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Acute Ulceronecrotizing Periodontitis (PUNA) · eBook EPUB

Acute Ulceronecrotizing Periodontitis (PUNA) · eBook EPUB

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Digital edition · EPUB format · Revised and updated in 2026 · English edition

Acute Ulceronecrotizing Periodontitis (PUNA)

A clear, rigorous and practical guide to necrotizing periodontal diseases, created for dental hygiene students, dental professionals, healthcare students and readers who want an evidence-based introduction to this complex group of conditions.

This revised 2026 edition updates the original work in line with contemporary periodontal terminology and the scientific evidence available through 2026. The historical designation PUNA is retained in the title for continuity with the original edition, while the book explains the current terminology used for necrotizing gingivitis, necrotizing periodontitis and necrotizing stomatitis.

What you’ll learn

  • Current terminology and classification of necrotizing periodontal diseases.
  • Clinical manifestations, characteristic signs and symptoms.
  • Diagnosis and differential diagnosis.
  • Predisposing factors and their relationship with systemic health.
  • The role of oral biofilm, host susceptibility and immune response.
  • Modern microbiological concepts and the dysbiotic ecosystem model.
  • Clinical assessment and warning signs.
  • Evidence-based principles for management of the acute phase.
  • The role and limitations of mechanical debridement, antiseptics and systemic antimicrobials.
  • Follow-up, recurrence, periodontal sequelae and maintenance.
  • Prevention and oral health education.
  • Historical evolution of these diseases and an updated commentary on a historical clinical case.
  • Frequently asked questions and an updated scientific bibliography.

A revised approach for 2026

The book moves beyond outdated ideas of a single causative microorganism or an inevitable sequence of disease progression. Instead, it presents a contemporary multifactorial model involving opportunistic biofilm, host susceptibility and predisposing factors.

It also clarifies the relationship between necrotizing periodontal disease and systemic conditions such as HIV infection, emphasizing that the presence of these periodontal lesions does not by itself establish a systemic diagnosis.

Designed for digital reading

This edition is supplied in EPUB format and includes an interactive table of contents, internal navigation and a reflowable layout designed for comfortable reading on compatible ebook apps and devices.

Who is this ebook for?

  • Dental hygiene students and dental hygienists.
  • Dentistry and healthcare students.
  • Dental and oral health professionals.
  • Readers interested in periodontology and evidence-based oral health.
Format: EPUB digital ebook
Language: English
Edition: Revised and updated 2026
ASIN: B0FM3NS3HW
Author: Marta Pueyo Sastre, Dental Hygienist

Important: This is a digital product. No physical book will be shipped.

This ebook is intended for educational and informational purposes only. It does not replace professional dental or medical examination, diagnosis, treatment or individualized prescribing.

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