This book aims to bridge the gulf between the complex pathobiology of periodontal diseases and their assessment and diagnosis in dental practice. It provides a visual tour of the periodontium, how the host responds to periodontal pathogens, and re-classifies the diseases. Risk-factor identification is introduced prior to a step-by-step guide to diagnosis, commencing with the patient's first visit.
Polymicrobial diseases, those involving more than one etiologic agent, are more common than is generally realized and include respiratory diseases, gastroenteritis, conjunctivitis, keratitis, hepatitis, periodontal diseases, multiple sclerosis, genital infections, intra -- abdominal infections, and pertussis.
Our understanding of the etiopathology of periodontal disease has changed greatly over the last decade. The huge diversity of species within the microbial biofilm and the enormous multi-layered complexity of the innate, inflammatory and adaptive immune responses generated in response to it warrant study and discussion. Comprising reviews from renowned experts in the field, this book presents a comprehensible overview of this exciting and pertinent subject matter. It provides new insights into the structure and composition of subgingival biofilms and the nature of the extracellular matrix. Further, a summary of current understanding of subgingival microbial diversity and an overview of experimental models used to dissect the functional characteristics of subgingival communities are presented. Other articles discuss the innate cellular and neutrophil responses to the periodontal biofilm. The role of antimicrobial peptides in the host response to biofilm bacteria and modern approaches to nonsurgical biofilm management are also discussed. Finally, this volume addresses advances in antibiotic use and proposes a paradigm shift in the pharmacological approach to periodontal disease management.
I am delighted to see the appearance of the first comprehensive atlas recognizing the important relationship between periodontal and systemic health and disease. The atlas is not intended to cover the new areas of in terest in relation to periodontal health and cardiac and other disease, but rather to demonstrate the systemic diseases that manifest to the periodon tist and hygienist. The atlas thus covers a vast range of systemic disorders that may present with gingival or periodontal lesions and highlights the importance of the periodontal and oral medicine teams in diagnosing and managing patients with sometimes complex medical problems. The authors, Professor George Laskaris and Professor Crispian Scully, are both active clinicians, teachers and researchers in oral medicine, with wide experience and special interest in the oral medicine/periodontal interface and both have published widely in their fields. I welcome this contribution to the advancement of care for the patient with periodontal disease. Jan Lindhe Professor Emeritus of Periodontology University of Gothenburg, Sweden ~ The periodontium is a part of the oral tissues of great interest to dentists and particularly to the periodontal team. The importance has now been recognized to extend beyond local disorders to a wide range of conditions that may affect periodontal health.
Presents a comprehensive discussion of the etiology, pathogenesis, diagnosis, risk indicators and factors, individual risk profiles, and epidemiology of periodontal diseases. Considers periodontal diseases as a possible risk factor for systemic diseases and presents current and future trends in the management of periodontal diseases.
The association between periodontitis and systemic diseases has become a hot topic in recent years. This comprehensive book reviews the clinical evidence and biological plausibility of the many systemic diseases that have been linked to periodontitis. Edited by Dr Josefine Hirschfeld and Prof Iain L.C. Chapple, experts in each field discuss the mechanisms at work, citing the available key literature and clearly summarising current knowledge and understanding of the associations between periodontitis and diabetes mellitus, cardiovascular diseases, chronic kidney disease, inflammatory bowel diseases, rheumatoid arthritis, respiratory diseases, pregnancy and fertility, malignancy, neurodegenerative diseases, stress and depression, and autoimmunity. Each chapter critically appraises the existing evidence, providing comprehensive, contemporary and well-considered insights into the clinical evidence and biological plausibility of each condition, as well as the limitations of existing studies and how these can be overcome in the future. Periodontitis and Systemic Diseases: Clinical Evidence and Biological Plausibility is an indispensable reference for both clinicians and researchers.
"Periodontal diseases" is a web-based resource intended to reach the contemporary practitioners as well as educators and students in the field of periodontology. It is fully searchable and designed to enhance the learning experience. Within the book a description is presented of the current concepts presenting the complex interactions of microbial fingerprint, multiple genotypes, and host modulations. In addition, an overview is given of the clinical outcome of the disease's progression, as influenced by the epigenetic factors. Emerging concepts on periodontitis as a risk factor for various systemic diseases and as a bilateral modulating factor have been elucidated in detail as well.
This book examines all aspects of the progress being made towards the development of highly specific and sensitive biomarkers that will overcome the shortcomings of clinical assessments in periodontics. The opening chapters present the basic anatomic features of periodontal tissues, outline the nature and pathogenic mechanisms of periodontal diseases, and discuss both conventional and novel methods of diagnosis with reference to their specificity and sensitivity. The potential role of biomarkers in periodontal diagnosis is then presented in the light of the published data. The biological samples in which potential biomarkers are sought are evaluated comparatively, drawing attention to their strengths and weaknesses, and the available technologies for biomarker studies are reviewed. The potential benefits of biomarkers are also discussed with regard to the possible bidirectional interactions between periodontal diseases and systemic health. Finally, the past, present, and future of periodontics are examined from a broader perspective. Readers will find the book to be an ideal summary of the state of the art in the field as biomarkers emerge that promise to facilitate periodontal diagnostics and permit timely, personally tailored interventions.
A thorough, comple guide to the latest advances in the field! There have been many advances in recent years concerning the basic science, classification, prevention, diagnosis and treatment of periodontal diseases in children, adolescents and young adults. No other book to date has attempted to synthesize this new information and produce a clinical guide for the entire dental community. Leading clinicians and researchers from Europe and the United States have here pooled their expertise in this important text. (Distributed by Thieme for Martin Dunitz Publishers)
