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Fundamentals of Oral Medicine and Radiology
Durgesh N Bailoor, KS Nagesh
1:
The Diagnostic Sequence
DEFINITION
History
Diagnostic Sequence
The Sequence
HISTORY AND COMPONENTS OF HISTORY1–3
Past Dental History
Past Medical History
Cardiovascular System
Respiratory System
Gastrointestinal and Hepatic
Endocrinal System
Genitourinary
Neurological
Trauma
Bleeding Disorders
For both Men and Women
Cranial Nerve Function
Personal and Family History
Concept of Habit Index
Habit Index
Social and Occupational History
EXAMINATION OF THE PATIENTS
General Examination
Extraoral Examination
Inspection
Palpation
SUMMARY
2:
Systemically Compromised Dental Patients
INTRODUCTION
ATOPY IN DENTAL OFFICE
Tests
Skin Test
Laboratory Tests
Management
CARDIOVASCULAR SYSTEM AND THE DENTAL PATIENT
DIABETES MELLITUS (DM)
RESPIRATORY SYSTEM DISEASES
THYROID DISORDERS AND DENTAL IMPLICATIONS
GASTROINTESTINAL SYSTEM
Xerostomia (Dry mouth)
Dysphagia
Inflammatory Bowel Disease (Crohn's Disease and Ulcerative Colitis)
Irritable Bowel Syndrome
ANEMIA
Causes of Anemia
Clinical Features
Dental Implications
Summary
HEPATITIS
Infectious Hepatitis or Hepatitis A
Serum Hepatitis or Hepatitis B
CIRRHOSIS
Renal Dysfunction Patients and Dentist
SUMMARY
3:
Dental Evaluation and Management in Pregnancy
INTRODUCTION
MATERNAL CHANGES
GENERAL GUIDELINES
First Trimester
Second Trimester
Third Trimester
SPECIFIC GUIDELINES
SUMMARY
4:
Temporomandibular Joint Diseases
INTRODUCTION
ANATOMY AND PHYSIOLOGY OF THE TMJ
Neurovascular Supply
Occlusion
SYMPTOMS AND SIGNS OF TMD
RISK FACTORS FOR TMD
CLASSIFICATION OF TMJ DISEASE
Condylar Problems—Congenital (Aplasia, Hypoplasia, Hyperplasia, Dysplasia)
Developmental Problems
Condylar Problems (Acquired—Tumors, Fractures, Bony ankylosis)
Fractures of the Condylar, Subcondylar Region
Ankylosis
Trauma to the TMJ—Micro and Macro Trauma
Subluxation/Dislocation
Internal Derangements
Myofacial Pain Dysfunction Syndrome (MPDS)
Infective Process of the TMJ
Treatment
Rheumatoid Arthritis of the TMJ
Juvenile Rheumatoid Arthritis (Still's Disease)
Treatment
Osteoarthritic Changes in the TMJ
Gout
Psoriatic Arthritis
Diagnostic Methods
SUMMARY
5:
Maxillary Sinus and its Dental Implications
INTRODUCTION
RADIOGRAPHY OF THE MAXILLARY SINUS
Recent Techniques
TAXONOMY OF SINUS PATHOLOGY
MAXILLARY SINUSITIS OF ORAL ORIGIN
Chronic Sinusitis10
Oro-Antral Fistula
CYSTS OF THE ANTRUM
Mucosal Cysts or Intrinsic Cysts
Fractures of the Maxilla
Antroliths
MALIGNANCY AFFECTING THE SINUS
Benign (see Fig. 5.6)
Malignant
MELANOTIC NEUROECTODERMAL TUMOR OF INFANCY (MNTI)
Clinical Features
CARCINOMA OF THE MAXILLARY ANTRUM [CaANTRUM]
Features
CONCLUSION
6:
Medical Emergencies in Dental Practice
INTRODUCTION
LA COMPLICATIONS
SYNCOPE
CVS EMERGENCIES
RESPIRATORY EMERGENCIES
Bronchial Asthma
Sign and Symptoms of Bronchial Asthma
Management of Bronchial Asthma
Respiratory Obstruction
MISCELLANEOUS EMERGENCIES
Calcium Route: IV6
Epileptic Attack
DIABETES MELLITUS
Diabetic Coma (Hyperglycemic shock)
Signs and Symptoms
Insulin Shock (Hypoglycemic Shock)
Signs and Symptoms
Management of Insulin Shock
RARE EMERGENCIES
ANAPHYLAXIS
HEMORRHAGIC EMERGENCIES
CONCLUSION
7:
Bleeding in the Dental Clinic: Causes and Management
INTRODUCTION
LOCAL CAUSES
SYSTEMIC CAUSES
Blood Vessel Related
Thrombocyte Related Disorder
Thrombocytopenia
Thrombasthenia
Clotting Factor Related
Hereditary
Acquired
Miscellaneous Causes
Platelet Disorders
Platelets
Thrombocytopenia
Thrombocytosis
Thrombocytopathy (Thrombasthenias)
Acquired Abnormalities of Platelet Function
Blood Clotting Disorders (Congenital-Acquired)
Congenital
Acquired Disorders
INDICATORS FOR THE DENTAL MANAGEMENT
Low Risk Dental Patients—CAT-1
Moderate Risk Dental Patients—CAT-2
Severe Risk Dental Patients—CAT-3
DENTAL MANAGEMENT OF PATIENTS WITH BLEEDING DISORDERS
Specific Guidelines
SUMMARY
8:
Calcium Metabolism*
INTRODUCTION
SOURCE
DAILY REQUIREMENTS
CALCIUM ABSORPTION AND FACTORS EFFECTING CALCIUM ABSORPTION
DISTRIBUTION OF CALCIUM IN THE BODY
CALCIUM AND PHOSPHATE PRODUCT IN SERUM
PHYSIOLOGICAL FUNCTIONS OF CALCIUM
CALCIUM HOMEOSTASIS AND REGULATION OF CALCIUM METABOLISM
DISORDERS OF CALCIUM METABOLISM
Effects of Calcium Deficiency
Hypoparathyroidism
Treatment
Hyperparathyroidism leading to Hypercalcemia
Hypercalcemia
Paget's Disease
Osteoporosis
SUMMARY
ALKALINE PHOSPHATASE, AND LEUKOCYTE ALKALINE PHOSPHATASE
Alkaline Phosphatase
TRADE NAMES OF SOME CALCIUM FORMULATIONS AVAILABLE IN INDIA
9:
Oral Manifestations of HIV Infection
INTRODUCTION
HISTORICAL REVIEW
TRANSMISSION OF HIV
DEFINITION OF AIDS
INFECTION AND PROGRESS OF HIV INFECTION/AIDS
WHO CRITERIA OF HIV INFECTION
Cardinal Findings
Adults
Children
Characteristics Findings
Adults
Children
Associated Findings
Adults
Children
ORAL MANIFESTATIONS
Revised Classification
Group I: Lesions Strongly Associated with HIV Infection
Group II: Lesions Commonly Associated with HIV Infection
Group III: Lesions Uncommonly Associated with HIV Infection
Incidence and Prevalence of Oral Manifestations
DIAGNOSIS OF AIDS
Nonspecific Tests
Specific Tests
HIV Antibody Tests and Polymerase Chain Reaction (PCR)
Polymerase Chain Reaction (PCR)
MANAGEMENT
Use of HAART
What should a Dentist do?
CONCLUSION
10:
Facial Pain and Neurological Diseases
INTRODUCTION
DEFINITION
THEORIES OF PAIN
CLASSIFICATION OF OROFACIAL PAIN
Pain Control—Methods
NEURALGIA
Classification
Glossopharyngeal Neuralgia (GN)
Post-herpetic Neuralgia (PHN)
Raeder's Para-trigeminal Neuralgia
FACIAL NERVE PARALYSIS
LYME DISEASE
EPILEPSY
ATYPICAL FACIAL PAIN
SPHENOPALATINE NEURALGIA
Frey's Syndrome
Barodontalgia32
MIGRAINE
Drug Therapy
SUMMARY
11:
Developmental Disturbances of Dental and Facial Structures
INTRODUCTION
CLASSIFICATION
DEVELOPMENTAL DISTURBANCES OF THE JAWS
Agnathia
Micrognathia
Macrognathia
Facial Hemihypertrophy
Etiology
Clinical Features
Oral Manifestations
Treatment and Prognosis
Differential Diagnosis
Facial Hemiatrophy
Etiology
Clinical Features
Oral Manifestations
Treatment and Prognosis
Abnormalities of Dental Arch Relations
DEVELOPMENTAL DISTURBANCES OF THE LIPS AND PALATE
Congenital Lip and Commissural Pits and Fistulas
Etiology
Clinical Features
Treatment
Double Lip
Clinical Features
Treatment
Cleft Lip and Cleft Palate
Etiology
Dietary Factors
Clinical Features
Role of Dental Surgeon
OROFACIAL DIGITAL SYNDROME
Hairy Tongue
Cheilitis Glandularis
Cheilitis Granulomatosa (CG)
Labial and Oral Melanotic Macule (OMM)
Fordyces Granules
Clinical Features
Treatment
Focal Epithelial Hyperplasia (Heck's Disease)
Peutz-Jeghers Syndrome
Oral Manifestations
Papillon-Lefevre Syndrome
Dyskeratosis Congenita (DC)
Fibromatosus Gingivae (Elephantiasis Gingivae, Hereditary Gingival Fibromatosis; Congenital Macrogingivae)
Clinical Features
Treatment and Prognosis
Retrocuspid Papilla
Clinical Features
DEVELOPMENTAL DISORDERS AFFECTING THE TEETH
Developmental Disturbances in Size of Teeth
Microdontia
Developmental Disturbances in Shape of Teeth (Fig. 11.6)
Gemination
Fusion
Concrescene
Dilaceration
Talon Cusp
Dens in Dente (DID)
Dens Evaginatus
Taurodontism (T)
Supernumerary Roots
Anodontia—Supernumerary Teeth—Predecious Dentition—Postpermanent Dentition
Developmental Disturbances in Number of Teeth
Supernumerary Teeth: Gardener's Syndrome
Predecidious Dentition
A REVIEW OF GENETIC DISORDERS OF OROFACIAL REGION
P. RAMACHANDRA REDDI
HEREDITARY DEFECTS OF THE ENAMEL
Amelogenesis Imperfecta
Hypoplastic Amelogenesis Imperfecta
Hypocalcified Amelogenesis Imperfecta
Dentinogenesis Imperfecta
Odontodysplasia
HEREDITARY DISORDERS AFFECTING THE ENTIRE MORPHOLOGY OF THE TOOTH
Hereditary Disorders of the Periodontal Ligament
Familial Juvenile Periodontosis
Papillon-Lefevre Syndrome
Cleidocranial Dysplasia
Cherubism
SYNDROMES INVOLVING ORO-FACIAL STRUCTURES
Apert's Syndrome
Oral Manifestations
Craniofacial Dysostosis (Crouzon's Disease)
Down's Syndrome (Trisomy 21 Syndrome)
Oral Manifestations
Ectodermal Dysplasia (Anhidrotic or hypohidrotic)
Oral Manifestations
Ehlers-Danlos Syndrome
Oral Manifestations
Familial Gingival Fibromatosis
Mandibulofacial Dysostosis (Treacher Collins Syndrome)
Acanthosis Nigricans
Oral Manifestations
White Sponge Nevus
MANAGEMENT OF GENETIC DISEASES
SUMMARY
12:
White Lesions of Oral Mucosa
INTRODUCTION
Mechanisms Why the Lesions Appear White?
Classification
First Classification
Second Classification
Third Classification
VARIANTS OF NORMAL FORDYCES GRANULES, LINEA ALBA, LEUKOEDEMA, HBID—(HEREDITARY BENIGN INTRAEPITHELIAL DYSKERATOSIS)
Fordyce's Granules
Linea Alba
Leukoedema
Leukoplakia
Definition
Risk Factors
Clinical Types
Histologic Types
List of Histopathologic Features that we look for in the Light Microscopy of Leukoplakia
Classification and Staging
Treatment of Leukoplakia
Lichen Planus
Clinical Features and Types (Reticular Type)
Histopathology
Treatment
Differential Diagnosis
Erythroplakia
Clinical Variants
Stomatitis Nicotina
Differential Diagnosis (Buchner and Sandbank)15
Snuff Dippers Lesion
Electrogalvanic White Lesions
White Hairy Tongue
Treatment
Papilloma
Differential Diagnosis
Management
White Sponge Nevus
Features
Differential Diagnosis
Skin Graft
Oral Submucous Fibrosis
Verrucous Carcinoma
Candidiasis
Clinical Features
Treatment
Chronic Hyperplastic Candidiasis
Squamous Cell Carcinoma
13:
Vesiculo-bullous and Ulcerative Lesions of Oral Mucosa
INTRODUCTION
CLASSIFICATION
EPIDERMOLYSIS BULLOSA (EB)
TRAUMATIC ULCER
ALLERGIC REACTIONS
Angioedema
VIRAL
Herpes Zoster
Etiology
Clinical Manifestations
Diagnosis
Complications
Oral Findings
Treatment
Herpangina
Etiology
Clinical Manifestations
Difference between IRHS and HRP
Laboratory Findings
Treatment
Hand-foot and Mouth Disease
Etiology
Clinical Manifestation
Treatment
Hoof and Mouth Disease
AUTOIMMUNE GROUP
Erythema Multiforme (EM)
Etiology
Clinical Manifestations
Oral Lesions
Treatment
Stevens-Johnson Syndrome (SJ Syndrome)
Acute Epidermal Necrolysis
UNKNOWN ORIGIN
Aphthous Ulcers-Recurrent Aphthous Stomatitis
Treatment
Pemphigus Vulgaris
Clinical Manifestation
Oral Manifestation
Diagnosis
Lab Test
Treatment
Bullous Pemphigoid
Oral Manifestation
Diagnosis
Treatment
Cicatricial Pemphigoid
Diagnosis
Oral Manifestations
Erosive Lichen Planus
CONCLUSION
14:
Pigmentation of the Oral and Perioral Tissues
INTRODUCTION
CLASSIFICATION
ENDOGENOUS PIGMENTATION
Melanin
Local and Systemic
Blood Pigment and Bile Pigment (Hemoglobin Derivatives)
Hemochromatosis (Bronze Diabetes)
Jaundice
Carotene
Carotenemia
Lipofuscin
EXOGENOUS PIGMENTATION
SIGNIFICANCE OF ORAL PIGMENTATION IN SYSTEMIC DISEASE
DRUG RELATED PIGMENTED LESIONS
SOME SYNDROMES ASSOCIATED WITH ORAL AND PERIORAL PIGMENTATION
Peutz-Jeghers Syndrome (PJS)
Laugier-Hunziker Syndrome (LH syndrome)
MISCELLANEOUS LESIONS
SUMMARY
15:
Cysts of the Oral Regions
INTRODUCTION
CLINICAL SIGNIFICANCE OF CYSTS OF OROFACIAL REGION
DEFINITION
PARTS OF A CYST
The Lumen
Cyst Fluid Composition
Blood Products
CLASSIFICATION OF CYSTS OF THE HEAD AND NECK
Gorlin's Classification (1970)
Odontogenic Cysts
Non-odontogenic and Fissural Cysts
Cysts of Neck, Oral Floor and Salivary Glands
Pseudocysts of the Jaws
The WHO Classification (1971)
Epithelial Cysts
Cysts of the Head and Neck (Rawal's classification)
True Cysts
Pseudocysts (False cysts)
MECHANISM OF CYST GROWTH AND ENLARGEMENT
Theories
Pathogenesis
THE ODONTOGENIC CYSTS: THE INFLAMMATORY CYSTS
THE RADICULAR CYST
Synonyms
Etiology
Clinical Features
Radiographic Features
Treatment and Prognosis
Complications
The Paradental Cyst
Synonyms
Introduction
Pathogenesis
Clinical Features
Radiographic Features
Treatment and Prognosis
Inflammatory Lateral Periodontal Cyst (Lateral Radicular Cyst)
The Residual Cyst
THE DEVELOPMENTAL CYSTS
The Odontogenic Keratocysts
Introduction
Pathogenesis
Clinical Features
Radiographic Features
Histologic Features
Treatment
Reasons for the High Rate of Recurrence
Complications
The Primordial Cyst
Pathogenesis
Clinical Features
Radiographic Features
Histologic Features
Treatment
The Dentigerous Cyst (Follicular Cyst)
Introduction
Pathogenesis
Clinical Features
Radiographic Features
Histologic Features
Treatment
Complications
The Eruption Cyst
Pathogenesis
Clinical Features
The Lateral Periodontal Cyst
Radiographic Features
Treatment
Dental Lamina Cyst of the Newborn
Synonym
Introduction
Clinical Features
Treatment
Gingival Cysts of the Adult
Introduction
Pathogenesis
Clinical Features
Treatment
Calcifying Epithelial Odontogenic Cyst
Synonyms
Introduction
Pathogenesis
Clinical Features
Radiographic Features
Histologic Features
Treatment
Nonodontogenic Cysts
THE RETENTION CYSTS
Mucous Retention Cysts
Synonym
Pathogenesis
Clinical Features
Treatment
Sebaceous Cyst
Synonym
Introduction
Clinical Features
Complications
FISSURAL (INCLUSION) CYSTS
The Globulomaxillary Cyst
Pathogenesis
Clinical Features
Radiographic Features
The Nasopalatine Duct Cyst
Synonyms
Introduction
Pathogenesis
Clinical Features
Radiographic Features
Median Palatal Cyst
Median Mandibular Cyst
SOFT TISSUE CYSTS
Epstein's Pearls and Bohn's Nodules
Nasoalveolar Cyst
Synonyms
Thyroglossal Tract Cyst
Heterotopic Oral Gastrointestinal Cyst
Dermoid Cyst
PSEUDOCYSTS (FALSE CYSTS)
Aneurysmal Bone Cyst
Etiopathogenesis
Clinical Features
Radiographic Features
Static Bone Cyst
Synonyms
Traumatic Bone Cyst
Synonyms
Pathogenesis
Clinical Features
Radiographic Features
Treatment
Mucous Extravasation Cyst
CONCLUSION
16:
Oral Precancer
INTRODUCTION
DIAGNOSTIC STEPS
PRECANCEROUS CONDITIONS
Oral Submucus Fibrosis (OSMF)
Review of Literature
Risk Factors
Diagnosis
Staging
Treatment
Sideropenic Dysphagia (Paterson-Kelly Syndrome; Plummer-Vinson Syndrome)
Syphilitic Glossitis
Xeroderma Pigmentosum
THE PRECANCEROUS LESIONS
Leukoplakia
Erythroplakia
Stomatitis Nicotina
Erosive Lichen Planus
Bowen's Disease
Dyskeratosis Congenita
DLE—Discoid Lupus Erythematosus
CONCLUSION
17:
Oral Cancer: Squamous Cell Carcinoma
INTRODUCTION
RISK FACTORS
CLINICAL FEATURES
STAGING OF ORAL CANCER**
EVALUATION OF THE SUSPECTED CARCINOMA LESION
Toludine Blue Staining
Exfoliative Cytology
Biopsy Procedure
TREATMENT
Surgical Treatment
Radiation Therapy
Chemotherapy
Lasers in Cancer Therapy
Cryosurgery and Hyperthermia
Gene Therapy
Immunotherapy/Biotherapy
Role of Dental Surgeon in the Management of OC
CONCLUSION
18:
Salivary Gland Disorders
INTRODUCTION
INVESTIGATIONS
Sialography
Definition
Indications
Contraindications
Armamentarium
Method
Interpretation
Sialographic Findings
Special Techniques
Sialochemistry
SIALODOCHITIS FIBRINOSA (KUSSMAUL'S DISEASE)
SIALOLITHIASIS
Diagnosis
Treatment
AUTOIMMUNE SIALOSIS
Clinical Findings
Treatment
VIRAL INFECTION—MUMPS
ACUTE SUPPURATIVE SIALADENITIS
ALLERGIC SIALADENITIS
SIALADENOSIS
SALIVARY GLAND NEOPLASMS
Clinical Findings
MUCOCELE
Treatment
DEVELOPMENTAL ANOMALIES
Aberrant Salivary Glands
Aplasia and Hypoplasia
Accessory Ducts
Diverticuli
SUMMARY
19:
Odontogenic Tumors
INTRODUCTION
EPITHELIAL TUMORS
Ameloblastoma (AMB)
Clinical Features
Radiographic Appearance
Histopathology
Follow-up of AMB
Differential Diagnosis (DD)
Treatment
Calcifying Epithelial Odontogenic Tumor (CEOT)
Clinical Features
Radiographic Features
Histopathological Features
Differential Diagnosis
Treatment
Adenomatoid Odontogenic Tumor (AOT)
Clinical Features
Radiographically
Histopathology
Differential Diagnosis
Treatment
TUMORS ARISING FROM MESENCHYMAL ODONTOGENIC TISSUES
Odontogenic Myxoma
Clinical Features
Radiographic Features
Histopathological Features
Differential Diagnosis
Treatment
Central Odontogenic Fibroma
Cementifying Fibroma
Histopathological Features
Differential Diagnosis
Treatment
Cementoblastoma
Radiographic Features
Histopathologic Features
Differential Diagnosis
Treatment
Periapical Cemental Dysplasia
Clinical Features
Radiographic Features
Florid Osseous Dysplasia (FOD)
Histopathological Features
Differential Diagnosis (DD)
Treatment
MIXED—EPITHELIAL AND MESENCHYMAL TUMORS
Odontoma
Clinical Features
Radiographic Features
Histopathological Features
Differential Diagnosis
Treatment
Ameloblastic Fibroma (AF)/Ameloblastic Fibro-odontoma (AFO)
Radiographic Features
Histopathological Features
Differential Diagnosis
Treatment
CONCLUSION
20:
Reactive Lesions and Nonodontogenic Tumors
INTRODUCTION
REACTIVE LESIONS
Fibrous Dysplasia
Radiation Mucositis
Torus Mandibularis—Maxillaris
HAMARTOMAS
Hemangioma
Lymphangioma
Nevus
BENIGN TUMORS
Epithelial Origin—Papilloma—Keratoacanthoma
Papilloma
Keratoacanthoma
Fibroma-Lipoma
Chondroma—Osteoma Variants—Mixed Variants like Benign Chondroblastoma—Chondromyxoid Fibroma, etc.
MALIGNANT TUMORS
Epithelial Origin
Malignant Melanoma
Connective Tissue Origin
Osteosarcoma-Chondrosarcoma
Chondrosarcoma of the Jaws
Lymphoreticular System
Lymphoma-Multiple Myeloma
Hodgkin's Disease—Non-Hodgkin's Lymphoma—Burkitt's Lymphoma
Multiple Myeloma (MM)
CONCLUSION
21:
Halitosis
INTRODUCTION
DEFINITION
CLASSIFICATION AND CAUSES
Physiologic Causes
Pathologic
Psychogenic
HALITOSIS PRODUCTION
Xerostomia
MEASUREMENT OF HALITOSIS
Organoleptic Measurements
TREATMENT
SUMMARY
CONCLUSION
22:
Dysphagia
INTRODUCTION
NORMAL SWALLOW PHYSIOLOGY
DEFINITION
CLINICAL FEATURES
EVALUATION OF PATIENTS WITH DYSPHAGIA
Algorithm for the Differential Diagnosis of Dysphagia
DIAGNOSTIC TESTS
TREATMENT
CONCLUSION
23:
Radiation Physics, Properties and Production of X-rays
INTRODUCTION
NATURE OF RADIATION
ELECTROMAGNETIC SPECTRUM (EM SPECTRUM)
Two Main Types of Medical Uses of X-rays
PRODUCTION OF DIAGNOSTIC X-RAYS
Circuits of the X-ray Tube
Structure
PROCESS
Factors Controlling the X-ray Beam Emanating from the Dental Tube
Interaction of X-rays with Matter
Half Value Layer (HVL)
SUMMARY
24:
Radiation Hygiene
INTRODUCTION
DOSIMETRY
RADIATION BIOLOGY
SOURCES OF RADIATION
RISK VERSUS BENEFIT OF DENTAL FILMS
Critical Organs
RADIATION PROTECTION FOR THE PATIENT
OPERATOR PROTECTION FROM RADIATION
EFFECT OF THERAPEUTIC RADIATION
WHOLE BODY RADIATION
SUMMARY
25:
Radiographic Investigation
INTRODUCTION
Bisecting Angle Technique
Angulation of Tube Head
General Steps for Making an Exposure (Bisecting Angle Technique)
Courteously Seat the Patient
BITEWING EXAMINATION
Indications for Bitewing Technique
OCCLUSAL RADIOGRAPHY
EXTRAORAL RADIOGRAPHIC EXAMINATIONS
Projection
SPECIALIZED IMAGING TECHNIQUES
THERMOGRAPHY
ULTRASOUND (US)
CT SCAN
Advantages of CT
Disadvantages of CT
MAGNETIC RESONANCE IMAGING (MRI)
Basic Principle
Disadvantages of MRI
Potential Hazards Associated with MRI
ENDOSCOPIC EXAMINATION
Sialoendoscopy for Salivary Gland Disease Treatment
Video Attached to a Endoscope
Endoscope used in TMJ Internals Derangements for Lavage and Lysis
RADIONUCLIDE DIAGNOSIS (RND)
Scintigraphic Technique
Disadvantages of Scintigraphy
CONCLUSION
26:
Films and Media
INTRODUCTION
BRIEF HISTORICAL REVIEW
STRUCTURE OF FILM
Intensifying Screens
Types
Processing X-ray Film
Detailed Explanation
Formation of Latent Image
Processing Solutions
Developer Solution
Rinsing in Running Water
Fixing Solution
Processing
Automatic Processors
Rapid Processing Chemicals
Grids
DIGITAL RADIOGRAPHY OR DIGITAL IMAGING (RADIO-VISIOGRAPHY RVG)
Disadvantages of the RVG
Advantages of RVG
Indirect Digital Radiography
Digitization of Existing Radiographs
Digital Subtraction Radiography (DSR)
Some Examples
Selenium based Digital Radiographic Systems
Xeroradiography
CONCLUSION
27:
Radiographic Interpretation
INTRODUCTION
SYSTEMATIC APPROACH
RADIOLUCENT LANDMARKS OF MAXILLA
RADIOPAQUE LANDMARKS OF MAXILLA (Figs 27.7 and 27.8)
RADIOLUCENT LANDMARKS OF MANDIBLE
RADIOPAQUE LANDMARKS OF MANDIBLE (Fig. 27.12)
RADIOGRAPHIC APPEARANCES OF PATHOLOGICAL LESIONS2
Radiographic Appearances of Periapical Lesions
Root Resorption
Hypercementosis
Radiographic Appearance of Periodontal Diseases
CONCLUSION
28:
Errors in Dental Radiography
INTRODUCTION
IDEAL RADIOGRAPH
FAULTY RADIOGRAPHS
PROJECTION ERRORS
EXPOSURE AND PROCESSING ERRORS
ARTIFACTS ERRORS
CONCLUSION
29:
Orthopantomography
INTRODUCTION
HISTORY
PANTOMOGRAPHIC MACHINE (See Fig. 29.1)
PATIENT POSITIONING AND ESTABLISHING EXPOSURE FACTORS
Patient Positioning
Panoramic Ghosts
ADVANTAGES AND DISADVANTAGES
Advantages
Disadvantages
Interpretation13
CONCLUSION
30:
Computers in Dental Practice
INTRODUCTION
WHAT IS A COMPUTER?
SPECIFICATIONS IN A COMPUTER
COMPUTERS IN A DENTAL CLINIC SET-UP
COMPUTERS IN HOSPITAL SET-UP
COMPUTERS IN A DENTAL HOSPITAL
EXPERT SYSTEMS
USES OF COMPUTERS IN A GENERAL DENTAL CLINIC
Record Keeping, Accounts and Administration
Practice Management
Patient Education
VIRTUAL REALITY (VR)
USE OF COMPUTERS IN DIFFERENT SPECIALITIES OF DENTISTRY
Oral Pathology
Periodontia
Conservative Dentistry and Endodontics
Oral Surgery
Orthodontia
Prosthodontics
Community Dentistry
INTERNET AND RELATED ISSUES
USE OF INTERNET IN DENTISTRY
Dental Resources on the Internet
ADVANCES IN COMPUTERS
DARK SIDE OF COMPUTERIZATION
CONCLUSION
31:
Forensic Odontology in Dental Practice
INTRODUCTION
STEPS IN COLLECTION OF EVIDENCE (Fig. 31.1)
CLASSIFICATION
Civil
Criminal
Research
MAINTENANCE OF DENTAL RECORDS
CONSENT
Consent for Research Work
Consent for Medicolegal Purposes
Consent in Case of Minor or Lunatic (Mentally unsound) Patient
Consent for the Major Patient
TORTOUS LIABILITY
BITE MARKS
Class Patterns of Tooth Types
Individual Characteristics
Methods of Bite Marks Comparisons
Computerized Method
Photographic Method
Impression Method
Manual Overlay Method
Palatal Rugae Pattern Evaluation
SALIVA DETECTION
NON-ACCIDENTAL INJURY
DENTURE MARKING
USE OF PRINT MEDIA AND INTERNET IN FORENSIC ODONTOLOGY
CONCLUSION
32:
Biopsychosocial Model of Illness and Oral Medicine
INTRODUCTION
Biopsychosocial Model of Health
TEMPOROMANDIBULAR PAIN-DYSFUNCTION (TMPD) SYNDROME
BURNING MOUTH SYNDROME
XEROSTOMIA
ATYPICAL FACIAL PAIN
ODONTOPHOBIA
CANCEROPHOBIA
SUMMARY
33:
Occupational Hazards in Dentistry
INTRODUCTION
HAZARDS
INFECTIOUS DISEASES
POSTURAL, ORTHOPEDIC PROBLEMS AND RSI
NOISE POLLUTION AND VISUAL DISTURBANCES
RISK RELATED TO THE DENTAL MATERIAL
Drugs and Equipments
Mercury Toxicity and Allergy
Ineffective Drugs in Clinical Practice
Radiation Hygiene
Stress and Burnout
MEDICOLEGAL PROBLEMS
BIO-WASTE DISPOSAL AND RELATED PROBLEMS
SUMMARY
34:
Lasers in Dentistry
INTRODUCTION
PHYSICS OF LASER
Interaction with Biologic Tissue-Hard Tissues-Dental Pulp
SAFETY CONSIDERATIONS
TYPES OF LASERS
SOME CLINICAL APPLICATIONS
Pediatric Dentistry
ADVANTAGES OF THE USE OF DENTAL LASERS IN DENTAL PRACTICE
SUMMARY
35:
Clinical Pharmacology: Corticosteroids in Dentistry
INTRODUCTION
PHYSIOLOGY AND PHARMACOLOGY
MECHANISM OF ACTION
CLINICAL APPLICATION (Remembered as EROS)
Medical Indications2
Dental Indications3
CONTRAINDICATIONS (CAUTIONARY INDICATIONS)4
ACTION OF CORTICOSTEROIDS5
SIDE EFFECTS OF CORTICOSTEROIDS
PREPARATIONS
SOME CLINICAL SITUATIONS
CONCLUSION
36:
Applied Clinical Pharmacology: Antibiotics, Analgesics and Anxiolytics in Dental Practice
INTRODUCTION
ANTIBIOTIC EFFECTIVENESS
Mechanism of Action
Spectrum of Action
Other Facts
Rationale of Antibiotic Therapy
Antibiotic Abuse
Commonly Used Antibiotics
Penicillin
Cephalosporine
Tetracycline
Minocycline
Macrolides
ANALGESIC AND ANTI-INFLAMMATORY
Opioids
Non-steroidal with Inflammatory Drugs (NSAIDs)
Commonly Used Drugs in Pain Control
Aspirin and Paracetamol
COX-II Inhibitors
ANXIOLYTICS
Clinical Situations
CONCLUSION
37:
Pulpal Pathosis
INTRODUCTION
PAIN PERCEPTION IN THE PULP
DIAGNOSIS OF PULP PATHOSIS
CLASSIFICATION OF PULP PATHOSIS
INFLAMMATORY DISEASES OF PULP
Reversible Pulpitis
Hypersensitive Dentin
Hyperemia
Irreversible Pulpitis
Painful Pulpitis
Acute Pulpitis
Subacute Pulpitis
Diagnosis of Painful Pulpitis
Non-painful Pulpitis
OTHER PULPAL CHANGES
Necrosis
Diagnosis
Endo-antral Syndrome
Degenerative (Retrogressive) Changes
Atrophic Pulposis
Calcifications
INTERNAL RESORPTION (INTERNAL GRANULOMA, ODONTOCLASTOMA, PINK TOOTH)
SUMMARY
38:
Infections of the Oral Cavity
INTRODUCTION
ORAL CANDIDIASIS
Predisposing Factors
Clinical Features
Microscopically
Treatment
PHARYNGITIS
MLNS OR MUCOCUTANEOUS LYMPH NODE SYNDROME
ORAL LESIONS CAUSED BY SEXUALLY TRANSMITTED DISEASES (STD)
Pharyngeal Gonorrhea
Oral Lesions Caused by Chlamydia trachomatis
Syphilis
Primary Syphilis
Secondary Syphilis
Tertiary Syphilis
Congenital Syphilis
MYCOBACTERIAL INFECTIONS
Tuberculosis (TB)
Cutaneous Tuberculosis from Hematogenous Spread
Mycobacteria Leprosy
Periodontal Abscess
Cellulitis
Abscess
Draining Sinus
Antibioma
Other Types of Infections
Osteomyelitis of the Jaws
Diffuse-sclerosing Osteomyelitis (DSO)
Proliferative Periostitis (Garre's Osteomyelitis) PP
Management of Infections
CONCLUSION
39:
Radiotherapy in Head and Neck Cancers
DEFINITION
PRINCIPLES OF RADIOTHERAPY (RT)
Radiobiology
PHYSICAL CONCEPTS IN RADIATION ONCOLOGY
METHODS OF DELIVERY OF RADIOTHERAPY
Teletherapy
Superficial Therapy
Orthovoltage Therapy (Kilovoltage)
Telecobalt Teletherapy (Co60)
Linear Accelerator
Brachytherapy
Internal Therapy
External Radiotherapy
Steps in External Beam Therapy (EBT) Procedure
SIDE EFFECTS OF RADIATION
Late Reaction
ADVANTAGES OF RADIOTHERAPY
DISADVANTAGES OF RADIOTHERAPY
FRACTIONATION IN RADIOTHERAPY
Conventional Fractionation
Hyperfractionation
Accelerated Fractionation
Accelerated Hyperfractionation
Concomitant-boost Technique
Hypofractionation
Split Course Therapy
BRACHYTHERAPY
High Dose Rate (HDR) Brachytherapy
MANAGEMENT OF HEAD AND NECK CANCER
Baseline Investigations
Tumor Board
Role of Radiotherapy
Indications of RT
Combined Surgery and Radiotherapy
Indications for Postoperative Radiotherapy
Timing of Radiation
Combined Chemotherapy and Radiotherapy Treatment
Neoadjuvant/Anterior/Induction Chemotherapy
Concurrent or Concomitant Chemotherapy
Adjuvant Chemotherapy
Preradiotherapy Evaluation
General
Dose of Radiotherapy
Post-treatment Protocol
Role of Oral Physician
Follow-up Protocols
Newer Radiation Delivery Techniques
Drugs Used to Minimize the Side Effects of Radiotherapy
Palliative Radiotherapy
Radiotherapy—Indian Scenario
LIST OF REGIONAL CANCER CENTERS (Table 39.4)
CONCLUSION
40:
Complementary and Alternative Medicine: Emerging Vistas in Healing
INTRODUCTION
OTHER NAMES OF ALTERNATIVE MEDICINES
CLASSIFICATION OF ALTERNATIVE MEDICINE
AYURVEDA
PATHOPHYSIOLOGY OF DISEASES
Own Tongue as a Mirror Image of Body
NATUROPATHY
MUSIC THERAPY
ACUPUNCTURE
Principle of Acupuncture
TIBETAN MEDICINE
Theory of Tibetan Medicine
HOMEOPATHY MEDICINE
HUMOR THERAPY
SPIRITUAL HEALING
MEDITATION
Three Stages of Meditation
Types of Meditation
YOGA
UNANI (Based on the Greece Philosophy)
Diagnosis
Treatment
COMPLEMENTARY AND ALTERNATIVE MEDICINE IN DENTISTRY
CONCLUSION
INDEX
TOC
Index
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