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Periodontal-Restorative Interrelationships. Ensuring Clinical Success

  • ID: 2221836
  • Book
  • April 2011
  • Region: Global
  • 198 Pages
  • John Wiley and Sons Ltd
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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.

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Chapter 1 Examination and Diagnosis (Paul Fugazzotto and Sergio DePaoli).

Establishing an Appropriate Treatment Plan.

Determining Periodontal Treatment Endpoints.

Rationale for Pocket–Elimination Periodontal Surgery.

Junctional Epithelial Adhesion or Connective Tissue Attachment?

The Signifi cance of Furcation Involvements.

The Infl uence of Restorative Margins.

Does Pocket–Elimination Therapy Work?


Chapter 2 The Role of Crown–Lengthening Therapy (Paul Fugazzotto).

Management of the Apico–occlusal Dimension.

Incision Design.


Chapter 3 Treating the Periodontally Involved Furcation (Paul Fugazzotto).

Defi nitions of Furcation Involvements.

Diagnosing Premolar Furcation Involvements.

Treatment of Class I Furcations.

Treatment of Class II Furcations.

Treatment of Class III Furcations.

Maxillary vs. Mandibular Furcations.

Selecting the Appropriate Treatment Modality.


Chapter 4 The Role of Mucogingival Therapy (Paul Fugazzotto).

Indications for Mucogingival Surgery.

Nonattached Gingival Autografts.

Lateral Pedicle Flaps.

Connective–Tissue Grafts.

Guided Tissue Regeneration.

Indications for Emdogain Use.

Constructing a Clinically Based Treatment Decision Tree.

Mucogingival Therapy at the Time of Crown–Lengthening Surgery.


Chapter 5 Restoration of the Periodontally Treated Tooth (Frederick Hains).

The Feather.

The Chamfer.

The Shoulder.

Periodontal Ramifi cations and Prosthetic Adaptations.


Chapter 6 Developing Treatment Algorithms for Restoration or Replacement of the Compromised Tooth (Paul Fugazzotto and Frederick Hains).

Diagnostic Requirements.

Assessing the Individual Tooth.

The Ability to Safely Perform Crown–Lengthening Surgery.

Endodontic Considerations.

Implant Receptor Site Considerations.

Assessing Cost–Benefi t Ratios.

Complexity of Care.

Predictability of Care.

The Cost of Retreatment.



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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.
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