Oral and Maxillofacial Medicine: The Basis of Diagnosis and Treatment, 3e


The new edition of this highly successful volume continues to offer readers with a systemized and objective approach to the practice of oral and maxillofacial medicine. Winner of the Royal Society of Medicine and Society of Authors Book Award in the category of 'New Authored Book' (2004), and Highly Commended in the British Medical Association Book Awards (2009), this volume is ideal for senior dental students, dental practitioners and for trainees and practitioners in oral medicine, surery, and pathology in particular.
Allows the reader to adopt a systematic approach to history taking 
Explains how to examine patients and their oral lesions systematically to start formulating differential diagnoses 
Identifies which sites may be affected by the presenting condition and what to look for at the sites 
Explains when clinical investigations are indicated, which are appropriate, and how to perform them 
Shows the reader how to interpret the findings of routine clinical investigations and understand the potential implications for the patient 
Identifies relevant follow-up questions that may further clarify the findings of the clinical examination and refocus the history 
Explains how to recognise the scope of oral and maxillofacial diseases and the importance of their medical management in addition to the traditional dental focus of the discipline 
Shows the reader how to identify lesions and understand their potential implications for the patient 
Explains how to advise the patient about the aetiology of oral lesions and their predisposing factors 
Identifies a range of therapeutic options for the patient and emphasises the need for regular review and re-appraisal of the condition 
Provides an understanding of how treatment may impact, positively or negatively, upon the condition 
Identifies the need to refer for advice, investigations or treatment by dental, medical or surgical specialists 
Shows the reader how to recognise the importance of close liaison with colleagues in other disciplines, particular imaging, medicine, pathology and surgeryText now thoroughly clarified and updated, including revised Further Reading and websites 
Improved section on potential malignancies and cancer 
Provides additional information on the genetic influences of many conditions 
Contains an expanded section on therapeutics, including emergent therapies, as well as additional information on drug interactions and contraindications
Table of contents : 
Front Matter......Page 2
Copyright......Page 5
Preface to third edition......Page 6
Preface to second edition......Page 7
Preface to first edition......Page 8
Follow-up of patients......Page 0
Intended learning outcomes......Page 10
Diagnosis: history......Page 11
Further Reading......Page 18
Diagnosis: examination......Page 19
Further Reading......Page 29
Informed Consent......Page 30
Further Reading......Page 46
Treatment......Page 47
Further Reading......Page 56
Agents used in the treatment of patients with orofacial disease......Page 57
Further reading......Page 88
Introduction......Page 89
Aetiology and pathogenesis......Page 90
Chronic granulomatous disease (CGD)......Page 91
Management of a patient with cervical lymphadenopathy......Page 92
Further reading......Page 93
Diagnosis......Page 94
Radiotherapy......Page 95
Surgery......Page 96
Further reading......Page 97
Clinical features......Page 98
Diagnosis......Page 99
Sialography......Page 100
Determination of the cause of xerostomia......Page 101
Treatment (see also Chs 4 and 5)......Page 102
Further reading......Page 103
Aetiology and pathogenesis......Page 105
Diagnosis......Page 106
Treatment (see also Chs 4 and 5)......Page 108
Further reading......Page 109
Introduction......Page 110
Diagnosis......Page 112
Further reading......Page 113
Introduction......Page 114
Further reading......Page 115
Aetiology and pathogenesis......Page 116
Clinical features......Page 117
Further reading......Page 118
Follicular lymphoid hyperplasia......Page 119
Further reading......Page 120
Introduction......Page 122
Further reading......Page 123
Introduction......Page 124
Mumps (acute viral sialadenitis; epidemic parotitis)......Page 125
Sialadenitis (bacterial)......Page 126
Further reading......Page 127
Exostoses......Page 128
Metastatic tumours in the jaws......Page 129
Torus palatinus and mandibularis......Page 130
Further reading......Page 131
Orofacial pain......Page 132
Diagnosis of pain......Page 133
Acute periapical periodontitis......Page 134
Salivary glands......Page 135
Migraine......Page 136
Trigeminal autonomic cephalgias (TACs)......Page 137
Possible psychogenic causes of orofacial pain......Page 138
Diagnosis of orofacial pain......Page 139
Other causes of headache or orofacial pain......Page 141
Further reading......Page 142
Extrinsic discolouration......Page 143
Generalized hyperpigmentation......Page 144
Local irritation/inflammation......Page 145
Further reading......Page 146
Mucosal inflammation......Page 148
Purpura......Page 149
Treatment (see also Chs 4 and 5)......Page 150
Further reading......Page 151
Bone disease......Page 152
Intracranial lesions......Page 153
Diagnosis......Page 154
Treatment (see also Chs 4 and 5)......Page 155
Lower motor neurone (LMN) lesions (infranuclear lesions)......Page 156
Diagnosis......Page 158
Further reading......Page 159
Ulcers......Page 161
Systemic disease......Page 162
Diagnosis......Page 164
Treatment (see also Chs 4 and 5) ( Fig. 21.4)......Page 167
Further reading......Page 169
Introduction......Page 170
Taste abnormalities (dysgeusia)......Page 171
Treatment (see also Chs 4 and 5)......Page 172
Further reading......Page 173
Aetiology and pathogenesis......Page 174
Treatment (see also Chs 4 and 5)......Page 175
Further reading......Page 176
Other white lesions......Page 177
Treatment (see also Chs 4 and 5)......Page 178
Further reading......Page 179
Aetiology and pathogenesis......Page 180
Risk factors: tobacco......Page 181
Risk factors: alcohol......Page 183
Risk factors: others......Page 184
Treatment (see also Chs 4 and 5)......Page 185
Further reading......Page 186
Treatment (see also Chs 4 and 5)......Page 188
Further reading......Page 189
Treatment (see also Chs 4 and 5)......Page 190
Further reading......Page 191
Clinical features......Page 192
Histology......Page 193
Diagnosis......Page 194
Medical therapies......Page 195
Further reading......Page 196
Predisposing factors ( Fig. 29.2)......Page 198
Aetiology and pathogenesis......Page 199
Clinical features......Page 200
Extraoral lesions......Page 201
Diagnosis......Page 202
Treatment (see also Chs 4 and 5)......Page 203
Further reading......Page 205
Clinical features......Page 207
Follow-up of patients......Page 208
Further reading......Page 209
Incidence......Page 210
Predisposing factors (risk factors) for OSCC......Page 211
Aetiology and pathogenesis......Page 212
Second primary tumours......Page 213
Diagnosis......Page 214
Lesional biopsy......Page 216
Patient communication......Page 217
Multidisciplinary cancer care......Page 218
Principles......Page 219
Intensity modulated radiotherapy (IMRT, conformational or 3D radiation)......Page 220
Newer targeted cancer therapies......Page 221
Further reading......Page 222
Diagnosis......Page 224
Predisposing factors......Page 225
Further reading......Page 226
Aetiology......Page 227
Diagnosis......Page 228
Further reading......Page 229
Predisposing factors......Page 230
Aetiology and pathogenesis......Page 231
Herpetiform ulceration (HU)......Page 232
Treatment (see also Chs 4 and 5)......Page 233
Follow-up of patients......Page 236
Further reading......Page 237
History......Page 239
Treatment (see also Chs 4 and 5)......Page 240
Atypical odontalgia......Page 241
Further reading......Page 242
Aetiology and pathogenesis......Page 243
Clinical features......Page 244
Treatment (see also Chs 4 and 5)......Page 245
Useful websites......Page 246
Further reading......Page 247
Clinical features......Page 248
Diagnosis......Page 250
Further reading......Page 251
Predisposing factors, aetiology and pathogenesis......Page 253
Clinical features......Page 254
Diagnosis......Page 255
Treatment (see also Chs 4 and 5)......Page 256
Further reading......Page 257
Pathogenesis......Page 258
Clinical features......Page 259
Treatment of candidosis (see also Chs 4 and 5)......Page 260
Clinical features......Page 261
Clinical features......Page 262
Chronic mucocutaneous candidosis......Page 263
Aetiology and pathogenesis......Page 264
Clinical features......Page 265
Further reading......Page 266
Aetiology and pathogenesis......Page 268
Treatment (see also Chs 4 and 5)......Page 269
Follow-up of patients......Page 270
Further reading......Page 271
Aetiology and pathogenesis......Page 272
Clinical features......Page 273
Further reading......Page 274
Aetiology and pathogenesis......Page 275
Other mucosal lesions......Page 277
Treatment (see also Chs 4 and 5)......Page 278
Follow-up of patients......Page 279
Further reading......Page 280
Aetiology and pathogenesis......Page 281
Diagnosis......Page 282
Clinical features......Page 283
Treatment (see also Chs 4 and 5)......Page 284
Recurrent VZV infections......Page 285
Treatment (see also Chs 4 and 5)......Page 286
Complications......Page 287
Diagnosis......Page 288
Further reading......Page 289
Aetiology, pathogenesis and clinical features......Page 290
Geographic......Page 291
Further reading......Page 292
Diagnosis......Page 293
Clinical features......Page 294
Diagnosis......Page 295
Odontogenic tumours......Page 296
Diagnosis......Page 297
Clinical features and diagnosis......Page 298
Odontomes......Page 299
Geminated odontome......Page 300
Further reading......Page 301
Aetiology and pathogenesis......Page 302
Clinical features......Page 303
Emergent treatments......Page 304
Further reading......Page 305
Introduction......Page 306
Clinical features......Page 307
Diagnosis......Page 309
Treatment (see also Chs 4 and 5)......Page 310
Follow-up of patients......Page 311
Further reading......Page 312
Introduction......Page 313
Aetiology and pathogenesis......Page 314
Diagnosis......Page 315
Follow-up of patients......Page 316
Further reading......Page 317
Aetiology and pathogenesis......Page 318
Diagnosis......Page 320
Pleomorphic salivary adenoma (PSA: mixed salivary gland tumour)......Page 321
Mucoepidermoid tumour......Page 322
Further reading......Page 323
Age......Page 325
Aetiology and pathogenesis......Page 326
Clinical features......Page 327
Oral complications......Page 329
Autoantibodies and other blood tests......Page 331
Salivary gland biopsy......Page 332
Treatment (see also Chs 4 and 5)......Page 333
Follow-up of patients......Page 334
Further reading......Page 335
Trauma......Page 337
Imaging......Page 338
Possible treatments......Page 339
Follow-up of patients......Page 340
Further reading......Page 341
Age......Page 342
Diagnosis......Page 343
Medical treatment......Page 344
Glossopharyngeal neuralgia......Page 345
Further reading......Page 346
Age......Page 348
Acute HIV infection......Page 349
Aids......Page 350
Immune reconstitution inflammatory syndrome......Page 351
Aetiology and pathogenesis......Page 352
Hairy leukoplakia......Page 354
Gingival and periodontal disease......Page 355
Orofacial consequences of antiretroviral therapy (see also Ch. 5)......Page 356
Further reading......Page 357
Osteochemonecrosis......Page 359
Diagnosis......Page 361
Recreational drugs......Page 363
Cancer pain......Page 364
Cancer Surgery. Post-Operatively......Page 367
Trismus......Page 368
Flap complications......Page 369
Radiation toxicities......Page 370
Hyposalivation......Page 371
Clinical features......Page 373
Mucositis......Page 374
QoL......Page 375
Treatment (see also Chs 4 and 5)......Page 376
Haematopoietic stem cell transplantation......Page 377
Chronic GVHD......Page 378
Further reading......Page 379
Oral manifestations of disorders of specific systems......Page 382
Further reading......Page 390
Eponymous conditions......Page 391
Further reading......Page 397
Other conditions......Page 398
Glossary......Page 412
Index......Page 414