(BQ) Part 1 book “Atlas of cosmetic and reconstructive periodontal surgery” has contents: Surgical basics, sutures and suturing, mucogingival surgery, palatal flaps, cosmetic treatment of maxillary anterior teeth, resective osseous surgery, inductive osseous surgery,… and other contents.
Cohen i-xii_FM.qxd 11/23/06 4:20 PM Page i A-PDF Merger DEMO : Purchase from www.A-PDF.com to remove the watermark ATLAS OF COSMETIC AND RECONSTRUCTIVE PERIODONTAL SURGERY Cohen i-xii_FM.qxd 11/23/06 4:20 PM Page ii Cohen i-xii_FM.qxd 11/23/06 4:20 PM Page iii ATLAS OF COSMETIC AND RECONSTRUCTIVE PERIODONTAL SURGERY THIRD EDITION EDWARD S COHEN, DMD Clinical Instructor Tufts Dental School Associate Clinical Instructor Boston University Goldman School of Graduate Dentistry Boston, Massachusetts 2007 BC Decker Inc Hamilton EXIT Cohen i-xii_FM.qxd 11/23/06 4:20 PM Page iv BC Decker Inc P.O Box 620, L.C.D Hamilton, Ontario L8N 3K7 Tel: 905-522-7017; 800-568-7281 Fax: 905-522-7839; 888-311-4987 E-mail: info@bcdecker.com www.bcdecker.com © 2007 BC Decker Inc First Edition, 1988, Lea and Febiger Second Edition, 1994, Lea and Febiger All rights reserved No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior written permission from the publisher 07 08 09/LEGO/9 ISBN 1-55009-267-7 Printed in Italy by Legatoria Editoriale Giovanni Olivotto Development and Production: Maria L Reyes; 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the information contained herein is not intended as, and should not be employed as, a substitute for individual diagnosis and treatment Cohen i-xii_FM.qxd 11/23/06 4:20 PM Page v Dedicated to Meyer and Milton Cohen i-xii_FM.qxd 11/23/06 4:20 PM Page vi Contributors Arun K Garg, DMD Eiji Funakoshi, DDS Craig Misch, DDS Dennis Shanelec, DDS Leonard S Tibbits, DDS Cohen i-xii_FM.qxd 11/23/06 4:20 PM Page vii Contents Preface ix PART I Basics SECTION Fundamentals Prognosis Surgical Basics Sutures and Suturing 15 Scaling, Root Planing, and Curettage 29 SECTION Basic Surgical Modalities Gingivectomy 39 Mucogingival Surgery 45 Palatal Flaps 87 Cosmetic Treatment of Maxillary Anterior Teeth 103 SECTION Osseous Surgery Resective Osseous Surgery 111 10 Inductive Osseous Surgery 129 11 Guided Tissue Regeneration Edward Cohen (with Eiji Funakoshi) 159 12 Furcations 197 PART II Fundamentals of Dental Esthetics SECTION Analysis 13 Visual Perception 217 14 Esthetic Structural Analysis 223 SECTION Anterior Tooth Exposure 15 Differential Diagnosis of Anterior Tooth Exposure 239 16 Biologic Width 245 17 Peiodontal Biotypes 247 18 Crown Lengthening 249 19 Altered Passive Eruption 259 Cohen i-xii_FM.qxd 11/28/06 1:22 PM Page viii viii Contents PART III Advanced Periodontal Procedure 20 Bio-Mechanical Root Preparation 271 21 Cosmetic Root Coverage and Gingival Augmentation 275 22 Ridge Augmentation 327 23 Socket Preservation 347 24 Papillary Reconstruction 365 25 Surgical Exposure of Impacted Teeth 373 PART IV Advanced Surgical Procedures 26 Osteotome Technique Eiji Funakoshi and Edward Cohen 381 27 Sinus Lift 393 28 Mandibular Block Grafts Arun K Garg, Craig Misch and Edward Cohen 419 29 Microsurgery Leonard S Tibbits and Dennis Shanelec 433 Bibliography 439 Index 447 Cohen i-xii_FM.qxd 11/28/06 9:45 PM Page ix Preface Periodontics is both an art and a science, and this textbook is dedicated to the art of periodontics The goal of this atlas is to teach the novice, upgrade the skills of the average clinician, and act as a reference source for the experienced clinician The modern paradigm for periodontal surgery has significantly changed since the last edition Esthetics and implantology are now the cornerstones of the modern periodontal practice Dental esthetics has altered the way we view our cases No longer we treat cases without consideration being given to the facial, dentofacial, and dentogingival elements, especially in the esthetic zone Procedures have been developed and refined to maintain, augment, and alter the dentogingival elements for the purpose of achieving a satisfactory esthetic result Dental implants, although greatly expanding our treatment options, have significantly impacted negatively upon the art of periodontics Too often teeth are now prematurely extracted for implant placement As a consequence, clinical skills are reduced and the learning curve is expanded, further reinforcing extraction over treatment This will change only when there is a greater emphasis placed on treatment and preservation, which is the goal of this atlas No textbook of this kind can be completed without the help of others In that regard, I must take special note to thank Drs Dennis Shanelec and Leonard S Tibbits for their section on microsurgery, Drs Arun K Garg and Craig Misch for their assistance with the section on mandibular chin and ramus grafts, Dr Eiji Funakoshi for his section on enamel matrix derivatives and his assistance with the section on osteotomes, Dr James Hanratty for his clinical contributions, especially to the chapters on mandibular chin grafts and sinus lifts, and Dr Periklis Proussaefs for his contribution of the Loma Linda technique I would also like to thank Drs Scott Kissel, Roger Wise, Federico Brugnami, Irving Glickman, Kenneth Kornman, and George Goumenous for their clinical contributions Any omissions of recognition are accidental and will be corrected in any future editions It must be noted that the chapters written on dental esthetics, esthetic diagnosis, and fundamentals of esthetics relied in large part on the following source material: The Principles of Visual Perception and Their Clinical Application to Denture Esthetics by Richard E Lombardi, Esthetics of Anterior Fixed Prosthodontics by Gerard J Chiche and Alain Pinault, and Fundamentals of Esthetics by Claude R Rufenacht I wish to thank the models for this edition of the atlas, Shanon O’Brien-Cohen, Christine Watson, Judith Cohen, and Brigette Deveraux Their help was greatly appreciated Lastly, special recognition must be given to Robert Ullrich, without whose artwork this and the previous atlases could not have been completed He is a master medical illustrator whose work has been copied in every textbook and atlas on periodontal surgery Edward S Cohen Boston, Massachusetts ... Color atlas of periodontics St Louis: Mosby-Year Book; 19 85 ENAP = excisional new attachment procedure Cohen_009- 014 _02.qxd 11 /16 /06 11 :03 PM Page 14 Cohen_ 015 -028_03.qxd 11 /16 /06 8:23 PM Page 15 ... technique 19 79 Free gingival grafts 19 82, 19 85 Onlay grafting 19 79, 19 83 Subepithelial C.T graft 19 85, 19 86 Subepithelial C.T graft 19 79, 19 82 Envelope flap 19 85 Pouch procedure 19 80, 19 81 E.N.A.P 19 76... 0.55 1. 20 Cohen_0 01- 008_ 01. qxd 11 /16 /06 8 :19 PM Page Prognosis No of teeth n=22 1. 0 0.9 0.8 0.7 0.6 0.5 0.4 0.3 0.2 0 .1 n=28 n =10 1 n =12 5 Nonsmokers Smokers PST + PST - siderations: esthetics and