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Dental Clinics of North America

Dental Clinics of North America

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Published by sam4sl
Guys just check this edition, really amiable for periodintists for clinical update
Enjoy : )
Guys just check this edition, really amiable for periodintists for clinical update
Enjoy : )

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Published by: sam4sl on Nov 14, 2009
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Periodontology: Present Statusand Future Concepts
Guest Editor
Change is one thing, progress is another. ‘‘Change’’ is scientific,‘‘progress’’ is ethical; change is indubitable, whereas progress is a matterof controversy. Bertrand RussellBecause things are the way they are, things will not stay the waythey are. Bertolt Brecht
As seems to be the norm these days in most health care disciplines,periodontology is in a state of flux. The changing demographics of disease;significant disparities in oral health in racial and ethnic minorities; constantamendments to third-party insurance plans; the dwindling number of patients with access to insurance; the explosion of new researchmethodologies and findings; and even the rapid progress made in humangenome-related areas now conspire and will continue to push the practice of periodontics in many, often divergent directions. Certainly, generalpractitioners are treating an ever-greater proportion of the periodontalcases that present to their practice. However, it is not always the case thatthe generalist is prepared to deal with the complexities that present in theperiodontal patient. On the other hand, the periodontist is often challengedto treat the more difficult cases and at the same time driven to incorporatethe latest (and sometimes unproven) techniques and products into theirpractice.
Frank A. Scannapieco, DMD, PhD0011-8532/05/$ - see front matter
2005 Elsevier Inc. All rights reserved.doi:10.1016/j.cden.2005.04.001
Dent Clin N Am 49 (2005) xi–xii
The goal of this issue of the
Dental Clinics of North America
is to bringtogether various experts in the field of periodontology to write about topicsthat are pertinent to the practice of periodontics in the general practicesetting. All of the authors who have been kind enough to sacrifice theirvaluable time to write an article are experts in the topic for which they write.First, foundational knowledge on the etiology, pathogenesis, epidemiology,and risk factors of periodontal diseases are presented. This updatedknowledge is essential for decision-making regarding the diagnosis andtreatment of the periodontal patient. Lately, there has also been consider-able interest in the systemic effects of periodontal disease that has burgeonedinto the new field of periodontal medicine. Recent findings in this area arethus also presented. A series of articles follow that provide a contemporaryview of various aspects of prevention and treatment of periodontal diseasein general practice. Finally, an article that speculates on how the practice of periodontics might change over the next 10 years is provided.Together, it is our hope that these articles will be of use to the generalpractitioner who wishes to add to his or her knowledge to better treat theperiodontal patient.Frank A. Scannapieco, DMD, PhD
Department of Oral BiologySchool of Dental MedicineUniversity at BuffaloState University of New York109 Foster Hall Buffalo, NY 14214, USAE-mail address:
Etiology and Pathogenesis of PeriodontalDiseases
Dimitris N. Tatakis, DDS, PhD*,Purnima S. Kumar, BDS, MDS
Section of Periodontology, College of Dentistry,The Ohio State University, P.O. Box 182357, 305 West 12th Avenue, #193,Columbus, OH 43218-2357, USA
According to the most recent classification that resulted from a 1999international workshop[1], diseases of the periodontium comprise a long listof conditions involving the supporting structures of the tooth. The two mostprevalent and most investigated periodontal diseases are dental plaque– induced gingivitis and chronic periodontitis. Aggressive periodontitis, whichencompasses several previous clinical entities such as localized juvenileperiodontitis (currently termed localized aggressive periodontitis, LAP),generalized juvenile periodontitis and rapidly progressing periodontitis (nowcollectively classified as generalized aggressive periodontitis), periodontitisassociated with systemic diseases, and necrotizing ulcerative periodontaldiseases (ie, necrotizing ulcerative gingivitis and periodontitis), round outthe list of the most significant and common periodontal diseases. The last 10to 15 years have seen the emergence of several important new findings andconcepts regarding the etiopathogenesis of periodontal diseases. Thesefindings include the recognition of dental bacterial plaque as a biofilm,identification and characterization of genetic defects that predisposeindividuals to periodontitis, host-defense mechanisms implicated in peri-odontal tissue destruction, and the interaction of risk factors with the hostdefenses and bacterial plaque. This article reviews current aspects of theetiology and pathogenesis of periodontal diseases.
This work was supported by the Section of Periodontology, College of Dentistry, TheOhio State University.* Corresponding author.
E-mail address:
tatakis.1@osu.edu(D.N. Tatakis).0011-8532/05/$ - see front matter
2005 Elsevier Inc. All rights reserved.doi:10.1016/j.cden.2005.03.001
Dent Clin N Am 49 (2005) 491–516

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