Second Edition
Edited by
Serge Dibart, DMD
Professor and Chair
Department of Periodontology
Director Advanced Specialty Program in Periodontics
Boston University Henry M. Goldman School of Dental Medicine
Boston, MA, USA
This edition first published 2020
© 2020 John Wiley & Sons, Inc.
Edition History
Blackwell Munksgaard (1e, 2007)
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Library of Congress Cataloging‐in‐Publication Data
Names: Dibart, Serge, editor.
Title: Practical advanced periodontal surgery / edited by Serge Dibart.
Description: 2 edition. | Hoboken, NJ : Wiley‐Blackwell, 2020. | Includes bibliographical references and index.
Identifiers: LCCN 2019046551 (print) | LCCN 2019046552 (ebook) | ISBN 9781119196310 (hardback) | ISBN 9781119196334 (adobe PDF) | ISBN 9781119196341 (epub)
Subjects: MESH: Periodontium–surgery | Oral Surgical Procedures,Preprosthetic–methods | Periodontics–methods | Atlas Classification: LCC RK361 (print) | LCC RK361 (ebook) | NLM WU 317 | DDC 617.6/32–dc23
LC record available at https://lccn.loc.gov/2019046551
LC ebook record available at https://lccn.loc.gov/2019046552
Cover Design: Wiley
Cover Image: Courtesy of Serge Dibart
Ziedonis (Zie) Skobe, PhD
29 April 1941–5 August 2018
Known as a “gentle giant” who had “a remarkable life and career,” Zie guided and supported hundreds of projects and grants, and countless young scientists, during his 40 plus years career at the former Forsyth Dental Institute.
Always proud of his immigrant background, he arrived in the USA from Latvia as a refugee during World War II, overcoming language barriers while learning English then working in the construction industry as a laborer while studying for his PhD
Throughout his long career, he always had a welcoming smile and encouraging words for the young scientists whom he mentored. His early experience with learning English prepared him to enthusiastically help those for whom English was not a first language. He is remembered by all those whose lives he touched for being a great friend, scientist, and mentor with a kind and generous heart. You will not be forgotten, Zie. Rest In Peace.
Nawaf J. Al‐Dousari, DDS, MSD
Practice Limited to Prosthodontics
Armed Forces Hospital
Ministry of Defense
Shamiya, Kuwait City, Kuwait
Haneen N. Bokhadoor, DDS, MSD
Practice Limited to Periodontics and Dental Implants
Bneid Al Gar Specialty Dental Center
Ministry of Health
Shamiya, Kuwait City, Kuwait
Rokas Borusevicˇius, DDS
Division of Periodontology, Institute of OdontologyFaculty of Medicine
Vilnius University, Vilnius, Lithuania
Jean‐Pierre Dibart, MD
Rheumatology and Sport Medicine
Marseilles, France
Serge Dibart, DMD
Professor and Chair
Department of Periodontology
Director Advanced Specialty Program in Periodontics
Boston University Henry M. Goldman School of Dental Medicine
Boston, MA, USA
Thomas Van Dyke, DDS, PhD
Vice President and Senior Member of Staff
Forsyth Institute
Professor of Oral Medicine, Infection and Immunity
Faculty of Medicine, Harvard University
Boston, MA, USA
Agne&c.dotab; Gecˇiauskaite&c.dotab;, DDS
Division of Prosthodontics, Institute of Odontology, Faculty of Medicine
Vilnius University, Vilnius, Lithuania
Sadru Kabani, DMD, MS
Co‐Director of Oral Pathology
STRATADX
Lexington, MA, USA
Elif Keser, DDS, PhD
Private Practice, London, UK
Adjunct Assistant Professor, Department of Orthodontics & Dentofacial Orthopedics
Boston University Henry M. Goldman School of Dental Medicine
Boston, MA, USA
Jess Liu, DDS, MSD
Clinical Assistant Professor
Department of Periodontology
Boston University School of Dental Medicine
Boston, MA, USA
Lorenzo Montesani, DDS
Practice Limited to Prosthodontics and Implant Dentistry
Rome, Italy
Luigi Montesani, MD, DDS
Practice Limited to Periodontology, Prosthodontics, and Implant Dentistry
Rome, Italy
Steven Morgano, DMD
Professor and Chair
Department of Restorative Dentistry
Rutgers University School of Dental Medicine
Newark, NJ, USA
Mani Moulazadeh, DMD
Assistant Clinical Professor
Department of Endodontics
Boston University School of Dental Medicine
Boston, MA, USA
Donald Nelson, DMD
Assistant Clinical Professor
Department of Orthodontics
Harvard School of Dental Medicine
Boston, MA, USA
Vikki Noonan, DMD, DMSc
Director and Associate Professor, Division of Oral Pathology
Boston University Henry M. Goldman School of Dental Medicine
Boston, MA, USA
Justinas Pletkus, DDS
Division of Prosthodontics, Institute of Odontology Faculty of Medicine
Vilnius University, Vilnius, Lithuania
Albert Price, DMD, MS
Clinical Professor
Department of Periodontology and Oral Biology
Boston University School of Dental Medicine
Boston, MA, USA
Vygandas Rutkūnas, DDS, PhD
Associate Professor
Division of Prosthodontics, Institute of Odontology Faculty of Medicine
Vilnius University, Vilnius, Lithuania
ProDentum Clinic, Vilnius, Lithuania
Sherif Said, DDS, MSD
Clinical Assistant Professor
Department of Periodontology
Boston University School of Dental Medicine
Boston, MA, USA
Ulrike Schulze‐Späte, DMD, PhD
Diplomate, American Board of Periodontology
Director, Section of Geriodontics
Department of Conservative Dentistry and Periodontology
Center of Dental Medicine
University Hospital Jena
Jena, Germany
Peyman Shahidi, DDS, MScD
Practice Limited to Periodontology and Implant Dentistry
Toronto, Ontario, Canada
Ming Fang Su, DMD, MS
Clinical Professor
Department of Periodontology and Oral Biology
Boston University School of Dental Medicine
Boston, MA, USA
Yun Po Zhang, PhD, DDS(hon)
Director
Clinical Dental Research
Colgate‐Palmolive Company
Piscataway, NJ, USA
I would like to thank my colleagues and students of Boston University Henry M. School of Dental Medicine for their invaluable help. I would also like to thank Ms. Leila Joy Rosenthal for drawing Figures 7.32 and 7.33, Dr. Alessia De Vit Dr. Trevor Fujinaka for the video on Piezocision and Dr. Galip Gurel.
I would also like to thank Ms. Samantha Rose Burke for her invaluable help in formatting this manuscript, Mary Malin for copyediting and to the team at Wiley for bringing the book to Production.
This book is accompanied by a companion website: 
www.wiley.com/go/dibart/advanced
The website includes 2 videos from Chapter 4. 
Thomas Van Dyke
As reflected in this Second Edition, the surgical techniques that span the scope of dentistry have continued to evolve. Predictable implant placement and bone augmentation techniques have become a common part of the repertoire of the periodontist. Importantly, these technical developments and the research on which they are based have impacted other specialties, including orthodontics, endodontics, oral and maxillofacial surgery, and prosthodontics.
In Practical Advanced Periodontal Surgery, Second Edition, Dr. Serge Dibart has updated, expanded, and improved on the landmark First Edition with a team of experts who have played a major role in the development of these concepts, in some cases, and their implementation, in all cases. It is arranged into 13 chapters that range from a review of the science leading up to new technologies to their implementation and the evidence backing their veracity. The contribution of periodontal concepts to orthodontics and endodontics is just an example of how modern periodontology adds to the armamentarium of all aspects of the dental profession.
The focus of this book is bone – the biology of bone and how an understanding of the basic principles of biology can be used to enhance treatment. The book begins with a review of bone biology and current understanding of wound healing. The discovery that surgically injured bone becomes rapidly osteopenic followed by increased turnover has been updated to include new clinical techniques for rapid tooth movement through Piezocision.
Notably, there are three new chapters in the Second Edition. The topics are vital to modern practice, including IV sedation by Dr. Jess Liu, Digital Technologies in Clinical Restorative Dentistry by Dr. Vygandas Rutkūnas and colleagues, and Extraction Site Management in the Esthetic Zone: Hard and Soft Tissue Reconstruction by Dr. Sherif Said. The final five chapters of the book are devoted to exploring the specialized needs of complex cases. The problems of inadequate vertical bone height and soft tissue defects can now be predictably addressed in most cases. In particular, the esthetic issues of lack of papillary redevelopment between adjacent implants are addressed by established investigators in the field. Distraction osteogenesis and papilla regeneration techniques now provide a means to enhance the esthetics of the most complicated cases.
Periodontal medicine has its roots in oral pathology/oral medicine. The forefathers of periodontics, physicians such as Gottlieb, Orban, and Goldman, were oral pathologists first. No book of advanced periodontal techniques would be complete without a review of the most common oral lesions that face the periodontist and their treatment, along with proper biopsy techniques.
The look to the future has also changed between the First and Second Editions. The future of periodontology is bright; we are provided an exciting glimpse of what is next.
Dr. Dibart has again brought together the subject, the team, and the expertise to produce a most valuable compilation of advanced techniques of modern periodontics. The content is based in science and is well‐balanced, providing a reference work and guide for the practitioner of advanced dentistry.