Written for the oral and maxillofacial surgeon and other dental and medical specialists who deal with pathologies in the oral cavity, midface, and neck, this clinically oriented book addresses the underlying mechanism of each disease and how that dictates its clinical and radiographic presentation; the process of determining a differential diagnosis for each disease or condition; specific treatment recommendations that the authors use or have researched as the most beneficial; and the prognosis after treatment.

A specific aim of this book is to challenge many long-held concepts that are no longer valid, but that nevertheless have been passed down to succeeding generations of dental and medical school students. Another aim is to eliminate illogical and confusing terminology that only reinforces misconceptions about the underlying cause of specific diseases. Above all, the authors seek to increase the knowledge and understanding of oral and maxillofacial surgeons and others entrusted with the care of these patients.

ISBN: 0-86715-390-3
978-0-86715-390-3 , 9780867153903
900 pp; 2,020 illus (1,700 color)

Contents
Chapter 1 Biopsy Principles and Techniques
Chapter 2 Inflammatory and Infectious Diseases
Chapter 3 Immune-Based Diseases
Chapter 4 Conditions of Developmental Disturbances
Chapter 5 Hyperplasias, Hamartomas, and Neoplasms: Their Biology and Its Impact on Treatment Decisions
Chapter 6 Benign Epithelial Tumors of Mucosa and Skin
Chapter 7 Premalignant and Malignant Epithelial Tumors of Mucosa and Skin
Chapter 8 Management of Irradiated Patients and Osteoradionecrosis
Chapter 9 Benign Soft Tissue Tumors of Mesenchymal Origin
Chapter 10 Malignant Soft Tissue Tumors of Mesenchymal Origin
Chapter 11 Nonneoplastic Salivary Gland Diseases
Chapter 12 Salivary Gland Neoplasms
Chapter 13 Odontogenic and Nonodontogenic Cysts
Chapter 14 Odontogenic Tumors: Hamartomas and Neoplasms
Chapter 15 Pigmented Lesions of Mucosa and Skin
Chapter 16 Fibro-Osseous Diseases and Systemic Diseases Affecting the Bone
Chapter 17 Benign Neoplasms of Bone
Chapter 18 Malignant Neoplasms of Bone
Chapter 19 Neoplasms of the Immune System: Lymphomas, Leukemias, and Langerhans Cell Histiocytosis
Chapter 20 Where Have All the Great Terms Gone?
Glossary of Terms
Who’s Who
Index

Preface
This book is intended to be a clinically oriented and forward-looking guide for oral and maxillofacial surgeons and other advanced dental and medical specialists who deal with pathologies in the oral cavity, midface, and neck. It focuses on the mechanism of each disease and how that dictates its clinical and radiographic presentation as well as the serious considerations on a sample differential diagnosis. It then progresses to specific treatment recommendations that the authors use or have researched as the most beneficial. Treatments avoid such vague phrases as “a wide local excision” and instead provide specific margins and anatomically based techniques. Generic medication protocols also are avoided for those conditions not treated with surgery; instead, specific drugs, doses, routes of administration, length of treatment and alternative treatments are described in the context of how each works to affect the natural course of the disease. Discussion of each disease or condition concludes with the prognosis after treatment.

This book challenges some of the established concepts and dogmas currently prevailing in oral and maxillofacial pathology and surgery. It also is likely to challenge the reader’s acceptance of dental and medical school teaching, which too often consists of a rushed and superficial presentation of these pathologies. It is the authors’ hope that the evidence and rationales presented in this text are convincing of this change and of this approach to learning. This book is also specifically intended to simplify and streamline terminology. The reader will note numerous terminology changes from the past—changes that use only one name to describe and identify the specific underlying cause of each condition. This is reinforced in the last chapter of the book, “Where Have All the Great Terms Gone?,” a concise review and explanation of why the old name for some diseases is inappropriate today.

The reader may use this text as a cover lesson in clinical and histopathologic oral and maxillofacial pathology; as a reference text on a chapter-by-chapter basis to review the specifics of each disease category; or as a case reference to refresh their knowledge about a specific disease or the specific presentation of a new patient. In any case, it is the fond hope of both authors that clinicians will increase their knowledge and ability to care for their patients, who in turn will receive more accurate diagnoses and better treatment.

Robert E. Marx, DDS
Chief and Professor of Surgery
Division of Oral and Maxillofacial Surgery
University of Miami
Miami, Florida

Diane Stern, DDS
Private Practice in Oral Pathology
Plantation, Florida

© 2002