Table of Contents
Contributors ix
Chapter 1 Examination and Diagnosis 3 Paul Fugazzotto and Sergio DePaoli
Establishing an Appropriate Treatment Plan 3
Determining Periodontal Treatment Endpoints 19
Rationale for Pocket-Elimination Periodontal Surgery 20
Junctional Epithelial Adhesion or Connective Tissue Attachment? 22
The Signifi cance of Furcation Involvements 23
The Infl uence of Restorative Margins 23
Does Pocket-Elimination Therapy Work? 23
Conclusion 26
Chapter 2 The Role of Crown-Lengthening Therapy 31 Paul Fugazzotto
Management of the Apico-occlusal Dimension 32
Incision Design 40
Conclusion 84
Chapter 3 Treating the Periodontally Involved Furcation 89 Paul Fugazzotto
Defi nitions of Furcation Involvements 89
Diagnosing Premolar Furcation Involvements 94
Treatment of Class I Furcations 95
Treatment of Class II Furcations 98
Treatment of Class III Furcations 109
Maxillary vs. Mandibular Furcations 110
Selecting the Appropriate Treatment Modality 110
Conclusions 113
Chapter 4 The Role of Mucogingival Therapy 117 Paul Fugazzotto
Indications for Mucogingival Surgery 120
Nonattached Gingival Autografts 122
Lateral Pedicle Flaps 126
Connective-Tissue Grafts 131
Guided Tissue Regeneration 133
Indications for Emdogain Use 134
Constructing a Clinically Based Treatment Decision Tree 138
Mucogingival Therapy at the Time of Crown-Lengthening Surgery 139
Conclusions 140
Chapter 5 Restoration of the Periodontally Treated Tooth 147 Frederick Hains
The Feather 147
The Chamfer 150
The Shoulder 150
Periodontal Ramifi cations and Prosthetic Adaptations 154
Impressions 161
Chapter 6 Developing Treatment Algorithms for Restoration or Replacement of the Compromised Tooth 165 Paul Fugazzotto and Frederick Hains
Diagnostic Requirements 165
Assessing the Individual Tooth 166
The Ability to Safely Perform Crown-Lengthening Surgery 167
Endodontic Considerations 167
Implant Receptor Site Considerations 168
Assessing Cost-Benefi t Ratios 168
Complexity of Care 172
Predictability of Care 173
The Cost of Retreatment 176
Conclusion 180
Index 183
