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This is a revised edition of a bestselling handbook. The authors have fully updated the text to include the most up to date treatment options, have added a section on head and neck imaging (CT/MRI), a series of self-test clinical cases, and 100 new photographs.

The book uses a symptom-based approach to assist the clinician in the diagnosis and management of those conditions that fall into the speciality of oral medicine. Dealing first with normal anatomy, physical examination and investigation—particularly lesional biopsy, hematological assessment and microbiological sampling—the authors cover all areas of those diseases, local and systemic, that manifest themselves in the lips and mouth. Conditions are grouped under their principal presenting sign—blistering, white patches, red patches, swelling, pigmentation, pain, dry mouth, altered taste, and halitosis.

This comprehensive handbook is of value to professionals and trainees in medicine, dentistry and pathology.

Editorial Reviews

From the Publisher
...perfect to keep in surgery for professionals and an equally valuable educational book for the student...excellent pictures of normal structures...ample information on special investigations...extremely user friendly...extremely well written...contains a remarkable 425 high quality colour photographs...clinical cases ...will be of particular use to the dental student...an excellent book, which covers the subject exceptionally well. Its concise nature and well planned structure make it one of the most accessible books in its field...a must have book for any dental or medical professional.
—A Jenkinson, BDJ, January 2013

Praise for the Previous Edition
A well written, well presented text...of interest, and clinical relevance to dental practitioners.
—British Dental Journal

A genuinely practical source of reference...lavishly illustrated...will appeal to dental undergraduates who are sure to find its well-planned layout and wealth of colour images of real value in their studies.
—Dental Update

Table of Contents

Preface (First edition)
Preface (Second edition)

A symptom-based approach to diagnosis
Clinical examination
Normal structures
Special investigation of orofacial disease
Salivary gland investigations
Imaging techniques

General approach
Traumatic ulceration
Recurrent aphthous stomatitis
Behçet’s disease
Cyclic neutropenia
Squamous cell carcinoma
Necrotizing sialometaplasia
Epstein–Barr virus-associated ulceration
Bisphononate-related osteonecrosis of the jaws
Acute necrotizing ulcerative gingivitis
Erosive lichen planus
Lichenoid reaction
Graft versus host disease
Radiotherapy-induced mucositis

General approach
Primary herpetic gingivostomatitis
Recurrent herpes simplex infection
Chickenpox and shingles
Hand, foot, and mouth disease
Epidermolysis bullosa
Erythema multiforme
Mucous membrane pemphigoid
Linear IgA disease
Dermatitis herpetiformis
Angina bullosa hemorrhagica

White patches
General approach
Lichen planus
Lichenoid reaction
Lupus erythematosus
Chemical burn
Pseudomembranous candidosis (thrush, candidiasis)
Chronic hyperplastic candidosis (candidal leukoplakia)
White sponge nevus
Dyskeratosis congenita
Frictional keratosis
Nicotinic stomatitis (smoker’s keratosis)
Squamous cell carcinoma
Skin graft
Hairy leukoplakia
Pyostomatitis vegetans
Submucous fibrosis
Cartilagenous choristoma

General approach
Radiation therapy mucositis
Contact hypersensitivity reaction
Lichen planus
Acute erythematous (atrophic) candidois (candidiasis)
Chronic erythematous (atrophic) candidosis (candidiasis)
Median rhomboid glossitis (superficial midline glossitis, central papillary atrophy)
Angular cheilitis
Geographic tongue (benign migratory glossitis, erythema migrans, stomatitis migrans)
Iron deficiency anemia
Pernicious anemia
Folic acid (folate) deficiency
Squamous cell carcinoma
Infectious mononucleosis (glandular fever)

General approach
Bacterial sialadenitis
Viral sialadenitis (mumps)
Sialosis (sialadenosis)
Mucocele and ranula
Salivary gland tumor (major gland)
Squamous cell carcinoma
Crohn’s disease
Orofacial granulomatosis
Paget’s disease (osteitis deformans)
Fibroepithelial polyp (focal fibrous hyperplasia, irritation fibroma)
Drug-induced gingival hyperplasia
Focal epithelial hyperplasia (Heck’s disease)
Salivary gland tumor (minor gland)
Denture-induced hyperplasia (denture granuloma)
Pyogenic granuloma (pregnancy epulis)
Peripheral giant cell granuloma (giant cell epulis)
Squamous papilloma
Infective warts (verruca vulgaris, condylomata acuminata)
Bone exostosis
Sialolith (salivary stone)
Tongue piercing

Pigmentation (including bleeding)
General approach
Amalgam tattoo (focal agyrosis)
Hemangioma (vascular nevus)
Sturge–Weber syndrome
Melanocytic nevus (pigmented nevus)
Melanotic macule
Malignant melanoma
Kaposi’s sarcoma
Hereditary hemorrhagic telangiectasia (Rendu– Osler–Weber disease)
Physiological pigmentation
Addison’s disease
Betel nut/pan chewing
Peutz–Jegher’s syndrome
Black hairy tongue
Drug-induced pigmentation
Smoker-associated melanosis

Orofacial pain (including sensory and motor disturbance)
General approach
Trigeminal neuralgia
Glossopharyngeal neuralgia
Postherpetic neuralgia
Giant cell arteritis
Burning mouth syndrome
Atypical facial pain
Atypical odontalgia
Temporomandibular joint dysfunction
Facial nerve palsy (Bell’s palsy)
Trigeminal nerve paresthesia or anesthesia

Dry mouth, excess salivation, coated tongue, halitosis, and altered taste
General approach
Xerostomia (dry mouth)
Sjögren’s syndrome
CREST syndrome
Excess salivation (sialorrhea)
Coated tongue
Halitosis (bad breath)
Altered taste

Test yourself

Further reading

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ISBN: 9781840761818
Publisher: CRC Press
Publication Date: Jan 10, 2012
Cover: paperback
Pages: 216
Weight: 0.455 kg
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