At the beginning, specialists tried to diagnose the stage of periodontal disease depending
on the relation between the clinical appearances and the presence of some specific cell
populations or specific matrix components (Havemose-Poulsen & Holmstrup, 1997;
Romanos et al., 1993).
In addition to local periodontal tissue involvement, chronic infection of the periodontium
together with continuous up-regulation of pro-inflammatory responses and immune
mediators may contribute to systemic sequel including diabetes, preterm delivery of lowweight
birth babies, lung inflammation, arthritis and cardiovascular diseases (CVD).
The biological changes underlying the transition process from gingival health to early
inflammatory changes involve local increase in vascular permeability, edema and the
recruitment and activation of polymorphonuclear neutrophils (PMN) (Delima and Van
Dyke 2003). Acquired immune response becomes involved once antigen-presenting cells
interact with immunocompetent cells, such as T and B lymphocytes, leading to the
expansion of antibody-secreting plasma cells and the development of the chronic lesion
(Gemmell and Seymour 2004).
Periodontal disease is one of the major dental pathologies that affect human populations
worldwide at high prevalence rates (Petersen, 2003). Periodontal diseases represents a
family of heterogeneous chronic inflammatory lesions that involve the periodontium, a
connective tissue protected by the epithelium, important to attach the teeth to the bone in
the jaws and to support the teeth during function (Taylor, 2003).
Gingivitis and periodontitis are the two main periodontal diseases and may be present
concurrently. Gingivitis is a form of periodontal disease in which gingival tissues are
inflamed but their destruction is mild and reversible while periodontitis is a chronic
inflammatory response to the subgingival bacteria with irreversible changes (Armitage,
1999). Periodontium destruction is characterized by loss of connective tissue attachment and
bone around the teeth in conjunction with the formation of periodontal pockets due to
apical migration of the junctional epithelium (Champagne et al.
Preparations for the 4th edition of Clinical Periodontology
and Implant Dentistry started in 2001 when all
senior authors of the various chapters of the current
text were identified and invited to join the team of
contributors. The authors were selected because of
their reputations as leading researchers, clinicians or
teachers in Periodontology, Prosthetic Dentistry, Implant
Dentistry and associated domains.
Most students need a textbook that will provide all the
basic facts within a discipline and that also facilitates
understanding of the subject. This textbook achieves
these objectives and also provides test questions for the
student to explore their level of knowledge. It is also
important for students to achieve a 'feel for the subject'
and learn communication skills.
The book is designed to provide basic information
necessary to pass an undergraduate examination in
restorative, paediatric and orthodontic dentistry.
This supplement is based on papers presented at the
Second International Conference of the Faculty of Dentistry,
Kuwait University, October 2–4, 2001. The conference
provided an ideal opportunity to exchange ideas and
discuss new developments in the field of dentistry, especially
the latest trends in the evidence-based approach to
dental care. As the former President of Kuwait University,
Professor Faiza M.
(BQ) Part 2 book "Ten Cate's oral histology - Development, structure and function" presents the following contents: Dentin-Pulp complex, periodontium, physiologic tooth movement, salivary glands, oral mucosa, temporomandibular joint, facial growth and development, repair and regeneration of oral tissues.
(BQ) Part 1 book "Shafer's textbook of oral pathology" presentation of content: Developmental disturbances of oral and paraoral structures, benign and malignant tumors of the oral cavity, tumors of the salivary glands, cysts and tumors of odontogenic origin, bacterial infections of the oral cavity, viral infections of the oral cavity,... and other contents.