Master new clinical techniques and achieve therapeutic goals with Newman and Carranza’s Clinical Periodontology and Implantology! Unmatched for its comprehensive approach, this resource provides a detailed guide to the reconstruction and regeneration of lost periodontal structures, the placement of dental implants, and the creation of aesthetic results. Full-color photos and radiographic images depict periodontal conditions and procedures. Each copy of the print book includes access to an Expert Consult website with a fully searchable version of the entire text plus animations, clinical videos, and case studies that reflect the new format of the NBDE credentialing exam. Written by a team of leading experts led by Michael G. Newman, this text not only shows how to perform periodontal procedures, but explains the evidence supporting each treatment and describes how to best manage outcomes.
1. Introduction - p. 129 2. The Oral Cavity From a Microbe’s Perspective - p. 130 3. Bacteria and Their Biofilm Mode of Living—Life in “Slime City” - p. 134 4. Structure of Mature Dental Biofilms - p. 137 5. Factors That Affect Supragingival Dental Biofilm Formation - p. 145 6. Relationship Between Oral Microbiome and Other Microbiomes - p. 147 7. Historical and Contemporary Concepts in the Etiology of Periodontitis - p. 148 8. Periodontal Biofilm Composition in Health and Disease - p. 151 9. Relationship Between Periodontal Microbiome and Systemic Diseases - p. 156 10. Biofilm and Microbiome Modulation by Different Periodontal Treatments - p. 158 11. Chapter 11. Host-Microbe Interactions and the Inflammatory Response - p. 163 12. Chapter 12. Resolution of Inflammation - p. 180 13. Chapter 13. Aging and the Periodontium - p. 189 14. Section III. Gingival Pathology - p. 195.e3 15. Chapter 14. Defense Mechanisms of the Gingiva - p. 196 16. Chapter 15. Dental Biofilm-Induced Gingivitis and Its Management - p. 204 17. Chapter 16. Select Systemic and Local Diseases That Affect the Gingiva - p. 219 18. Chapter 17. Acute Gingival Infections and Management - p. 238 19. Chapter 18. Desquamative Gingivitis - p. 251 20. Chapter 19. Gingival Enlargement and Management - p. 268 21. Chapter 20. Periodontal Health and Disease in Children and Adolescents - p. 281 22. Section IV. Periodontal Pathology - p. 294.e3 23. Chapter 21. Periodontitis - p. 295 24. Chapter 22. The Periodontal Pocket Formation and Patterns of Bone Loss - p. 308 25. Chapter 23. Risk Factors of Periodontal Disease (Smoking) - p. 331 26. Chapter 24. The Role of Dental Calculus and Other Local Predisposing Factors - p. 341 27. Section V. Conditions Affecting the Periodontal Patient - p. 358.e6 28. Chapter 25. Influence of Systemic Conditions on the Periodontium - p. 359 29. Chapter 26. Impact of Periodontal Infection on Systemic Health - p. 380 30. Pathobiology of Periodontitis - p. 380 31. Focal Infection Theory Revisited - p. 381 32. Evidence-Based Clinical Practice - p. 382 33. Subgingival Environment as a Reservoir for Bacteria - p. 383 34. Periodontal Disease and Mortality - p. 383 35. Periodontal Disease and Oncogenesis - p. 384 36. Periodontal Disease, Coronary Heart Disease, and Atherosclerosis - p. 388 37. Periodontal Disease and Stroke - p. 392 38. Periodontal Disease and Diabetes Mellitus - p. 392 39. Periodontal Disease and Pregnancy Outcome - p. 394 40. Periodontal Disease and Chronic Obstructive Pulmonary Disease - p. 394.e2 41. Periodontal Disease and Acute Respiratory Infections - p. 394.e3 42. Periodontal Disease and Asthma - p. 394.e4 43. Periodontal Disease and Rheumatoid Arthritis - p. 394.e4 44. Periodontal Medicine in Clinical Practice - p. 394.e4 45. Conclusions - p. 395 46. Chapter 27. Pathology and Management of Periodontal Problems Associated With Viral Infection, Including HIV, COVID, and Others - p. 397 47. Introduction - p. 397 48. Viral Complex - p. 398 49. Virus Isolation and Identification - p. 399 50. Viral Transmission - p. 400 51. Oral Viral Ecology - p. 400 52. Saliva - p. 402 53. Salivary Proteins - p. 402 54. Viruses - p. 402 55. Oral and Periodontal Manifestations of HIV - p. 411 56. Bacteriophages - p. 413 57. Chapter 28. Periodontal Therapy in the Female Patient - p. 419 58. CHAPTER 29. Aging and Periodontal Health: A Long-Term Relationship - p. 429 59. Chapter 30. Acute Periodontal Infections and Management - p. 435 60. Chapter 31. Halitosis (Breath Malodor) - p. 440 61. Section VI. Occlusion - p. 452.e7 62. CHAPTER 32. Periodontal Response to External Forces - p. 453 63. Chapter 33. Sleep-Related Breathing Disorders - p. 462 64. Chapter 34. Masticatory System Disorders That Influence the Periodontium - p. 472 65. Chapter 35. Role of Occlusion and TMD in Periodontal Disease Management - p. 477 66. Clinical Periodontics - p. 484.e3 67. Section I. Clinical Evaluation and NonSurgical Management of Periodontal Conditions - p. 484.e3 68. Chapter 36. Levels of Clinical Significance - p. 485 69. Chapter 37. Electronic Dental Records and the Role of Health Information Technology in Dentistry - p. 489 70. Chapter 38. Periodontal Examination - p. 497 71. Chapter 39. Radiographic Aids in the Diagnosis of Periodontal Disease - p. 520 72. Chapter 40. Periodontal Risk Assessment - p. 537 73. Chapter 41. Determination of Prognosis - p. 540 74. Chapter 42. Periodontal Treatment Plan - p. 553 75. Chapter 43. Nonsurgical Phase of Periodontal Therapy - p. 559 76. Chapter 44. Clinical Practice Guideline for Treatment of Periodontitis - p. 564 77. Chapter 45. Restorative Interrelationships - p. 568 78. Chapter 46. Multidisciplinary Versus Interdisciplinary Approaches to Dental and Periodontal Problems - p. 578 79. Chapter 47. Periodontal Referral - p. 587 80. Chapter 48. Orthodontics in Periodontal Therapy - p. 593 81. Chapter 49. Endo-Perio Lesions: Pathogenesis, Diagnosis, and Treatment Considerations - p. 597 82. Chapter 50. Plaque Biofilm Control for the Periodontal Patient - p. 610 83. CHAPTER 51. Scaling and Root Instrumentation (Root Planing) - p. 624 84. Classification of Periodontal Instruments - p. 624 85. General Principles of Instrumentation - p. 638.e1 86. Principles of Scaling and Root Instrumentation (Root Planing) - p. 638.e11 87. Instrument Sharpening - p. 638.e25 88. Chapter 52. Sonic and Ultrasonic Instrumentation and Irrigation - p. 639 89. Chapter 53. Chemotherapy: Use of Systemic Antibiotics - p. 648 90. Chapter 54. Locally Delivered, Controlled-Release Antimicrobials - p. 657 91. Chapter 55. Host Modulation - p. 668 92. Section II. Surgical Management of Periodontal Conditions - p. 682.e3 93. Chapter 56. Surgical Phase of Periodontal Therapy - p. 683 94. Chapter 57. Surgical Training and Technology - p. 688 95. Chapter 58. Sedation in Periodontics and Implant Surgery - p. 697 96. Chapter 59. Periodontal and Peri-Implant Surgical Anatomy - p. 708 97. Chapter 60. General Principles of Periodontal Surgery - p. 717 98. Chapter 61. Periodontal Surgical Therapy - p. 730 99. Chapter 62. Pocket Reduction Therapy—Resective Approach - p. 750 100. Chapter 63. Periodontal Regeneration - p. 756 101. Chapter 64. Lasers in Periodontal and Peri-Implant Therapy - p. 766 102. Chapter 65. Periodontal Plastic and Esthetic Surgery - p. 775 103. Chapter 66. Preparation of the Periodontium for Restorative Dentistry - p. 780 104. Chapter 67. Periodontal Treatment of Medically Complex Patients - p. 784 105. Chapter 68. Periodontal Microsurgery - p. 802 106. Chapter 69. Diagnosis and Management of Periodontal Abscesses - p. 813 107. Chapter 70. Supportive Periodontal Treatment - p. 819 108. Chapter 71. Results of Periodontal Treatment - p. 831 109. Oral Implantology - p. 841.e2 110. Section I. Fundamentals of Implantology - p. 841.e2 111. CHAPTER 72. Integrating Implants With Periodontal Therapy - p. 842 112. Chapter 73. Peri-Implant Anatomy, Biology, and Function - p. 849 113. Chapter 74. Clinical Evaluation of the Implant Patient - p. 858 114. Chapter 75. Diagnostic Imaging for the Implant Patient - p. 870 115. Section II. Prosthetic Considerations - p. 889.e3 116. Chapter 76. Prosthetic Considerations: Partially Edentulous - p. 890 117. Chapter 77. Prosthetic Considerations: Fully Edentulous - p. 905 118. Section III. Surgical Procedures - p. 913.e2 119. Chapter 78. Basic Implant Surgical Procedures - p. 914 120. Chapter 79. Advanced Implant Surgical Procedures: Horizontal and Vertical Augmentation - p. 924 121. CHAPTER 80. Advanced Implant Surgical Procedures: Maxillary Sinus Augmentation - p. 943 122. CHAPTER 81. Advanced Surgical Procedures: Simultaneous Implant Placement and Tissue Augmentation in the Esthetic Zone - p. 953 123. Chapter 82. Dental Implant Microsurgery: Immediate Placement - p. 960 124. Chapter 83. Piezoelectric Bone Surgery - p. 966 125. Section IV. Digital Implant Workflow - p. 979.e8 126. CHAPTER 84. Digitally Assisted Implant Placement Surgery - p. 980 127. Chapter 85. From Implant Placement to Provisional Restoration - p. 996 128. Section V. Complications, Supportive Care, and Results of Implant Treatrment - p. 1016.e2 129. Chapter 86. Complications in Dental Implantology - p. 1017 130. CHAPTER 87. Supportive Implant Treatment - p. 1034 131. Chapter 88. Results of Implant Treatment - p. 1042 132. Index - p. 1049
Master new clinical techniques and achieve therapeutic goals with Newman and Carranza’s Clinical Periodontology and Implantology! Unmatched for its comprehensive approach, this resource provides a detailed guide to the reconstruction and regeneration of lost periodontal structures, the placement of dental implants, and the creation of aesthetic results. Full-color photos and radiographic images depict periodontal conditions and procedures. Each copy of the print book includes access to an Expert Consult website with a fully searchable version of the entire text plus animations, clinical videos, and case studies that reflect the new format of the NBDE credentialing exam. Written by a team of leading experts led by Michael G. Newman, this text not only shows how to perform periodontal procedures, but explains the evidence supporting each treatment and describes how to best manage outcomes.
1. Introduction - p. 129 2. The Oral Cavity From a Microbe’s Perspective - p. 130 3. Bacteria and Their Biofilm Mode of Living—Life in “Slime City” - p. 134 4. Structure of Mature Dental Biofilms - p. 137 5. Factors That Affect Supragingival Dental Biofilm Formation - p. 145 6. Relationship Between Oral Microbiome and Other Microbiomes - p. 147 7. Historical and Contemporary Concepts in the Etiology of Periodontitis - p. 148 8. Periodontal Biofilm Composition in Health and Disease - p. 151 9. Relationship Between Periodontal Microbiome and Systemic Diseases - p. 156 10. Biofilm and Microbiome Modulation by Different Periodontal Treatments - p. 158 11. Chapter 11. Host-Microbe Interactions and the Inflammatory Response - p. 163 12. Chapter 12. Resolution of Inflammation - p. 180 13. Chapter 13. Aging and the Periodontium - p. 189 14. Section III. Gingival Pathology - p. 195.e3 15. Chapter 14. Defense Mechanisms of the Gingiva - p. 196 16. Chapter 15. Dental Biofilm-Induced Gingivitis and Its Management - p. 204 17. Chapter 16. Select Systemic and Local Diseases That Affect the Gingiva - p. 219 18. Chapter 17. Acute Gingival Infections and Management - p. 238 19. Chapter 18. Desquamative Gingivitis - p. 251 20. Chapter 19. Gingival Enlargement and Management - p. 268 21. Chapter 20. Periodontal Health and Disease in Children and Adolescents - p. 281 22. Section IV. Periodontal Pathology - p. 294.e3 23. Chapter 21. Periodontitis - p. 295 24. Chapter 22. The Periodontal Pocket Formation and Patterns of Bone Loss - p. 308 25. Chapter 23. Risk Factors of Periodontal Disease (Smoking) - p. 331 26. Chapter 24. The Role of Dental Calculus and Other Local Predisposing Factors - p. 341 27. Section V. Conditions Affecting the Periodontal Patient - p. 358.e6 28. Chapter 25. Influence of Systemic Conditions on the Periodontium - p. 359 29. Chapter 26. Impact of Periodontal Infection on Systemic Health - p. 380 30. Pathobiology of Periodontitis - p. 380 31. Focal Infection Theory Revisited - p. 381 32. Evidence-Based Clinical Practice - p. 382 33. Subgingival Environment as a Reservoir for Bacteria - p. 383 34. Periodontal Disease and Mortality - p. 383 35. Periodontal Disease and Oncogenesis - p. 384 36. Periodontal Disease, Coronary Heart Disease, and Atherosclerosis - p. 388 37. Periodontal Disease and Stroke - p. 392 38. Periodontal Disease and Diabetes Mellitus - p. 392 39. Periodontal Disease and Pregnancy Outcome - p. 394 40. Periodontal Disease and Chronic Obstructive Pulmonary Disease - p. 394.e2 41. Periodontal Disease and Acute Respiratory Infections - p. 394.e3 42. Periodontal Disease and Asthma - p. 394.e4 43. Periodontal Disease and Rheumatoid Arthritis - p. 394.e4 44. Periodontal Medicine in Clinical Practice - p. 394.e4 45. Conclusions - p. 395 46. Chapter 27. Pathology and Management of Periodontal Problems Associated With Viral Infection, Including HIV, COVID, and Others - p. 397 47. Introduction - p. 397 48. Viral Complex - p. 398 49. Virus Isolation and Identification - p. 399 50. Viral Transmission - p. 400 51. Oral Viral Ecology - p. 400 52. Saliva - p. 402 53. Salivary Proteins - p. 402 54. Viruses - p. 402 55. Oral and Periodontal Manifestations of HIV - p. 411 56. Bacteriophages - p. 413 57. Chapter 28. Periodontal Therapy in the Female Patient - p. 419 58. CHAPTER 29. Aging and Periodontal Health: A Long-Term Relationship - p. 429 59. Chapter 30. Acute Periodontal Infections and Management - p. 435 60. Chapter 31. Halitosis (Breath Malodor) - p. 440 61. Section VI. Occlusion - p. 452.e7 62. CHAPTER 32. Periodontal Response to External Forces - p. 453 63. Chapter 33. Sleep-Related Breathing Disorders - p. 462 64. Chapter 34. Masticatory System Disorders That Influence the Periodontium - p. 472 65. Chapter 35. Role of Occlusion and TMD in Periodontal Disease Management - p. 477 66. Clinical Periodontics - p. 484.e3 67. Section I. Clinical Evaluation and NonSurgical Management of Periodontal Conditions - p. 484.e3 68. Chapter 36. Levels of Clinical Significance - p. 485 69. Chapter 37. Electronic Dental Records and the Role of Health Information Technology in Dentistry - p. 489 70. Chapter 38. Periodontal Examination - p. 497 71. Chapter 39. Radiographic Aids in the Diagnosis of Periodontal Disease - p. 520 72. Chapter 40. Periodontal Risk Assessment - p. 537 73. Chapter 41. Determination of Prognosis - p. 540 74. Chapter 42. Periodontal Treatment Plan - p. 553 75. Chapter 43. Nonsurgical Phase of Periodontal Therapy - p. 559 76. Chapter 44. Clinical Practice Guideline for Treatment of Periodontitis - p. 564 77. Chapter 45. Restorative Interrelationships - p. 568 78. Chapter 46. Multidisciplinary Versus Interdisciplinary Approaches to Dental and Periodontal Problems - p. 578 79. Chapter 47. Periodontal Referral - p. 587 80. Chapter 48. Orthodontics in Periodontal Therapy - p. 593 81. Chapter 49. Endo-Perio Lesions: Pathogenesis, Diagnosis, and Treatment Considerations - p. 597 82. Chapter 50. Plaque Biofilm Control for the Periodontal Patient - p. 610 83. CHAPTER 51. Scaling and Root Instrumentation (Root Planing) - p. 624 84. Classification of Periodontal Instruments - p. 624 85. General Principles of Instrumentation - p. 638.e1 86. Principles of Scaling and Root Instrumentation (Root Planing) - p. 638.e11 87. Instrument Sharpening - p. 638.e25 88. Chapter 52. Sonic and Ultrasonic Instrumentation and Irrigation - p. 639 89. Chapter 53. Chemotherapy: Use of Systemic Antibiotics - p. 648 90. Chapter 54. Locally Delivered, Controlled-Release Antimicrobials - p. 657 91. Chapter 55. Host Modulation - p. 668 92. Section II. Surgical Management of Periodontal Conditions - p. 682.e3 93. Chapter 56. Surgical Phase of Periodontal Therapy - p. 683 94. Chapter 57. Surgical Training and Technology - p. 688 95. Chapter 58. Sedation in Periodontics and Implant Surgery - p. 697 96. Chapter 59. Periodontal and Peri-Implant Surgical Anatomy - p. 708 97. Chapter 60. General Principles of Periodontal Surgery - p. 717 98. Chapter 61. Periodontal Surgical Therapy - p. 730 99. Chapter 62. Pocket Reduction Therapy—Resective Approach - p. 750 100. Chapter 63. Periodontal Regeneration - p. 756 101. Chapter 64. Lasers in Periodontal and Peri-Implant Therapy - p. 766 102. Chapter 65. Periodontal Plastic and Esthetic Surgery - p. 775 103. Chapter 66. Preparation of the Periodontium for Restorative Dentistry - p. 780 104. Chapter 67. Periodontal Treatment of Medically Complex Patients - p. 784 105. Chapter 68. Periodontal Microsurgery - p. 802 106. Chapter 69. Diagnosis and Management of Periodontal Abscesses - p. 813 107. Chapter 70. Supportive Periodontal Treatment - p. 819 108. Chapter 71. Results of Periodontal Treatment - p. 831 109. Oral Implantology - p. 841.e2 110. Section I. Fundamentals of Implantology - p. 841.e2 111. CHAPTER 72. Integrating Implants With Periodontal Therapy - p. 842 112. Chapter 73. Peri-Implant Anatomy, Biology, and Function - p. 849 113. Chapter 74. Clinical Evaluation of the Implant Patient - p. 858 114. Chapter 75. Diagnostic Imaging for the Implant Patient - p. 870 115. Section II. Prosthetic Considerations - p. 889.e3 116. Chapter 76. Prosthetic Considerations: Partially Edentulous - p. 890 117. Chapter 77. Prosthetic Considerations: Fully Edentulous - p. 905 118. Section III. Surgical Procedures - p. 913.e2 119. Chapter 78. Basic Implant Surgical Procedures - p. 914 120. Chapter 79. Advanced Implant Surgical Procedures: Horizontal and Vertical Augmentation - p. 924 121. CHAPTER 80. Advanced Implant Surgical Procedures: Maxillary Sinus Augmentation - p. 943 122. CHAPTER 81. Advanced Surgical Procedures: Simultaneous Implant Placement and Tissue Augmentation in the Esthetic Zone - p. 953 123. Chapter 82. Dental Implant Microsurgery: Immediate Placement - p. 960 124. Chapter 83. Piezoelectric Bone Surgery - p. 966 125. Section IV. Digital Implant Workflow - p. 979.e8 126. CHAPTER 84. Digitally Assisted Implant Placement Surgery - p. 980 127. Chapter 85. From Implant Placement to Provisional Restoration - p. 996 128. Section V. Complications, Supportive Care, and Results of Implant Treatrment - p. 1016.e2 129. Chapter 86. Complications in Dental Implantology - p. 1017 130. CHAPTER 87. Supportive Implant Treatment - p. 1034 131. Chapter 88. Results of Implant Treatment - p. 1042 132. Index - p. 1049