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Oral and Maxillofacial Medicine: The Basis of Diagnosis and Treatment, 2nd Edition

Author Information
By Crispian Scully, CBE, MD, PhD, MDS, MRCS, FDSRCS, FDSRCPS, FFDRCSI, FDSRCSE, FRCPath, FmedSci, FHEA, DSc, Dean and Director of Studies and Research, and Professor of Oral Medicine, Pathology and Microbiology, University of London, London, UK; Eastman Dental Institute, and WHO Collaborating Centre for Disability, Culture and Oral Health, University College London, UK; Visiting Professor at Universities of Edinburgh, Helsinki, Middlesex and West of England; Honorary Consultant at University College Hospitals, London, UK; Great Ormond Street Hospital, London; John Radcliffe Hospital, Oxford, UK; and European Institute for Oncology, Milan, Italy

Key Features
An accessible account of the basics of oral and maxillofacial medicine from one of the best-selling dental authors world-wide
Explores common presenting complaints such as cervical lymphadenopathy, lumps and swellings, soreness and ulceration
Highlights the conditions which are most important - whether because of frequency, or potential seriousness e.g. aphthae, denture-induced stomatitis, temporomandibular joint pain-dysfunction syndrome and oral cancer
Presents key information in a templated, easily-readable, practical manner - ideal for the busy clinical environment
Contains clear guidance on how to talk with patients and their relatives and provides sample patient advice information

New to this Edition
Fully updated throughout to ensure currency of information
New chapters on sialorrhoea, drooling and adverse drug reactions
Revised page design with liberal use of bullet points, algorithms, tables and summary boxes – all with new colour photography - for easy access to information
Increased number of diagnostic algorithms to help build diagnostic skills
Summary boxes at the end of each section further facilitate rapid-access to information and aid retention of key facts

I am a general dentist and an Academic Fellow in the American Academy of Oral Medicine based in the USA. A few weeks ago I was looking for 'new' textbooks on oral medicine. (It is somewhat of an addiction.) This one looked interesting, so I ordered a copy. I want you to know that I have found this to be the most useful textbook I have ever purchased on this subject. I love the way the material is arranged. It is up to date, easy to read, and gives just the right amount of information for a quick review.

J. David Fisher, Jr. DDS

One of the most prolific authors in his field, Professor Scully has revised and expanded the first edition of his prize-winning textbook. The intended outcomes for readers are clearly stated and range from systematic history taking to medical management, as well as recognising the importance of liaison with clinical colleagues in other disciplines.

This is an excellent reference book and guide to diagnosis and management in oral medicine. I recommend it to undergraduates and postgraduates, both medical and dental, with an interest in this field.

Gill Smith, Consultant in Oral Medicine, Glasgow Dental Hospital, UK, Oral Oncology 45, January 2009

It is easy to understand why the first edition of this book was the recipient of the First Prize of the Royal Society of Medicine (RSM) and Society of Authors for a new authored book. If the RSM has a prize for second editions, Oral and Maxillofacial Medicine is likely to take that honor as well.

Unlike some books in this space, this does not deal with the dental management of medically compromised patients. Rather, it focuses in a most informative, comprehensive, organised and readable format on the assessment and treatment of the signs and symptoms of diseases of the mouth and its contiguous structures. While parts of the sectional organisation are traditional, some aspects are unique. For example, the first three chapters deal with three elements of diagnosis - history, examination and investigations. These are presented in a such a way to be comfortably comprehensible to the neophyte, but specific and not superficial thereby providing an excellent review for the seasoned clinician.

The writing is succinct with no wasted spaces or words.....the book is appropriate to a broad audience. For students, it provides the principals of oral diagnosis from fundamentals such as history taking and tooth numbering to specific treatment recommendations being arranged in a rational hierarchy. House staff will find sections of the investigative chapter helpful when deciding what type of imaging study to order and to how best to evaluate facial pain. Practitioners will use this book as a resource and a reference, but the format, figures and text are so compelling that I would not be surprised if portions of the book were not read during downtime between patients. Professor Scully has contributed substantially to the dental literature. This book is certainly one of his best.

Stephen Sonis, Harvard School of Dental Medicine, Boston, MA

Table of Contents

Diagnosis: history; Diagnosis: examination; Diagnosis: general investigations; Treatment; Agents used in the treatment of patients with oral disease


Cervical lymphadenopathy; Drooling and sialorrhoea; Dry mouth (xerostomia); Halitosis (oral malodour); Lumps and swellings; Pain; Red, white and pigmented lesions; Sensory and motor changes and taste abnormalities; Soreness and ulcers


Angioedema (angioneurotic oedema); Angular cheilitis (angular stomatitis); Aphthae (recurrent aphthous stomatitis); Atypical facial pain; Behçet syndrome; Bell’s palsy; Burning mouth syndrome (oral dysaesthesia); Cancer; Candidiasis; Denture-related stomatitis; Erythema migrans; Erythema multiforme; Erythroplakia, leukoplakia, keratosis and other potentially malignant lesions; Fordyce spots; Gingival drug-induced swelling; Granulomatous cheilitis; Herpesvirus infections; Lichen planus; Odontogenic cysts and tumours; Pemphigoid; Pemphigus; Salivary neoplasms; Sjögren syndrome; Temporomandibular joint pain–dysfunction syndrome; Trigeminal and other neuralgias

Human immunodeficiency virus infection; Iatrogenic disease; Oral manifestations of disorders of specific systems; Other conditions


Eponymous conditions

APPENDIX Adverse drug reactions