Periodontitis: facts, fallacies and the future
Abstract
This volume of Periodontology 2000 represents the 25th anniversary of the Journal, and uses the occasion to assess important advancements in periodontology over the past quarter‐century as well as the hurdles that remain. Periodontitis is defined by pathologic loss of the periodontal ligament and alveolar bone. The disease involves complex dynamic interactions among active herpesviruses, specific bacterial pathogens and destructive immune responses. Periodontal diagnostics is currently based on clinical rather than etiologic criteria, and provides limited therapeutic guidance. Periodontal causative treatment con...
Source: Periodontology 2000 - July 31, 2017 Category: Dentistry Authors: J ørgen Slots Tags: Review Article Source Type: research
Issue Information
(Source: Periodontology 2000)
Source: Periodontology 2000 - April 21, 2017 Category: Dentistry Tags: Issue Information Source Type: research
The place of periodontal examination and referral in general medicine
Abstract
In many countries, dental services, unlike other health‐care services, are not covered by the principle of universal access. It is only in the last couple of decades that there has been a greater interaction between medicine and dentistry. Various health‐care systems worldwide may provide public dental services to the young and the disadvantaged, but few provide access to all. Public policy does not appear to appreciate the vast economic, health and social implications of poor oral health on the overall health of an individual. Recognizing and acting on the interrelatedness between oral health and overall heal...
Source: Periodontology 2000 - April 21, 2017 Category: Dentistry Authors: Samuel Chan, Graham M. Pasternak, Malcolm J. West Tags: Review Article Source Type: research
Periodontal disease and the special needs patient
Abstract
Individuals with special needs are at more risk of dental disease, including periodontal diseases, and have a greater prevalence and incidence of periodontal diseases than the rest of the population. Genetic or medical conditions, and/or the use of prescription medication or recreational substances, may further increase the risk for susceptibility to periodontal disease. The success of preventing or controlling periodontal diseases amongst this group of patients has not been established. Even those individuals who access regular and comprehensive dental care appear to develop periodontal diseases as they age, and ...
Source: Periodontology 2000 - April 21, 2017 Category: Dentistry Authors: Louise F. Brown, Pauline J. Ford, Anne L. Symons Tags: Review Article Source Type: research
The nexus between periodontics and oral pathology
Abstract
A wide variety of lesions may arise from the oral mucosa, fibrous connective tissue, bone and cementum of the periodontium. The commonest pathology occurs as a result of bacterial infection and is very well known to dentists and periodontists, but rarer conditions present as gingival pathology. The pathogenesis of these conditions ranges from genetic to traumatic to immunological to neoplastic, and includes benign, malignant and metastatic lesions. This paper outlines some of these conditions and describes how the periodontist and oral pathologist can work together using a framework, and how with careful considera...
Source: Periodontology 2000 - April 21, 2017 Category: Dentistry Authors: Alison M. Rich, Benedict Seo, Venkata Parachuru, Haizal M. Hussaini Tags: Review Article Source Type: research
Surgical management in dentistry: the interdisciplinary relationship between periodontology and oral and maxillofacial surgery
Abstract
Surgical procedures of the oral cavity can be performed by a number of dental specialists and clinicians. Because of the limited number of surgical procedures that can be performed inside the oral cavity, the boundaries between specialties may become indistinct and lead to confusion for general dentists in terms of patient referrals. In this article, what the two surgical specialties of dentistry (i.e. periodontology and oral and maxillofacial surgery) have to offer is highlighted, together with clinical examples to illustrate the interdisciplinary relationship between them. (Source: Periodontology 2000)
Source: Periodontology 2000 - April 21, 2017 Category: Dentistry Authors: Darryl C. Tong Tags: Review Article Source Type: research
Management of periodontal health in children: pediatric dentistry and periodontology interface
Abstract
The oral health of children and adolescents mirrors their general health. Because oral health care is often delivered in isolation from general health care, oral signs and symptoms do not always alert practitioners to their significance beyond the mouth. An important example of this is the association of a higher risk of dental caries and periodontal disease in children and adolescents with overweight, obesity and prediabetic conditions. Oral‐health practitioners need to consider the health conditions that their patients may have. This will aid in diagnosis and alert the practitioner to oral conditions that may ...
Source: Periodontology 2000 - April 21, 2017 Category: Dentistry Authors: Bernadette K. Drummond, Michael G. Brosnan, Jonathan W. Leichter Tags: Review Article Source Type: research
Effect of orthodontic treatment on the periodontal tissues
Abstract
Reduced periodontal support is a challenge that clinicians often face during rehabilitation of compromised dentition. The close and intricate relationship between the periodontal tissues and the processes of tooth movement suggest that adjunct orthodontic therapy may play an important role in overcoming these problems. On the other hand, excessive movement of teeth beyond the anatomic boundaries of the alveolar process is commonly believed to contribute to further destruction of the periodontal tissues. This review evaluates the clinical effects of various orthodontic tooth movements on the surrounding periodontal...
Source: Periodontology 2000 - April 21, 2017 Category: Dentistry Authors: Joseph S. Antoun, Li Mei, Kelsi Gibbs, Mauro Farella Tags: Review Article Source Type: research
The emerging role of maxillofacial radiology in the diagnosis and management of patients with complex periodontitis
Abstract
Contemporary periodontal therapy has evolved to become more interdisciplinary and increasingly involves more complex treatments, including bone and soft‐tissue regenerative procedures. Therapeutic options require an imaging modality or combination of techniques that are capable of providing a diagnostic osseous baseline and facilitating quantification of smaller increments of bony change, both loss and additive, which are comparable over time. Intra‐oral and panoramic radiography are the modalities most commonly used to identify the location, quantify the amount and the pattern of alveolar bone loss and determ...
Source: Periodontology 2000 - April 21, 2017 Category: Dentistry Authors: William C. Scarfe, Bruno Azevedo, Lucas R. Pinheiro, Menik Priaminiarti, Marcelo A. O. Sales Tags: Review Article Source Type: research
Dental geriatrics and periodontitis
Abstract
The present literature review is focused on two main areas: (i) periodontal conditions in older individuals; and (ii) the scientific data available on periodontal treatment outcomes in individuals ≥ 75 years of age. The population of older people is increasing but the data on periodontal therapies and their efficacy in this population are limited and need to be carefully reviewed. Although life expectancy has increased, this does not mean that older people are medically healthy. Several chronic systemic diseases are associated with periodontitis, and the prevalence of most chronic diseases increases with age. ...
Source: Periodontology 2000 - April 21, 2017 Category: Dentistry Authors: G östa Rutger Persson Tags: Review Article Source Type: research
The periodontal restorative interface: esthetic considerations
Abstract
Esthetic considerations are a significant contributing factor in the management of prosthodontic cases and an interdisciplinary approach is often necessary to achieve an optimal result. The visible soft‐tissue architecture plays a key role in developing an esthetic smile. Furthermore, an understanding of the relationship between the restorative margin and the gingiva is important for long‐term stability of the result. The gingival architecture and gingival health are important for ensuring optimal esthetics following prosthodontic work and close attention to both soft and hard tissues around the teeth, before,...
Source: Periodontology 2000 - April 21, 2017 Category: Dentistry Authors: Vincent Bennani, Hadeel Ibrahim, Latfiya Al ‐Harthi, Karl M. Lyons Tags: Review Article Source Type: research
Chronic periodontitis and implant dentistry
This article endeavors to clarify the evidence regarding the history of periodontitis as a risk factor for implant success and survival, and the role of supportive periodontal therapy in maintaining implants for individuals with a history of periodontitis. (Source: Periodontology 2000)
Source: Periodontology 2000 - April 21, 2017 Category: Dentistry Authors: Michael M. Smith, Ellie T. Knight, Latfiya Al ‐Harthi, Jonathan W. Leichter Tags: Review Article Source Type: research
Interdisciplinary interface between fixed prosthodontics and periodontics
Abstract
Although periodontal factors do not usually have a direct effect on the survival of a fixed prosthesis, harmony between the prosthesis and the periodontium is critical otherwise esthetics, the longevity of the prosthesis and the periodontium will be compromised. A close interdisciplinary relationship between periodontics and prosthodontics is therefore necessary to avoid an unsatisfactory treatment outcome, requiring extensive and expensive retreatment. The design of the prosthesis, the number and quality of the abutment teeth, the preparation and the pontic, the occlusion and the material need to be considered wh...
Source: Periodontology 2000 - April 21, 2017 Category: Dentistry Authors: Jaafar Abduo, Karl M. Lyons Tags: Review Article Source Type: research
Interaction between endodontics and periodontics
Abstract
Endodontic–periodontal lesions present challenges to the clinician regarding diagnosis, treatment planning and prognosis. Etiologic factors, such as bacteria and viruses, as well as contributing factors, such as trauma, root resorptions, perforations, cracks and dental malformations, play an important role in the development and progression of such lesions. Treatment and prognosis of endodontic–periodontal lesions vary, depending on the etiology, pathogenesis and correct diagnosis of each specific condition. This chapter will appraise the interrelationship between endodontic and periodontal lesions and provide...
Source: Periodontology 2000 - April 21, 2017 Category: Dentistry Authors: Ilan Rotstein Tags: Review Article Source Type: research
Interdisciplinary periodontics: the multidisciplinary approach to the planning and treatment of complex cases
Abstract
Periodontics cannot be practiced in isolation as frequently many patients have multiple dental needs or medical health issues requiring management. In addition, pathology may manifest in the periodontal tissues, and the onset and progression of periodontitis can be affected by systemic conditions, such as diabetes, and vice versa. The focus of this volume of Periodontology 2000 is interdisciplinary periodontics, and the articles included discuss the interactions and the interrelationshipbetween periodontal tissues/periodontal diseases and endodontics, fixed prosthodontics, implant dentistry, esthetics, gerodontolo...
Source: Periodontology 2000 - April 21, 2017 Category: Dentistry Authors: Karl M. Lyons, Ivan Darby Tags: Review Article Source Type: research
