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Contemporary Implant Dentistry
Book reviews these reconstructions been combined with some immunohistochemistry or in situ hybridization for instance, then the resulting book might have been more significant, at f45 the few present insights come at rather a large price. R. Shore Contemporary Implant Dentistry. C.E. Misch. Pp. 779. 1993. London, Mosby-Wolfe. Hardback, g99.50. ISBN 0 801 66073. Contemporary implant Dentistry by Carl E. Misch is a textbook which, according to the author, is designed to present “the thinking process of oral implantology”. It consists of three sections: Diagnosis and treatment planning, Fundamental sciences, and Implant treatment. Except for the second section, most chapters have been written by one author. It is the author’s intention that the book should be used for the teaching of undergraduate and graduate students, as well as serving as a textbook for surgeons and restorative dentists. This comprehensive and at times controversial book does cover most aspects of oral implantology, from fundamental sciences to advanced surgical techniques. The author himself prefers a multi-implant approach and states that no single implant system can accommodate all anatomical prosthodontic conditions. However, some of the implant systems presented here have not been proven to be effective and safe. Due to the lack of well controlled clinical studies they cannot be recommended for routine use. For example, subperiosteal and blade implants, certainly belonging to implantology in the past, are still presented as a routine treatment for some cases. The chapter on bone-physiology and metabolism by W. Eugene Roberts gives good coverage of the fundamentals of bone formation and healing around endosseous implants. There is welcome coverage on the current status of autogenous bone grafts for endosseous implants. However, in general the concepts and approaches presented in the book are based on the experience and personal opinions of one practitioner rather than a scientific foundation. It is therefore this reviewer’s opinion that it is not really suitable as a textbook for students. Nevertheless, it constitutes a valuable addition to the literature of implantology and will fit well on the implantologist’s bookshelf. L. Sennerby Proceedings of the 1st European Workshop on Periodontology. N.P. Lang and T. Karring. Pp. 478. 1994. New Malden, Quintessence. Hardback, &45.00. ISBN 1 85097 035 1. This substantial text has its origins in the 1st European Workshop in Periodontology held in Ittingen, Switzerland in February 1993. Eighty participants from 18 countries attended, including many of the most illustrious names in European periodontology. The book contains all the position papers and consensus reports from each of the five sessions. In each of which between 3 and 5 experts were challenged to cover comprehensively the scientific literature relevant to their topic. The result is an overwhelming goldmine of up-to-date information, carefully distilled, summarized and arranged in well structured, self contained sections. Section 1 covers epidemiology and natural history of periodontal diseases, radiographic assessment, aetiology and pathology and risk factors and diagnostic tests for destructive periodontitis. Section 2 covers non-surgical and surgical treatment and con-
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siders periodontal regeneration and mucogingival surgery. Section 3 then addresses plaque control, both mechanical and chemical, followed by a consideration of the use of antibiotics in periodontal treatment and the issue of supportive periodontal care, something, the authors argue, that should not be restricted to mean “maintenance” but should have a far broader remit. Section 4 moves on to the topic of implants, their integration and criteria for success, occlusal considerations of the constructed bridgework and how to monitor and treat implants that fail. Finally, in Section 5 periodontal aspects of systemic disease are classified and therapeutic approaches discussed, prior to a consideration of HIV-associated periodontal diseases and gerodontic aspects of periodontology. Each section is prefaced with a brief synopsis of the scope of the contents and the questions to be answered. This serves to focus the reader as they embark on the individual papers and aids the digestion of such rich fare. In fact, the text occasionally consists of such a long list of references that it is difficult to pick up the narrative again. As the book contains contributions from many different authors, there is a change of gear in the style between papers but this is not a problem as each section has a unifying theme and each paper can be read independently. The European flavour has obviously precluded contributions from recognised experts elsewhere and it may be that the reader would need to search further on certain topics to ensure that their knowledge was complete. However, this is an excellent resource for any clinician. Postgraduate students and those studying for Fellowship or Membership examinations would do well to include this book in their reading list, it would be money well spent. D.L. Gutteridge Restorative Techniques in Paediatric Dentistry. M.S. Duggal, M.E.J. Curzon, S.A. Fayle, M.A. Pollard and A.J. Robertson. Pp. 124. 1995. London, Martin Dunitz. Hardback, f39.95. ISBN 1 85317 197 2. This book deals clearly and precisely with the subject raised in its title, even though it is first specified in the subtitle: An Illustrated Guide to the Restoration of fxtensively Carious Primary Teeth. The organization is logical: Treatment planning, Local analgesia, Rubber dam, Pulp therapy, Stainless steel crowns and Strip crown culminate with a chapter on Treated cases. The text is characterized by brevity and clinical relevance, with just a few references to recommended supplemental reading listed at the back. Unfortunately, these have not been proofread thoroughly, because there are minor inaccuracies in some of the titles and periodicals cited. There are many photographs (about 2601, all in colour and of high quality. Many are used in series with an accompanying text that is concise yet complete. The book contains only two histograms, a compliment to the authors’ judgment, but they are inadequately presented and the references to the literature are disappointing. In mitigation, however, the photographs are supplemented by first-rate technical drawings where necessary for a complete understanding of the clinical procedures. Seen as a whole, the photography, drawings and text make this book exceedingly useful for clinical reference. The foreword states that it is especially meant for dentists providing a pediatric treatment on a “Capitation” basis, where it must be costeffective if it is to benefit both patient and dentist. Simple, efficient and radical routines are essential for successful treatment of children with extensively caries under such a system. The book is excellent in this regard. The
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siders periodontal regeneration and mucogingival surgery. Section 3 then addresses plaque control, both mechanical and chemical, followed by a consideration of the use of antibiotics in periodontal treatment and the issue of supportive periodontal care, something, the authors argue, that should not be restricted to mean “maintenance” but should have a far broader remit. Section 4 moves on to the topic of implants, their integration and criteria for success, occlusal considerations of the constructed bridgework and how to monitor and treat implants that fail. Finally, in Section 5 periodontal aspects of systemic disease are classified and therapeutic approaches discussed, prior to a consideration of HIV-associated periodontal diseases and gerodontic aspects of periodontology. Each section is prefaced with a brief synopsis of the scope of the contents and the questions to be answered. This serves to focus the reader as they embark on the individual papers and aids the digestion of such rich fare. In fact, the text occasionally consists of such a long list of references that it is difficult to pick up the narrative again. As the book contains contributions from many different authors, there is a change of gear in the style between papers but this is not a problem as each section has a unifying theme and each paper can be read independently. The European flavour has obviously precluded contributions from recognised experts elsewhere and it may be that the reader would need to search further on certain topics to ensure that their knowledge was complete. However, this is an excellent resource for any clinician. Postgraduate students and those studying for Fellowship or Membership examinations would do well to include this book in their reading list, it would be money well spent. D.L. Gutteridge Restorative Techniques in Paediatric Dentistry. M.S. Duggal, M.E.J. Curzon, S.A. Fayle, M.A. Pollard and A.J. Robertson. Pp. 124. 1995. London, Martin Dunitz. Hardback, f39.95. ISBN 1 85317 197 2. This book deals clearly and precisely with the subject raised in its title, even though it is first specified in the subtitle: An Illustrated Guide to the Restoration of fxtensively Carious Primary Teeth. The organization is logical: Treatment planning, Local analgesia, Rubber dam, Pulp therapy, Stainless steel crowns and Strip crown culminate with a chapter on Treated cases. The text is characterized by brevity and clinical relevance, with just a few references to recommended supplemental reading listed at the back. Unfortunately, these have not been proofread thoroughly, because there are minor inaccuracies in some of the titles and periodicals cited. There are many photographs (about 2601, all in colour and of high quality. Many are used in series with an accompanying text that is concise yet complete. The book contains only two histograms, a compliment to the authors’ judgment, but they are inadequately presented and the references to the literature are disappointing. In mitigation, however, the photographs are supplemented by first-rate technical drawings where necessary for a complete understanding of the clinical procedures. Seen as a whole, the photography, drawings and text make this book exceedingly useful for clinical reference. The foreword states that it is especially meant for dentists providing a pediatric treatment on a “Capitation” basis, where it must be costeffective if it is to benefit both patient and dentist. Simple, efficient and radical routines are essential for successful treatment of children with extensively caries under such a system. The book is excellent in this regard. The