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Index
Cover Title Page Copyright Page Table of Contents Foreword Preface Acknowledgements Chapter 1: The Goals and Clinical Outcomes of Non-Surgical Treatment
Aims Outcome The Periodontal Pocket – A Pathological Environment The Aims of Non-Surgical Treatment Elimination of Calculus The Concept of Full-Mouth Disinfection Healing Following Periodontal Treatment Clinical Outcomes Following Non-Surgical Treatment
Hygiene versus instrumentation phases The Badersten studies An evidence base for non-surgical treatment
Summary Conclusions of Clinical Importance Further Reading
Chapter 2: Hygiene Phase Therapy
Aims Outcome Plaque Control Programmes
Mechanical plaque control
Manual Toothbrushes Powered Toothbrushes Toothpastes Toothbrushing techniques
Bass Technique The Charters’ Method
Interproximal Cleaning Aids
Dental Floss and Tape Superfloss Interspace Brushes (Fig 2-6) Interdental Brushes (Fig 2-7) Woodsticks (Fig 2-8) Chemical Plaque Control (Fig 2-9)
Key Points of Clinical Importance Further Reading
Chapter 3: Instruments and Instrumentation
Aim Outcome Introduction Hand Instruments
Chisel Scaler or Push Scaler (Guy’s G1 or G2, Cushings or Watch-Spring) Trihedral Scalers (H6, H7, G3, G4, J1 and H5) Periodontal Hoes Periodontal Files (Hirschfeld 3/7, 5/11 and 9/10) Curettes
Recommended Protocol for Root Surface Instrumentation (RSI) Mechanised Instruments Ultrasonic Units
Magnetostrictive Units Piezoelectric Ultrasonic Units Sonic Handpieces Air-Abrasive Systems Ultrasonic Techniques Periodontal Explorer Repetitive Strain Injury
Conclusions of Clinical Importance Further Reading
Chapter 4: Managing Systemic Risk Factors
Aim Outcome Definitions Risk Factor Identification Genetic Risk Factors for Periodontitis Genetic Susceptibility Testing What do genetic test results mean, and what is their impact on the patient? Environmental Risk Factors for Periodontitis
Drugs Associated With Gingival Overgrowth HIV Disease
Behavioural Risk Factors for Periodontitis
Smoking
Life-style Risk Factors for Periodontitis
Stress
Metabolic Risk Factors for Periodontitis
Diabetes Mellitus
Other Systemic Risk Factors for Periodontitis Conclusions of Clinical Importance Further Reading
Chapter 5: Managing Local Risk Factors
Aim Outcome Definitions Trauma from occlusion
Traumatic Incisor Relationships Occlusal Interferences
Anatomical Risk Factors
Furcation Involvement Enamel Pearls Cervical Enamel Projections Root Morphology Gingival Recession Furcation Ridges Dental Anatomy and Tooth-Arch Relationships
Iatrogenic Risk Factors
Overhanging Restorations Poorly Designed Partial Dentures Orthodontic Appliances Defective Crown Margins Defective Bridge Pontics
Conclusions of Clinical Importance Further Reading
Chapter 6: Adjunctive Treatments
Aim Outcome Definitions Systemic Adjunctive Treatments Systemic Antibiotics Antibiotics and Specific Periodontal Conditions
Chronic Periodontitis Aggressive Periodontitis Refractory Periodontitis Acute Periodontal Abscess Necrotising Ulcerative Gingivitis and Periodontitis
Systemic Antibiotics – Summary Host Modulatory Therapy
Non-Steroidal Anti-Inflammatory Drugs Subantimicrobial Dose Doxycycline Bisphosphonates
Local delivery adjunctive treatments
Tetracycline Fibres Minocycline Gel Metronidazole Gel Chlorhexidine Chip Doxycycline Polymer
Which local delivery product to use, and when? Adverse reactions and local drug delivery Monotherapy or adjunctive use of local delivery systems? Key points of clinical importance Further Reading
Chapter 7: Supportive Periodontal Care
Aims Outcome Definitions The Rationale for Supportive Periodontal Care The Goals of Supportive Periodontal Care Components of Supportive Periodontal Care
Medical, Dental and Social Histories Clinical Examination and Updating Records Radiographic Examination
Communication
Reinforcement of Plaque Control Supragingival Prophylaxis and Subgingival Instrumentation
The Need for Further Treatment
Re-instrumentation of the Roots Adjunctive Antimicrobials
Commencement of the Supportive Periodontal Care Phase
Frequency of Visits for Supportive Periodontal Care Managing Risk Factors During Supportive Periodontal Care Compliance with Supportive Periodontal Care
Conclusions of Clinical Importance Further Reading
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