Textbook of Oral Pathology Anil Ghom, Shubhangi Mhaske
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1Textbook of Oral Pathology
2Textbook of Oral Pathology
Anil Ghom MDS (Oral Medicine & Radiology) Professor and Head Department of Oral Medicine and Radiology Chhattisgarh Dental College and Research Center Sundra Rajandagao, Chhattisgarh India Shubhangi Mhaske MDS (Oral Pathology) Associate Professor Department Incharge, Department of Oral Pathology, People's Dental Academy Bhopal (MP) India
3Published by
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
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Textbook of Oral Pathology
© 2008, Jaypee Brothers Medical Publishers
All rights reserved. No part of this publication and should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the authors and the publisher.
This book has been published in good faith that the materials provided by authors is original. Every effort is made to ensure accuracy of material, but the publisher, printer and authors will not be held responsible for any inadvertent error(s). In case of any dispute, all legal matters are to be settled under Delhi jurisdiction only.
First Edition: 2009
9788184484021
Typeset at JPBMP typesetting unit
Printed at Replica4
Dedicated
to
The students of dentistry
“Prayer is not to lighten your burden, but to strengthen your back, have FAITH in yourself and your Almighty, as FAITH doesn't move mountains but gives power to climb them”
5Contributors 6Foreword
It gives me immense pleasure to write few words about the Textbook of Oral Pathology.
This book is the outcome of combined efforts of Dr Anil Ghom, Professor of Oral Medicine and Radiology and Dr (Mrs) Shubhangi Mhaske (Jedhe), Associate Professor of Oral Pathology and Microbiology. I know Dr Shubhangi as undergraduate as well as postgraduate student. I feel her sincerity coupled with hard work and humanly approach toward the patients during her postgraduate studies contributed in making this textbook.
My heartiest congratulations to Professor Anil Ghom and Dr (Mrs) Shubhangi Mhaske (Jedhe) for their great endeavor in bringing out this book. This book contains six sections which are divided into 37 chapters related to oral lesions/diseases inclusive of basic topics of oral pathology. The topics like microscopy, stains and routine as well as special investigations are noteworthy. The lots of updated information in this book will be helpful to undergraduates, postgraduates and also for practising dental fraternity.
The total of over 600 clinical photographs, microphotographs and line diagrams incorporated in the book are definitely useful for in-depth understanding of the subject. The textbooks available on these subjects are many, but only a few ones cover both the subjects: oral medicine and radiology as well as oral pathology. Contribution of Indian authors toward the books in dentistry is less as compared to the foreign authors. Therefore, Mrs Mhaske (Jedhe) deserves a word of appreciation for her sincere and painstaking efforts.
This book is an excellent contribution to a scientific literature in Indian scenario and thereby facilitating our students to understand various diseases.
With regards and best wishes.
Dr Jagdish V Tupkari
Professor and Head
Dept of Oral Pathology and Microbiology
Govt Dental College and Hospital
Mumbai, Maharashtra
India
7Preface
In the study of oral and dental sciences, oral pathology is the subject that concentrates on the morphologic changes in oral tissues which causing diseases and the mechanisms of the disease process. Most recently published works on the subject are the product of eminent authorities with multiple authorship with current research advances. ‘Why another book in oral pathology’? This question can probably be answered by the phrase,
“Nothing can be changed by changing the face
But many things can be changed by facing the change.”
The purpose of this book is mainly to provide the undergraduate and postgraduate students an easy way of reference for covering a broad spectrum of oral pathology in lucid and simple language. In support of all the composite works it can be stated that the progress of oral and maxillofacial pathology in its many varied specialties coming up has made the subject too vast to be covered adequately by a single author. Also a balance between the advances and the basic essentials is need of the hour. With this balanced perspective and from the viewpoint of the graduate and postgraduate students under training, the authors have endeavored to compile the oral and maxillofacial pathology with respect to the related essential clinical oral medicine and radiology. The book gives an extensive coverage and emphasises on detailed description, adequate well labeled illustration, flow charts, recent developments and molecular aspects. Aside from oral pathology in general, the initial phase of the book includes the basics of the embryology, anatomy and pathology. The study of microscope, tissue processing, diagnostic tests and advanced techniques are also included. The photomicrographs and the clinical photographs in the book signify the adage: “A picture is worth a thousand words”; as the reader is encouraged to study the details and to clarify the confusion of the topics.
Inspite of sincere efforts, elements of human error or shortcomings are likely; the readers are welcome to point out all such mistakes and render valuable suggestions for further improvements and shall be greatly acknowledged.
Anil Ghom
Shubhangi Mhaske
sanvil@rediffmail.com
drmhaske1234@rediffmail.com
anil_ghom@yahoomail.com
drmhaske1234@yahoo.co.in
8Acknowledgements
Those who are lifting the word upward and onward are those who encourage more than criticize. It is my esteemed pleasure to acknowledge the indebtedness to the many friends and colleagues whose influence over the years enabled to enjoy and grow in my discipline. While they are too numerous to mention, they continued to occupy a very special space in my heart and soul. Dr Rupali Sharma, Dr Vaishali Gawande, Dr Anjusha Ganar, Dr Deepika Phatnani, etc. served an indispensable organizational role throughout the preparation of this text which demands a very special mention.
Every book has its share of contributor and influence and this book is certainly no exception. I express my deepest gratitude to Dr Sangamesh Halawar, Dr Anand Tegginamani, and Dr Meghanand Nayak. I am also thankful to management of CDCRI for their encouragement.
“Was anything real ever gain, without sacrifice of some kind?”
I am extremely thankful to my family specially my better half, Dr Savita Ghom for the appreciation and unconditional support.
Our special thanks goes to Shri Jitendar P Vij, Chairman and Managing Director of Jaypee Brothers Medical Publishers, and his staff for their excellent work in professionalism.
Last but not the least, we are extremely thankful to Almighty for His continuous blessing.
Anil Ghom
I dedicate my work to my child Sumedh who kept tremendous patience during the entire completion of mission and to my mentor and inspirator, my father Shri Shrikant Jedhe.
I adore and express my deep sense of heartfelt indebtedness towards my caring, empathetic husband Dr Ashok Mhaske (Prof and Head, Dept of Surgery), who has been a guiding light throughout the intricate voyage of life and for bestowing the untiring, invaluable emotional support that was required for completion this arduous task. No one can accomplish much without the help, support and understanding of family. I acknowledge with affection the support extended to me by my mother Sulochana, brothers, sisters and all the family members especially caring sister-in-law Dr. Mandakini who has been supportive throughout. I am extremely thankful to Dr Imtiyaz Nadaf for his tremendous efforts in providing the professional and technical support for exploring all the possible accesses and avenues required for the latest references to be added in the text. Continuous strong support of Dr Pooja Hazari, Dr Mahesh Masaram, Dr Bharti Sherke, Dr Swapnali is priceless. I am grateful to Dr Raju Ragavendra for helping in proofreading and judicious suggestions. I extend my gratitude towards my respected teacher Dr JV Tupkari, an educationalist with outstanding talent and modesty, whose teaching are unforgettable.9
Special thanks to:
Management of peoples group, Shri Suresh Vijayvargiya, Chairman
Dr Suresh Barpande (Dean, GDC, Aurangabad)
Dr MK Gupta (Dean, PDA, Bhopal)
Dr JJ Doshi (Prof, PDA, Bhopal, Ex-Dean, RDC, Loni)
Dr Vijay Deshmukh (HOD of OMFS, CSMSS, Aurangabad)
Dr Jyoti Bhavthankar, Dr Jayanti Humbe (Dept. of Oral Pathology, GDC, Aurangabad)
Dr Alka Kale, Dr Seema Hallikerimath, Dr Avninder Sethi, Dr Kunal Sah, Dr Surekha, Dr Deepak Patel (Dept. of Oral Pathology, KIDS, Belgaum)
Dr Roshna, Dr Seema Rajnikanth, Dr Parimala Tyagi, Dr Rucha (PDA, Bhopal)
Dr Bharti Sherke, Dr Vrushali Deshmukh
Olympus India Ltd
Students of PDA, especially Ankit Gupta, Parvez, Amisha Jain, Vivek Parihar
Dept staff Ujwal Soni, Mamta, Rajesh Chourasiya
Librarian Mrs Krishna Verma and staff
Shubhangi Mhaske