Oral and Maxillofacial Surgery – An Objective Based Textbook

Oral and Maxillofacial Surgery – An Objective Based Textbook

British Journal of Oral and Maxillofacial Surgery (2002) 40, 352–353 © 2002 The British Association of Oral and Maxillofacial Surgeons. Published by E...

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British Journal of Oral and Maxillofacial Surgery (2002) 40, 352–353 © 2002 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Science Ltd. All rights reserved.

Book reviews with the emphasis on diagnosis and pathology rather than detailed management, the information given is more than adequate for the intended readers who would be expected to refer such patients for specialist treatment. In summary this is an excellent book. When reviewing undergraduate texts it is always possible to disagree with some details of technique, or to quibble over the space given to some less important aspects of oral pathology. The authors of this attractive textbook are to be congratulated in achieving the right balance between what is important and common and what is less important and obscure. Since it summarises the current teaching in the undergraduate dental curriculum, I am sure it will enjoy the success it deserves. ANDREW E. BROWN

doi:10.1016/S0266-4356(02)00137-7, available online at http://www.idealibrary.com on

Oral and Maxillofacial Surgery – An Objective Based Textbook Edited by Jonathan Pedlar and John W. Frame. Churchill Livingstone, 2001, Price £36.95, 292 pp. ISBN 0-44306-017-7 It is increasingly common to hear hospital based oral and maxillofacial surgeons assert that basic diagnostic and practical skills in oral surgery are sadly lacking in many newly qualified dental practitioners. This is given as one reason for the increasing load of relatively routine referrals which many departments are experiencing. Whether such an observation is justified, or whether it simply demonstrates how quickly we have forgotten our own lack of knowledge and experience at such an early stage in our career, is open to question. Whatever our view, there is no doubt that a new book covering the basics of oral surgery aimed primarily at dental students is to be welcomed. The first impression on browsing this textbook is how attractively it is produced. The modern page design, clear text, and wealth of clear colour photographs should help to entice even the most reluctant of student readers. The preface states that all the 11 contributors “have extensive experience in undergraduate and postgraduate education and have aimed to produce a book which represents a mainstream view in UK dental schools”. Each chapter begins with a brief summary of the assumed knowledge necessary to understand what follows. The aim is to encourage the reader to revise deficient areas if necessary. A statement of educational objectives is then given prior to the main text, and the chapters end with a succinct self-assessment test (with answers at the back of the book). The value of this compact textbook is increased by the use of copious summary boxes and the inclusion of suggestions for further reading, presumably for the keen honours degree aspirant! As would be expected, with a text aimed primarily at undergraduates, primary care dentists and basic surgical trainees the first half of the book is devoted essentially to so-called minor oral surgery. This reviewer was amused to see that a welcome chapter on routine teeth extraction carries photographs of the correct stance and position for the various procedures which have changed little from those in his own undergraduate textbook written 40 years ago. The only difference is that a gowned, masked, and gloved surgeon wearing eye protection has replaced the gloveless, white-coated operator of the 1960s. It is telling illustration of our increased knowledge of the potential risks of cross infection and blood borne disease. The second half of the book covers many of the remaining areas of modern oral and maxillofacial surgery practice; including oral malignancy, maxillofacial trauma, dento-facial deformity, salivary gland disease, and temporomandibular joint surgery. Even though these aspects are of necessity considered briefly,

doi:10.1016/S0266-4356(02)00118-3, available online at http://www.idealibrary.com on

Osseointegration and Autogenous Onlay Bone Grafts: Reconstruction of the Edentulous Atrophic Maxilla Per-Ingvar Branemark, Kerstin Grondahl and Philip Worthington. Quintessence Books, 2001. Price £ 84, 160 pp. 359 illustrations. ISBN 0-86715-398-9 (Hardback) This book is essentially an extensive piece of clinical research on a technique of maxillary reconstruction and dental rehabilitation with 10 years of follow-up data. It is based on cases from many collaborating centres throughout the world. There two studies; the largest consisted of 165 cases, which had severe maxillary alveolar hypoplasia and a smaller group of 25 cases where there were maxillary continuity defects, e.g. cleft palate and hemi-maxillectomy. The first chapter discusses the method of classifying the severity of the maxillary resorption. There are brief references only to sinus lift, nasal floor augmentation and the use of the zygomatic bone and pterygoid regions with long implants, which traverse the maxillary sinus. There are no details about these techniques. The second chapter describes the details of the study, which is the study of a technique to augment the anterior maxilla with bone graft taken from the iliac crest and at the same time to place implants into the reconstructed area. The third chapter gives an overview of the most important findings demonstrated with 13 case presentations, which illustrate problems encountered with the technique. The fourth chapter presents five cases with more severe complications with some solutions. The fifth chapter presents a further six cases with unusual scenarios. The sixth chapter gives the detail of the results. Fixture survival overall was 81% and wound dehiscence or local infection were the greatest causes of failure. Excluding these groups survival was 98%. The final chapter illustrates the treatments of two cleft cases and the results of the smaller study on cases with continuity defects. There was 100% survival rate of the prosthetic 352