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Periodontal disease is one of the most prevalent afflictions
affecting the human beings. When occurs, it destroys the tooth
supporting structures like periodontal ligament, cementum and
alveolar bone. If untreated, tooth may become mobile and finally
may get exfoliated. The ultimate goal of periodontal therapy is
creation of an environment that is conducive to maintaining the
patient's dentition in health, comfort and function. Periodontal
therapy is directed not only at inflammation control but also at
pocket reduction and associated bone defect. The shift in
therapeutic concepts from resection to regeneration has
significantly impacted the practice of periodontology. Regeneration
of lost bone and periodontal attachment improves the support of the
tooth and its prognosis. Bone replacement grafts have been shown to
produce greater clinical bone defect fill from flap debridement
alone. In most of the clinical studies, the osseous grafted sites
have outperformed the non grafted sites in the regeneration of the
lost periodontal structures. This research work evaluated the
efficacy of -tricalcium phosphate plus hydroxyapatite in the
treatment of periodontal infrabony defects."
Dental implants have paved the way for a shift in thought towards
preservation of the remaining natural teeth.Over the past 30 years,
implants have overshadowed the era of removable and fixed
prosthesis. Periodontist play a pivotal role in implant dentistry
around which all the branches of dentistry revolve. Periodontal
bone loss, tooth extraction, and long term use of removable
appliances typically result in advanced alveolar bone loss that
prevents the placement of implants in an optimal prosthetic
position. Fortunately, continuous innovations in surgical
techniques and advances in the biologic understanding of bone
regenerative techniques have lead to advanced implant procedures
and an increased predictability to reconstruct alveolar ridge
defects. Periodontists have a primary role in treatment planning
and maintenance therapy, and with the help of prosthodontists they
routinely integrate endosseous implants into periodontal therapy.
This book provides valuable information on role of periodontist in
providing optimal care to implant patients during treatment
planning, surgical phase and most importantly in maintenance phase.
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