Pathology of Periodontal Disease

by Williams, David M.; Hughes, Francis J.; Odell, Edward W.; Farthing, Paula M.

• ISBN13: 9780192619556
• ISBN10: 0192619551
• Format: Hardcover
• Copyright: 1992-12-10
• Publisher: Oxford University Press

Summary

Periodontal disease affects the mouths of the entire adult population tosome degree and causes severe disease in 10 per cent. This is a concise accountof the pathological processes involved in periodontal disease, its causes andprogression, based on advances in contemporary research. A rational approach totreatment is presented on the basis of these processes. A broad overview ofperiodontal disease is followed by accounts of the periodontium in health anddisease. The book then deals with the micro-organisms implicated in periodontaldisease and evaluates their significance. The host responses to factors presentin dental plaque are discussed, followed by an account of the interactionsbetween bacteria and the host which cause tissue damage. This leads to aconsideration of the different clinical manifestations of the disease, includingthose associated with HIV infection. In the final chapter, a rational approachto treatment is presented, based on an understanding of the disease mechanismsdiscussed in the book.The biologically-orientated approach is particularly suitable for dentalundergraduates, and those preparing for the Fellowship Examinations of the RoyalColleges. It will be also be valuable for every practising dentist who wishes toupdate their knowledge of this important and developing subject. No other bookdeals with the aetiology and pathogenesis of periodontal disease in such acomprehensive, yet straightforward way, making extensive use of diagrams andsummary tables to make the subject more easily accessible.

Table of Contents

The Nature of Periodontal Disease

Types of Periodontal Disease

The Etiology of Periodontal Disease

The Normal Periodontium

The Gingiva

The Periodontal Ligament

Alveolar Bone

Cementum

Regulation of Tissue Turnover in the Periodontium

The Anatomy of Periodontal Disease

Early Gingivitis

Chronic Marginal Gingivitis

Destructive Periodontitis

Microbial Factors in the Pathogenesis of Periodontal Disease

Microbial Plaque and its Significance

The Development of Plaque and Calculus

Plaque Ecology and the Structure of Plaque

What Makes Plaque Pathogenic? Host Defences Against Microbial Plaque

Salivary Host Defence Mechanisms

The Gingival Epithelium

The Inflammatory Response in Periodontal Disease

The Immunological Response in Periodontal Disease

Mediators

The Link Between Inflammation, Immunity, and Tissue Damage

Tissue Damage and Disease Progression

The Inititation and Early Development of Disease

Established Periodontal Disease

Periodontal Breakdown

Disease Progression

Other Periodontal Diseases

Early Onset Periodontitis

Acute Necrotizing Ulcerative Periodontitis

HIV-Related Periodontal Disease

Gingival Recession

Clinical Management of Periodontal Disease

Principles of Periodontal Treatment

Methods of Treatment

Responses to Treatment

Future Prospects for the Management of Periodontal Disease

Table of Contents provided by Publisher. All Rights Reserved.