Periodontal-Restorative Interrelationships

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.

Even with the option of dental implants, periodontists, restorativedentists, and general dentists alike continue to treatpatients' natural teeth on a day-to-day basis. Procedures includingcrown lengthening surgery, furcation treatment, mucogingivaltherapy, and tooth restoration are essential treatment regimesrequiring multifaceted expertise. Periodontal-RestorativeInterrelationships: Ensuring Clinical Success providesguidelines for comprehensive treatment planning, and featuresstep-by-step clinical instruction for periodontal and restorativeprocedures from beginning to end. As a result, the book fostersbetter understanding and increased efficiencies betweenspecialties, resulting in shorter treatment times and consistentlybetter therapeutic outcomes.Periodontal-Restorative Interrelationships: Ensuring ClinicalSuccess begins with a careful discussion of treatment planningcomprehensively covering all variables in simple to complex cases.Subsequent chapters focus upon the most commonly encounteredclinical challenges, using a systematic, easy-to-follow approach tovarious treatment methodologies. All chapters arewell-illustrated with clinical examples. Firmly grounded inevidence-based research, the book affords clinicians from multiplespecialties a practical guide for predictable, successful results.Accessible and logically organized, Periodontal-RestorativeInterrelationships is an invaluable reference for allclinicians performing these procedures.

Contributors ixChapter 1 Examination and Diagnosis 3Paul Fugazzotto and Sergio DePaoliEstablishing an Appropriate Treatment Plan 3Determining Periodontal Treatment Endpoints 19Rationale for Pocket-Elimination Periodontal Surgery 20Junctional Epithelial Adhesion or Connective Tissue Attachment? 22The Signifi cance of Furcation Involvements 23The Infl uence of Restorative Margins 23Does Pocket-Elimination Therapy Work? 23Conclusion 26Chapter 2 The Role of Crown-Lengthening Therapy 31Paul FugazzottoManagement of the Apico-occlusal Dimension 32Incision Design 40Conclusion 84Chapter 3 Treating the Periodontally Involved Furcation 89Paul FugazzottoDefi nitions of Furcation Involvements 89Diagnosing Premolar Furcation Involvements 94Treatment of Class I Furcations 95Treatment of Class II Furcations 98Treatment of Class III Furcations 109Maxillary vs. Mandibular Furcations 110Selecting the Appropriate Treatment Modality 110Conclusions 113Chapter 4 The Role of Mucogingival Therapy 117Paul FugazzottoIndications for Mucogingival Surgery 120Nonattached Gingival Autografts 122Lateral Pedicle Flaps 126Connective-Tissue Grafts 131Guided Tissue Regeneration 133Indications for Emdogain Use 134Constructing a Clinically Based Treatment Decision Tree 138Mucogingival Therapy at the Time of Crown-Lengthening Surgery 139Conclusions 140Chapter 5 Restoration of the Periodontally Treated Tooth 147Frederick HainsThe Feather 147The Chamfer 150The Shoulder 150Periodontal Ramifi cations and Prosthetic Adaptations 154Impressions 161Chapter 6 Developing Treatment Algorithms for Restoration or Replacement of the Compromised Tooth 165Paul Fugazzotto and Frederick HainsDiagnostic Requirements 165Assessing the Individual Tooth 166The Ability to Safely Perform Crown-Lengthening Surgery 167Endodontic Considerations 167Implant Receptor Site Considerations 168Assessing Cost-Benefi t Ratios 168Complexity of Care 172Predictability of Care 173The Cost of Retreatment 176Conclusion 180Index 183