Newman and Carranza's Clinical Periodontology and Implantology

14th Edition - April 25, 2023
Authors: Michael G. Newman, Perry R. Klokkevold, Satheesh Elangovan, Yvonne Kapila
Editors: Fermin A. Carranza, Henry Takei
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 8 7 8 8 7 - 6
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 8 7 8 8 8 - 3

**Selected for Doody’s Core Titles® 2024 in Dentistry**Learn and master a range of clinical techniques and achieve therapeutic goals with Newman and Carranza’s Clinical Per… Read more

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**Selected for Doody’s Core Titles® 2024 in Dentistry**

Learn and master a range of clinical techniques and achieve therapeutic goals with Newman and Carranza’s Clinical Periodontology and Implantology, 14th Edition! Unmatched for its comprehensive approach, this resource provides detailed, up-to-date information on the etiology and pathogenesis of periodontal disease. Basic and advanced evidence-based information on the various treatment modalities employed in periodontics and implantology is presented in an easy-to-read format, with callout boxes throughout the text highlighting the clinical relevance of foundational basic science information. Full-color photos and radiographic images depict periodontal conditions and procedures, and the Atlas of Periodontal Pathology is one of the most comprehensive ever compiled in a periodontal textbook. Written by a team of leading experts led by Michael G. Newman, this text not only demonstrates how to perform periodontal procedures but explains the evidence supporting each treatment and provides knowledge on how to achieve the best possible outcomes of periodontal therapy and implant treatment. An eBook version is included with print purchase, providing access to all the text, figures, and references, plus the ability to search, customize content, make notes and highlights, and have content read aloud. The eBook version included with print purchase also includes Periopixel 3D color illustrations, a periodontal classification calculator and interactive learning tool, review questions, case studies, videos, 3D animations, and more! This edition features new chapters on Precision Medicine, Pocket Reduction Therapy, Periodontal Referral, and Digital Implant Workflows, as well as an updated glossary of terms linked to the eBook. It also features first-of-its-kind content on the effects of COVID-19 on treatment from key opinion leaders in this area. Case studies reflect the new format of the Integrated National Board Dental Exam (INBDE).

Cover image
Title page
Table of Contents
Copyright
About the Authors
Preface
About the Online Resources
Acknowledgments
Contributors
VIDEO CONTENTS
Fundamentals of Periodontology
Section I. Fundamentals and Essential Evidence
Chapter 1. Clinical Periodontology and Implantology in the Era of Precision Medicine
Periodontology and Its Contemporary Practice
Health and Disease
Contemporary Practice of Medicine
Precision Health Care
Emerging Practice Model in Periodontology
Components of Precision Periodontics
Conclusion
Chapter 2. Evidence-Based Decision Making
Background and Definition
Principles of Evidence-Based Decision Making
Evidence-Based Decision-Making Process and Skills
Conclusion
Chapter 3. Critical Thinking: Assessing Evidence
Twelve Tools for Assessing Evidence
Conclusion
Chapter 4. Anatomy, Structure, and Function of the Periodontium
Periodontal Phenotype
Oral Mucosa
Gingiva
Periodontal Ligament
Cementum
Alveolar Process
Development of the Attachment Apparatus
External Forces and the Periodontium
Vascularization of the Supporting Structures
Chapter 5. Classification of Diseases and Conditions Affecting the Periodontium
Diagnosis Calculator
Introduction
Periodontal Health
Gingival Diseases
Periodontiti
Periodontal Manifestations of Systemic Diseases
Necrotizing Periodontal Diseases
Other Periodontal Conditions: Periodontal Abscesses
Other Periodontal Conditions: Mucogingival Deformities and Conditions
Other Periodontal Conditions: Occlusal Trauma and Traumatic Occlusal Forces
Other Periodontal Conditions: Prostheses and Tooth-Related Factors That Modify or Predispose to Plaque-Induced Gingival Diseases/Periodontitis
Peri-Implant Diseases and Conditions
Chapter 6. Fundamentals in the Methods of Periodontal Disease Epidemiology
The Need for Epidemiology
Epidemiologic Study Designs
Causes
Diagnosis
Section II. Etiology and Pathogenesis
Chapter 7. Atlas of Periodontal Diseases
Plaque-Induced Gingival Diseases
Causes of Periodontal Diseases
Gingival Diseases Modified by Systemic Factors
Gingival Diseases Associated With Blood Dyscrasias
Drug-Induced Gingival Diseases
Non–Plaque-Induced Gingival Lesions
Gingival Lesions of Genetic Origin
Gingival Manifestations of Systemic Conditions
Traumatic Lesions: Factitious, Iatrogenic, and Accidental
Cysts and Tumors
Periodontitis
Periodontitis
Periodontitis as a Manifestation of Systemic Diseases
Genetic Disorders
Necrotizing Periodontal Diseases
Abscesses of Periodontium
Chapter 8. Periodontal Disease Pathogenesis
Histopathology of Periodontal Disease
Inflammatory Responses in the Periodontium
Linking Pathogenesis to Clinical Signs of Disease
Resolution of Inflammation
Immune Responses in Periodontal Pathogenesis
Concept of Host Susceptibility
Chapter 9. Precision Dentistry: Genetics and Epigenetics of Periodontitis
Genomic Advances in the 21st Century
Genetic Basis for Individual Differences in Disease Risk
Precision Dentistry: Using Genetics for Personalized Treatment
Chapter 10. Biofilm and Periodontal Microbiology
Introduction
The Oral Cavity From a Microbe’s Perspective
Bacteria and Their Biofilm Mode of Living—Life in “Slime City”
Structure of Mature Dental Biofilms
Factors That Affect Supragingival Dental Biofilm Formation
Relationship Between Oral Microbiome and Other Microbiomes
Historical and Contemporary Concepts in the Etiology of Periodontitis
Periodontal Biofilm Composition in Health and Disease
Relationship Between Periodontal Microbiome and Systemic Diseases
Biofilm and Microbiome Modulation by Different Periodontal Treatments
Chapter 11. Host-Microbe Interactions and the Inflammatory Response
Chapter Overview
Host-Microbial Interactions
Pattern-Recognition Receptors
Toll-Like Receptors
NOD-Like Receptors
Inflammatory Response in the Periodontium
The Complement System
Dynamics of Host Response/Interactions and Intersections Between Innate and Adaptive Responses
Immunomodulatory Therapies
Chapter 12. Resolution of Inflammation
Inflammation
Acute Inflammation Is Self-Limited
Efferocytosis and Resolution
Host Response Heterogeneity
Unresolved Chronic Inflammation in Periodontal Diseases
Systemic Link
Therapeutic Actions of Resolution Mediators
Final Remarks
Chapter 13. Aging and the Periodontium
Changing Patterns of Periodontal Health in Older People
Effects of Aging on the Periodontium
Effects of Aging on the Progression of Periodontal Diseases
Aging and the Response to Treatment of the Periodontium
Conclusions
Section III. Gingival Pathology
Chapter 14. Defense Mechanisms of the Gingiva
The Junctional Epithelium
Sulcular Fluid
Chapter 15. Dental Biofilm-Induced Gingivitis and Its Management
Stage I Gingival Inflammation: The Initial Lesion
Stage II Gingival Inflammation: The Early Lesion
Stage III Gingival Inflammation: The Established Lesion
Stage IV Gingival Inflammation: The Advanced Lesion
Chapter 16. Select Systemic and Local Diseases That Affect the Gingiva
SYSTEMIC
LOCAL
Chapter 17. Acute Gingival Infections and Management
Necrotizing Ulcerative Gingivitis
Management of Necrotizing Ulcerative Gingivitis
Primary Herpetic Gingivostomatitis
Management of Primary Herpetic Gingivostomatitis
Pericoronitis
Management of Pericoronitis
Conclusions
Chapter 18. Desquamative Gingivitis
Chronic Desquamative Gingivitis
Diagnosis of Desquamative Gingivitis: A Systematic Approach
Diseases That Can Manifest as Desquamative Gingivitis
Drug-Related Eruptions
Miscellaneous Conditions That Mimic Desquamative Gingivitis
Chapter 19. Gingival Enlargement and Management
Terminology and Classification
Diagnosis
Types of Gingival Enlargement
Drug-Induced Overgrowth of Gingiva
Gingival Overgrowth Associated With Systemic Conditions
Pregnancy-Associated Gingival Overgrowth
Puberty-Associated Gingival Overgrowth
Nutrition-Associated Gingival Overgrowth
Gingival Fibromatosis
Other Forms of Gingival Enlargement
Chapter 20. Periodontal Health and Disease in Children and Adolescents
Periodontium of the Primary Dentition
Periodontal Changes Associated With Normal Development
Gingival Diseases
Periodontal Diseases in Children and Adolescents
Therapeutic Considerations in the Pediatric Patient
Conclusions
Summary of Basic Periodontal Examination
Section IV. Periodontal Pathology
Chapter 21. Periodontitis
Definition of Periodontitis
General Characteristics and Symptoms
Systematic Diagnosis—Staging and Grading
Chapter 22. The Periodontal Pocket Formation and Patterns of Bone Loss
Classification
Clinical Features
Pathogenesis
Histopathology
Periodontitis Activity
Site Specificity
Pulp Changes Associated With Periodontal Pockets
Relationship of Attachment Loss and Bone Loss to Pocket Depth
Area Between Base of Pocket and Alveolar Bone
Relationship of Pocket to Bone
Periodontal Abscess
Lateral Periodontal Cyst
Bone Destruction Caused by the Extension of Gingival Inflammation
Bone Destruction Caused by Trauma From Occlusion
Bone Destruction Caused by Systemic Disorders
Factors Determining Bone Morphology in Periodontitis
Bone Destruction Patterns in Periodontitis
Conclusion
Chapter 23. Risk Factors of Periodontal Disease (Smoking)
The Smoking Epidemic
Effects of Smoking on the Prevalence and Severity of Periodontal Diseases
Effects of Smoking on the Etiology and Pathogenesis of Periodontal Disease
Effects of Smoking on the Response to Periodontal Therapy
Effects of Smoking Cessation on Periodontal Treatment Outcomes
Chapter 24. The Role of Dental Calculus and Other Local Predisposing Factors
Calculus
Other Predisposing Factors
Section V. Conditions Affecting the Periodontal Patient
Chapter 25. Influence of Systemic Conditions on the Periodontium
Endocrine Disorders and Hormonal Changes
Hematologic Disorders and Immune Deficiencies
Genetic Disorders
Stress and Psychosomatic Disorders
Nutritional Influences
Medications
Other Systemic Conditions
Conclusions
Chapter 26. Impact of Periodontal Infection on Systemic Health
Pathobiology of Periodontitis
Focal Infection Theory Revisited
Evidence-Based Clinical Practice
Subgingival Environment as a Reservoir for Bacteria
Periodontal Disease and Mortality
Periodontal Disease and Oncogenesis
Periodontal Disease, Coronary Heart Disease, and Atherosclerosis
Periodontal Disease and Stroke
Periodontal Disease and Diabetes Mellitus
Periodontal Disease and Pregnancy Outcome
Periodontal Disease and Chronic Obstructive Pulmonary Disease
Periodontal Disease and Acute Respiratory Infections
Periodontal Disease and Asthma
Periodontal Disease and Rheumatoid Arthritis
Periodontal Medicine in Clinical Practice
Conclusions
Chapter 27. Pathology and Management of Periodontal Problems Associated With Viral Infection, Including HIV, COVID, and Others
Introduction
Viral Complex
Virus Isolation and Identification
Viral Transmission
Oral Viral Ecology
Saliva
Salivary Proteins
Viruses
Oral and Periodontal Manifestations of HIV
Bacteriophages
Chapter 28. Periodontal Therapy in the Female Patient
Puberty
Menses
Pregnancy
Oral Contraceptives
Menopause
Conclusions
CHAPTER 29. Aging and Periodontal Health: A Long-Term Relationship
Introduction
Immunosenescence and the Periodontium
Nonimmune Factors and Periodontitis
Systemic Diseases and Periodontal Considerations
Periodontal Treatment Planning Considerations
Conclusions
Chapter 30. Acute Periodontal Infections and Management
Clinical Features
Microscopic Findings
Patients with HIV/AIDS
Etiology of Necrotizing Ulcerative Periodontitis
Malnutrition
Conclusion
Chapter 31. Halitosis (Breath Malodor)
Semantics and Classification
Epidemiology
Etiology
Diagnosis of Malodor
Treatment of Intraoral Halitosis or Oral Malodor
Conclusion
Section VI. Occlusion
CHAPTER 32. Periodontal Response to External Forces
Adaptive Capacity of the Periodontium to Occlusal Forces
Trauma From Occlusion
Stages of Tissue Response to Increased Occlusal Forces
Effects of Insufficient Occlusal Force
Reversibility of Traumatic Lesions
Effects of Excessive Occlusal Forces on Dental Pulp
Relationship Between Plaque-Induced Periodontal Diseases and Trauma From Occlusion
Pathologic Tooth Migration
Summary
Chapter 33. Sleep-Related Breathing Disorders
New and Evolving Role of the Dentist
Sleep-Related Breathing Disorders and the Periodontium
Dental Identification of Signs and Symptoms
Sleep, Breathing, and Apnea
Diagnosis of Obstructive Sleep Apnea
Treatment Options for Obstructive Sleep Apnea
Oral Devices for Mandibular Repositioning
Device Design and Compliance
Conclusions
Chapter 34. Masticatory System Disorders That Influence the Periodontium
Temporomandibular Joint
Muscles and Nerves of the Masticatory System
Centric Relation
Biomechanics of the Masticatory System
Dysfunction and Deterioration
Orofacial Pain
Comprehensive Evaluation
Diagnostic Decision-Making
Chapter 35. Role of Occlusion and TMD in Periodontal Disease Management
Pathogenesis
Evidence-Based Decision Making
Terminology
Occlusal Function and Dysfunction
Parafunction
Clinical Examination
Occlusal Therapy
Conclusions
Clinical Periodontics
Section I. Clinical Evaluation and NonSurgical Management of Periodontal Conditions
Chapter 36. Levels of Clinical Significance
Tangible Versus Intangible Benefits
Size of the Treatment Effect
Defining Four Levels of Clinical Significance
Summary
Chapter 37. Electronic Dental Records and the Role of Health Information Technology in Dentistry
Electronic Dental Record Use in Dental Practices
Functionalities and Components Available in Electronic Dental Records
Utilizing Electronic Dental Record Data for Clinical Research and Patient Care
Significance of Assessing Quality of Electronic Dental and Health Record Data
Benefits of Using Electronic Dental Records
Barriers to Using Electronic Dental Records
Challenges to Realizing the Full Potential of Electronic Dental Records
Clinical Decision Support Systems
Machine Learning, Artificial Intelligence and Augmented Intelligence
Mobile (m)-Health Applications and Teledentistry
Future of Electronic Dental Records and Health Information Technology in Dentistry
Chapter 38. Periodontal Examination
Overall Appraisal of the Patient
Health History
Dental History
Photographic Documentation and Study Models
Clinical Examination
Tactile Periodontal Examination
Periodontal Charting
Examination of the Teeth and Implants
Radiographic Examination
Laboratory Tests to Aid Clinical Diagnosis
Diagnosis and Classification of Periodontitis
Assessment of Biofilm Control and Patient Education
Conclusion
Chapter 39. Radiographic Aids in the Diagnosis of Periodontal Disease
Imaging Modalities for Periodontal Assessment
Normal Interdental Bone
Radiographic Appearance of Periodontal Disease
Conclusion
Chapter 40. Periodontal Risk Assessment
Definitions
Risk Factors for Periodontal Disease
Risk Determinants/Background Characteristics for Periodontal Disease
Risk Indicators for Periodontal Disease
Risk Markers/Predictors for Periodontal Disease
Clinical Risk Assessment for Periodontal Disease
Electronic Health Records and Periodontal Risk Assessment
Conclusion
Chapter 41. Determination of Prognosis
Definitions
Types of Prognosis
Factors in Determination of Prognosis
Prognosis of Specific Periodontal Diseases
Determination and Reassessment of Prognosis
Conclusion
Chapter 42. Periodontal Treatment Plan
Overall Treatment Plan
Sequence of Therapy
Explaining the Treatment Plan to the Patient
Conclusion
Chapter 43. Nonsurgical Phase of Periodontal Therapy
Rationale
Treatment Sessions
Sequence of Procedures
Results
Healing
Decision to Refer for Specialist Treatment
Conclusion
Chapter 44. Clinical Practice Guideline for Treatment of Periodontitis
Introduction
Steps in the Management of Periodontitis (Fig. 44.1)
Chapter 45. Restorative Interrelationships
Biologic Considerations
Esthetic Tissue Management
Occlusal Considerations in Restorative Therapy
Special Restorative Considerations
Chapter 46. Multidisciplinary Versus Interdisciplinary Approaches to Dental and Periodontal Problems
Educational Trends Toward Multidisciplinary Specialist Education in Implant Treatment
The Future
Chapter 47. Periodontal Referral
Introduction
Current State of Periodontal Referral
Patient Referral Based on Periodontist and General Dentist Involvement in Treatment
Patient Referral Based on Periodontal Condition
Peri-implant Diseases and Conditions
Referral Process
Conclusions
Chapter 48. Orthodontics in Periodontal Therapy
Benefits of Orthodontic Therapy
Preorthodontic Osseous Surgery
Orthodontic Treatment of Gingival Discrepancies
Implant Interactions in Orthodontics
Conclusion
Chapter 49. Endo-Perio Lesions: Pathogenesis, Diagnosis, and Treatment Considerations
Anatomic Considerations of the Pulpal and Periodontal Continuum
Factors Initiating Pulpal and Apical Diseases
Classification of Pulpal and Periapical Diseases
Biologic Effects of Endodontic Infection on Periodontal Tissues
Biologic Effects of Periodontal Infection on the Dental Pulp
Endo-Perio Lesions With Vertical Tooth Defects
Effect of Endodontic Pathosis on Development of Retrograde Peri-implantitis
Interactions Between Extraradicular Infection and the Periodontium
Differential Diagnosis of Endodontic and Periodontic Infection
Treatment Considerations of Endo-Perio Lesions (EPL)
Summary
Chapter 50. Plaque Biofilm Control for the Periodontal Patient
Toothbrushes
Toothbrush Efficacy
Connected Brush
Toothbrushing Methods
Interdental Cleaning Devices
Dentifrices
Root Caries
Chemical Plaque Biofilm Control With Oral Mouthrinses
Frequency of Plaque Biofilm Removal
Disclosing Agents
Conclusion
CHAPTER 51. Scaling and Root Instrumentation (Root Planing)
Classification of Periodontal Instruments
General Principles of Instrumentation
Principles of Scaling and Root Instrumentation (Root Planing)
Instrument Sharpening
Chapter 52. Sonic and Ultrasonic Instrumentation and Irrigation
Power-Driven Instruments: Overview
Mechanism of Action of Power Scalers
Type and Benefit of Power Instruments
Clinical Outcomes of Power-Driven Instruments
Principles of Instrumentation
Home and Self-Applied Irrigation
Mechanism of Action of Irrigation
Clinical Outcomes of Irrigation
Individuals With Special Considerations
Action of a Tip With Filaments Cleaning Around an Implant
Conclusion
Chapter 53. Chemotherapy: Use of Systemic Antibiotics
Definitions
Systemic Administration of Antibiotics
Serial and Combination Antibiotic Therapy
Conclusion
Chapter 54. Locally Delivered, Controlled-Release Antimicrobials
Background and Objectives
Case Reports
Conclusions
Acknowledgment
Chapter 55. Host Modulation
Introduction
Systemically Administered Agents
Locally Administered Agents
Host Modulation and Comprehensive Periodontal Management
Sub-Antimicrobial-Dose Doxycycline
Summary
Section II. Surgical Management of Periodontal Conditions
Chapter 56. Surgical Phase of Periodontal Therapy
Objectives of the Surgical Phase
Surgical Pocket Therapy
Critical Zones in Pocket Surgery
Indications for Periodontal Surgery
Methods of Pocket Therapy
Criteria for Selection of the Method of Surgical Therapy
Approaches to Specific Pocket Problems
Conclusions
Chapter 57. Surgical Training and Technology
Introduction
Knowledge Acquisition
Technical Skills
Nontechnical Skills
The Surgeon in the Digital Era
Conclusion
Chapter 58. Sedation in Periodontics and Implant Surgery
Rationale for Sedation During Periodontal and Implant Surgical Procedures
American Dental Association Policy Statement and Guidelines for Conscious Sedation
Definitions and Levels of Sedation
Minimal Sedation and Anxiolysis
Moderate Sedation
Sedation Failures
Emergency Preparedness
Conclusions
Chapter 59. Periodontal and Peri-Implant Surgical Anatomy
Mandible
Maxilla
Exostoses
Muscles
Anatomic Spaces
Conclusions
Chapter 60. General Principles of Periodontal Surgery
Presurgical Patient Preparation
Surgical Instruments
Intraoperative Surgical Considerations
Postsurgical Management
Periodontal Surgery in the Hospital
Conclusions
Chapter 61. Periodontal Surgical Therapy
Rationale for Periodontal Access Surgery
Fundamentals of Periodontal Surgery
Periodontal Surgical Techniques
Conclusion
Chapter 62. Pocket Reduction Therapy—Resective Approach
Rationale
Local Anatomy
Selection of Treatment Technique
Osseous Resection Technique
Specific Osseous Reshaping Situations
Flap Placement and Closure
Postoperative Maintenance
Conclusion
Chapter 63. Periodontal Regeneration
Assessment of Periodontal Wound Healing versus Regeneration
Periodontal Regeneration Utilizing Biologics
Cell Therapy
Use of Platelet-Rich Plasma/Platelet-Rich Fibrin for Periodontal Regeneration
Combined Techniques
Regenerative Supportive Graft Materials
Factors That Influence Therapeutic Success
Clinical Guidelines to Guide Clinicians in Their Patient Management
Future Directions for Periodontal Regeneration
Conclusion
Chapter 64. Lasers in Periodontal and Peri-Implant Therapy
Laser Physics and Biologic Interactions
Specific Laser Types
Electronic Supplement—Section.E5
Conclusion
Chapter 65. Periodontal Plastic and Esthetic Surgery
Terminology
Objectives
Problems Associated with Attached Gingiva
Problems Associated With a Shallow Vestibule
Problems Associated with an Aberrant Frenum
Esthetic Surgical Therapy
Tissue Engineering
Cause of Marginal Tissue Recession
Factors That Affect Surgical Outcome
Techniques to Increase Attached Gingiva
Techniques to Deepen the Vestibule
Techniques to Remove the Frenum
Techniques to Improve Esthetics
Tissue Engineering
Criteria for Selection of Techniques
Conclusions
Chapter 66. Preparation of the Periodontium for Restorative Dentistry
Rationale for Therapy
Sequence of Treatment
Conclusion
Chapter 67. Periodontal Treatment of Medically Complex Patients
Cardiovascular Diseases
Endocrine Disorders
Hemorrhagic Disorders
Renal Diseases
Liver Diseases
Pulmonary Diseases
Medications
Prosthetic Joint Replacement
Pregnancy
Infectious Diseases
Conclusions
Chapter 68. Periodontal Microsurgery
Philosophy of Periodontal Microsurgery
Advantages of Microsurgery
Magnification Systems
Microsurgical Sutures
Esthetic Periodontal Microsurgery
Microsurgical Knots
Conclusions
Chapter 69. Diagnosis and Management of Periodontal Abscesses
Classification of Abscesses
Classification by Etiology
Identification by Course: Onset and Duration
Specific Treatment Approaches
Microbiology and Antibiotic Therapy
Chapter 70. Supportive Periodontal Treatment
Rationale for Supportive Periodontal Treatment
Maintenance Program
Classification of Posttreatment Patients and Risk Assessment
Referral of Patients to the Periodontist
Tests for Disease Activity
Conclusion
Chapter 71. Results of Periodontal Treatment
Prevention and Treatment of Gingivitis
Prevention and Treatment of Loss of Attachment
Tooth Mortality
Conclusion
Oral Implantology
Section I. Fundamentals of Implantology
CHAPTER 72. Integrating Implants With Periodontal Therapy
Osseointegration
Advances in Implant Therapy
Biological Complications
Treatment of Peri-Implantitis
Advances in Periodontal Therapy
Conclusions
Chapter 73. Peri-Implant Anatomy, Biology, and Function
Implant Geometry (Macrodesign)
Implant Surface Characteristics (Microdesign)
Hard Tissue Interface
Soft Tissue Interface
Clinical Comparison of Teeth and Implants
Conclusions
Chapter 74. Clinical Evaluation of the Implant Patient
Case Types and Indications
Pretreatment Evaluation
Risk Factors and Contraindications
Posttreatment Evaluation
Conclusions
Chapter 75. Diagnostic Imaging for the Implant Patient
Standard Projections
Cross-Sectional Imaging
Interactive “Simulation” Software Programs
Patient Evaluation
Clinical Selection of Diagnostic Imaging
Conclusions
Section II. Prosthetic Considerations
Chapter 76. Prosthetic Considerations: Partially Edentulous
Implant Considerations
Abutment/Prosthesis Considerations for Single Units
Management of Partially Edentulous Implant Treatment in the Esthetic Zone
Conclusions
Chapter 77. Prosthetic Considerations: Fully Edentulous
Implant Biomechanics
Edentulous Maxilla
Edentulous Mandible
Digital Technology
Contemporary Prosthetic Design and Materials
Conclusions
Section III. Surgical Procedures
Chapter 78. Basic Implant Surgical Procedures
General Principles of Implant Surgery
Two-Stage “Submerged” Implant Placement
One-Stage “Nonsubmerged” Implant Placement
Conclusions
Chapter 79. Advanced Implant Surgical Procedures: Horizontal and Vertical Augmentation
Alveolar Ridge Preservation/Management of Extractions
Conclusions
CHAPTER 80. Advanced Implant Surgical Procedures: Maxillary Sinus Augmentation
Maxillary Sinus Elevation and Bone Augmentation
Conclusions
CHAPTER 81. Advanced Surgical Procedures: Simultaneous Implant Placement and Tissue Augmentation in the Esthetic Zone
Surgical Strategy for Predictable Esthetics
Immediate Implant Placement for Predictability and Esthetics
Surgical Management of Difficult Cases (Minimally Invasive Approach)
Conclusions
Chapter 82. Dental Implant Microsurgery: Immediate Placement
Implant Microsurgery
Conclusion
Chapter 83. Piezoelectric Bone Surgery
Clinical Characteristics of Ultrasonic Cutting
Clinical Applications
Conclusions
Advanced Clinical Applications
Section IV. Digital Implant Workflow
CHAPTER 84. Digitally Assisted Implant Placement Surgery
Introduction
Data and Image Acquisition
Virtual Surgical Planning Software and Implant Simulation
Static Computer-Aided Design/Computer-Aided Manufacturing Surgical Guides
Stackable Guides
Surgical Implant Placement Using Static CAD/CAM Surgical Guide
Dynamic Navigation
Surgical Implant Placement Using Dynamic Navigation
Conclusions
Chapter 85. From Implant Placement to Provisional Restoration
Introduction
Computer-Guided Implant Placement Surgery: A Foundation for Digitally Aided Provisionalization
Digital Prosthetic Considerations
Digitally Aided Implant Provisionalization: A Union of Workflows
Digitally Aided Implant Provisionalization: Alternative Approaches
Conclusions
Section V. Complications, Supportive Care, and Results of Implant Treatrment
Chapter 86. Complications in Dental Implantology
Definitions of Implant Survival and Success
Types and Prevalence of Implant Complications
Types of Dental Implants
Planning to Avoid or Minimize Complications
Surgical Complications
Biologic Complications
Complications Related to Augmentation Procedures
Complications Related to Placement and Loading Protocols
Prosthetic or Mechanical Complications
Esthetic and Phonetic Complications
Conclusions
CHAPTER 87. Supportive Implant Treatment
Rationale for Supportive Implant Treatment
Examination of Implants
Assessment of Peri-Implant Health
Implant Maintenance
Treatment of Peri-Implant Diseases
Referral of Patients to the Periodontist
Conclusions
Chapter 88. Results of Implant Treatment
Defining Implant Outcomes
Factors That Influence Implant Outcomes
Esthetic Results and Patient Satisfaction
Conclusions
Index

Michael G. Newman

Mike Newman has had a long career in Periodontology, both as a teacher (UCLA for 35 years now professor emeritus) and a clinician (private office for more than 30 years LA and Beverly Hills California). He is past president of American Academy of Periodontology, past Board Member of AAP Foundation, current Diplomate of the American Board of Periodontology, and founding editor-in-Chief of Journal of Evidence-Based Dental Practice and Annual Report in Dentistry. He currently works as a HealthCare Consultant for professional organizations and private industry specializing in periodontal treatment and practice-based research.

Affiliations and expertise

Professor Emeritus, Section of Periodontics, School of Dentistry, University of California, Los Angeles, California

Perry R. Klokkevold

Dr. Klokkevold is a Board-Certified Diplomate of the American Board of Periodontology. He served as Clinical Director (1995-2002) and now serves as Program Director (2002-present) of the UCLA Postgraduate Periodontics Residency program. Prior to specializing in periodontics and implant surgery, Dr. Klokkevold practiced general dentistry and served as Director of the UCLA Hospital Dentistry program (1987-1992). Dr. Klokkevold has more than 20 years of experience in education, administration and clinical practice in periodontics and implantology.

Affiliations and expertise

Associate Professor, Section of Periodontics,Program Director, Postgraduate Periodontics Residency School of Dentistry, University of California, Los Angeles

Satheesh Elangovan

Dr. Satheesh Elangovan is a Professor in Periodontics at the University of Iowa since 2011. Prior to that he completed his Doctor of Medical Science at Harvard School of Dental Medicine. Satheesh teaches in undergraduate periodontal clinic, undergraduate comprehensive care, and periodontal resident clinics as well as directing the Periodontics Method course and muco-gingival literature review course for the residents. His primary research focus is in biomaterials and tissue engineering, as well as translational and health outcomes research in periodontology and implants.

Affiliations and expertise

Professor, Department of Periodontics The University of Iowa College of Dentistry and Dental Clinics Iowa City, Iowa

Yvonne Kapila

Dr. Kapila obtained her BA degree from Stanford University and her DDS, PhD, periodontics specialty certificate and postdoctoral fellowship training from UCSF. She is a diplomate of the American Board of Periodontology and a fellow of the International College of Dentists. Dr. Kapila is a professor and chair of the Division of Periodontology in the Department of Orofacial Sciences at UCSF. Dr. Kapila provides periodontal treatment, bone grafts, sinus lifts, implants, esthetic crown lengthening, soft tissue grafting (autograft and allograft), microbial sampling, and conscious and oral sedation.

Affiliations and expertise

Professor and Chair, Division of Periodontology,Department of Orofacial Sciences at UCSF. Diplomate, American Board of Periodontology Fellow, International College of Dentists

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Newman and Carranza's Clinical Periodontology and Implantology

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Fermin A. Carranza

Henry Takei

Michael G. Newman

Perry R. Klokkevold

Satheesh Elangovan

Yvonne Kapila