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silver of a few years back, or just a designer jacket?) but has gained only the weight of an insignificant 20 extra pages. Appearances may be deceptive however: the editors wax philosophical in their preface and promise integration not only between anatomy and other sciences, but the arts as well. This philosophical approach seems to depend largely upon a new introductory section which covers both the origin of Gray’s Anatomy and the origin of life in adjacent sections with no hint of irony. The short section on comparative invertebrate and vertebrate morphology and the more immediate history of man is, however, welcome. The formerly separate section on cytology and a review on basic tissues is also included here. Once into section 2, embryology, we are however inevitably back on familiar ground although various topics (notably the development of the cerebrum) have been updated. Essentially therefore the book is unchanged: admirable as a work of reference, perhaps dubious as a text because it tells the average student of anatomy rather more than he/she wants to know. D. R. Johnson Essentials of Safe Dentistry for the Medically Compromised Patient. Frank M. McCarthy. Pp. 281. 1989. Sidcup, Harcourt Brace Jovanovich. Hardback, f 17.50. The author’s preface sets out the aim of this book as.. . “to help you become a safer and more fulfilled health practitioner, and allow you . . . to provide safe, comprehensive care to the vast majority of medically compromised patients. . .“. Throughout, the book uses a formula of Recognition, Assessment, Management and Emergency care. There are two underlying themes, namely, increasing the size of the practice by treating medically compromised patients and, secondly, a constant awareness of litigation. The book seeks to educate the reader to reduce medical emergencies in the dental practice and how to avoid litigation or reduce its consequences. There are two parts: part one consists of the first five chapters on morbidity, mortality, physical evaluation and examination, function and laboratory tests, and treatment modifications. Part two consists of chapters covering in detail various medical systems and emergencies. The final chapter is on legal considerations. Throughout, the book is designed for the practitioner in the USA and the emphasis is defensive. There are important omissions in the book on managing the mentally or physically handicapped patient in the practice. The penultimate chapter suggests that the latter as well as elderly and fragile patients should be referred to hospital for dental treatment. Many of the procedures advocated are inappropriate to current conditions in the UK and there are a number of irritating details of style, e.g. the use of ‘dentistry’ instead of ‘dental’. This book cannot be seriously recommended to readers outside the USA. B. Hunter
Management of Facial and Neck Pain. B. C. Cooper and F. E. Lucente. Pp. 345. 1989. Harcourt Brace Jovanovich. Hardback, f 50.00.
Sidcup,
This multi-authored text reflects much of the confusion surrounding the classification and management of facial pain. The introduction is refreshing, providing a historical review as well as information on the cost to the USA of the problem-45 million sufferers, 132 million lost workdays, $8 billion lost on productivity or spent on health care. The neurological, ophthalmological and rhinological accounts are fairly straightforward, but dogma creeps in with the chapter on craniomandibular disorders. What follows is nearly 100 pages of diagnostic tests and occlusal manipulations, the efficacy of which are unproven. Furthermore, there is no discussion on alternatives to mechanistic therapy, although there is a short chapter by a psychiatrist at the end of the book. The editors are otolaryngologists who appear to be unaware of the lack of support for the treatments they recommend; they would be wise to turn to the dental literature where they would find that the American Dental Association in a consensus conference rejected all irreversible forms of treatment for TMJ problems, stressing the need for a positive reassuring attitude on behalf of the dentist (Griffiths, 1983). I cannot recommend this book to a British audience nor, for that matter, elsewhere. C. Feinmann Griffiths R. H. (1983) The President’s conference on the examination, diagnosis and management of temporomandibular disorders. J. Am. Dent. Assoc. 106, 75-77.
Year Book of Dentistry 1988. D. W. Cohen, B. H. Hendler, R. Johnson, R. E. Jordan, R. E. Moyers, H. B. G. Robinson and S. I. Silverman. Pp. 477. 1988. London, Wolfe Medical (distributors). Hardback, f42.50 Over 300 articles from 57 dental journals have been selected, summarized and reviewed for this edition. They are grouped into 13 major topics with comments by the chapter editor at the outset and following each article. The stated aim of the book is to review articles published between August 1986 and July 1987 that may be of interest to the “informed dental practitioner”. The articles are well summarized and have appropriate illustrations. They are reasonably grouped, although those under Personal Oral Hygiene would be more appropriately placed within Periodontics and Preventive Dentistry. It would also have been neater if the orthodontic articles found under Paediatric Dentistry had been located in Orthodontics. A broad cross-section of topics is included and areas of recent interest are generally well covered; there are, for example, several articles on implants, AIDS, dentine bonding agents and the temporomandibular joint. There are only one or two articles on gerodontology and post-curing composite resins and surprising omissions are guided tissue regeneration and advances in dental porcelains. By contrast, there are nine articles on fissure sealants. Most of the editorial comments are helpful, informative and refer to other similar work. Overall, this book continues to provide a worthwhile diet of interesting articles, particularly useful for those wishing to update their knowledge of developments outside their own fields. A. C. Shearer