Practical Advanced Periodontal Surgery

The Editor Serge Dibart is Professor and Chair of the department of periodontology at Boston University's Henry M. Goldman School of Dental Medicine in Boston, Massachusetts, USA.

• List of Contributors xiAcknowledgments xiiiAbout the Companion Website xvIntroduction 1Thomas Van Dyke1 Conscious IV Sedation Utilizing Midazolam 3Jess LiuIntroduction 3Midazolam (Versed) 3Armamentarium 4Steps in IV Sedation 42. Bone Physiology and Metabolism 11Jean‐Pierre DibartBone Composition 11Bone Types 11Bone Formation 11Bone Density Measuring Techniques 14Implications for Dental Treatments 153. Anatomy of the Dental/Alveolar Structures and Wound Healing 19Albert PriceAnatomic Review (Emphasis on Vascular Supply) 19Vascular Supply: Macro and Micro 19Blood Supply Within the Alveolar and Basal Bone of the Dental Arches 21Microarchitecture of the Bone/Tooth Relationship and the Interface of Soft and Hard Connective Tissues 21Anatomy and Vascular Supply of the Investing Soft Connective Tissues 25Cementum 28Antatomy and Vascular Supply of the Epithelial Structures 28The Wound‐Healing Process 294. PiezocisionTM Assisted Orthodontics in Everyday Practice 35Serge Dibart, Elif Keser, and Donald NelsonIntroduction 35The Technique 35Computer Guided Piezocision‐Orthodontics 35Dynamically Guided Piezocision 37Piezocision Assisted Orthodontics With Clear Aligners 38Incorporating Piezocision in Multidisciplinary Treatment 39Post‐Operative Care 41Contraindications for Piezocision 42Potential Complications 425. The Contribution of Periodontics to Endodontic Therapy: The Surgical Management of Periradicular Periodontitis 43Mani MoulazadehHistory and Evolution 43Tooth Conservation Versus Implants 43Treatment of Failed Root Canal Therapy 44Rationale for Endodontic Surgery 44Indications for Endodontic Surgery 44Contraindications for Endodontic Surgery 46Types of Endodontic Surgery 48Periradicular Surgery 51Phases of Apicoectomy and Surgical Technique 52Recall 606. The Contribution of Periodontics to Prosthodontics: Treatment Planning of Patients Requiring Combined Periodontal and Prosthodontic Care 61Haneen N. Bokhadoor, Nawaf J. Al‐Dousari, and Steven MorganoIntroduction 61Diagnostic Phase (Data Collection) 61Treatment-Planning Phase 63Final Prognosis 63Conclusion 1057. The Contribution of Periodontics to the Correction of Vertical Alveolar Ridge Deficiencies 107Serge DibartAlveolar Distraction Osteogenesis Surgery 1078. Papillary Construction After Dental Implant Therapy 117Peyman Shahidi, Serge Dibart, and Yun Po ZhangHistory 117Indications 117Contraindications 117Armamentarium 117Technique 117Postoperative Instructions 119Surgical Indexing 119Possible Complications 119Healing 1199. Dental Implant Placement Including the Use of Short Implants 121Albert Price and Ming Fang SuHistory 121Indications 123Surgical Technique 123Implant Placement 125Site Preparation 125The Fixture (Implant) Installation 130Possible Problems and Complications 13010. Periodontal Medicine Including Biopsy Techniques 137Vikki Noonan and Sadru KabaniGingival Nodules 137Parulis 137Fibroma 137Peripheral Ossifying Fibroma 137Pyogenic Granuloma 138Peripheral Giant Cell Granuloma 138Diagnosis and Treatment of Reactive Gingival Nodules 139Gingival Cyst of the Adult 139Mucocele 139Desquamative Gingivitis 140Lichen Planus 140Pemphigus Vulgaris 141Mucous Membrane (Cicatricial) Pemphigoid 141Diagnosis and Treatment of Desquamative Gingival Lesions 142Plasma Cell Gingivitis 142Erythema Multiforme 143Gingival Enlargement 144Epulis Fissuratum 144Medication‐Induced Gingival Overgrowth 144Hyperplastic Gingivitis 144Leukemia 145Gingival Fibromatosis 145Ligneous Gingivitis and Conjunctivitis 145Wegener’s Granulomatosis 146Pigmented Lesions 146Physiologic Pigmentation 146Medication‐Induced Pigmentation 146Smoker’s Melanosis 147Amalgam Tattoo 147Melanotic Macule 148Oral Melanoacanthoma (Melanoacanthosis) 148Oral Melanocytic Nevus 148Oral Melanoma 149Sanguinaria‐Induced Leukoplakia 149Proliferative Verrucous Leukoplakia 149Malignant Neoplasia 150Squamous Cell Carcinoma 150Verrucous Carcinoma 151Metastatic Disease 151Infections 152Herpes 152HIV‐Associated Gingivitis 152Oral Soft Tissue Biopsy Techniques 153Armamentarium 153Incisional Scalpel Biopsy 153Excisional Scalpel Biopsy 154Biopsy Data Sheet 15411. Sinus Augmentation Using Tissue‐Engineered Bone 159Ulrike Schulze‐Späte, Luigi Montesani, and Lorenzo MontesaniHistory 159Indications 159Contraindications 160Armamentarium 160Sinus Augmentation Using Tissue-Engineered Bone Discs 160Transplant Implantation Surgery (Sinus Augmentation Procedure Using Tissue-Engineered Bone Discs) 161Sinus Lift Using Autogenous Mesenchymal Cells Processed Chairside 16512. Extraction Site Management in the Esthetic Zone: Hard and Soft Tissue Reconstruction 169Sherif SaidIntroduction 169The Influence of Tissue Volume on the Peri‐Implant “Pink” Esthetics 169Tissue Volume Availability and Requirements 169Pre‐Operative Implant Site Assessment 172Tissue Augmentation at the Time of Tooth Extraction 175Management of Class I Sockets 177Armamentarium 177Three‐Dimensional Implant Positioning 179Selection of the Bone Graft Material 180Rationale 181Socket Seal 183Autogenous Tissue for Concomitant Buccal Volume Augmentation and Socket Seal Procedures 186Sub‐Epithelial Connective Tissue Graft 186Compromised Sockets 192Flapless Ridge Preservation 192Ridge Preservation Utilizing Barrier Membranes 193Esthetic Ridge Augmentation 194Open Flap Approach for Extraction Site Management 197Site Analysis and Classification 197Surgical Phase 198Suturing of the Graft 203Stabilization of the Graft 205Closure 205Managing Implant Tissue Deficiencies 206Conclusion 21013. Digital Technologies in Clinical Restorative Dentistry 213Vygandas Rutkūnas, Rokas Borusevičius, Agnė Gečiauskaitė, and Justinas PletkusFrom Conventional to Digital Technologies 213Digital Solutions for Planning and Manufacturing of Teeth‐Supported Restorations 214Digital Solutions for Planning and Manufacturing of Implant‐Supported Restorations 223Future Perspectives 227Index 233