,Newman and Carranza’s Essentials
of Clinical Periodontology
An Integrated Study Companion
Michael G. Newman, DDS, FACD Editorial Board
Georgios Kotsakis, DDS, MS
Professor Emeritus
Associate Professor
Section of Periodontics, School of Dentistry, University
Department of Periodontics, UT Health San Antonio
of California, Los Angeles, California
School of Dentistry, San Antonio, Texas
Satheesh Elangovan, BDS, DSc, DMSc Chun-Teh Lee, DDS, MS, DMSc
Professor Associate Professor
Department of Periodontics, The University of Iowa Department of Periodontics and Dental Hygiene, The
College of Dentistry, Iowa City, Iowa University of Texas Health Science Center at Houston
School of Dentistry, Houston, Texas
Irina F. Dragan, DDS, DMD, MS
Megumi Williamson, DDS, MS, PhD
Assistant Professor and Director of Faculty Education &
Instructional Development Assistant Professor
Department of Periodontology, Tufts University School Department of Periodontics, The University of Iowa
of Dental Medicine, Boston, Massachusetts College of Dentistry, Iowa City, Iowa
Archana K. Karan, MDS
Periodontist
Private Practice, Chennai, India
,Preface
With the help of Elsevier’s advanced technology and high • I nterspersed within core knowledge are ‘basic or clin-
standards of quality, an international team of editors and ical correlate’ callout boxes to underscore the clini-
contributors have developed Newman and Carranza’s Essen- cal relevance of information in basic science chapters
tials of Clinical Periodontology, the first edition companion and vice versa.
guide for Newman and Carranza’s Clinical Periodontology • Case-based learning exercises to allow students to apply
13th Edition (NC13) textbook. The main objective of this the knowledge gained from other features in a relevant
endeavor is to develop an exam-centric factual companion clinical scenario.
guide that complements and also supplements the cor- The multifaceted, complex task of producing NC13, the
responding content in NC13 textbook. Keeping the text main source for this companion guide required the collabo-
content minimal (restricting only to essential facts) and ration of numerous experts from various fields, and their
delivering the core information using easy understandable contributions are invaluable. We know that this new com-
visual aids in the form of illustrations, tables, figures and panion guide for NC13 will be a valuable source of both
infographics are the hallmarks of this companion guide. students and practitioners in dental and allied fields around
There are five major features in each chapter of this guide: the world.
• R elevant terminology and fast facts in each chapter
offer students important terminologies, key facts and Michael G. Newman
take-home messages Satheesh Elangovan
• C ore knowledge feature delivers the central and funda- Archana K. Karan
mental information from the chapters of NC13 textbook Irina F. Dragan
in a succinct manner using visual aids such as tables,
illustrations, figures or infographics.
vii
, Acknowledgments
First and foremost, the editors of this companion guide factual companion guide that complements and supple-
thank all the editors and contributors of Newman and Car- ments the corresponding content in NC13.
ranza’s Clinical Periodontology, 13th Edition (NC13), the Drs. Newman and Elangovan express their appreciation
textbook that is the primary source of information for this to their coeditors, Drs. Irina Dragan and Archana Karan,
companion guide. It is certain that the task of researching, for their constant involvement and significant contribu-
preparing, and assembling the enormous amount of peri- tions to this project since its conceptualization stage; our
odontology-related content necessary for creating NC13 special thanks to Dr. Karan for spending countless hours in
had to be borne by many experts who shared their experi- drafting infographics for the core knowledge feature. Special
ence and knowledge. We express our deep gratitude to all thanks also to the following contributors from Tufts Univer-
those contributors whose expertise, ideas, and efforts built sity School of Dental Medicine: Drs. Noshir Mehta, Samar
that valuable resource, which this companion guide supple- Shaikh, Kai Lei, Pooyan Refahi, Gayathri Shenoy, Sarah
ments and complements. Almeshred, Lauren Marzouca, Jared Wirth, and Charles
NC13 has been a trusted and valuable periodontics Hawley.
resource for students, residents, academicians, scientists, and Our appreciation is also given to Elsevier and particularly
clinicians since the early 1950s. Dr. Michael G. Newman, to Alexandra Mortimer, Joslyn Dumas, and Erika Ninsin.
one of the senior editors of NC13, is also one of the editors Their expertise and detailed attention to every word and
of this guide. We would like to thank all the other senior every concept contributed greatly to producing a quality
editors affiliated with NC13, including Drs. Fermin A. book and a truly useful website. The online version of the
Carranza, Henry H. Takei, and Perry R. Klokkevold. book continues to assume greater importance to our read-
The level of understanding and the practice of clinical ers. Elsevier’s electronic capabilities provide a rich, useful,
periodontics have evolved tremendously since the mid-20th and complete resource.
century. Advances in basic science and clinical techniques We express gratitude to our parents, our family members,
have increased the knowledge base so dramatically that it is colleagues, friends, and mentors, who have always been so
virtually impossible for individuals to master and retain all tolerant, encouraging, and understanding and who guided
the information. The main objective of producing Essentials our first steps in our profession and helped us develop our
of Clinical Periodontology was to develop an exam-centric ideas in the field.
Michael G. Newman Satheesh Elangovan Archana Karan Irina F. Dragan
ix
of Clinical Periodontology
An Integrated Study Companion
Michael G. Newman, DDS, FACD Editorial Board
Georgios Kotsakis, DDS, MS
Professor Emeritus
Associate Professor
Section of Periodontics, School of Dentistry, University
Department of Periodontics, UT Health San Antonio
of California, Los Angeles, California
School of Dentistry, San Antonio, Texas
Satheesh Elangovan, BDS, DSc, DMSc Chun-Teh Lee, DDS, MS, DMSc
Professor Associate Professor
Department of Periodontics, The University of Iowa Department of Periodontics and Dental Hygiene, The
College of Dentistry, Iowa City, Iowa University of Texas Health Science Center at Houston
School of Dentistry, Houston, Texas
Irina F. Dragan, DDS, DMD, MS
Megumi Williamson, DDS, MS, PhD
Assistant Professor and Director of Faculty Education &
Instructional Development Assistant Professor
Department of Periodontology, Tufts University School Department of Periodontics, The University of Iowa
of Dental Medicine, Boston, Massachusetts College of Dentistry, Iowa City, Iowa
Archana K. Karan, MDS
Periodontist
Private Practice, Chennai, India
,Preface
With the help of Elsevier’s advanced technology and high • I nterspersed within core knowledge are ‘basic or clin-
standards of quality, an international team of editors and ical correlate’ callout boxes to underscore the clini-
contributors have developed Newman and Carranza’s Essen- cal relevance of information in basic science chapters
tials of Clinical Periodontology, the first edition companion and vice versa.
guide for Newman and Carranza’s Clinical Periodontology • Case-based learning exercises to allow students to apply
13th Edition (NC13) textbook. The main objective of this the knowledge gained from other features in a relevant
endeavor is to develop an exam-centric factual companion clinical scenario.
guide that complements and also supplements the cor- The multifaceted, complex task of producing NC13, the
responding content in NC13 textbook. Keeping the text main source for this companion guide required the collabo-
content minimal (restricting only to essential facts) and ration of numerous experts from various fields, and their
delivering the core information using easy understandable contributions are invaluable. We know that this new com-
visual aids in the form of illustrations, tables, figures and panion guide for NC13 will be a valuable source of both
infographics are the hallmarks of this companion guide. students and practitioners in dental and allied fields around
There are five major features in each chapter of this guide: the world.
• R elevant terminology and fast facts in each chapter
offer students important terminologies, key facts and Michael G. Newman
take-home messages Satheesh Elangovan
• C ore knowledge feature delivers the central and funda- Archana K. Karan
mental information from the chapters of NC13 textbook Irina F. Dragan
in a succinct manner using visual aids such as tables,
illustrations, figures or infographics.
vii
, Acknowledgments
First and foremost, the editors of this companion guide factual companion guide that complements and supple-
thank all the editors and contributors of Newman and Car- ments the corresponding content in NC13.
ranza’s Clinical Periodontology, 13th Edition (NC13), the Drs. Newman and Elangovan express their appreciation
textbook that is the primary source of information for this to their coeditors, Drs. Irina Dragan and Archana Karan,
companion guide. It is certain that the task of researching, for their constant involvement and significant contribu-
preparing, and assembling the enormous amount of peri- tions to this project since its conceptualization stage; our
odontology-related content necessary for creating NC13 special thanks to Dr. Karan for spending countless hours in
had to be borne by many experts who shared their experi- drafting infographics for the core knowledge feature. Special
ence and knowledge. We express our deep gratitude to all thanks also to the following contributors from Tufts Univer-
those contributors whose expertise, ideas, and efforts built sity School of Dental Medicine: Drs. Noshir Mehta, Samar
that valuable resource, which this companion guide supple- Shaikh, Kai Lei, Pooyan Refahi, Gayathri Shenoy, Sarah
ments and complements. Almeshred, Lauren Marzouca, Jared Wirth, and Charles
NC13 has been a trusted and valuable periodontics Hawley.
resource for students, residents, academicians, scientists, and Our appreciation is also given to Elsevier and particularly
clinicians since the early 1950s. Dr. Michael G. Newman, to Alexandra Mortimer, Joslyn Dumas, and Erika Ninsin.
one of the senior editors of NC13, is also one of the editors Their expertise and detailed attention to every word and
of this guide. We would like to thank all the other senior every concept contributed greatly to producing a quality
editors affiliated with NC13, including Drs. Fermin A. book and a truly useful website. The online version of the
Carranza, Henry H. Takei, and Perry R. Klokkevold. book continues to assume greater importance to our read-
The level of understanding and the practice of clinical ers. Elsevier’s electronic capabilities provide a rich, useful,
periodontics have evolved tremendously since the mid-20th and complete resource.
century. Advances in basic science and clinical techniques We express gratitude to our parents, our family members,
have increased the knowledge base so dramatically that it is colleagues, friends, and mentors, who have always been so
virtually impossible for individuals to master and retain all tolerant, encouraging, and understanding and who guided
the information. The main objective of producing Essentials our first steps in our profession and helped us develop our
of Clinical Periodontology was to develop an exam-centric ideas in the field.
Michael G. Newman Satheesh Elangovan Archana Karan Irina F. Dragan
ix