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Luigi Nibali

Diagnosis and Treatment of Furcation-Involved Teeth

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Prekės kodas: 9781119270652
Autorius: 
Luigi Nibali
ISBN: 
9781119270652
Leidykla: 
John Wiley & Sons Inc
Išleista: 
2018
Knygos kalba: 
Anglų
Formatas: 
A4
Viršelis: 
Kietas
Puslapių: 
304
Svoris: 0,820 kg
Matmenys: 233 mm × 19 mm × 183 mm

Tema (-os)

Visos knygos · Odontologija · Periodontologija · Visos knygos

Dalintis

     

Diagnosis and Treatment of Furcation-Involved Teeth offers dental professionals a comprehensive review of the aetiology and diagnosis of furcation defects, including treatment options.

Provides a practical manual for the successful diagnosis and treatment of a therapeutic challenge for general dentists and periodontists
Presents illustrative photographs of clinical cases and procedures
Offers a helpful chapter on patient-reported outcomes
Includes a companion website with video clips and case studies

List of Contributors vii
Foreword ix
Preface xi
Luigi Nibali
About the Companion Website xiii
1 Anatomy of Multi-rooted Teeth and Aetiopathogenesis of the Furcation Defect 1 (14)
Bernadette Pretzl
1.1 Introduction: Why Focus On Molars?
1 (1)
1.2 The 'Special' Anatomy Of Molar Teeth
1 (1)
1.3 Anatomical Factors In Molar Teeth
2 (4)
1.3.1 Furcation Entrance Area
3 (1)
1.3.2 (Bi)furcaton Ridges
4 (1)
1.3.3 Root Surface Area
5 (1)
1.3.3.1 RSA In The Maxilla
5 (1)
1.3.3.2 RSA In The Mandible
5 (1)
1.3.4 Root Trunk Length
5 (1)
1.4 Anatomical Aetiological Factors
6 (3)
1.4.1 Cervical Enamel Projections
6 (2)
1.4.2 Enamel Pearls
8 (1)
1.5 Periodontal Aetiological Factors In Molar Teeth
9 (2)
1.5.1 Plaque-Associated Inflammation
10 (1)
1.5.2 Occlusal Trauma
10 (1)
1.5.3 Vertical Root Fractures
10 (1)
1.5.4 Endodontic Origin And Pulpal Pathology
10 (1)
1.5.5 Iatrogenic Factors
11 (1)
Summary Of Evidence
11 (1)
References
12 (3)
2 Clinical and Radiographic Diagnosis and Epidemiology of Furcation Involvement 15 (18)
Peter Eickholz
Clemens Walter
2.1 Introduction
15 (1)
2.2 Clinical Furcation Diagnosis
15 (7)
2.2.1 Classification Of Furcation Involvement
17 (4)
2.2.2 Distinction Between Degree II And Degree III Furcation Involvement
21 (1)
2.2.3 The Vertical Dimension Of Furcation Involvement
22 (1)
2.2.4 Reproducibility And Validity Of The Assessment Of Furcation Involvement
22 (1)
2.2.5 Documentation Of Furcation Involvement
22 (1)
2.3 Radiographic Diagnosis Of Furcation Involvement
22 (6)
2.3.1 Digital Subtraction Radiography
25 (1)
2.3.2 Three-Dimensional Radiography
26 (2)
2.4 Epidemiology Of Furcation Involvement
28 (1)
Summary Of Evidence
29 (1)
References
29 (4)
3 How Good are We at Cleaning Furcations? Non-surgical and Surgical Studies 33 (22)
Jia-Hui Fu
Horn-Lay Wang
3.1 Introduction
33 (1)
3.2 Longitudinal Studies On Management Of Furcation-Involved Teeth
34 (5)
3.3 Professional Debridement
39 (6)
3.4 Patient Home Care
45 (5)
Summary Of Evidence
50 (1)
References
51 (4)
4 Furcation: The Endodontist's View 55 (36)
Federica Fonzar
Riccardo Fabian Fonzar
4.1 Introduction
55 (1)
4.2 Pathways Between Endodontium And Periodontium: Anatomical Considerations
55 (4)
4.2.1 Dentinal Tubules
55 (1)
4.2.2 Lateral And Accessory Canals
56 (1)
4.2.3 Apical Foramen Or Foramina
57 (1)
4.2.4 Non-Physiological Communications
58 (1)
4.3 Bacteria Involved In Endodontic-Periodontal Disease
59 (1)
4.4 Relationship Between Periodontal Disease And Histological Pulp Changes
60 (3)
4.5 Endodontic-Periodontal Disease
63 (15)
4.5.1 Classification
63 (8)
4.5.1.1 Primary Endodontic Lesion
64 (1)
4.5.1.2 Primary Peridontal Lesion
64 (7)
4.5.2 Diagnosis Of Endodontic-Periodontal Disease
71 (6)
4.5.2.1 Clinical Examination
73
4.5.2.2 Palpation
72 (1)
4.5.2.3 Percussion
72 (1)
4.5.2.4 Bite Test
72 (1)
4.5.2.5 Mobility
72 (1)
4.5.2.6 Fistula Tracking
73 (1)
4.5.2.7 Cracked Tooth Testing
73 (1)
4.5.2.8 Radiogrpahs
73 (1)
4.5.2.9 Pocket Probing
73 (2)
4.5.2.10 Pulp Vitality Tests
75 (1)
4.5.2.11 Cavity Test
76 (1)
4.5.2.12 Selective Anaesthesia Test
76 (1)
4.5.3 Management Of Endodontic-Periodontal Disease
77 (1)
4.5.4 Endodontic-Periodontal Disease In Endodontically Treated Teeth
77 (1)
4.6 Relationship Between Pulp And Periodontal Furcaton Therapies
78 (4)
4.6.1 Non-Surgical Periodontal Therapy
78 (1)
4.6.2 Regenerative Furcation Therapy
79 (1)
4.6.3 Resective Therapy
80 (2)
Summary Of Evidence
82 (1)
References
82 (9)
5 Why do We Really Care About Furcations? Long-term Tooth Loss Data 91 (14)
Luigi Nibali
5.1 Introduction
91 (1)
5.2 Measures Of Disease Progression
91 (1)
5.3 Tooth Loss
92 (1)
5.4 Tooth Loss For Untreated Furcation-Involved Teeth
93 (1)
5.5 Tooth Loss For Treated Furcation-Involved Teeth
93 (6)
5.5.1 Tooth Loss For FI vs No FI
94 (5)
5.5.2 Tooth Loss By Different Furcation Degree
99 (1)
5.5.3 Tooth Loss By Vertical Furcation Component
99 (1)
5.6 Conclusions On Risk Of Tooth Loss By Furcation Involvement
99 (2)
Summary Of Evidence
101 (1)
References
102 (3)
6 Regenerative Therapy of Furcation Involvements in Preclinical Models: What is Feasible? 105 (32)
Nikolaos Donos
Iro Palaska
Elena Calciolari
Yoshinori Shirakata
Anton Sculean
6.1 Introduction
105 (1)
6.2 Available Preclinical Models
105 (2)
6.2.1 Non-Human Primates
106 (1)
6.2.2 Dog Model
106 (1)
6.2.3 Miniature Pig Model
106 (1)
6.3 Defect Types
107 (3)
6.3.1 Naturally Occurring Periodontitis Defects
107 (1)
6.3.2 Experimentally Induced Defects
107 (1)
6.3.2.1 The Acute Defect Model
107 (1)
6.3.2.2 The Chronic Defect Model
107 (1)
6.3.2.3 The Acute/ Chronic Defect Model
107 (1)
6.3.3 The Critical Size Defect Concept In Furcation Studies
108 (2)
6.3.3.1 Furcation Degree II CSD
108 (1)
6.3.3.2 Furcation Degree III CSD
108 (2)
6.4 Regeneration Treatments Of Class II Furcation Defects
110 (7)
6.4.1 Guided Tissues Regeneration
110 (1)
6.4.2 Bone Grafts And GTR
110 (3)
6.4.3 Enamel Matrix Proteins
113 (1)
6.4.4 Growth Factors
114 (1)
6.4.5 Cell Therapy
114 (3)
6.5 Regeneration Treatments Of Class III Furcation Defects
117 (8)
6.5.1 Guided Tissue Regeneration
117 (1)
6.5.2 Bone Grafts
117 (2)
6.5.3 Enamel Matrix Proteins
119 (1)
6.5.4 Growth Factors
120 (4)
6.5.5 Cell Therapy
124 (1)
6.6 Discussion
125 (2)
6.6.1 Limitations Of Pre-Clinical Studies
125 (2)
6.6.2 Ethical Codes For Animal Experimentation
127 (1)
6.7 Conclusions
127 (1091)
Summary Of Evidence
1218
References
128 (9)
7 Regenerative Therapy of Furcations in Human Clinical Studies: What has been Achieved So Far? 137 (24)
Soren Jepsen
Karin Jepsen
7.1 Introduction
137 (1)
7.2 Outcome Measures For Regenerative Therapy In Furcation Defects
137 (1)
7.2.1 Human Histology
137 (1)
7.2.1.1 Degree II Furcation Defects
137 (1)
7.2.1.2 Degree III Furcation Defects
138 (1)
7.2.2 Clinical Outcomes
138 (1)
7.3 Clinical Scenarios
138 (11)
7.3.1 Degree II Furcation Defects
138 (10)
7.3.1.1 Barrier Membranes (GTR)
138 (1)
7.3.1.2 Combination Therapy (GTR And Bone Grafts)
139 (5)
7.3.1.3 Long-Term Results
144 (1)
7.3.1.4 Enamel Matric Derivative (EMD)
144 (3)
7.3.1.5 Combination Therapy (EMD And Bone Grafts
147 (1)
7.3.2 Degree III Furcation Defects
148 (13)
7.3.2.1 Barrier Membranes (GTR)
148 (1)
7.3.2.2 Enamel Matrix Derivative
149 (1)
7.4 Furcation Regeneration: Step-By-Step Procedure
149 (2)
7.5 Furcation Regeneration: How To Take The Next Step
151 (1)
Summary Of Evidence
152 (1)
References
153 (8)
8 Furcation Therapy: Resective Approach and Restorative Options 161 (16)
Roberto Rotundo
Alberto Fonzar
8.1 Anatomical Considerations For Treatment Planning
161 (1)
8.2 Pre-Surgical Diagnosis
161 (1)
8.2.1 Pre-Surgical Clinical Diagnosis
161 (1)
8.2.2 Pre-Surgical Radiological Diagnosis
162 (1)
8.3 Treatment Of Furcation Defects
162 (1)
8.4 Resective Procedures And Restorative Approaches
163 (10)
8.4.1 Indications
162 (5)
8.4.1.1 Root Separation
163 (1)
8.4.1.2 Root Resection
164 (3)
8.4.2 Scientific Evidence
167 (2)
8.4.3 Contraindictions
169 (1)
8.4.4 Step-By-Step Procedure
170 (41)
8.4.4.1 Patient Selection
171
8.4.4.2 Tooth Selection
170 (1)
8.4.4.3 Endodontic Treatment
170 (1)
8.4.4.4 Crown Build-Up
171 (1)
8.4.4.5 Root Separation/Resection During Preliminary Prosthetic Preparation
171 (1)
8.4.4.6 Provisional Restoration
172 (1)
8.4.4.7 Periodontal Surgery
172 (1)
8.4.4.8 Final Prosthesis
173 (1)
8.5 Conclusions
173 (1)
Summary Of Evidence
173 (1)
References
174 (3)
9 Furcation Tunnelling 177 (14)
Stefan G. Rudiger
9.1 Introduction
177 (1)
9.2 Indication
177 (2)
9.3 Patient Selection
179 (1)
9.4 The Tunnelling Procedure: Surgical Steps
179 (3)
9.5 Postoperative Follow-Up And Oral Hygiene In The Furcation
182 (1)
9.6 Types Of Teeth
183 (1)
9.7 Pulp Reaction
184 (1)
9.8 Caries After Furcation Tunnelling
185 (1)
9.9 Maintenance Phase
185 (4)
Summary Of Evidence
189 (1)
References
189 (2)
10 Innovative and Adjunctive Furcation Therapy: Evidence of Success and Future Perspective 191 (18)
Luigi Nibali
Elena Calciolari
10.1 Introduction
191 (1)
10.2 Periodontal Endoscope
191 (1)
10.3 Laser Therapy
192 (1)
10.4 Photodynamic Therapy
193 (2)
10.5 Air-Polishing Devices
195 (1)
10.6 Local Antimicrobials
196 (1)
10.7 Systemic Antimicrobials
197 (2)
10.8 Probiotics
199 (1)
10.9 Surgical Innovations
200 (1)
10.10 Furcation 'Filling'
200 (1)
Conclusion
200 (1)
Summary Of Evidence
201 (1)
References
201 (8)
11 Furcation: Why Bother? Treat the Tooth or Extract and Place an Implant? 209 (20)
Nikos Mardas
Stephen Barter
11.1 Implants Vs Periodontal Multi-Rooted Teeth: What Is The Clinical Problem?
209 (2)
11.2 Anatomical Considerations For Implant Placement In The Posterior Maxilla And Mandible
211 (2)
11.2.1 Bone 'Quality'
211 (1)
11.2.2 Bone Loss And Implant Positioning
212 (1)
11.3 Implant Placement In The Mandibular Molar Region
213 (1)
11.3.1 Bone Augmentation For Implant Placement In The Mandibular Molar Region
214 (1)
11.4 Bone Augmentation For Implant Placement In The Maxillary Molar Region
214 (4)
11.4.1 Horizontal Bone Augmentation
215 (1)
11.4.2 Sinus Lift
215 (1)
11.4.3 Osteotime-Mediated Sinus Floor Elevation
216 (2)
11.5 Short Implants
218 (1)
11.6 Implant Biological Complications
219 (1)
Summary Of Evidence
220 (1)
References
220 (9)
12 Is it Worth it? Health Economics of Furcation Involvement 229 (20)
Falk Schwendicke
Christian Graetz
12.1 Health Economic Relevance Of Furcation Involvement
229 (1)
12.2 Health Economic Analyses
230 (1)
12.3 The Costs Of Furcation Involvement
231 (8)
12.4 Cost-Effectiveness Of Retaining Furcation-Involved Molars
239 (3)
12.5 Research Gaps
242 (1)
12.6 Conclusions
243 (1)
Summary Of Evidence
244 (1)
References
244 (5)
13 Deep Gaps between the Roots of the Molars: A Patient's Point of View 249 (8)
Luigi Nibali
13.1 Introduction
149 (100)
13.2 Patient-Reported Outcome Measures In Periodontology
249 (2)
13.3 Patient-Reported Outcome Measures In Furcation Involvement
251 (1)
13.4 Patient Feedback
252 (2)
13.5 Reflectons On Patient Feedback
254 (1)
13.6 Implementation Of PROMS In Furcation Treatment
254 (1)
Acknowledgements
254 (1)
Summary Of Evidence
255 (1)
References
255 (2)
14 Assessment of Two Example Cases Based on a Review of the Literature 257 (12)
Luigi Nibali
14.1 Case 1 (Maxillary)
257 (5)
14.1.1 Anatomy (Chapter 1)
257 (1)
14.1.2 Diagnosis (Chapter 2)
257 (1)
14.1.3 Initial Therapy (Chapter 3)
258 (1)
14.1.4 Endodontics (Chapter 4)
258 (1)
14.1.5 Long-Term Prognosis (Chapter 5)
259 (1)
14.1.6 Regeneration (Chapters 6 And 7)
260 (1)
14.1.7 Resective Therapy (Chapter 8)
260 (1)
14.1.8 Tunnelling (Chapter 9)
260 (1)
14.1.9 Innovative And Adjunctive Therapy (Chapter 10)
260 (1)
14.1.10 Extraction And Implant Placement (Chapter 11)
260 (1)
14.1.11 Health Economics (Chapter 12)
261 (1)
14.1.12 Patient's Point Of View (Chapter 13)
261 (1)
14.1.13 Treatement Decision
261 (1)
14.2 Case 2 (Mandibular)
262 (3)
14.2.1 Anatomy (Chapter 1)
262 (1)
14.2.2 Diagnosis (Chapter 2)
262 (1)
14.2.3 Initial Therapy (Chapter 3)
263 (1)
14.2.4 Endodontics (Chapter 4)
263 (1)
14.2.5 Long-Term Prognosis (Chapter 5)
263 (1)
14.2.6 Regeneration (Chapters 6 And 7)
263 (1)
14.2.7 Resective Therapy (Chapter 8)
264 (1)
14.2.8 Tunnelling (Chapter 9)
264 (1)
14.2.9 Innovative And Adjuncitve Therapy (Chapter 10)
264 (1)
14.2.10 Extracton And Implant Placement (Chapter 11)
264 (1)
14.2.11 Health Economics (Chapter 12)
265 (1)
14.2.12 Patient's Point Of View (Chapter 13)
265 (1)
14.2.13 Treatment Decision
265 (1)
References
265 (4)
15 Furcations: A Treatment Algorithm 269 (16)
Luigi Nibali
15.1 Introduction
269 (1)
15.2 First Things First: Proper Diagnosis
269 (1)
15.3 Degree I Furcation Involvement
270 (1)
15.4 Degree II Furcation Involvement
271 (5)
15.4.1 Mandibular Degree II Furcations
272 (2)
15.4.2 Single Maxillary Degree II Buccal Furcations
274 (1)
15.4.3 Single Maxillary Degree II Interproximal Furcations
275 (1)
15.4.4 Combined Maxillary Degree II Furcations
276 (1)
15.5 Degree III Furcation Involvement
276 (2)
15.5.1 Mandibular Degree III Furcations
277 (1)
15.5.2 Maxilary Degree III Furcations
277 (1)
15.6 Upper Premolars
278 (1)
15.7 Innovative Treatment
278 (1)
15.8 So, What Should We Extract?
278 (2)
Summary Of Evidence
280 (1)
References
280 (5)
Index 285

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