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Even with the option of dental implants, periodontists, restorative
dentists, and general dentists alike continue to treat
patients' natural teeth on a day-to-day basis. Procedures including
crown lengthening surgery, furcation treatment, mucogingival
therapy, and tooth restoration are essential treatment regimes
requiring multifaceted expertise. Periodontal-Restorative
Interrelationships: Ensuring Clinical Success provides
guidelines for comprehensive treatment planning, and features
step-by-step clinical instruction for periodontal and restorative
procedures from beginning to end. As a result, the book fosters
better understanding and increased efficiencies between
specialties, resulting in shorter treatment times and consistently
better therapeutic outcomes.
Periodontal-Restorative Interrelationships: Ensuring Clinical
Success begins with a careful discussion of treatment planning,
comprehensively covering all variables in simple to complex cases.
Subsequent chapters focus upon the most commonly encountered
clinical challenges, using a systematic, easy-to-follow approach to
various treatment methodologies. All chapters are
well-illustrated with clinical examples. Firmly grounded in
evidence-based research, the book affords clinicians from multiple
specialties a practical guide for predictable, successful results.
Accessible and logically organized, Periodontal-Restorative
Interrelationships is an invaluable reference for all
clinicians performing these procedures.
Autorentext
Paul A. Fugazzotto is in full-time clinical practice specializing in periodontics and implant therapy. In addition to maintaining his practice, Dr. Fugazzotto has published over 90 articles in revered journals, has authored two textbooks, and lectured nationally and internationally on all facets of periodontology and implant and restorative dentistry.
Zusammenfassung
Even with the option of dental implants, periodontists, restorative dentists, and general dentists alike continue to treat patients' natural teeth on a day-to-day basis. Procedures including crown lengthening surgery, furcation treatment, mucogingival therapy, and tooth restoration are essential treatment regimes requiring multifaceted expertise. Periodontal-Restorative Interrelationships: Ensuring Clinical Success provides guidelines for comprehensive treatment planning, and features step-by-step clinical instruction for periodontal and restorative procedures from beginning to end. As a result, the book fosters better understanding and increased efficiencies between specialties, resulting in shorter treatment times and consistently better therapeutic outcomes.
Periodontal-Restorative Interrelationships: Ensuring Clinical Success begins with a careful discussion of treatment planning, comprehensively covering all variables in simple to complex cases. Subsequent chapters focus upon the most commonly encountered clinical challenges, using a systematic, easy-to-follow approach to various treatment methodologies. All chapters are well-illustrated with clinical examples. Firmly grounded in evidence-based research, the book affords clinicians from multiple specialties a practical guide for predictable, successful results. Accessible and logically organized, Periodontal-Restorative Interrelationships is an invaluable reference for all clinicians performing these procedures.
Inhalt
Contributors ix
**Chapter 1 Examination and Diagnosis 3
Paul Fugazzotto and Sergio DePaoli
Establishing an Appropriate Treatment Plan 3
Determining Periodontal Treatment Endpoints 19
Rationale for Pocket-Elimination Periodontal Surgery 20
Junctional Epithelial Adhesion or Connective Tissue Attachment? 22
The Signifi cance of Furcation Involvements 23
The Infl uence of Restorative Margins 23
Does Pocket-Elimination Therapy Work? 23
Conclusion 26
**Chapter 2 The Role of Crown-Lengthening Therapy 31
Paul Fugazzotto
Management of the Apico-occlusal Dimension 32
Incision Design 40
Conclusion 84
**Chapter 3 Treating the Periodontally Involved Furcation 89
Paul Fugazzotto
Defi nitions of Furcation Involvements 89
Diagnosing Premolar Furcation Involvements 94
Treatment of Class I Furcations 95
Treatment of Class II Furcations 98
Treatment of Class III Furcations 109
Maxillary vs. Mandibular Furcations 110
Selecting the Appropriate Treatment Modality 110
Conclusions 113
**Chapter 4 The Role of Mucogingival Therapy 117
Paul Fugazzotto
Indications for Mucogingival Surgery 120
Nonattached Gingival Autografts 122
Lateral Pedicle Flaps 126
Connective-Tissue Grafts 131
Guided Tissue Regeneration 133
Indications for Emdogain Use 134
Constructing a Clinically Based Treatment Decision Tree 138
Mucogingival Therapy at the Time of Crown-Lengthening Surgery 139
Conclusions 140
**Chapter 5 Restoration of the Periodontally Treated Tooth 147
Frederick Hains
The Feather 147
The Chamfer 150
The Shoulder 150
Periodontal Ramifi cations and Prosthetic Adaptations 154
Impressions 161
**Chapter 6 Developing Treatment Algorithms for Restoration or Replacement of the Compromised Tooth 165
Paul Fugazzotto and Frederick Hains
Diagnostic Requirements 165
Assessing the Individual Tooth 166
The Ability to Safely Perform Crown-Lengthening Surgery 167
Endodontic Considerations 167
Implant Receptor Site Considerations 168
Assessing Cost-Benefi t Ratios 168
Complexity of Care 172
Predictability of Care 173
The Cost of Retreatment 176
Conclusion 180
Index 183