
Practical Periodontics
- 2nd Edition - September 30, 2022
- Imprint: Elsevier
- Editors: Kenneth A Eaton, Philip Ower
- Language: English
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 8 7 8 4 5 - 6
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 8 7 8 4 8 - 7
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 8 7 8 4 6 - 3
The second edition of this popular textbook provides a concise and easy-to-follow guide that will increase the confidence of students and clinicians alike in managing all as… Read more

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Request a sales quoteThe second edition of this popular textbook provides a concise and easy-to-follow guide that will increase the confidence of students and clinicians alike in managing all aspects of periodontal care.
Practical Periodontics
provides evidence-based information on the essentials of clinical periodontology, written by internationally renowned contributors in an accessible, practical style. It covers all aspects of the discipline, including the aetiology of periodontal diseases, clinical management, patient education, paediatric care, and the interaction of periodontology with other dental disciplines such as implant dentistry and orthodontics. This book will be invaluable to all undergraduate dentistry, hygiene and therapy students. It is also highly relevant for practising dentists, dental hygienists and therapists as a source of up-to-date, evidence-based information on periodontics.- Supported by a wide range of online material, including video, case reports and revision questions
- Practical approach that brings learning to life
- Accessible style, chapter overviews, learning objectives and key points boxes to aid revision
- Full colour illustrations to demystify complex processes
- New chapter on implants
- Aligns with European Federation of Periodontology and British Society of Periodontology and Implant Dentistry guidelines for care and management of patients with periodontitis
- Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
Undergraduate dental students
- Instructions for online access
- Cover image
- Title page
- Disclaimer
- Table of Contents
- Copyright
- Foreword
- Preface
- Contributors
- Section 1. Aetiology of Periodontal Diseases
- 1.1. The Macro- And Microanatomy Of Periodontal Tissues
- Introduction
- Embryological Origins of the Periodontal Tissues
- Microanatomy of the Gingival Tissues
- Microanatomy of the Periodontal Ligament and Cementum
- Microanatomy of the Alveolar Bone
- Acknowledgement
- 1.2. The Pathogenesis Of Periodontal Diseases
- Periodontal Disease or Diseases?
- Introduction
- Bacterial Factors
- Host Factors
- Acknowledgement
- 1.3. Epidemiology of Periodontal Diseases
- Introduction
- Principles of Descriptive Epidemiology
- Why is There a Need for Data on Periodontal Health/Disease?
- Indices used in Epidemiological Surveys
- Problems with Periodontal Epidemiology
- National Surveys
- Positive Developments
- Possible Future Developments
- 1.4. Host Response And Susceptibility
- Introduction
- Definitions
- Host Susceptibility
- Host Response to the Bacterial Biofilm
- Normal Host Response
- The Pathogenesis of Periodontal Lesions
- Cell Signalling
- Innate Immunity
- Acquired Immunity
- The Contribution of Genes to Host Responses
- Acknowledgements
- 1.5. The Role Of Biofilms In Health And Disease
- Introduction
- What are Biofilms?
- Biofilms in the Mouth
- Methods to Determine the Microbial Composition of Dental Biofilms
- Microbial Composition of Dental Biofilms in Health
- Stages in the Formation of Dental Biofilms
- Reduced Sensitivity of Biofilms to Antimicrobial Agents
- Benefits of the Resident Oral Microbiome
- Microbial Composition of Dental Biofilms in Periodontal Diseases
- Contemporary Perspectives on the Aetiology of Periodontal Diseases
- Concluding Remarks
- 1.6. Periodontal Risk – Modifying And Predisposing Factors
- Introduction
- Risk Factors, Markers and Predictors
- Complex Diseases and Causal Theory
- Risk Assessment and the “At Risk” Patient
- Classification of Risk Factors
- Risk Factors in Periodontitis Progression
- Systemic Risk (Modifying) Factors
- Periodontal Risk Assessment
- Local Risk (Predisposing) Factors
- Acknowledgement
- Section 2. Periodontal Diagnosis and Prognosis
- 2.1. Classification and Diagnosis of Periodontal Diseases
- Introduction
- Summary
- 2.2. Periodontal Assessment and Monitoring
- Introduction
- What should be Assessed?
- The Basic Periodontal Examination
- Assessment of Disease Activity
- Assessment of Plaque (BIOFILM)
- Assessment of the Gingivae
- Assessment of Calculus
- Assessment of Periodontal Pockets
- Assessment of Attachment Loss
- Assessment of Bleeding on Probing
- Assessment of Tooth Mobility
- Assessment of Furcation Involvement
- Assessment of Suppuration
- Assessment of Bone Support
- Radiographs in Periodontal Assessment
- Monitoring a Periodontal Patient
- 2.3. Gingival Enlargement
- Introduction
- The Aetiology of Gingival Enlargement
- The Mechanisms of Gingival Enlargement
- Common Causes of Gingival Enlargement
- Conclusion – Reaching a Diagnosis
- 2.4. Periodontitis and Systemic Diseases
- Introduction
- Periodontitis and Systemic Disease
- Summary
- 2.5. Determining Periodontal Prognosis
- Introduction
- What is a Prognosis?
- Factors Affecting Prognosis
- Assigning Prognosis
- When to Determine Prognosis
- Weighting Prognostic Factors
- Section 3. Periodontal Treatment Planning
- 3.1. Treatment Planning – Gingivitis And Periodontitis
- Introduction
- Management of Simple Plaque-Induced Gingivitis
- Acute Gingival Conditions and Their Management
- Treatment Planning for Periodontitis
- Achieving the Ideal End Points of Treatment
- Management of Furcations
- 3.2. The Management of Mucogingival Conditions (Gingival Recession)
- Introduction
- Definitions
- Prevalence of Gingival Recession and Dentine Hypersensitivity
- Mechanisms for Gingival Recession
- Mechanisms for Sensory Transmission of Dentine Hypersensitivity Sensitivity
- Aetiology of Gingival Recession and Dentine Hypersensitivity
- Classification of Gingival Recession
- Predisposing Factors for Gingival Recession
- Precipitating Factors for Gingival Recession
- Management and Treatment of Gingival Recession Defects and Dentine Hypersensitivity
- Summary
- 3.3. Treatment Planning: Periodontal Problems in Children and Adolescents
- Introduction
- Periodontal Diseases that can Affect Children and Adolescents
- Periodontal History, Examination and Simplified Basic Periodontal Examination
- Treatment Planning and Periodontal Therapy
- 3.4. Referral to a Periodontal Specialist
- Introduction
- Why Refer?
- Who to Refer
- What to Refer
- When to Refer
- Where to Refer
- How to Refer
- What to expect from a Referral
- After Referral
- Legal and Ethical Issues
- On Conclusion of Specialist Care
- Managing the Patient Who Declines Referral
- Section 4. The Role of Self-Care and Oral Hygiene Methods
- 4.1. Patient Education and Self-Performed Biofilm Control
- Introduction
- Patients’ Health Beliefs
- Motivating Patients to Clean Optimally
- Tailoring Oral Health Advice
- Techniques for Oral Hygiene
- Delivery of Oral Hygiene Advice
- Toothbrushing
- Brushing Technique
- Interdental Cleaning
- Adjunctive Antiseptic Agents
- Conclusions
- 4.2. Clinical Imaging in Patient Assessment and Motivation
- Introduction
- Types of Imaging Systems
- Factors to Consider
- Clinical Imaging to Enhance Adherence
- 4.3. Patient Adherence
- Importance of Adherence in Periodontal Care
- European Federation of Periodontology S3-Level Clinical Practice Guideline 2020
- Improving Adherence and Affecting Behaviour Change
- Adherence to Oral Hygiene and Other Advice
- Assessing Adherence in Practice
- Conclusion
- Section 5. Non-surgical Periodontal Management
- 5.1. The Diseased Root Surface in Periodontitis
- The Clinical Presentation of Periodontitis
- Treating the Diseased Root Surface
- 5.2. Periodontal Instrumentation
- Introduction
- Treatment Objectives
- Terminology and Definitions
- Types of Instruments
- Instrumentation Strategies
- Full-Mouth or Quadrant Approaches?
- Adjuncts to Periodontal Instrumentation
- Conclusions
- 5.3. Antibiotics in the Management of Periodontal Diseases
- The Rationale for Antibiotic use
- Which Periodontal Conditions can be Treated with Antibiotics?
- Reasons for the Failure of Root Surface Debridement
- Antibiotics as an Alternative Monotherapy to Rsd
- Comparison of Local or Systemic Delivery of Antibiotics
- Evaluating Studies which use Antibiotics as Adjuncts to Rsd
- The Evidence for Antibiotic use in Periodontal Therapy
- Systemic Delivery Antibiotics
- Recommendations on the Use of Systemic Antibiotics in Periodontal Therapy
- 5.4. Assessment of Treatment Outcomes and Supportive Periodontal Therapy
- Introduction
- What is Supportive Periodontal Therapy?
- Gingival Inflammation
- Value of SPT
- Assessment of Treatment Outcomes
- When and How to Provide SPT
- Risk Assessment
- Section 6. Surgical Periodontal Therapy
- 6.1. Rationale for Periodontal Surgery
- Introduction
- When is Periodontal Surgery Appropriate?
- Case Selection for All Forms of Periodontal Surgery
- Surgical Approaches
- Surgical Treatment of Furcation-Involved, Multi-Rooted Teeth
- Regenerative Techniques
- Summary
- Section 7. Interaction with Other Dental Disciplines
- 7.1. The Periodontal–Restorative Interface
- General Restorative Considerations
- Patient Engagement
- Crown and Bridge Construction
- Supracrestal Tissue Attachment
- Partial Dentures
- Occlusion
- Mobility
- Periodontitis and Implant Dentistry
- Endodontic/Periodontal Relationships
- Summary
- 7.2. The Periodontal–Orthodontic Interface
- Introduction
- The Role of Orthodontics in Periodontal Therapy
- The Role of Periodontics in Orthodontic Therapy
- Preparing Periodontal Patients for Orthodontic Treatment
- 7.3. Dental Implants – Anatomy, Complications, Management of Peri-Implant Diseases
- The Anatomical Architecture of Natural Teeth and Dental Implants
- Implant Complications
- Aetiology and Pathogenesis of Peri-Implant Diseases
- Management of Peri-Implant Diseases
- Summary
- Appendix 1. World Workshop on Classification of Periodontal and Peri-implant Diseases and Conditions 2017 - Staging and Grading of Periodontitis
- Appendix 2. Implementing the 2017 Classification of Periodontal Diseases to Reach a Diagnosis in Clinical Practice
- Appendix 3. European Federation of Periodontology S3-Level Clinical Treatment Guidelines - Stepwise Approach
- Appendix 4. BSP UK Clinical Practice Guidelines for the Treatment of Periodontal Diseases
- Index
- Edition: 2
- Published: September 30, 2022
- Imprint: Elsevier
- No. of pages: 312
- Language: English
- Paperback ISBN: 9780323878456
- eBook ISBN: 9780323878487
- eBook ISBN: 9780323878463
KE
Kenneth A Eaton
Professor Eaton is currently a Visiting Professor at University College London and an Honorary Professor at the University of Kent. From 1997 - 2002, he was the Director of the National Centre for the Continuing Professional Education of Dentists. He is listed by the General Dental Council as a specialist in both Periodontology and Dental Public Health. He is currently on the editorial board of a number of journals and is the Chairman of the British Dental Editors and Writers Forum. He is a past member of the Editorial Board of the Journal of Dental Research and President of the Education Research Group of the International Association for Dental Research (IADR). In July 2008 he became the first President of the newly created IADR Network for Practice-based Research. He was elected as President of the European Association of Dental Public Health. In September 2010 and was the first Chair of the Platform for Better Oral Health in Europe. He has produced over 370 publications, many on different aspects of periodontology, and since 2017 has registered 231 reviews with Publons.
Affiliations and expertise
Visiting Professor, University College London Eastman and King's College London Dental Institutes; Honorary Professor, University of Kent; Visiting Professor, Leeds University; Specialist in Periodontics and Dental Public Health, London, UKPO
Philip Ower
Affiliations and expertise
Formerly Specialist in Periodontics and Director, PerioCourses Ltd