Table Of Content

Clinical Cases in Periodontics Clinical Cases in Periodontics Nadeem Karimbux, DMD, MMSc Associate Professor Department of Oral Medicine, Infection, and Immunity Assistant Dean Office of Dental Education Harvard School of Dental Medicine Harvard University Boston, MA USA A John Wiley & Sons, Inc., Publication This edition first published 2012 © 2012 by John Wiley & Sons, Inc. Wiley-Blackwell is an imprint of John Wiley & Sons, formed by the merger of Wiley’s global Scientific, Technical and Medical business with Blackwell Publishing. Registered office: John Wiley & Sons Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK Editorial offices: 2121 State Avenue, Ames, Iowa 50014-8300, USA The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK 9600 Garsington Road, Oxford, OX4 2DQ, UK For details of our global editorial offices, for customer services and for information about how to apply for permission to reuse the copyright material in this book please see our website at www.wiley.com/wiley-blackwell. Authorization to photocopy items for internal or personal use, or the internal or personal use of specific clients, is granted by Blackwell Publishing, provided that the base fee is paid directly to the Copyright Clearance Center, 222 Rosewood Drive, Danvers, MA 01923. For those organizations that have been granted a photocopy license by CCC, a separate system of payments has been arranged. The fee codes for users of the Transactional Reporting Service are ISBN-13: 978-0-8138-0794-2/2012. Designations used by companies to distinguish their products are often claimed as trademarks. All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book. This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold on the understanding that the publisher is not engaged in rendering professional services. If professional advice or other expert assistance is required, the services of a competent professional should be sought. Cover artwork: Top, center image created by Exan using axiUm Electronic Health Record. Library of Congress Cataloging-in-Publication Data Karimbux, Nadeem. Clinical cases in periodontics / Nadeem Karimbux. p. ; cm. – (Clinical cases) Includes bibliographical references and index. ISBN 978-0-8138-0794-2 (pbk. : alk. paper) I. Title. II. Series: Clinical cases (Ames, Iowa) [DNLM: 1. Periodontal Diseases–therapy–Case Reports. 2. Periodontics–methods–Case Reports. WU 240] 617.6'32--dc23 2011036319 A catalogue record for this book is available from the British Library. This book is published in the following electronic formats: ePDF 9780470962923; ePub 9780470962954; Mobi 9780470962985 Set in 10/13 pt Univers Light by Toppan Best-set Premedia Limited 1 2012 DEDICATION Henry David Epstein, 1914–2011 (Courtesy of the Epstein family.) Founding member of the Department of Periodontology at the Harvard School of Dental Medicine and an inspiring role model, educator, mentor, and friend. CONTENTS Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi Chapter 1 Examination and Diagnosis 3 Case 1  Examination and Documentation .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 4 Walter S. Krawczyk, DDS, and Anisha K. Thondukolam, DDS Case 2  Plaque-Induced Gingivitis .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .14 Nadeem Karimbux, DMD, MMSc, and Satheesh Elangovan, BDS, DSc, DMSc Case 3  Non–Plaque-Induced Gingivitis  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .19 N. Joseph Laborde III, DDS, and Mark A. Lerman, DMD Case 4  Gingival Enlargement  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .25 T. Howard Howell, DDS, and Maria Dona, DDS, MSD Case 5  Aggressive Periodontitis  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .32 Nadeem Karimbux, DMD, MMSc, Satheesh Elangovan, BDS, DSc, DMSc, and Martin Ming-Jen Fu, BDS, MS Case 6  Chronic Periodontitis  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .40 Ricardo Teles, DDS, DMSc Case 7  Local Anatomic Factors Contributing to Periodontal   Disease  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .48 Daniel Kuan-te Ho, DMD, MSc, and David M. Kim, DDS, DMSc Chapter 2 Nonsurgical Periodontal Therapy 57 Case 1  Hand and Automated Instrumentation  .  .  .  .  .  .  .  .  .  .  .  .  .  .58 Helen Livson, DMD, MMSc Case 2  Local Drug Delivery .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .64 Emilio I. Arguello, DDS, MSc Case 3  Systemic Antibiotics  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .73 Ricardo Teles, DDS, DMSc Clinical Cases in Periodontics    vii CONTENTS Chapter 3 Resective Periodontal Therapy 85 Case 1  Gingivectomy  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .86 T. Howard Howell, DDS, and Maria Dona, DDS, MSD Case 2  Preprosthetic Hard Tissue and Soft Tissue Crown   Lengthening .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .94 Guillaume Campard, DDS, MMSc, and Emilio I. Arguello, DDS, MSc Case 3  Flap Osseous Surgery  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 104 Kevin Guze, DMD, DMSc Case 4  Root Resection  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 112 Philip M. Walton, DDS, and Paul A. Levi, Jr., DMD Chapter 4 Regenerative Therapy 123 Case 1  Treatment of Furcations  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 124 Soo-Woo Kim, DMD, MS, and Myron Nevins, DDS Case 2  Treatment of Intrabony Defects Using Allografts  .  .  .  .  .  .  . 132 Kevin Guze, DMD, DMSc Case 3  Treatment of Intrabony Defects Using Growth Factors  .  .  .  . 142 Marc L. Nevins, DMD, MMSc, and Vinicius Souza Rodrigues, DDS Case 4  Treatment of Intrabony Defects Using Alloplastic   Materials  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 149 N. Joseph Laborde III, DDS, and Giuseppe Intini, DDS, MS, PhD Case 5  Guided Bone Regeneration .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 155 Kevin Guze, DMD, DMSc Chapter 5 Mucogingival Therapy 165 Case 1  Pedicle Flaps  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 166 N. Joseph Laborde III, DDS, and Kasumi Kuse Barouch, DDS, PhD Case 2  Connective Tissue Grafts .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 172 Ronny S. Taschner, DDS, and Jennifer F. Taschner, DDS, MMSc Case 3  Free Gingival Grafts .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 179 Ronald M. Fried, DMD, MMSc, and Maria Dona, DDS, MSD Case 4  Treatment of Mucogingival Deformities Using Alloplastic   Materials  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 190 Helen Livson, DMD, MMSc, and Sarah D. Shih, DDS, MS, DMSc Case 5  Frenectomy and Vestibuloplasty  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 197 Daniel Kuan-te Ho, DMD, MSc, Satheesh Elangovan, BDS, DSc, DMSc, and Sarah D. Shih, DDS, MS, DMSc viii    Clinical Cases in Periodontics

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Wiley-Blackwell's "Clinical Cases" series is designed to recognize the centrality of clinical cases to the profession by providing actual cases with an academic backbone. Clinical Cases in Periodontics describes the core principles of periodontics and demonstrates their practical, every-day applicat
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Clinical Cases in Periodontics Clinical Cases in Periodontics Nadeem Karimbux, DMD, MMSc Associate Professor Department of Oral Medicine, Infection, and Immunity Assistant Dean Office of Dental Education Harvard School of Dental Medicine Harvard University Boston, MA USA A John Wiley & Sons, Inc., Publication This edition first published 2012 © 2012 by John Wiley & Sons, Inc. Wiley-Blackwell is an imprint of John Wiley & Sons, formed by the merger of Wiley’s global Scientific, Technical and Medical business with Blackwell Publishing. Registered office: John Wiley & Sons Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK Editorial offices: 2121 State Avenue, Ames, Iowa 50014-8300, USA The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK 9600 Garsington Road, Oxford, OX4 2DQ, UK For details of our global editorial offices, for customer services and for information about how to apply for permission to reuse the copyright material in this book please see our website at www.wiley.com/wiley-blackwell. Authorization to photocopy items for internal or personal use, or the internal or personal use of specific clients, is granted by Blackwell Publishing, provided that the base fee is paid directly to the Copyright Clearance Center, 222 Rosewood Drive, Danvers, MA 01923. For those organizations that have been granted a photocopy license by CCC, a separate system of payments has been arranged. The fee codes for users of the Transactional Reporting Service are ISBN-13: 978-0-8138-0794-2/2012. Designations used by companies to distinguish their products are often claimed as trademarks. All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book. This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold on the understanding that the publisher is not engaged in rendering professional services. If professional advice or other expert assistance is required, the services of a competent professional should be sought. Cover artwork: Top, center image created by Exan using axiUm Electronic Health Record. Library of Congress Cataloging-in-Publication Data Karimbux, Nadeem. Clinical cases in periodontics / Nadeem Karimbux. p. ; cm. – (Clinical cases) Includes bibliographical references and index. ISBN 978-0-8138-0794-2 (pbk. : alk. paper) I. Title. II. Series: Clinical cases (Ames, Iowa) [DNLM: 1. Periodontal Diseases–therapy–Case Reports. 2. Periodontics–methods–Case Reports. WU 240] 617.6'32--dc23 2011036319 A catalogue record for this book is available from the British Library. This book is published in the following electronic formats: ePDF 9780470962923; ePub 9780470962954; Mobi 9780470962985 Set in 10/13 pt Univers Light by Toppan Best-set Premedia Limited 1 2012 DEDICATION Henry David Epstein, 1914–2011 (Courtesy of the Epstein family.) Founding member of the Department of Periodontology at the Harvard School of Dental Medicine and an inspiring role model, educator, mentor, and friend. CONTENTS Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi Chapter 1 Examination and Diagnosis 3 Case 1  Examination and Documentation .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 4 Walter S. Krawczyk, DDS, and Anisha K. Thondukolam, DDS Case 2  Plaque-Induced Gingivitis .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .14 Nadeem Karimbux, DMD, MMSc, and Satheesh Elangovan, BDS, DSc, DMSc Case 3  Non–Plaque-Induced Gingivitis  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .19 N. Joseph Laborde III, DDS, and Mark A. Lerman, DMD Case 4  Gingival Enlargement  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .25 T. Howard Howell, DDS, and Maria Dona, DDS, MSD Case 5  Aggressive Periodontitis  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .32 Nadeem Karimbux, DMD, MMSc, Satheesh Elangovan, BDS, DSc, DMSc, and Martin Ming-Jen Fu, BDS, MS Case 6  Chronic Periodontitis  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .40 Ricardo Teles, DDS, DMSc Case 7  Local Anatomic Factors Contributing to Periodontal   Disease  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .48 Daniel Kuan-te Ho, DMD, MSc, and David M. Kim, DDS, DMSc Chapter 2 Nonsurgical Periodontal Therapy 57 Case 1  Hand and Automated Instrumentation  .  .  .  .  .  .  .  .  .  .  .  .  .  .58 Helen Livson, DMD, MMSc Case 2  Local Drug Delivery .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .64 Emilio I. Arguello, DDS, MSc Case 3  Systemic Antibiotics  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .73 Ricardo Teles, DDS, DMSc Clinical Cases in Periodontics    vii CONTENTS Chapter 3 Resective Periodontal Therapy 85 Case 1  Gingivectomy  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .86 T. Howard Howell, DDS, and Maria Dona, DDS, MSD Case 2  Preprosthetic Hard Tissue and Soft Tissue Crown   Lengthening .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .94 Guillaume Campard, DDS, MMSc, and Emilio I. Arguello, DDS, MSc Case 3  Flap Osseous Surgery  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 104 Kevin Guze, DMD, DMSc Case 4  Root Resection  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 112 Philip M. Walton, DDS, and Paul A. Levi, Jr., DMD Chapter 4 Regenerative Therapy 123 Case 1  Treatment of Furcations  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 124 Soo-Woo Kim, DMD, MS, and Myron Nevins, DDS Case 2  Treatment of Intrabony Defects Using Allografts  .  .  .  .  .  .  . 132 Kevin Guze, DMD, DMSc Case 3  Treatment of Intrabony Defects Using Growth Factors  .  .  .  . 142 Marc L. Nevins, DMD, MMSc, and Vinicius Souza Rodrigues, DDS Case 4  Treatment of Intrabony Defects Using Alloplastic   Materials  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 149 N. Joseph Laborde III, DDS, and Giuseppe Intini, DDS, MS, PhD Case 5  Guided Bone Regeneration .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 155 Kevin Guze, DMD, DMSc Chapter 5 Mucogingival Therapy 165 Case 1  Pedicle Flaps  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 166 N. Joseph Laborde III, DDS, and Kasumi Kuse Barouch, DDS, PhD Case 2  Connective Tissue Grafts .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 172 Ronny S. Taschner, DDS, and Jennifer F. Taschner, DDS, MMSc Case 3  Free Gingival Grafts .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 179 Ronald M. Fried, DMD, MMSc, and Maria Dona, DDS, MSD Case 4  Treatment of Mucogingival Deformities Using Alloplastic   Materials  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 190 Helen Livson, DMD, MMSc, and Sarah D. Shih, DDS, MS, DMSc Case 5  Frenectomy and Vestibuloplasty  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  . 197 Daniel Kuan-te Ho, DMD, MSc, Satheesh Elangovan, BDS, DSc, DMSc, and Sarah D. Shih, DDS, MS, DMSc viii    Clinical Cases in Periodontics

Description:
Wiley-Blackwell's "Clinical Cases" series is designed to recognize the centrality of clinical cases to the profession by providing actual cases with an academic backbone. Clinical Cases in Periodontics describes the core principles of periodontics and demonstrates their practical, every-day applicat
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