bone Regeneration. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Social History

Extraoral Examination

Intraoral Examination

Occlusion

Radiographic Examination

Treatment Plan

Treatment

Preoperative Consultation

Guided Bone Regeneration Procedure

Discussion

Self‐Study Questions

References

TAKE‐HOME POINTS

5 Mucogingival Therapy

Case 1 Pedicle Flaps. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Dental History

Social History

Extraoral Examination

Intraoral Examination

Hard Tissue Examination

Periodontal Examination

Occlusion

Radiographic Examination

Diagnosis

Treatment Plan

Discussion

Self‐Study Questions

References

TAKE‐HOME POINTS

Case 2 Connective Tissue Grafts. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Social History

Dental History

Oral Hygiene Status

Family History

Extraoral Examination

Intraoral Examination

Radiographic Examination

Diagnosis

Treatment Plan

Treatment

Root Preparation

Suturing

Postoperative Instructions

Prescriptions

Postoperative Follow‐up

Discussion. Indications

Techniques

Conclusion

References

Case 3 Free Gingival Grafts. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Dental History

Social History

Oral Hygiene

Extraoral and Intraoral Examinations

Occlusion

Radiographic Examination

Diagnosis

Treatment Plan

Treatment

Preparation of Recipient Site

Harvesting of Palatal Epithelial–Connective Tissue Graft (Figure 5.3.5)

Graft Stabilization (Figure 5.3.6)

Discussion

Self‐Study Questions

References

TAKE‐HOME POINTS

Case 4 Allografts (Alloderm) for Mucogingival Therapy. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Social History

Extraoral Examination

Oral Hygiene

Intraoral Examination

Occlusion

Radiographic Examination

Diagnosis and Treatment Plan

Treatment

One‐week Follow‐up Visit

Six‐week Follow‐up Visit

Four‐month Follow‐up Visit

Discussion

Self‐Study Questions

References

TAKE‐HOME POINTS

Case 5 Frenectomy and Vestibuloplasty. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Social History

Extraoral Examination

Intraoral Examination

Occlusion

Radiographic Examination

Diagnosis and Prognosis

Treatment Plan

Treatment

Discussion

Self‐Study Questions

ACKNOWLEDGMENT

References

TAKE‐HOME POINTS

Case 6 Minimally Invasive Coronally Advanced Flap Techniques. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Social History

Extraoral Examination

Intraoral Examination(Figures 5.6.1 and 5.6.2)

Radiographic Examination

Diagnosis

Treatment Plan

Treatment

Discussion

Self‐Study Questions

ACKNOWLEDGMENT

References

TAKE‐HOME POINTS

6 Interdisciplinary Treatment

Case 1 Periodontics–Endodontics. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Dental History

Review of Systems

Extraoral Examination

Intraoral Examination

Occlusion

Radiographic Examination

Diagnoses

Differential Diagnosis for Tooth #2

Definitive Diagnoses

Treatment Plan. Phase 1

Phase 4 (periodic restorative and periodontal evaluations)

Treatment

Discussion

Self‐Study Questions

ACKNOWLEDGMENTS

References

TAKE‐HOME POINTS

Case 2 Periodontics–Prosthodontics. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Social History

Extraoral Examination

Intraoral Examination

Occlusion

Esthetics

Radiographic Examination

Problem List

Treatment Planning and Sequence Overview. Diagnostics

Phase 1 (Figure 6.2.8)

Phase 2

Phase 3

Maintenance

Discussion

Self‐Study Questions

ACKNOWLEDGMENT

References

TAKE‐HOME POINTS

Case 3 Periodontics–Orthodontics: Part I. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Dental History

Family History

Social History

Growth and Development

Extraoral Examination

Intraoral Examination(Figures 6.3.1–6.3.5)

Radiographic Examination

Diagnosis

Treatment Plan

Treatment Objectives

Phase 1

Phase 2

Phase 3

Phase 4

Treatment

Discussion

Self‐Study Questions

References

TAKE‐HOME POINTS

Case 4 Periodontics–Orthodontics: Part II. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Family History

Social History

Oral Hygiene

Dental History

Extraoral Examination

Intraoral Examination

Occlusion

Radiographic Examination

Diagnosis

Treatment Plan

Treatment Objectives

Treatment. Orthodontics

Periodontology

Discussion

Self‐Study Questions

References

TAKE‐HOME POINTS

Case 5 Occlusion–Periodontology. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Social History

Extraoral Examination

Intraoral Examination

Radiographic Examination

Occlusion

Diagnosis

Treatment Plan

Discussion

Self‐Study Questions

References

TAKE‐HOME POINTS

Case 6 Periodontics–Pediatric Dentistry. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Social History

Extraoral Examination

Intraoral Examination

Occlusion

Radiographic Examination

Diagnosis

Treatment

Discussion

Special Considerations

Self‐Study Questions

References

TAKE‐HOME POINTS

7 Implant Site Preparation

Case 1 Sinus Grafting: Lateral. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Social History

Extraoral Examination

Intraoral Examination

Diagnosis

Occlusion

Radiographic Examination

Treatment Plan

Treatment

Preoperative Consultation

Sinus Elevation Procedure

Discussion

Self‐Study Questions

References

TAKE‐HOME POINTS

Case 2 Internal Sinus Lift Using the Crestal Window Technique. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Social History

Extraoral Examination

Intraoral Examination

Occlusion

Radiographic Examination

Diagnosis

Treatment

Preoperative Consultation

Sinus Elevation Procedure

Discussion

Self‐Study Questions

References

TAKE‐HOME POINTS

Case 3 Alveolar Ridge Preservation. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Social History

Extraoral Examination

Intraoral Examination

Occlusion

Radiographic Examination

Diagnosis

Treatment Plan

Treatment

Discussion

Self‐Study Questions

References

TAKE‐HOME POINTS

Case 4 Ridge Split and Osteotome Ridge Expansion Techniques. Case 4A. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Social History

Oral Hygiene Status

Extraoral Examination

Intraoral Examination

Occlusion

Radiographic Examination

Diagnosis

Treatment Plan

Treatment

Ridge Split Procedure

Case 4B. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Social History

Extraoral Examination

Intraoral Examination

Occlusion

Radiographic Examination

Diagnosis

Treatment Plan

Treatment

Preoperative Consultation

Ridge Expansion Procedure

Discussion

Self‐Study Questions

ACKNOWLEDGMENT

References

TAKE‐HOME POINTS

8 Dental Implants

Case 1 Conventional Implant Placement. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Social History

Extraoral Examination

Intraoral Examination

Occlusion

Radiographic Examination

Diagnosis

Treatment Plan

Treatment

Discussion

Self‐Study Questions

References

TAKE‐HOME POINTS

Case 2 Immediate Implant Placement. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Social History

Extraoral Examination

Intraoral Examination

Occlusion

Radiographic Examination

Diagnosis

Treatment Plan

Treatment

Discussion

Self‐Study Questions

References

TAKE‐HOME POINTS

Case 3 Sinus Lift and Immediate Implant Placement. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Social History

Extraoral Examination

Intraoral Examination

Occlusion

Radiographic Examination

Treatment

Preoperative Consultation

Sinus Elevation Procedure

Discussion

Self‐Study Questions

References

TAKE‐HOME POINTS

Case 4 Implant Rehabilitation for Missing Adjacent Teeth in the Maxillary Esthetic Zone. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Social History

Extraoral Examination

Intraoral Examination

Occlusion

Radiographic Examination

Diagnosis

Treatment Plan

Treatment

Discussion

Self‐Study Questions

ACKNOWLEDGMENT

References

TAKE‐HOME POINTS

Case 5 Combination of Implant Single Crowns and Porcelain Veneers in the Esthetic Zone. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Review of Systems

Social History

Extraoral Examination

Intraoral Examination

Occlusion

Radiographic Examination

Diagnosis

Treatment Plan

Treatment

Discussion

Self‐Study Questions

ACKNOWLEDGMENT

References

TAKE‐HOME POINTS

9 Preventive Periodontal Therapy

Case 1 Plaque Removal. CASE STORY

LEARNING GOALS AND OBJECTIVES

Medical History

Dental History

Review of Systems

Social History

Extraoral Examination

Intraoral Examination

Occlusion

Radiographic Examination

Diagnosis

Treatment Plan

Treatment

Discussion

Self‐Study Questions

References

TAKE‐HOME POINTS

INDEX. A

B

C

D

E

F

G

H

I

K

L

M

N

O

P

R

S

T

U

V

W

X

Z

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Wiley‐Blackwell’s Clinical Cases series is designed to recognize the centrality of clinical cases to the dental profession by providing actual cases with an academic backbone. This unique approach supports the new trend in case‐based and problem‐based learning. Highly illustrated in full color, the Clinical Cases series utilizes a format that fosters independent learning and prepares the reader for case‐based examinations.

.....

Paul A. Levi, Jr., DMD Tufts University School of Dental Medicine Boston, MA, USA

Liran Levin, DMD, FRCD(C), FIADT, FICD Faculty of Medicine and Dentistry, University of Alberta Edmonton, Alberta, Canada

.....

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