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Dermatosurgery cannot readily be therefore be to impart the
knowledge assigned to anyone branch of medical that gives the
dermatologist this free- science, and as with any borderline dom of
choice. This involves the teach- case, this assignation is a matter
of con- ing not only of the basic principles of troversy. Since the
end of the last cen- dermatosurgery but also of the ability tury,
the place of the subject in the field to discriminate according to
the most of dermatology has been firmly estab- varied criteria. In
this field, technical lished. This is hardly surprising, since
knowledge, motivation, and enthusi- a number of specialists in
dermatology asm are not enough; talent is also re- spent the first
part of their professional quired. C. Moncorps was engaged in work
life as surgeons: for example, E. Lang of Vienna, famous for his
treatment of on a monograph on dermatosurgery lupus by plastic
surgery; and K. Linser (unfortunately nowhere near comple- of
Tiibingen, one of the originators of tion) at the time of his
death. As a for- varicose-vein stripping. H. T. Schreus mer pupil
and long-standing colleague and C. Moncorps were distinguished of
his, it is particularly gratifying to me to see colleagues past and
present con- members of a later generation of sur- gery-oriented
dermatologists; the der- tinuing a tradition in their work.
Periodontal disease is a general term encompassing several
non-tumoral diseases of the periodontium. Some periodontopathies
are considered the periodontal manifestation of systemic diseases,
e.g. so-called desquamative gingivitis, primary herpetic
gingivostomatitis, hormonally mediated changes like "pregnancy
gingivitis," and some others related to metabolic disturbances,
e.g. diabetes mellitus. Drug-associated gingival inflammation, e.g.
hydantoin-induced hyperplasia, and rapid onset infections possibly
associated to psychosomatic distress like acute necrotizing
ulcerative gingivitis (ANUG), are also included. However, the most
common periodontal diseases are infectious in origine, initiated by
proinflammatory substances derived from the microbial dental plaque
accumulating at or near the neck portion of the teeth or crevicular
sulcus of the gingiva. There are several classifications of
periodontal disease which consider clinical, bacterial, host, and
environmental factors. The classification used in this work 'is
generally in accordance to that elaborated by Page and Schroeder
(42) and the committee of Deutsche Gesellschaft fiir Parodontologie
(13). Periodontal disorders induced by bacteria and named
gingivitis and periodontitis, have been considered a group of local
infections (39). More than 300 species of bacteria are currently
recognized in the oral cavity which may vary interindividually or
from site to site on different teeth of the same person. However,
only a few species are proven to participate predominantly in the
infectious process and have been constantly found in association to
certain forms of periodontal disease (30, 39).
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