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This text provides the clinician with an overview on the use of regenerative techniques in periodontology. The chapters are designed to cover the most important aspects related to anatomy, wound healing, regenerative materials, surgical techniques, and clinical applications as related to regenerative procedures.
Diverse technologies have emerged in recent times to streamline applications of more predictable materials and methods, in order to attain the elusive goal of periodontal regeneration. Their applications, current limitations and future directions are reviewed. In addition to grafting materials and barrier membranes to exclude epithelial downgrowth and promote mesenchymal elements, the environment of the cell is pivotal to events that follow. These include application of scaffolds, lasers, harnessing bone anabolic activity and the resolution of inflammation using cell-and gene-based protein and peptide therapy. Recommendations embrace suitable targets for patient outcome based on clinical applications of scientific principles for more predictable and consistent results in regenerating hard and soft tissues of a functional periodontium. They must, however, stay within safety requirements and an effective cost/benefit ratio. Regenerative medicine and dentistry combine applications of molecular biology, material science, bioengineering and nanoscience in order to repair, regenerate and replace missing tissue. The author discusses these applications as well as the mechanisms that modulate cells and matrices in periodontal regeneration as well as regenerative medicine.
They assert that regeneration can be achieved only by proper understanding of all cellular, tissue, and clinical components, and they provide the foundation necessary for this understanding.
This volume broadens understanding of dentistry and promotes interdisciplinary research across a wide range of related fields, based on the symposium entitled "Innovative Research for Biosis-Abiosis Intelligent Interface 2016". It aims to create highly functional and autonomic intelligent interface by combining highly functional interface science with the technology of an evaluation and a control at the interface, with the various topics of biomaterials, innovation for oral science and application, regenerative oral science, and medical engineering. Since 2002, the Tohoku University Graduate School of Dentistry has hosted "Interface Oral Health Science" several times as the main theme of dental research in the twenty-first century, and this is the sixth proceedings of the symposiums following the ones in 2005, 2007, 2009, 2011, and 2014.This book benefits not only dental scientists but also other health scientists including medical physicians and pharmacologists, material scientists, engineers, and any scientist who is involved in variety of disciplines. This work was published by Saint Philip Street Press pursuant to a Creative Commons license permitting commercial use. All rights not granted by the work's license are retained by the author or authors.
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
The long-term success of periodontal therapy is dependent on proper diagnosis and removal of subgingival tooth-borne accretions in the form of calculus and bacteria. From a clinical perspective, better visualization during the diagnostic and therapeutic phases has been shown to yield better results compared to traditional approaches. Minimally Invasive Periodontal Therapy evaluates the advantages of using minimal invasive techniques, the technologies available for enhancing visualization during minimally invasive therapy, and step-by-step illustrates the clinical use of each technique. Each chapter addresses the advantages and disadvantages of minimally invasive therapies, rationale for the approach, and the advantages and limitations of each of the current methods of improving visualization. The chapters then provide an evidence-based review of the technologies and procedures, and end with case studies for each visualization procedure, featuring clinical photographs.
Tissue Engineering and Regeneration in Dentistry: Current Strategies presents a thorough update on the current advances, methods and understanding in tissue engineering in dentistry. It offers invaluable tools, case studies, and methodologies for undertaking research, including important biological and practical considerations to facilitate successful migration of research from the bench to the clinic. Offers detailed coverage of the basic underlying principles and scientific evidence, and includes protocols to highlight practical applications Written by an internationally renowned team of expert contributors A must-have read for researchers and specialist clinicians in tissue engineering, oral biology, dental materials science, periodontology and oral surgery
This book describes practical, contemporary, and evidence-based surgical approaches for the treatment of diseases and conditions affecting the periodontium, including advanced forms of periodontal disease, gingival recession, and complex cases requiring interdisciplinary management. The book opens by identifying key considerations in periodontal surgery, for example with regard to diagnosis and prognosis, and by presenting decision trees that will be useful in daily practice. Cutting-edge resection and regeneration techniques for the treatment of periodontitis and mucogingival surgical procedures for the management of soft tissue deficiencies are then described and illustrated in detail, highlighting important tips and tricks as well as potential difficulties and complications. The final part of the book is devoted to interdisciplinary care, which is of key importance when periodontal surgery is indicated in the management of cases requiring orthodontic, endodontic, and restorative therapy. Advances in Periodontal Surgery will be of value for practitioners at all levels of experience as well as for students entering the field.
Dental caries, periodontitis, tooth loss, and bone resorption are considered prevalent health problems that have direct affect on the quality of life. While, advances in stem cell biology and biotechnology have sparked hope for devastating maladies, such as diabetes, cardiovascular diseases, etc., it also provides a strategy of regenerative therapy for dental tissues. From the prospective of tissue engineering, it is of utmost importance to understand and emulate the complex cell interactions that make up a tissue or organ. Unlike other tissues in the body, dental tissues are unique in their development, function, and even in their maintenance throughout life. The harmonized stimulations of biology and mechanical regulators to promote cellular activities have matured our understanding of the value of regenerative therapy of dental tissue versus the reparative treatment. In this book, we review the current knowledge available to regenerate alveolar bone, periodontal structure, and pulp/dentin complex. The book provides researchers with detailed information about development and functional characteristics of the dental unit with detailed protocols covering a comprehensive range of various approaches to engineer dental tissues: to use isolated cells or cell substitutes as cellular replacement, to use acellular biomaterials capable of inducing tissue regeneration, and/or to use a combination of cells, biomaterial and growth factors. We are well aware, with the concept changes in the field toward in-vitro biomimetics of in-vivo tissue development. The theoretical frame work integrating these concepts of developmental biology and developmental engineering is yet to be emphasized and implemented. Until this happens, we consider this book of regenerative dentistry as a call for scientists to achieve, researchers to innovate, practitioners to apply, and students to learn the art and science of regenerative therapy in dentistry. Table of Contents: Introduction to Regenerative Dentistry / Tissue Engineering Alveolar Bone / Tissue Engineering of the Periodontal Tissues / Dynamics for Pulp-Dentin Tissue Engineering in Operative Dentistry