Periodontics Revisited Shalu Bathla
INDEX
A
Aberrant frenum 404
Abfraction 220
Abnormal tooth mobility 142
Abscesses of periodontium 62
Acquired immunodeficiency syndrome 144
Acrylic splints 323
Activated osteoclast 30, 180
Acute
gingival conditions 146
granulomatous necrotizing lesions of respiratory tract 142
inflammatory enlargement 138
necrotizing vasculitis 142
periodontal abscess 174
vitamin C deficiency 141
Adaptive remodeling of periodontium 202
Adrenal insufficiency 103
Advanced
implant surgery 475
lesion 131
Advantages of splinting 321
Aggressive periodontitis 191, 193, 235
Allograft 379
Alloplastic graft 379
Alveolar
bone 11, 27, 178
crest 165
fibers 17
nerve lateralization 479
ridge 407
Amalgam
and stainless steel wire splint 324
tattoo 133
Ameloblastoma 163
Androgens 207
Anesthesia 328
Antibody deficiency disorders 106
Anticalculus agents 285
Antimicrobial
mechanisms of junctional epithelium 123
system of neutrophils 84
Antioxidants 108
Apical displaced flap 354
Apically
displaced flap procedure 358
positioned flap 359
Application in periodontics 505
Application of
gene therapy 502
orthodontics 438
periodontics 417, 431, 440
photodynamic therapy 497
restorative dentistry 432
Arachidonic acid metabolism 294
Arc-shaped bone loss around mandibular first molar 192
Ascorbic acid deficiency 107
Attachment apparatus of tooth 465
Atherosclerosis 112, 113
Autogenous bone
graft 378
harvesting 476
Axillary lymph nodes 143
B
Bacteroides forsythus 61
BANA Chairside kit 242
Barrier membranes 475
Basal
bone 27
lamina 9
Basic
component of laser 490
personal protective barrier 519
steps of smoking cessation program 119
structure of laser device 490
Bass method 272
Benign tumors of gingiva 142
Beveled flap 362
Bilateral mandibular lingual exostosis 182
Bi-level orthodontic brush 271
Biofilm 65
Blade angulation 316
Bleeding indices 47
Blood supply 11, 20
Bone
architecture 367
augmentation 477
defects 177, 184
expansion 476
graft materials 378, 476
grafting technique 380
loss 178, 181
modeling and remodeling 31
morphogenetic protein 376
quality 467
resorption and formation 243
rongeur 368
Boneless window 29
Bony topography 369
Bruxism 447
C
Calculus
formation 74
indices 50
surface index 50
Candida albicans 143
Cardiovascular system 112
Cause of
halitosis 246
Wegener's granulomatosis 142
Cells 11
for tissue engineering 500
Cellular
components 29
elements 18
Cementoenamel junction 25, 35
Cementum 23
Central
giant cell granulomas 142
nervous system 449
Center of interdental papilla 13
Changes in
gingival
color 132
consistency 134
contour 133
position of gingiva 134
surface texture of gingiva 134
Charters method 272, 273
Chemical antiplaque agents 282
Chemically modified tetracyclines 293
Chemosurgery 351
Chemotherapy 497
Chisel 301
Chlorhexidine 282, 289
Chronic
gingival enlargement around orthodontic appliance 138
gingivitis 62
inflammatory
enlargement 138
gingival enlargement 138
obstructive pulmonary disease 114
periodontal abscess 174
periodontitis 62, 186188, 235
Cicatrical pemphigoid 156
Cinguloradicular/ palatogingival groove 259
Classification of
local drug delivery 288
marginal tissue recession 400
papillary height 407, 408
parafunctional habits 446
periodontal
diseases 39, 41, 337
flaps 355
perio-endo lesions 426
pocket according to involved tooth surface 165
ridge defects 407, 408
smokers 116
soft tissue procedures used for root coverage 400
Classifying periodontal diseases 196
Coagulation disorders 105
Col 3
Combined diseases 427
Commonly used chemotherapeutic 281
Community periodontal index of treatment needs 52
Complement system 84
Complete denture and removable
denture 419
Complex genetic diseases 97
Composite
and wire splint 324
splints 323
Composition of
calculus 74
GCF 126
saliva 124
Compression suture to control bleeding 340
Conditioned gingival enlargement 140, 141
Connective tissue 2, 356
interface 9
Constituents of tobacco smoke 116
Continuous
disease model 188
horizontal mattress sutures 335
incision 350
sutures 335
Conventional needle holder 308
Coronally displaced flap 364, 403
Corticosteroid hormones 103
Crater 182
Criss cross horizontal mattress suture 335
Crossbite 221
Crown 418, 419
and root surface 35
morphology 434
Curette 302
blade 298
Curved jeweler microforcep 413
Cut-back incision 355
Cyclosporine induced gingival enlargement 139
D
Decontamination of dental instruments 522
Deepbite 221
Defense mechanisms of gingiva 123
Definition of
periodontal flap 355
plaque 65
Dental
calculus 72
caries 218
floss in loop 276
implant failure 472
laser safety 495
mirrors 298
plaque 62, 65
Dentascan 467
Dentin hypersensitivity 251
Dentinal hypersensitivity 254
Denture
brush 422
plastics 420
Design of
cohort study 44
prosthesis 420
Desquamative gingivitis 155
Development of
periodontal classification system 39
principal periodontal ligament fibers 17
Developmental gingival enlargement 144
Diabetes mellitus 101, 102, 113, 114
Different types of pocket 165
Direct loop suture 331
Discontinuous incision 350
Discoveries in periodontics 524
Distal molar surgery 362
Distalization of mental neurovascular bundle 479
Distraction osteogenesis 477
Distribution of cementum on tooth surface 24
Donor-cell derived oral squamous cell carcinoma 159
Double papilla
flap procedures 402
pedicle flap 364
Drug
induced gingival enlargement 138
therapy 109
E
Edlan-Mejchar
operation 407
procedure 405
Electrosurgery 350
Endocrine system 113
Endodontic infection on periodontium 426
Enzymes released by dead cells 243
Epidemiology of gingival and periodontal diseases 43
Epinephrine 449
Epithelial
graft 397
odontogenic ghost cell tumor 162
Epithelium 9
and gingival connective tissue 372
Erosive lichen planus 156
Erythema multiforme 158
Estrogen 206
Excisional new attachment procedure 344
Exfoliation of teeth 142
Exostoses 369
Extension of gingival inflammation 178
Extent and severity index 53
Extracoronal type of splints 322
Extraoral palm
down fulcrum 316
up fulcrum 316
Extrasulcular methods 125
F
Facemask 519
Factors
determining bone morphology 177
influencing tooth position 203
Female sex hormones and periodontium 206
Fibroma 142
of gingiva 142
Fibrosseous integration 463
Figure of eight suture 332
Fixed partial prosthesis 77, 422
Flap
design 328
height-to base ratio 329
management for ridge augmentation 476
reflection 328, 329
Fones method 273
Formation of preosteoclast 179
Forms of subgingival calculus 73
Fremitus test 221
Frenectomy 404, 405
Fulcrum 314
Full thickness flap 175
Functions of
GCF 126
macrophage 82
neutrophil 82
Furcation 234
defect 188, 277
G
Galilean compound loupe 412
Gene
therapy 502
in periodontics 510
transfer techniques 502
Genetic basis of periodontal diseases 96
Gingiva 3, 4, 104, 221, 397
Gingival
abscess 174
and periodontal inflammation 78
bleeding 131
index 48
blood supply 11
clefts 133
connective tissue 9, 141
crevicular fluid 125
curettage 343
cyst 162
diseases 41, 259
edema 140
enlargement 137, 142
epithelium 6
extension using periosteal fenestration 405
fibers 9, 10
health 89
hyperplasia 77, 441
indices 46
inflammation 129, 141, 187
margin 35
recession 400
sulcus 125
Gingivectomy 347, 351, 352
knives 307
Gingivitis 131
seen during menstrual cycle 208
Gingivoplasty 348
Glickman's concept 200, 201
Gloves 520
Gracey curettes 303, 318
Gradualizing marginal bone 369
Grafting procedure 398
Granulation tissue 175
Granulomatous
diseases 142
gingivitis 163
papillary enlargement 142
GTR membrane 375
Guided
bone regeneration 475
tissue regeneration 372
H
Halitosis 245, 249
Hard tissues 163
Head of powered toothbrush 270
Healing of free epithelial graft 399
Hemorrhage 141, 339
Hemostasis 329
Herpetic gingivostomatitis 151
Histopathology of periodontal abscess 173
Horizontal bone loss 188, 234
Host
modulatory
agents 292
therapies 293
tissue
destruction 91
invasion 90
Human papillomavirus 142
Hyperplastic gingiva 140
Hypersensitivity measurement 253
I
Idiopathic
gingival fibromatosis 139, 140
hyperplastic gingival enlargement 135
Immediate implant placement 472
Immunodeficiency disorders 105
Immunoglobulin molecule 86
Implacare implant
instrument 485
maintenance instrument 306
Implant
peri-implant mucosa 465
surgery 469
system 471
Impression materials 419, 421
Incisions 354
for distal molar surgery 363
used in periodontal surgery 353
Indications for
periodontal surgery 327
use of antibiotics in periodontal therapy 286
Indications of microbiologic assays 239
Indications of
ostectomy 367
osteoplasty 367
Inferior alveolar lateralization 479
Interdental
brush 276
cleaning aids 275
craters 369
septa 233
septum 28
Internal bevel incision 357
Interpositional onlay graft 409
Interproximal
bone loss 433
embrasure spaces 275
Intrabony defect 181
Intracoronal type of splints 323
Intraoral periapical radiograph 232
Intrusion 438
J
Jaws 236
Junctional
epithelial cells 123
epithelium 6, 7, 123
Junctions of cementum 25
K
Kaposi's sarcoma 144
Kirkland knife 307, 349
Kissing roots 28
Koch's postulates 59, 60
L
Lamina propria 9
Laser
delivery systems 490
emission modes 490
energy and tissue temperature 491
gingivectomy 349
tissue interactions 492
uses in periodontics 492
Laterally positioned pedicle flap 364, 401
Lekholm and Zarb classification 1985 467
Leukemia 104, 142
Leukemic
cells 142
gingival enlargement 142
Leukocyte disorders 105
Leukoplakia 143
Lichen planus 155
Lipopolysaccharide 293
Lipping of alveolar bone 202
Local drug delivery system 288
Localized aggressive periodontitis 62, 192
Lower left central incisor 172
Lupus erythematosus 158
M
Macrodesign of implants 461
Macrophages 81
Magnification systems 411
Magnifying loupes 411
Maintenance of periodontal ligament
space 20
Malignant
lesions of gingiva 159
lymphoma 143
melanoma 143, 159
tumors of gingiva 143
Mandibular
anterior teeth 73
teeth 277
Manual toothbrushes 269
Marginal
gingivitis 129
line calculus index 51
tissue recession 223, 400
Marquis color coded probe 299
Mast cells 81
Matrix metalloproteinase 92, 293, 449
Mattress suture 335
Measurement of GCF 126
Melanin pigmentation 12
Menopause 210
Menstrual cycle 207
Metal intoxication 108
Metastatic tumors in jaws 158
Methods of
collection of GCF 125
genetic analysis 97
Microneedle holder 413
Microscissor 413
Mini bladed curette 303
Minimally invasive surgery 507, 508, 510
Mixed tumors 143
Modified
gingival index 47
pen grasp 314
Stillman's method 272, 273
Widman flap 354, 357
procedure 356
Molecules for tissue engineering 501
Mouth breathing 448
N
Nanotechnology in periodontics 510
Nasal and oral defects 142
Necrotizing
periodontal disease 62
ulcerative gingivitis 146, 148, 451
Nerve supply 12, 20
Night guards 322
Non-Hodgkin's lymphomas 143
Non-mineralized bone matrix 180
Norepinephrine 449
Normal
bone contour 182
gingiva 12
Novel design toothbrush 271
O
Occlusal
cupping of molar 220
surface 421
Ochsenbein chisel 308, 368
Open gingival embrasures 432
Operculectomy 153
Oral
contraceptives 210
debris index 50
diseases 125
epithelium 6
health 124
mucosal ulceration 142
Orban's
interdental knife 307
knife 349
Origin of junctional epithelium 7
Orofacial granulomatosis 163
Orthodontic
bi-level toothbrush 441
brush 271
tooth movement 440
toothbrushes 270
treatment of osseous defects 438
Osmotic method 252
Osseointegration 462
Osseous
crater 182
defects 234
Osteoblast 31
Osteoclast 31
Osteosarcoma 163
Osteotomy 478
Overhanging restorations 236
P
PD Miller's classification of marginal tissue recession 401
Palatal flap 361
Palatogingival groove 76
Palm and thumb grasp 314
Palpating
submandibular and sublingual lymph nodes 217
TMJ 217
Panoramic oral radiograph 232
Papilla preservation flap 360
incisions 361
Papillary
bleeding index 48
frenum 223
gingivitis 130
marginal attached index 46
Papilloma 142
Parathyroid glands 103
Partial
prosthesis 422
thickness flap 356
Parts of
periodontal instrument 296
surgical needle 329
toothbrush 269
Pathogenesis of periodontal disease 94
Patient hygiene performance index 49
Pemphigus 156, 157
vulgaris 156
Periapical abscess 174
Pericoronitis 143, 152, 153
Peri-implant mucositis 481
Peri-implantitis 481, 482
Perio test 463, 465
Periodontal
abscess 171, 228
aspects of psychiatric patients 451, 452
diseases 35, 41, 90, 94, 112114, 117, 177, 232, 235, 450
and host response 89
dressings 336338
effects of smoking cessation 119
endodontic lesions 429
endoscope 305
epidemiology 45
file 301
flap 353, 355
health 62, 440
index 51
infection on pregnancy outcome 114
instruments 296
lesions on pulp 425
ligament 11, 16
fibers 17
space 233
manifestations 207, 208, 210
microbiology 59
microsurgery 411
pack placement 338
pocket 167
probes 299
surgery 327, 328, 380
for placement of restoration 431
therapy 119, 265
tissue engineering 499, 501
treatment procedures on dental pulp 426
vaccine 506, 510
Periodontics 281, 432, 438, 446, 492, 502
endodontics 424
oral surgery 443
orthodontics 436
prosthodontics 417
restorative dentistry 431
Periodontitis 98, 143, 192, 259
in HIV 198
Periodontium 206, 233
Perio-endo lesions 425
Periosteal elevator 308
Peripheral
ameloblastoma 162
fibroma 160, 161
cell
granuloma 142
tumor 161
odontogenic
keratocysts 162
lesions 162
ossifying fibroma 160, 161
Peroxide 284
Phenytoin 109, 139, 452
Photodynamic therapy 496, 509
Piezoelectric ultrasonic unit 304
Pituitary gland 103
Plaque
biofilm 66
component of periodontal disease index 48
formation 68
hypothesis 69
indices 48
Plasma cell
gingivitis 141
gingivostomatitis 141
granuloma 141
Plastic
probe 483
surgery 396
Platelet rich plasma 377
Plunger cusp 219
Polymorphonuclear leukocytes 124
Porphyromonas gingivalis 61
Povidone iodine 284
Powered toothbrushes 270
Pregnancy tumor 141, 209
Preprosthetic periodontal
care 417
surgery 418
Pre-restorative periodontal care 431
Prevotella intermedia 140
Pricking gingiva with fingernail 79
Primary
endodontic lesion 426, 427
herpetic gingivostomatitis 150
Principal periodontal ligament fiber groups 17
Principles of
flap design 355
scaling and root planing 317
suturing 330
tissue engineering 499
Prismatic loupe 412
Progesterone 207
Proliferative verrucous leukoplakia 159
Prostaglandins 92
Prosthetic dentistry 417
Puberty 207
gingivitis 207
Pus discharge 224
Pyogenic granuloma 141, 143, 160
Q
Quarternary ammonium compounds 283
R
Random burst disease model 188
Rationale of using antimicrobial agents 286
Reactive lesions of gingiva 160
Red blood cell disorders 105
Re-emergence of focal infection theory 111
Reflected papilla preservation flap 361
Regenerative osseous surgery 371
Relation of face to lower shank 303
Removing of gloves 521
Reproductive system 113
Resecting gingival margin 403
Resective osseous 369
surgery 366, 367
Resonance frequency analysis 466
Respiratory system 114
Restoration of root-resected teeth 432
Restorative dentistry 431, 433
Retraction of tongue 312
Retrograde periodontitis 427
Reusable floss holder 277
Ridge augmentation 419
Rochette splint 322
Role of
calculus in periodontal disease 75
saliva 124
Root biomodification 375
S
Saliva 124
Salivary gland type tumors 143
Sarcomas 160
Scaffolds for tissue engineering 499
Scaling and root planing 329
Scalpel 413
handle-bard-parker handles 307
Schluger
file 368
surgical file 308
Scissors and nippers 309
Scoring of gingival enlargement 138
Scrub method 274
Scurvy 141
Semilunar coronally
displaced flap procedure 404
repositioned flap 403
Sequence of
periodontal therapy 267, 513
toothbrushing 274
Serial antimicrobial therapy 286
Severe pregnancy gingivitis in lower anterior teeth 208
Severity of periodontal disease 117
Sex hormones 103, 206, 211
on periodontium 207
Shallow incision 350
Shank design 297
Sharpey's fibers 18
Sickle scaler 300
Simple mendelian diseases 97
Simplified-oral hygiene index 50
Sinus
bone grafting 477
elevation 477
lift procedure 478
membrane is scrapped off bone 478
Sling suture 333
Smoking
and periodontal diseases 118
and periodontium 116
cessation 119
Socransky's criterion 60
Soft
and hard tissue lesions 155
tissue 462
Specific
acquired immunity 86
osseous reshaping situations 369
Splinting 320, 321, 432
Squamous
cell carcinoma 143, 159
epithelium 6
Stages of gingivitis 130
Standard pen grasp 314
Sterilization methods 523
Stillman's
method 273
clefts 133
Straight and angled shank toothbrushes 269
Stress and psychosomatic disorders 108
Stroke directions 317
Subepithelial connective tissue graft 400
Subgingival
calculus 73, 75, 236
environment 112
plaque 63
Sulcular epithelium 6
Sulcus bleeding index 47
Superfloss 277, 422
Supportive periodontal therapy 513
Suprabony pocket 165
Supraerupted tooth 369
Supragingival calculus 73
Supraperiosteal vessels 11
Surgical
aspects of implants 469
blades 307
chisel 308
and hoes 307
curettes and sickles 307
gingivectomy 349
instruments 306, 349, 357, 358
operating microscope 412
Suture needles 330
Sutured knots 334
Swelling 340
Systemic
diseases 142
disorders 180
lupus erythematosus 157
spread of periodontal infection 112
T
Tactile method 253
Tannerella forsythia 61
Teeth 218
Tetracyclines 293
Theories of dentin sensitivity 252
Therapy in periodontics 503
Thermal test 253
Thickening of lamina dura 203
Thickness of cementum 25
Thin gingival phenotype 5
Thrombocytopenia 105
Thumb sucking 447
Thyroid gland 103
Tissue
engineering 498, 509
healing 92
nipper 308, 349
Titanium plasma spray 462
Tobacco stains 71, 78
Tongue thrusting 448, 449
habit 222
Tooth
brushing
abrasion 78
methods 271
eruption 35
migration 202
supporting alveolar process 28
surface and implant 75
Traditional oral hygiene methods 268
Transendothelial migration 83
Transgingival probing/bone sounding 227
Treatment of
peri-implant pathology 483
periodontal diseases in HIV 198
Triclosan 284
Turesky modification of Quigley-Hein plaque index 49
Two stage implant
surgery 469, 470
system 469
Types of
explorers 298
finger rests 315
gingivectomy procedure 349
needles 330
scaffolds 499
suture materials 330
suturing 331
U
Ulcerative gingivitis and stress 451
Ultrasonic
and sonic instruments 304
curettage 345
Underlying
dental tissues 144
osseous lesions 144
Undisplaced flap 354, 358
flap procedure 358
Unituft brush 276
Universal curette blade 302
V
VAS-visual analog scale 254
Verbal rating scale 253
Verrucous leukoplakia 159
Vertical
bone loss 181, 188, 234
grooving 369
incision 174, 354
mattress suture 334
method 273
osseous defects 181
Vestibuloplasty 407
Viral methods 502
Vitamin C deficiency 107, 141
V-M calculus assessment 51
W
Waerhaug's concept 201
Walking stroke 225
Wearing of gloves 521
Wegener's granulomatosis 142
Welded band splints 322
Williams probe 299
Wire
ligation 322, 323
splinting 323
X
Xenogenic graft 379
×
Chapter Notes

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1PERIODONTICS REVISITED2
3PERIODONTICS REVISITED
Shalu Bathla MDS (Gold Medalist) Reader Department of Periodontology and Oral Implantology MM College of Dental Sciences and Research Mullana, Ambala, Haryana, India Assisted by Manish Bathla MD Assistant Professor Department of Psychiatry MM Institute of Medical Sciences and Research Mullana, Ambala, Haryana, India Forewords SG Damle Thomas E Van Dyke
4
Published by
Jaypee Brothers Medical Publishers (P) Ltd
Corporate Office
4838/24 Ansari Road, Daryaganj, New Delhi 110 002, India
Phone: +91-11-43574357, Fax: +91-11-43574314
Offices in India
Overseas Offices
Periodontics Revisited
© 2011, Jaypee Brothers Medical Publishers
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the editor and the publisher.
First Edition: 2011
9789350253670
Typeset at JPBMP typesetting unit
Printed in India
5Dedicated to
My Dear Son
Milind6
7Contributors
8
9Foreword
Maharishi Markandeshwar University
Mullana (Ambala)-133203 Haryana, INDIA
Tel. : 0091-1731-304524,
Fax : 0091-1731-274325
It is a great pleasure to write foreword for the book of Periodontics Revisited by Dr Shalu Bathla, Reader, Department of Periodontology and Oral Implantology, MM College of Dental Sciences and Research, Mullana, Ambala, Haryana, India. The editor is enthusiastic, energetic and possesses amazing potential and competence in teaching. I am aware of her diligent and industrious nature. She has always been curious to keep herself abreast with the latest developments in the profession. She has excellent command and competence in this field and her approach is realistic and unusually supported with novel ideologies propounded and derived out of research. Undoubtedly, this book is a wonderful compilation and fabulous work on Periodontology as she had tried to cover all features and characteristics of the periodontium from the fundamentals to the recent trends in the treatment of periodontal diseases. This is a unique presentation with exhaustive coverage of the relevant issues useful and advantageous to the readers from all angles. In fact, the novelties derived and propounded through latest researches and inventions have completely transformed the standard and pattern of Dental Education. Besides serving as a textbook, this book can also be beneficial for the researchers who are curious to study this subject. In fact, there have been tremendous modifications and amendments which have ultimately affected the teaching patterns.
This work is exceptional outcome of tireless efforts of the editor and is bound to create an impact on the minds of the readers. This is a complete study and deserves applaud and acclamation because of its inherent qualities.
I wish her success in her venture and also mission of life.
SG Damle
Maharishi Markandeshwar University
Mullana (Ambala)-133203 Haryana, INDIA
Tel. : 0091-1731-304524,
Fax : 0091-1731-274325
11Foreword
Readers of this book will gain invaluable, practical insights into the science and practice of modern periodontology. Periodontology is a constantly evolving specialty that changes in principle and practice with new discoveries and reinterpretation of available information. Students and practitioners alike must have the most up-to-date information at their fingertips to succeed in a technology driven world. As patient care providers, it is our responsibility to constantly be aware of changes and improvements in our field. By gaining a firm understanding of modern periodontology, practitioners will be more prepared to interact with other specialties of dentistry and offer the highest level of care with the best evidence-based procedures available to them.
One of the few certainties of life is that change will occur. With this in mind, Dr Shalu has focused not only on traditional periodontics but also on emerging technologies and concepts that will drive the periodontology of the future. With clear didactic writing, experienced practitioners and students will be guided in how to provide exceptional care for patients using the most modern methods. Now, more than ever, health practitioners have to keep abreast of new developments and scientific discoveries. This book is a valuable tool that can be used to reinforce and expand the possibilities for learning and teaching.
Thomas E Van Dyke dds phd
Vice President, Clinical and Translational Research
Chair of the Department of Periodontology
The Forsyth Institute
Cambridge, Massachusetts, USA12
13Preface
The support provided to my book Tips and Tricks in Periodontology by the students have motivated me to make this effort to write a textbook.
Periodontology is a rapidly changing branch of dentistry with new scientific revelations unveiling many mysteries. Some controversies, still surrounding the basic foundations of etiology, phenomenology, treatment methods, etc. make it very difficult for a student to understand its content.
The book is written in the first place with undergraduate dental students in mind, but is equally helpful for the postgraduate students also. The book is written as per the syllabus of the Dental Council of India.
Organization of the book: The text is organized into eleven sections; and each section is further subdivided into several chapters. With the matter subdivided into these smaller chapters, students will find easier to achieve their learning goals. Starting with the basics in section one, the text flows gradually from epidemiology; etiology; pathology; diagnosis; treatment including non-surgical, surgical and implantology with the inclusion of interdisciplinary approaches onto the recent advances in the field of periodontology.
Learning devices in the book: The effort has been made to learn the subject in a simpler and easier way by the use of tables, easy-to-understand line diagrams, original colored photographs, flow diagrams and points to ponder at the end of each chapter. Key information boxes are color coded to use as navigational aid for readers. Each chapter is supported by bibliography and also the important landmark studies related to the topic. MCQs are also included at the end of the chapter with answers in view of these being included in the exam system.
I do not claim exclusive credit for the book. No doubt there will be errors, few imperfections, omissions and over simplification. Hoping that rest of the material will be enough to stimulate insight and new trains of thoughts into the subject of Periodontics which will be immensely educative and helpful.
My job is not to make peoples' journey through life easier,
It's to let them know that the journey exists and that the destination is worth the travel.
Any suggestions and criticisms are most welcome at periodonticsrevisited@gmail.com
Shalu Bathla14
15Acknowledgments
Respected Parents and GOD, I lay this book at your feet.
No one walks alone and when one is walking on the journey of life just where you start to thank those that joined you, walked beside you, and helped you along the way. Over the years, those that I have met and worked with have continuously urged me to write a book, to put my thoughts down on paper, and to share my insights together with the secrets to my continual, positive approach to life and all that life throws at us. So at last, here it is in your hands. So, perhaps this book and its pages will be seen as “thanks” to many people who have helped make my life what it is today. I have poured my heart and soul into these pages, so now I pray that my words touch your heart, soul and mind.
A teacher affects eternity, he can never tell where his influence stops.
— Henry Brooks Adams
I am forever grateful to my mentors who have shaped me from human being to a dentist and to a periodontist; Mrs Sangeeta Bhatia, Dr RK Sharma, Dr Rajan Gupta, Dr SC Narula and Dr Shikha Tiwari. I am extremely thankful to my other teachers who have influenced me tremendously; Dr CS Samibi, Dr Ravi Kapur, Dr Sanjay Tiwari, Dr Nageshwar Iyer, Dr Poonam Sikri, Dr Shashikant Hegde, Dr Rajesh Kashyap, Dr Devender Choudhary, Dr Vimal Miglani, Dr Nikhil Srivastava and Dr Neeraj Gugnani.
A teacher I respect for his sincerity, straightforwardness and ability to work hard untiringly is Prof SG Damle; Vice Chancellor, MM University, Mullana, Ambala, Haryana, India. I am highly thankful to this renowned stalwart and icon of Pediatric and Preventive Dentistry for writing the foreword of this book.
I am also grateful to Prof Thomas E Van Dyke; Vice President, Clinical and Translational Research, Chair of the Department of Periodontology, The Forsyth Institute, Cambridge, Massachusetts, USA; for writing the foreword of this book, as no other person in the field of Periodontology is more respected than him. I have been fortunate to obtain his valuable expert guidance and knowledge.
I particularly thank Head of Department, Dr Suresh DK who had been a constant source of helpful ideas concerned with photography. Special thanks to Dr RK Sharma, Dr SK Salaria and Dr Veenu Madaan for their creative comments at every step during the preparation of the book.
I wish to express my gratitude to all the contributors who have helped me in preparing the manuscript of the book and providing their knowledge in the concerned field. I would like to thank the postgraduate students for proofreading of this book—Dr Akanksha, Dr Nitika, Dr Rachna, Dr Anushi, Dr Anish, Dr Rajni, Dr Sugandha, Dr Harveen Singh, Dr Deepak, Dr Jyotsna and Dr Amita. Thanks to Dr Amita, Dr Arvind, departmental colleagues and all of my students, your questions and insights have challenged and strengthened me to present this work in a more friendly way to your desk.
I appreciate the willing help of Dr SK Salaria, Dr Rohit Singal, Dr Tanu Bansal, Dr Ameesha Singla, Dr Siddharth Ahluwalia, Dr Parul Rana, and Dr Megha Verma for helping me to make the figures of the book.
I would like to acknowledge Shri Tarsem Garg, Chancellor, MM University, Mullana, Ambala, Haryana, India and the management who have given me a platform where I am today and a full access to the library for my manuscript.16
My thanks to Shri Jitendar P Vij (Chairman and Managing Director), Mr Tarun Duneja (Director-Publishing) and the editorial staff of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, who have done a great job “to put an icing on the cake” by way of their professional expertise to make my work reader-friendly and reach it to your desk.
I gratefully acknowledge my debt to my father-in-law Dr JC Bathla for nurturing the seeds of this endeavor at its infancy. My brother Mr Pankaj Chandna, sister-in-law Mrs Neelu Chandna and nephew Raghav has selflessly and lovingly been there for me. For the continuous blessing and encouragement I wish to express my gratitude to my parents Smt Santosh Chandna and Shri GR Chandna; mother-in-law Smt Pushpa Bathla for blessing me at all stages of life.
I wish to express my deepest thanks to my husband Dr Manish Bathla for great assistance in typing the manuscript and unconditional love and support during the many hours of forced isolation and commitment required to accomplish this feat.
The acknowledgment would not be complete if I do not express my thanks and love to my dear son Milind who unknowingly helped me by his smiles and love at times of difficulty and always motivated me by saying three little words “Buck-up Mummy”!