Ultrasonic Periodontal Debridement: Theory and Technique

Ultrasonic Periodontal Debridement: Theory and Technique is the first textbook to focus exclusively on this fundamentally important component of periodontal therapy. George, Donley, and Preshaw provide a comprehensive resource for dental students, dental hygiene and therapy students, and periodontal residents, as well as practicing dental hygienists and dentists who are looking to increase their familiarity and skills with ultrasonic instrumentation. The opening section describes the basic foundational knowledge of periodontal debridement; how it differs from and supersedes scaling and root planing, how it fits with modern concepts of periodontal disease pathogenesis, and includes a comparison of periodontal debridement instrumentation modalities. Section 2 describes ultrasonic technology, the variety of tip designs that are available, and provides practical guidance in appropriate tip selection. Section 3 focuses on the clinical applications of ultrasonic periodontal debridement, including patient assessment, medical and dental considerations, and provides specific guidance in clinical debridement techniques. Included are technique modules for each quadrant as well as case studies using real–world examples of situations likely to be encountered in everyday clinical practice, including ultrasonic instrumentation around dental implants. Special Features   400 clinical photographs and illustrations demonstrate proper techniques and positioning Clinical cases show real–world examples of ultrasonic debridement techniques, including instrumentation around dental implants Summaries of key points in each chapter Instructional resources available on the book’s website, including key concepts, photographs to illustrate correct instrument adaptation, and videos of instrumentation techniques

Periodontal Ultrasonic Debridement:  Theory and Technique Table of Contents Foreword Preface Acknowledgments About the Authors Section I Foundational Concepts Chapter 1 The Treatment of Periodontal Disease:  The Shift from “SRP” to “Periodontal  Debridement”     Early concepts of the pathogenesis of periodontal disease   Scaling and root planing   Current concepts of periodontal pathogenesis   Periodontal debridement therapy Chapter 2 Comparison of Periodontal Debridement Instrumentation Modalities   Efficacy of deposit removal   Resolution of disease   Conservation of tooth structure   Debridement of dental implants   Additional advantages of ultrasonic instrumentation   Other methods of debridement   Summary   Section II Ultrasonic Technology Chapter 3 What is Ultrasonic Instrumentation?   Ultrasonic transduction   Ultrasonic instrumentation mechanisms of action   Ultrasonic scaler operational variables   Acoustic power of the ultrasonic scaler   Concept of minimum effective power   Sonic scaling technology   Recent developments in ultrasonic technology Chapter 4 Ultrasonic Tip Design and Selection   Anatomy of an ultrasonic tip   Key elements of tip design   Tip selection   Tip utilization   Effect of tip wear on performance   Basic tip setup Section III Clinical Application Chapter 5 Patient Assessment   The periodontal examination   Identifying sites to treat   Factors to assess at disease sites   Medical considerations and other patient factors  Chapter 6 Ultrasonic Instrumentation Technique   Ultrasonic instrumentation principles of technique   Aerosol management   Staged approach to ultrasonic instrumentation Chapter 7 Ultrasonic Instrumentation Technique Modules   Strategies for instrumentation sequencing   Sextant specific instrumentation modules   Advanced furcation defect instrumentation modules   Implant and supragingival instrumentation technique Chapter 8 Case Studies in Periodontal Ultrasonic Debridement   Initial and supportive periodontal therapy case   Preventive debridement (adult prophylaxis) case   Surgical debridement case Glossary Index

Marie D. George, RDH, MS , is a clinician, author, and educator, with current appointments as Adjunct Faculty in the Department of Dental Hygiene at both the University of Pittsburgh School of Dental Medicine and the Community College of Philadelphia. She develops and presents evidence–based educational programming specific to ultrasonic debridement to practicing clinicians, dental and dental hygiene students, and faculty nationally and internationally. Timothy G. Donley, DDS, MSD , is in the private practice of periodontics and implantology in Bowling Green, KY, and is an adjunct professor in the College of Health and Human Services at Western Kentucky University. Dr. Donley regularly lectures throughout the U.S. and abroad on the science and clinical applicability of ultrasonic instrumentation. Philip M. Preshaw, BDS, FDS RCSEd, PhD , is Professor of Periodontology and the Course Director for Undergraduate Periodontology at Newcastle University, UK. He is also actively involved in clinical research, with numerous publications in peer–reviewed scientific journals, and has been awarded a Distinguished Scientist Award from the International Association for Dental Research.