Robert E. Marx - Oral Pathology in Clinical Dental Practice

Oral Pathology in Clinical Dental Practice

Dedication

This book is dedicated to all those dentists who have picked up on diseases and conditions that have led to an early diagnosis and treatment, thus saving their patients from disease progression, deformity, and at times, even death.

It is also dedicated to those dentists who may have missed the early signs or obvious diseases while focusing exclusively on the dentition. It is hoped that this book will provide examples and guidance as well as the encouragement to be a diagnostician before being a treatment provider.

Library of Congress Cataloging-in-Publication Data

Names: Marx, Robert E., author.

Title: Oral pathology in clinical dental practice / Robert E. Marx.

Description: Hanover Park, IL : Quintessence Publishing Co. Inc., [2017]

|

Includes bibliographical references. | Description based on print version

record and CIP data provided by publisher; resource not viewed.

Identifiers: LCCN 2017028350 (print) | LCCN 2017028970 (ebook) | ISBN

9780867159073 (ebook) | ISBN 9780867157642 (hardcover)

Subjects: | MESH: Mouth--pathology | Jaw--pathology | Face--pathology | Mouth

Mucosa--pathology | Mouth Diseases--pathology | Jaw Diseases--pathology

Classification: LCC RK301 (ebook) | LCC RK301 (print) | NLM WU 140 | DDC

617.5/22--dc23

LC record available at https://lccn.loc.gov/2017028350

© 2017 Quintessence Publishing Co, Inc

Quintessence Publishing Co, Inc

4350 Chandler Drive

Hanover Park, IL 60133

www.quintpub.com

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All rights reserved. This book or any part thereof may not be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, or otherwise, without prior written permission of the publisher.

Editor: Leah Huffman

Design: Erica Neumann

Production: Sue Robinson

Printed in the USA

Preface Preface Dentists and their dental hygiene team historically have been the great identifiers of oral diseases—not only the common ones of dental caries and periodontal inflammation but also those of oral cancers, serious infections, systemic diseases, and many more. I have personally seen astute “pickups” by referring dentists that have identified serious conditions that actually saved lives. The early recognition of an abnormality, no matter how trivial it may seem at first, can result in a better chance for cure or control and treatments that reduce deformities and disabilities. On the other hand, I have also treated individuals in whom a denture was made incorporating the expansion of a tumor and several times a history consisting of repeated dental restorations around a fungating cancer. Although this other side of the coin is less common, it is a reality. This book was written to encourage the early recognition of oral disease and guide the dentist and dental hygiene team in how to recognize certain conditions and what path to take that will most benefit the patient. It also reviews each condition/disease in a concise manner so as to keep them up to date on how the disease develops, who is most likely to present with it, the clinical and radiographic appearance, a reasonable differential diagnosis, a brief overview of the most common microscopic appearance, and, importantly, a suggested course of action—that is, when to observe and for how long, when to refer and to whom, when to biopsy, and when to order tests and for what, etc. It is hoped that the descriptions and representative photographs as well as the guidance for each disease will help each dentist and dental hygiene team member become a complete oral health care professional and in doing so save a life or two.

Recommended Reading

Dentists and their dental hygiene team historically have been the great identifiers of oral diseases—not only the common ones of dental caries and periodontal inflammation but also those of oral cancers, serious infections, systemic diseases, and many more. I have personally seen astute “pickups” by referring dentists that have identified serious conditions that actually saved lives. The early recognition of an abnormality, no matter how trivial it may seem at first, can result in a better chance for cure or control and treatments that reduce deformities and disabilities.

On the other hand, I have also treated individuals in whom a denture was made incorporating the expansion of a tumor and several times a history consisting of repeated dental restorations around a fungating cancer. Although this other side of the coin is less common, it is a reality.