Pathology of periodontal disease Book

	The nature of periodontal disease	1
1.2	Types of periodontal disease	3
1.3	The aetiology of periodontal disease	6
1.4	The natural history of periodontal disease	9
2	The normal periodontium	17
2.2	The gingiva	18
2.3	The periodontal ligament	23
2.4	Alveolar bone	24
2.5	Cementum	25
2.6	Regulation of tissue turnover in the periodontium	26
3	The anatomy of periodontal disease	32
3.2	Early gingivitis	33
3.3	Chronic marginal gingivitis	34
3.4	Destructive periodontitis	36
4	Microbial factors in the pathogenesis of periodontal disease	40
4.1	Microbial plaque and its significance	41
4.2	The development of plaque and calculus	44
4.3	Plaque ecology and the structure of plaque	49
4.4	What makes plaque pathogenic?	52
5	Host defences against microbial plaque	67
5.1	Salivary host defence mechanisms	68
5.2	The gingival epithelium	71
5.3	The inflammatory response in periodontal disease	71
5.4	The immunological response in periodontal disease	82
5.5	Mediators: the link between inflammation, immunity, and tissue damage	90
6	Tissue damage and disease progression	98
6.1	The initiation and early development of disease	99
6.2	Established periodontal disease	100
6.3	Periodontal breakdown	103
6.4	Disease progression	107
7	Other periodontal diseases	110
7.2	Early onset periodontitis	111
7.3	Acute necrotizing ulcerative periodontitis	117
7.4	HIV-related periodontal disease	119
7.5	Gingival recession	121
8	Clinical management of periodontal disease	125
8.1	Principles of periodontal treatment	126
8.2	Methods of treatment	127
8.3	Responses to treatment	134
8.4	Future prospects for the management of periodontal disease	140
	Glossary	144
	Index	149