Oral Medicine

This is a revised edition of a bestselling handbook. The authors have fully updated the text to include the most up to date treatment options, have added a section on head and neck imaging (CT/MRI), a series of self-test clinical cases, and 100 new photographs. The book uses a symptom-based approach to assist the clinician in the diagnosis and management of those conditions that fall into the speciality of oral medicine. Dealing first with normal anatomy, physical examination and investigation—particularly lesional biopsy, hematological assessment and microbiological sampling—the authors cover all areas of those diseases, local and systemic, that manifest themselves in the lips and mouth. Conditions are grouped under their principal presenting sign—blistering, white patches, red patches, swelling, pigmentation, pain, dry mouth, altered taste, and halitosis. This comprehensive handbook is of value to professionals and trainees in medicine, dentistry and pathology.

Preface (First edition)Preface (Second edition)AcknowledgementsAbbreviationsIntroductionA symptom-based approach to diagnosisHistoryClinical examinationNormal structuresSpecial investigation of orofacial diseaseSalivary gland investigationsImaging techniquesUlcerationGeneral approach Traumatic ulceration Recurrent aphthous stomatitis Behçet’s disease Cyclic neutropenia Squamous cell carcinoma Necrotizing sialometaplasia Tuberculosis Syphilis Epstein–Barr virus-associated ulcerationBisphononate-related osteonecrosis of the jawsAcute necrotizing ulcerative gingivitis Erosive lichen planusLichenoid reactionGraft versus host diseaseRadiotherapy-induced mucositisOsteoradionecrosisBlistersGeneral approach Primary herpetic gingivostomatitis Recurrent herpes simplex infection Chickenpox and shingles Hand, foot, and mouth disease Herpangina Epidermolysis bullosa Mucocele Erythema multiforme Mucous membrane pemphigoidPemphigusLinear IgA diseaseDermatitis herpetiformisAngina bullosa hemorrhagicaWhite patchesGeneral approach Lichen planus Lichenoid reaction Lupus erythematosus Chemical burn Pseudomembranous candidosis (thrush, candidiasis)Chronic hyperplastic candidosis (candidal leukoplakia)White sponge nevus Dyskeratosis congenita Frictional keratosisNicotinic stomatitis (smoker’s keratosis)LeukoplakiaSquamous cell carcinomaSkin graftHairy leukoplakiaPyostomatitis vegetansSubmucous fibrosisCartilagenous choristomaErythemaGeneral approach Radiation therapy mucositis Contact hypersensitivity reaction Lichen planus Acute erythematous (atrophic) candidois (candidiasis)Chronic erythematous (atrophic) candidosis (candidiasis)Median rhomboid glossitis (superficial midline glossitis, central papillary atrophy)Angular cheilitis Geographic tongue (benign migratory glossitis, erythema migrans, stomatitis migrans)Iron deficiency anemia Pernicious anemia Folic acid (folate) deficiencyErythroplakiaSquamous cell carcinomaInfectious mononucleosis (glandular fever)SwellingGeneral approach Bacterial sialadenitis Viral sialadenitis (mumps)Sialosis (sialadenosis)Mucocele and ranula Salivary gland tumor (major gland)Squamous cell carcinoma Crohn’s disease Orofacial granulomatosis Paget’s disease (osteitis deformans)Acromegaly Fibroepithelial polyp (focal fibrous hyperplasia, irritation fibroma)Drug-induced gingival hyperplasiaFocal epithelial hyperplasia (Heck’s disease)Salivary gland tumor (minor gland)Denture-induced hyperplasia (denture granuloma)Pyogenic granuloma (pregnancy epulis)Peripheral giant cell granuloma (giant cell epulis)Squamous papillomaInfective warts (verruca vulgaris, condylomata acuminata)Bone exostosisSialolith (salivary stone)Tongue piercingLymphomaLipomaPigmentation (including bleeding)General approach Amalgam tattoo (focal agyrosis)Hemangioma (vascular nevus)Sturge–Weber syndrome Melanocytic nevus (pigmented nevus)Melanotic macule Malignant melanoma Kaposi’s sarcomaHereditary hemorrhagic telangiectasia (Rendu– Osler–Weber disease)Physiological pigmentation Addison’s disease Betel nut/pan chewingPeutz–Jegher’s syndromeBlack hairy tongueDrug-induced pigmentationSmoker-associated melanosisThrombocytopeniaOrofacial pain (including sensory and motor disturbance)General approach Trigeminal neuralgia Glossopharyngeal neuralgia Postherpetic neuralgia Giant cell arteritis Burning mouth syndrome Atypical facial pain Atypical odontalgia Temporomandibular joint dysfunctionFacial nerve palsy (Bell’s palsy)Trigeminal nerve paresthesia or anesthesiaDry mouth, excess salivation, coated tongue, halitosis, and altered tasteGeneral approachXerostomia (dry mouth) Sjögren’s syndrome CREST syndrome Excess salivation (sialorrhea)Coated tongue Halitosis (bad breath)Altered tasteTest yourselfFurther reading