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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.
"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.
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.
This handbook has been designed for practicing dental clinicians and students, which includes dental hygienists, general dentists, periodontists, and students of dental hygiene and dentistry who are responsible for treating patients with a broad spectrum of periodontal diseases. The book will enable practicing clinicians and students to successfully meet the challenge of excellent patient care, by providing , in a concise and simplified format, both classic and contemporary practical measures that address all aspects of non-surgical periodontal disease management. Readers are carefully guided through an extensive body of accumulated knowledge in eight broad chapters which includes: the patient’s involvement in disease control and prevention, the clinician’s instrumentation for the diagnosis and basic treatment of gingivitis/periodontitis along with pharmacotherapeutics and supportive maintenance therapy to ensure long-term success. Numerous illustrations help to bring the presented ideas and suggestions to life and the succinct nature of the text will allow readers to transfer useful information quickly to their own clinical settings.
Periodontal disease (PD), an inflammatory disease of tooth supporting tissues that leads to progressive loss of periodontal ligament and bone, with pocket formation and / or recession of the gums, is widespread among the world adult population and a serious public health issue. In this book, Chapter One reviews the literature about the use of probiotics in periodontal disease, including in vitro, in vivo and clinical studies, in order to improve the understanding of probiotics role in periodontal disease and discusses the effectiveness of their use as a therapy for periodontitis. Chapter Two studies the model of periodontitis induction by ligature and presents a protocol for performing it in rats and mice, based on the experience of the authors research group, to guide researchers who wish to develop the model. Chapter Three focuses on nutritional and systemic risk factors for periodontitis, focusing on modifiable common risk factors that also impact cardiometabolic disease, which can be targeted through oral and medical health professionals for improving periodontal and cardiometabolic health. Chapter Four discusses the main manifestations of gingivitis, chronic periodontitis, aggressive periodontitis, and periodontal disease resulting from systemic diseases. In addition, the authors discuss the treatment options, highlighting the conventional periodontal therapy, systemic administration of antibiotics, and surgical treatments.
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.
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.
A Clinician’s Guide to Systemic Effects of Periodontal Diseases will serve as an ideal, easy-to-use reference for the practicing health professional. It summarizes the latest research on the systemic effects of periodontal diseases, discusses how the results of this research will impact on clinical practice, and aims to help the clinician to answer questions that may be posed by patients, medical colleagues, and the media. A central theme is the contribution of periodontal diseases to systemic inflammation but other mechanisms, such as systemic dissemination of oral pathogens, are also covered. A collaborative approach involving noted investigators in each field and medical colleagues ensures that all chapters are of clinical relevance from both a dental and a medical perspective. The book is also visually engaging, with numerous summary figures and graphics, bullet point tables, and highlight boxes identifying the most clinically significant points.
Periodontal disease is a chronic bacterial infection characterised by persistent inflammation, connective tissue breakdown and alveolar bone destruction. The chronic inflammation associated with periodontal disease represents the host response to bacterial plaque, mediated by the environment in which the response occurs. This book presents topical research data in the study of periodontal disease, including aesthetic periodontal therapy and root coverage techniques; clinical features of periodontal diseases in children and adolescents; biomechanics and the perioprosthetic patient; maternal periodontitis and perinatal outcomes; identifying patients with enhanced disease susceptibility in periodontal disease; and inflammatory mediators and oxidative stress in periodontal disease.