| Introduction : the historical background of periodontology | 1 |
| Pt. 1 | Evidence-based decision making | 11 |
| Ch. 1 | Introduction to evidence-based decision making | 12 |
| Ch. 2 | Assessing evidence | 22 |
| Ch. 3 | Implementing evidence-based decisions in clinical practice | 36 |
| Pt. 2 | The normal periodontium | 45 |
| Ch. 4 | The gingiva | 46 |
| Ch. 5 | The tooth-supporting structures | 68 |
| Ch. 6 | Aging and the periodontium | 93 |
| Pt. 3 | Classification and epidemiology of periodontal diseases | 99 |
| Ch. 7 | Classification of diseases and conditions affecting the periodontium | 100 |
| Ch. 8 | Epidemiology of gingival and periodontal diseases | 110 |
| Pt. 4 | Etiology of periodontal diseases | 133 |
| Ch. 9 | Microbiology of periodontal diseases | 134 |
| Ch. 10 | The role of dental calculus and other predisposing factors | 170 |
| Ch. 11 | Genetic factors associated with periodontal disease | 193 |
| Ch. 12 | Immunity and inflammation : basic concepts | 209 |
| Ch. 13 | Microbial interactions with the host in periodontal diseases | 228 |
| Ch. 14 | Smoking and periodontal disease | 251 |
| Ch. 15 | Molecular biology of the host-microbe interaction in periodontal diseases : selected topics : molecular signaling aspects of pathogen-mediated bone destruction in periodontal diseases | 259 |
| Ch. 16 | Host modulation | 275 |
| Pt. 5 | Relationship between periodontal disease and systemic health | 283 |
| Ch. 17 | Influence of systemic disorders and stress on the periodontium | 284 |
| Ch. 18 | Periodontal medicine : impact of periodontal infection on systemic health | 312 |
| Ch. 19 | Oral malodor | 330 |
| Pt. 6 | Periodontal pathology | 343 |
| Ch. 20 | Defense mechanisms of the gingiva | 344 |
| Ch. 21 | Gingival inflammation | 355 |
| Ch. 22 | Clinical features of gingivitis | 362 |
| Ch. 23 | Gingival enlargement | 373 |
| Ch. 24 | Acute gingival infections | 391 |
| Ch. 25 | Gingival diseases in childhood | 404 |
| Ch. 26 | Desquamative gingivitis | 411 |
| Ch. 27 | The periodontal pocket | 434 |
| Ch. 28 | Bone loss and patterns of bone destruction | 452 |
| Ch. 29 | Periodontal response to external forces | 467 |
| Ch. 30 | Masticatory system disorders | 480 |
| Ch. 31 | Chronic periodontitis | 494 |
| Ch. 32 | Necrotizing ulcerative periodontitis | 500 |
| Ch. 33 | Aggressive periodontitis | 506 |
| Ch. 34 | Pathology and management of periodontal problems in patients with HIV infection | 513 |
| Pt. 7 | Treatment of periodontal disease | 539 |
| Ch. 35 | Clinical diagnosis | 540 |
| Ch. 36 | Radiographic aids in the diagnosis of periodontal disease | 561 |
| Ch. 37 | Advanced diagnostic techniques | 579 |
| Ch. 38 | Risk assessment | 602 |
| Ch. 39 | Levels of clinical significance | 609 |
| Ch. 40 | Determination of prognosis | 614 |
| Ch. 41 | The treatment plan | 626 |
| Ch. 42 | Rationale for periodontal treatment | 630 |
| Ch. 43 | Periodontal therapy in the female patient | 636 |
| Ch. 44 | Periodontal treatment of medically compromised patients | 650 |
| Ch. 45 | Periodontal treatment for older adults | 675 |
| Ch. 46 | Treatment of aggressive and atypical forms of periodontitis | 693 |
| Ch. 47 | Treatment of acute gingival disease | 706 |
| Ch. 48 | Treatment of periodontal abscess | 714 |
| Ch. 49 | Phase I periodontal therapy | 722 |
| Ch. 50 | Plaque control for the periodontal patient | 728 |
| Ch. 51 | Scaling and root planing | 749 |
| Ch. 52 | Chemotherapeutic agents | 798 |
| Ch. 53 | Host modulation agents | 813 |
| Ch. 54 | Sonic and ultrasonic instrumentation | 828 |
| Ch. 55 | Supragingival and subgingival irrigation | 836 |
| Ch. 56 | Occlusal evaluation and therapy | 845 |
| Ch. 57 | Adjunctive role of orthodontic therapy | 856 |
| Ch. 58 | The periodontic-endodontic continuum | 871 |
| Ch. 59 | Phase II periodontal therapy | 881 |
| Ch. 60 | General principles of periodontal surgery | 887 |
| Ch. 61 | Surgical anatomy of the periodontium and related structures | 902 |
| Ch. 62 | Gingival surgical techniques | 909 |
| Ch. 63 | Treatment of gingival enlargement | 918 |
| Ch. 64 | The periodontal flap | 926 |
| Ch. 65 | The flap technique for pocket therapy | 937 |
| Ch. 66 | Resective osseous surgery | 950 |
| Ch. 67 | Reconstructive periodontal surgery | 968 |
| Ch. 68 | Furcation : involvement and treatment | 991 |
| Ch. 69 | Periodontal plastic and esthetic surgery | 1005 |
| Ch. 70 | Recent advances in surgical technology | 1030 |
| Ch. 71 | Preparation of the periodontium for restorative dentistry | 1039 |
| Ch. 72 | Restorative interrelationships | 1050 |
| Pt. 8 | Oral implantology | 1071 |
| Ch. 73 | Biological aspects of oral implants | 1072 |
| Ch. 74 | Clinical aspects and evaluation of the implant patient | 1087 |
| Ch. 75 | Diagnostic imaging for the implant patient | 1105 |
| Ch. 76 | Standard implant surgical procedures | 1120 |
| Ch. 77 | Localized bone argumentation and implant site development | 1133 |
| Ch. 78 | Advanced implant surgical procedures | 1148 |
| Ch. 79 | Recent advances in implant surgical technology | 1161 |
| Ch. 80 | Biomechanics, treatment planning, and prosthetic considerations | 1167 |
| Ch. 81 | Implant-related complications and failures | 1182 |
| Pt. 9 | Periodontal maintenance | 1193 |
| Ch. 82 | Supportive periodontal treatment | 1194 |
| Ch. 83 | Results of periodontal treatment | 1206 |
| Pt. 10 | Ethical, legal, and practical issues in the management of periodontal patients | 1215 |
| Ch. 84 | Dental ethics | 1216 |
| Ch. 85 | Legal principles : jurisprudence | 1221 |
| Ch. 86 | Dental insurance and managed care in periodontal practice | 1227 |