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Scully’s Oral and Maxillofacial Medicine: The Basis of Diagnosis and Treatment
The Basis of Diagnosis and Treatment
- 4th Edition - February 27, 2023
- Authors: Stephen J. Challacombe, Barbara Carey, Jane Setterfield
- Language: English
- Paperback ISBN:9 7 8 - 0 - 7 0 2 0 - 8 0 1 1 - 1
- eBook ISBN:9 7 8 - 0 - 4 4 3 - 1 1 2 2 5 - 6
- eBook ISBN:9 7 8 - 0 - 7 0 2 0 - 8 0 4 5 - 6
The new edition of this award-winning book offers a systemised and objective approach to clinical diagnosis and contemporary non-surgical management of the most common disorders… Read more
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Request a sales quoteThe new edition of this award-winning book offers a systemised and objective approach to clinical diagnosis and contemporary non-surgical management of the most common disorders seen in oral medicine. It places a strong emphasis on practical issues such as history taking, examination and differential diagnosis, when clinical investigations are indicated, and how to identify and describe oral lesions.
Fully updated with six new chapters and new photographs and artworks, Oral and Maxillofacial Medicine 4e presents a straightforward, accessible but practical guide to the successful diagnosis and treatment of the most common and potentially serious disorders seen in oral medicine clinical practice. Maintaining a strong patient-centred approach throughout, the book also explores relevant systemic disorders and includes an updated but shortened recommended reading list. This clearly written book places a strong emphasis on practical issues and is beautifully illustrated with liberal use of tables, algorithms and clinical photographs.
Senior dental students, dental practitioners and trainees and practitioners in oral medicine, surgery and pathology in particular, will find this book to be both an excellent source of reference and a thoroughly practical guide for clinical diagnosis and contemporary non-surgical management of conditions affecting the oral and maxillofacial region.
The expert authors have completely revised and updated the content, making this an excellent reference source as well as a thoroughly practical guide.
- Clearly written and easy to follow
- Beautiful illustrations with a wealth of anatomical artwork and clinical photographs to support learning
- Treatment algorithms, tables, ‘pull out’ boxes and sample ‘patient information sheets’ provide practical guidance
- User-friendly format allows ease of access to information
- 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
- Shows the reader how to identify lesions and understand their potential implications for the patient
- Explains how to advise the patient about the nature of oral lesions and their predisposing factors
- Identifies a range of therapeutic options and new emerging therapies
- Instructions for online access
- Cover image
- Title page
- Disclaimer
- Table of Contents
- Copyright
- Preface
- Learning outcomes
- Dedication
- Section I. Fundamentals of Patient Management
- 1. Principles of Diagnosis: History
- Introduction
- Communicating with the Patient
- History Taking
- Presenting Complaint
- History of the Present Complaint
- Past or Relevant Medical History
- Dental History
- Family History
- Social and Cultural History
- Prognosis
- 2. Principles of Diagnosis: Examination
- Introduction
- General Examination
- Oral Disease Severity Scoring
- 3. Principles of Diagnosis: Investigations
- Informed Consent
- Investigations
- Investigations of Specific Medical Problems Relevant in Oral Medicine
- Communicating the Diagnosis
- Communicating Risk
- Communicating a Diagnosis of a Potentially Lethal Condition
- Ensuring Follow-Up
- 4. Principles of Treatment
- Introduction
- Evidence-Based Medicine and Treatment
- Psychological and Sociological Aspects of Treatment
- Providing Information About Treatment
- Lifestyle Changes
- Preventive Care
- Drug Treatment and Interactions
- Referral to a Specialist
- 5. Agents Used in the Management of Orofacial Diseases
- Introduction
- Section I Treatment of Mucosal Diseases
- Section 2: Relieving Pain, Discomfort and Anxiety
- Section 3 Treatment of Infections
- Section II. Oral Diseases and Disorders
- 6. Oral Ulceration: An Overview
- Introduction
- Ulcers
- Diagnosis
- Treatment
- 7. Recurrent Aphthous Stomatitis
- Introduction
- Epidemiology
- Predisposing Factors
- Aetiology and Pathogenesis
- Clinical Features
- Diagnosis
- Treatment
- Follow-Up of Patients
- Emergent Treatments
- 8. Lichen Planus
- Introduction
- Aetiology and Pathogenesis
- Clinical Features
- Prognosis
- Diagnosis
- Treatment
- Follow-Up of Patients
- 9. Lumps and Swellings: An Overview
- Introduction
- Diagnosis
- 10. Lumps and Swellings in the Oral Cavity
- Introduction
- Lumps and Swellings in the Lips
- Lumps and Swellings in the Gingiva
- Drug-Induced Gingival Overgrowth
- Hereditary Gingival Fibromatosis
- Lumps and Swellings in the Palate
- Lumps and Swellings in the Tongue
- 11. Lumps and Swellings in the Salivary Glands
- Introduction
- Mucoceles
- Mumps (Acute Viral Sialadenitis; Epidemic Parotitis)
- Obstruction (Obstructive Sialadenitis, ‘Mealtime Syndrome’)
- Sarcoidosis
- Sialadenitis (Bacterial)
- Sialadenosis (Sialosis)
- 12. Salivary Neoplasms
- Introduction
- Epidemiology
- Aetiology and Pathogenesis
- Clinical Features
- Diagnosis
- Treatment
- Emergent Therapies
- Follow-Up of Patients
- Specific Salivary Gland Neoplasms
- Benign Neoplasms
- Malignant Neoplasms
- 13. Lumps and Swellings in the Jaws
- Introduction
- Aneurysmal Bone Cyst
- Cherubism
- Exostoses
- Fibrous Dysplasia
- Giant Cell Granuloma
- Metastatic Tumours in the Jaws
- Osteoid Osteoma and Osteoblastoma
- Osteoma
- Paget Disease of Bone
- Torus Palatinus and Torus Mandibularis
- 14. Odontogenic Cysts and Tumours
- Introduction
- Odontogenic Cysts
- Odontogenic Tumours
- 15. Cervical Lymphadenopathy
- Introduction
- Clinical Features
- Aetiology and Pathogenesis
- Management of a Patient With Cervical Lymphadenopathy
- 16. Angioedema
- Introduction
- Allergic Angioedema
- Drug-Induced (Non-Allergic) Angioedema
- Hereditary Angioedema (C1 Esterase Inhibitor Deficiency)
- 17. Halitosis (Oral Malodour)
- Introduction
- Aetiology and Pathogenesis
- Diagnosis
- Treatment
- 18. Taste Abnormalities
- Introduction
- Taste Changes
- Taste Abnormalities
- Causes of Taste Dysfunction
- Diagnosis
- Treatment
- 19. Hypersalivation
- Introduction
- Epidemiology
- Aetiology and Pathogenesis
- Clinical Features
- Diagnosis
- Treatment
- 20. Dry Mouth (Xerostomia and Hyposalivation)
- Introduction
- Aetiology and Pathogenesis
- Clinical Features
- Oral Complications
- Diagnosis
- Treatment
- 21. Trismus
- Introduction
- Aetiology and Pathogenesis
- Diagnosis
- Treatment
- 22. Erythema Migrans
- Introduction
- Aetiology and Pathogenesis
- Clinical Features
- Diagnosis
- Treatment (see also Chapters 4 and 5)
- Follow-Up of Patients
- 23. Red and White Lesions
- Red Lesions
- White Lesions
- 24. Pigmented Brown or Black Lesions
- Introduction
- Aetiology and Pathogenesis
- Diagnosis and Management
- 25. Cheilitis
- Actinic Cheilitis
- Exfoliative Cheilitis
- Section III. Systemic Oral Diseases and Disorders
- 26. Sjögren Syndrome
- Introduction
- Epidemiology
- Predisposing Factors
- Aetiology and Pathogenesis
- Clinical Features
- Diagnosis of SjÖgren Syndrome
- Autoantibodies and Other Blood Tests
- Salivary Gland Studies
- Treatment
- Follow-Up of Patients
- 27. Behçet Syndrome
- Introduction
- Epidemiology
- Aetiology and Pathogenesis
- Clinical Features
- Diagnosis
- Treatment
- Follow-Up of Patients
- 28. Erythema Multiforme
- Introduction
- Epidemiology
- Aetiology
- Pathogenesis
- Clinical Features
- Diagnosis
- Treatment
- Follow-Up of Patients
- 29. Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis Spectrum
- Introduction
- Epidemiology
- Predisposing Factors
- Pathogenesis
- Clinical Features
- Diagnosis
- Treatment
- Oral Care
- 30. Pemphigoid
- Introduction
- Epidemiology
- Pathogenesis
- Clinical Features
- Diagnosis
- Differential Diagnosis
- Treatment (see also Chapters 4 and 5)
- Follow-Up of Patients
- 31. Pemphigus
- Introduction
- Pemphigus Vulgaris
- Follow-Up of Patients
- 32. Orofacial Granulomatosis
- Introduction
- Orofacial Granulomatosis
- Follow-Up of Patients
- 33. Complications of Drugs
- Introduction
- Drugs Related to Salivary Gland Dysfunction
- Drugs Related to Halitosis
- Drugs Related to Mucosal Damage
- Drugs Related to Cheilitis
- Drugs Related to Swellings
- Drug-Induced Neurological Disturbance
- Drug-Induced Hard and Soft Tissue Structural Abnormalities
- Medication-Related Osteonecrosis of the Jaw
- Immunosuppression and Complications
- Recreational Drugs
- 34. Transplantation and Graft-Versus-Host Disease
- Transplantation
- Graft-Versus-Host Disease
- 35. Oral Manifestations of Disorders of Specific Systems
- Section IV. Oral and Maxillofacial Infections
- 36. Candidiasis and Other Fungal Infections
- Candidiasis
- Aetiology
- Pathogenesis
- Clinical Features
- Diagnosis of Candidiasis
- Treatment of Candidiasis
- Clinical Presentations of Candidiasis
- White Forms of Candidiasis
- Red (Erythematous) Forms of Candidiasis/Atrophic Candidiasis
- Chronic Multifocal Oral Candidiasis
- Other Oral Fungal Infections
- Diagnosis
- Fungal Infections Associated With SARS-CoV-2 (COVID-19)
- 37. Viral Infections: An Overview
- Introduction
- Herpes Group of Viruses (see Chapter 38)
- Hepatitis Virus
- Coronaviruses
- Coxsackie Viruses
- Other Viruses With Orofacial Manifestations
- Viral Infections of the Salivary Glands
- Infection Control Principles for Viruses (and Other Infective Agents)
- 38. Herpesvirus Infections
- Introduction
- Herpes Simplex Virus Infections
- Primary Herpes Simplex Virus Infections
- Recurrent Herpes Simplex Virus Infections
- Herpes Varicella-Zoster Virus Infections
- Epstein–Barr Virus Infection
- Infectious Mononucleosis
- Cytomegalovirus Infection
- Other Human Herpesviruses
- 39. Human Immunodeficiency Virus Infection
- Introduction
- Predisposing Factors and Transmission
- Aetiology and Pathogenesis
- Clinical Features
- Diagnosis of HIV Infection
- Management of HIV Disease
- Immune Reconstitution Inflammatory Syndrome
- Orofacial Lesions in HIV/AIDS
- 40. Bacterial Infections
- Background
- Endogenous Infections
- Extrinsic (Exogenous) Infections of the Head and Neck Region
- Sexually Transmitted Infections – Bacterial (STI)
- Other Important Infections
- Section V. Orofacial Pain and Sensory/Motor Disturbances
- 41. Pain: An Overview
- Introduction
- Orofacial Pain
- Diagnosis of Pain
- Local Causes of Orofacial Pain
- Mucosal Pain
- Vascular Causes of Orofacial Pain
- Causes of Referred Orofacial Pain
- Facial Neuralgia Caused by Tumours or Other Lesions
- Idiopathic Causes of Orofacial Pain
- Diagnosis of Orofacial Pain
- Treatment of Orofacial Pain (see also Chapters 4 and 5)
- 42. Temporomandibular Disorder
- Introduction
- Epidemiology
- Aetiology and Pathogenesis
- Clinical Features
- Diagnosis
- Treatment
- 43. Trigeminal and Other Neuralgias
- Introduction
- Classical Trigeminal Neuralgia
- Trigeminal Autonomic Cephalalgias
- Other Neuralgias
- 44. Persistent Idiopathic Facial Pain
- Introduction
- Epidemiology
- Aetiology and Pathogenesis
- Clinical Features
- Diagnosis
- Treatment
- Follow-Up of Patients
- 45. Headache
- Epidemiology
- Introduction
- Migraine
- Tension-Type-Headache
- Trigeminal Autonomic Cephalalgias
- Hemicrania Continua
- Headache Attributed to Giant Cell Arteritis
- Headache Attributed to Temporomandibular Disorder
- 46. Burning Mouth Syndrome
- Introduction
- Epidemiology
- Predisposing Factors, Aetiology and Pathogenesis
- Clinical Features
- Diagnosis
- Treatment
- Follow-Up of Patients
- 47. Sensory and Motor Changes
- Introduction
- Sensory Changes
- Aetiology and Pathogenesis
- Clinical Features
- Diagnosis
- Treatment
- Motor Changes
- Aetiology and Pathogenesis
- Clinical Features
- Diagnosis
- Treatment
- Autonomic Neuropathies
- 48. Bell’s Palsy
- Introduction
- Epidemiology
- Predisposing Factors
- Aetiology and Pathogenesis
- Clinical Features
- Diagnosis
- Treatment
- Follow-Up of Patients
- Section VI. Potential Malignant Disorders and Cancer
- 49. Potentially Malignant Disorders
- Introduction
- Aetiology and Pathogenesis
- Risk Factors
- Diagnosis
- Treatment
- Follow-Up
- Prevention and Detection of Potentially Malignant Disorders and Cancer
- 50. Leukoplakia
- Introduction
- Epidemiology
- Aetiology and Pathogenesis
- Clinical Features
- Malignant Transformation
- Other Leukoplakias
- Diagnosis
- Treatment
- Follow-Up of Patients
- 51. Erythroplakia (Erythroplasia)
- Introduction
- Epidemiology
- Aetiology and Pathogenesis
- Clinical Features
- Diagnosis
- Treatment
- Follow-Up of Patients
- 52. Oral Submucous Fibrosis
- Introduction
- Epidemiology
- Aetiology and Pathogenesis
- Clinical Features
- Diagnosis
- Treatment
- Follow-Up of Patients
- 53. Cancer
- Introduction
- Oral Squamous Cell Carcinoma
- Cancer Surgery Complications
- Radiotherapy
- Chemotherapy
- Radiotherapy Toxicities
- Chemotherapy Toxicities
- Section VII. Eponymous and Other Conditions
- 54. Eponymous Conditions
- 55. Other Conditions
- Glossary
- Index
- No. of pages: 460
- Language: English
- Edition: 4
- Published: February 27, 2023
- Imprint: Elsevier
- Paperback ISBN: 9780702080111
- eBook ISBN: 9780443112256
- eBook ISBN: 9780702080456
SC
Stephen J. Challacombe
Affiliations and expertise
Martin Rushton Professor of Oral Medicine, Centre for Host-Microbiome Interactions, King's College London, Guy’s Hospital, London, UKBC
Barbara Carey
Affiliations and expertise
Consultant in Oral Medicine, Guy’s & St Thomas’s NHS Foundation Trust, London, UKJS
Jane Setterfield
Dr Jane Setterfield qualified in Dentistry from The Royal London Hospital and in Medicine from University College Hospitals, London. She has specialist training in Dermatology from St John’s Institute of Dermatology and is a specialist in Oral Medicine. She has undertaken clinical research at the University of Connecticut, USA and at Guy’s and St. Thomas’ Hospitals. Her current posts are as a Senior Lecturer / Honorary Consultant in Dermatology in relation to Oral Disease, Departments of Oral Medicine & Pathology, Guy’s Hospital Dental School & St John’s Institute of Dermatology, London and Consultant Dermatologist at St Mary’s Hospital, Imperial College Healthcare Trust.
Dr Setterfield’s clinical and research interests are in the area of mucocutaneous diseases with a particular emphasis on the immunobullous disorders and lichen planus.
Affiliations and expertise
Professor of Oral & Dermatological Medicine/ Honorary Consultant. Centre for Host-Microbiome Interactions, King's College London Faculty of Dentistry, Oral & Craniofacial Sciences, London, UK. Department of Oral Medicine & St John’s Institute of Dermatology, Guy’s and St Thomas’ NHS Foundation Trust, London, UK