Stephen K. Harrel - Minimally Invasive Periodontal Therapy: Clinical Techniques and Visualization Technology

1. Chapter 08

1. Chapter 02
2. Chapter 03
3. Chapter 04
4. Chapter 05
5. Chapter 07
6. Chapter 08
7. Chapter 09

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Library of Congress Cataloging-in-Publication Data

Harrel, Stephen K., author.
Minimally invasive periodontal therapy : clinical techniques and visualization technology / Stephen K. Harrel, Thomas G. Wilson, Jr.
p. ; cm.
Includes bibliographical references and index.

ISBN 978-1-118-60762-6 (pbk.)
I.Wilson, Thomas G., Jr., author.II.Title.
[DNLM:1.Periodontal Diseasessurgery.2.Surgical Procedures, Minimally Invasiveinstrumentation.3.Surgical Procedures, Minimally Invasivemethods.WU 240]
RK361
617.632dc23

2014033178

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Cover image: Front cover inset: Reproduced with permission of Perioscopy Incorporated;
Back cover inset: Courtesy of Dr. Francisco Rivera-Hidalgo.

Edward P. Allen
Adjunct Professor
Department of Periodontics, Texas A&M University Baylor College of Dentistry

Director
Center for Advanced Dental Education

Private Practice
Dallas, TX, USA

Angela R. Anderson, RDH
Private Practice
Dallas, TX, USA

Pierpaolo Sandro Cortellini, MD, DDS
Treasurer of Academia Toscana di Ricerca Odontostomatologica (ATRO) Firenze

Private Practice
Firenze, Italy

Board member of European Research Group on Periodontology (ERGOPERIO)
Berne, Switzerland

Lewis C. Cummings
Associate Clinical Professor
University of Texas Dental School
Houston, TX, USA

University of Nebraska College of Dentistry
Lincoln, NE, USA

Center for Advanced Dental Education
Dallas, TX, USA

American Institute of Implant Dentistry
Washington, DC, USA

Stephen K. Harrel
Adjunct Professor
Texas A&M University
Baylor College of Dentistry

Diplomate of the American Board of Periodontology

President
Texas Medical and Dental Designs, LLC

Private Practice
Dallas, TX, USA

John Y. Kwan, DDS
Associate Clinical Professor
University of California San Francisco
School of Dentistry
San Francisco, CA, USA

Suzanne M. Newkirk, RDH
Private Practice
Lakemont, GA, USA

Kara Webb, RDH
Private Practice
Dallas, TX, USA

Thomas G. Wilson Jr.
Diplomate of the American Board of Periodontology

Private Practice
Dallas, TX, USA

Minimally invasive treatment is a major advancement in dental therapy and is rapidly becoming part of the average dentists daily practice. These innovations range from cavity preparation through surgical modalities. The extent of this radical advancement can be illustrated by changes in periodontal therapy. It was traditionally necessary to elevate large mucogingival flaps for access to underlying structures. These procedures often resulted in esthetic deformities, food impaction, and increased thermal sensitivity. The innovations described in this text detail approaches that stand in marked contrast to traditional methods. Minimally invasive methods for periodontal treatment routinely yield long-term reductions of probing depths and increased clinical attachment levels that exceed those reported for traditional approaches. In addition, minimal thermal hypersensitivity and no gingival recession have been reported. One of the greatest advantages to the clinician is the increased patient acceptance and satisfaction with minimal encroachment versus traditional approaches.

This text will allow the reader to understand minimally invasive periodontal procedures and how they can benefit the readers practice. It is directed toward any therapist who treats periodontal diseases. Specifics concerning the application and use of various forms of these approaches will be detailed. This text explores areas far advanced from traditional methods. It will give the reader significant information on the advantages of the application of minimally invasive procedures to their daily practice.