Surgical correction of dentofacial deformities. Volume III. New concepts

Surgical correction of dentofacial deformities. Volume III. New concepts

Book 1903)! If this was considered important why not a separate btographical section? Thirdly, there is no index and minimal cross-referencrng. This ...

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1903)! If this was considered important why not a separate btographical section? Thirdly, there is no index and minimal cross-referencrng. This means that definitions are often duplicated. For example, canine guidance is followed three pages later by cuspid gurdance, caries is followed several pages later by decay. A simple index coupled by grouping the synonyms together would be much better. Fourthly, the diagrams are a complete waste of space. They are childish in the extreme to an eye with any experience, and to a layman would be totally unintelligible. There is even a diagram of a glass mixing slab! Mercury hygtene recommendations are expounded in detail (hardly a definition) and the writer of these would be horrified by the diagram of a mercury squeeze cloth in actron. Perhaps the best aspect of the book is the foreign translation section. This would be of value for the nontechnical translator of foreign scientific papers Inevitably, this book must be compared with the British Standard Glossary of Dental Terms BS4492 : 1983 and, with the exception of the foreign translations, the home grown book wins hands down. P. Jacobsen Atlas of Diseases of the Oral Mucosa. 4thed. J. J. Pindborg. 356 pp Illustrated. 1985. Munksgaard. Hardback Dkr 500.00.

Copenhagen,

The appearance of a fourth ‘thoroughly revised edition of Pindborg’s Atlas, will surprise many who thought the third edition was as perfect as could be. However, the new edition is even better, and as such its appearance is a matter of very great importance to those who care for patients with oral drseases. The photographs are excellent; the text is apt; the subject spread is impressively international; the approach is personal; and the book is a JOY to read and examine. It can be recommended without hesitation to the expert and the novice, to teacher and student and to physician and dentist. The book is arranged according to the Application of the International Classification of Diseases to Dentistry and Stomatology, ICO-DA 2nd edition, 1978. This arrangement produces some unexpected neighbours (for example, radiation mucositis alongside angioneurotic oedema). but the method is logical and has to be commended. The reader may be surprised to find sarcoidosis and Behcet’s syndrome appearing under ‘other infections’, and malignant melanoma of female breast in error among the contents. The brief descriptions given alongside the photographs suffer the obvious limitations of space, but the author has managed to fit unique personal observations alongside more traditional description. The photographs are excellent rare exceptions being the pregnancy epulis which appears on page 228, and the lesion on page 38 described as a petechia. Nevertheless, these are minor criticisms, unjustified in respect of a book which has such fine examples of so many diseases. The reviewer will undoubtedly use this book frequently and advise it as an essential purchase to those who care for patients with diseases of the mouth. J. H. Jones A Colour Atlas of Acid Etch Technique. J. J. Murray and T. G. Bennett 64 pp. 1984. Wolfe Medical. f20. This book maintains the high standard Atlases in that almost all 243 coloured

London,

of Wolfe’s Colour pictures are

Reviews

45

sensibly cropped, in clear focus and are reproduced in bright and accurate colour values. The title however is misleading considering that the text confines itself to paedodontics and orthodontics. A more revealing title, or a short explanatory introduction might have prevented disappointment from the absence of the several adult applications of the acid-etch technique. Sections are included on fissure sealtng, occlusal filling, fractured incisors, closing diastemata, temporary crowns, laminate veneers, splinting luxated teeth, Rochette and Maryland bridges and several orthodontic appliances using acid-etched brackets. These are clearly shown in the illustrations and simply explained in the text. However, one is rather taken by surprise with the short course on simple orthodontics that comprises the last six sections The placing and removal of acid-etched brackets is shown with admirable clarity and is undoubtably relevant to the title, whereas the several applications of these brackets to the straightening and rotating of teeth is not A technique book must be judged on Its detail and there are some criticisms to be made here. Cumbersome U.V. lights should be consigned to the museum and not given pride of place (figures l-4). One is correctly cautioned (twice) about the dangers of etchants but not at all about U.V. light Coloured etchant gels are omitted and all too frequently the enamel is etched without prior reduction leading to unacceptable bulk when composite is added. The consequent implications for the periodontal tissues and for occlusal interference are ignored. The advantages of light-cured composites are stressed, but on several occasions chemically cured materials are illustrated demanding 5 min immobility-for a child! If these reservations are borne in mind the atlas can be recommended as a vivid introductron to a range of applications of the acid-etch technique for children. J. R. Grundy Surgical Correction of Dentofacial Volume Ill. New Concepts. Edited by W. H. Bell in collaboration contributors. 260 x 184 mm. 763 London, W. B. Saunders. Hardback

Deformities. with 41 other pp., Illustrated. 1985. fl50.

The third volume of Bell’s Surgical Correction of Dentofacial Deformities is equally as large as each of the other two, although primarily an update on the original books. These contained an exhaustive account of all topics relevant to orthognathic surgery. Even with many contributors a work of this scale could not reach the bookshop before new advances had occurred. Volume III seeks to cover most of these innovations. At the end of volume II, areas of research which might significantly alter our approach to the treatment of facial deformity were reviewed. About a third of this new volume performs a similar function. The difference is that some of the specialised techniques which are involved already exist It is their wider application and justifiable exploitation in the treatment of dentofacral deformity which is being explored. Important and interesting though these chapters are, some appear to contain a degree of padding, adding to the bulk and cost of this expensive book Loss of sensatron in lip, tongue or cheek as a result of inadvertant nerve damage is a source of concern for surgeons and of disappointment and disability for the patient. Microneurosurgery to repair and encourage more certain recovery in the event of injury holds out hope of reducing an embarrassing complication. The technrques of nerve

46

J. Dent.

1986;

14:

No. 1

anastamosis and grafting are well described but many of the applications illustrated are from other fields such as tumour surgery. Costochondral grafting is no longer new but few have the knowledge and depth of experience displayed in this chapter, but again the author strays into reconstruction after tumour surgery. Much lip service has been paid to the importance of the masticatory and facial muscles upon stability of results, both in orthodontics and orthognathic surgery, but few have attempted to investigate the matter in detail. An account of skeletal muscle structure and physiology is followed by the results of biopsy and other investigations of the changes which follow moving muscle origins and insertions and altering the length of muscles Many references are given at the end of the chapter and there is an obvious attempt to interest others to take up the challenge of this field of study. Emphasis is given in several parts of the book to post-operative exercises, functional rehabilitation in the new jaw relationship and other factors which if neglected can mar an otherwise excellent result Lip posture and nose shape are altered by changes produced in the underlying skeletal structure. There is a chapter which looks at this problem but the reviewer had reservations about the value of the modified methods of closing sulcus incisions which are advocated. The value of skeletal scintigraphy except as an experimental tool also seems small in this particular type of surgery. Microvascular surgery is covered in another interesting chapter, but again the applications illustrated are for malignancy, not orthognathic surgery. For the more practical oral surgeon there are excellent chapters on cases needing simultaneous maxillary and mandibular surgery. New designs for maxillary bone cuts are advocated which facilitate more rigid fixation. Useful

hunts and cautionary words about the techniques of genioplasty should improve results. Vertical excess and deficiency in facial height are dealt with at length including the challenging problem of Class II Drvrsion II. The author also believes he has identified the reason for relapse where maxillary height is increased by bone grafting. New designs of segmental procedures optimize the blood supply to the mobilized segments and the limits of movement are defined. The author also claims that it is unnecessary to do suprahyoid myotomies even where mandibular advancement is extreme. Cot-ticotomy or subtotal osteotomy has reappeared after some years of eclipse and its place in treatment better defined. Facial asymmetry poses substantial problems of planning and fixation if disappointment IS to be avoided and presently published work in this field is included. Cleft lip and palate, facial clefts, hypertelorism, otomandibular deformity and much more are also dealt with at length. The editor’s own contributions are substantial and his interest in bringing scientific investigation to bear upon clinical practice is well known. Both his skull as a clinrcian and surgeon and as a research worker are again evident in this present volume. Many familiar and famous names appear among the list of contributors but Dr Bell has recruited some talented young men. A major problem is the size and the cost of thts book Fascinating, but not strictly relevant material ought really to have been published In some other text Perhaps further updates should be published in two parts; a volume of tried and tested new clinical methods and another on applied research and techniques yet to be incorporated in routine practice. G. R. Seward

International

22-23 June 1986 Ventures in Dental Materials. An International Conference sponsored by the Academy of Dental Materials, The Hague, Netherlands Details: Dr M. M. A. Vrijhoef, University of Nijmegen, Dental School, P.O. Box 9101 6500 HB Nijmegen, The Netherlands

Conference

Diary

1 O-l 2 April 1986 22nd German Dental Conference: 1 1 1 th Anniversary of the German Society Oral and MaxilloFacial Dentistry and 23rd Dental Show Cologne, Federal Republic of Germany Details: Professor P. Schulz, Universitatstrasse 7 I, D 5000 Koln 41, FR Germany 17-l 9 April 1986 52nd Annual Scientific Meeting of the Danish Dental Association and the Scandinavian Dental Fair SCANDEFA ‘86 Details: The Danish Dental Association, Committee for Postgraduate Education, 1 7 Amaliegrade, Postbox 143, DK-1004, Copenhagen K, Denmark 19-25 April 1986 LusoOdonto International Dental Congress, Lisbon, Portugal Details: Dr A J. Braga Moreira, Information and Secretariat Associacao Portuguesa de Odontologia, Rua do Barao de Sabrosa 9 1, 10 D 1900 Lisbon, Portugal

26-28 June 1986 64th General Session of the International Association Dental Research, The Hague, The Netherlands Details: International Association for Dental Research. 1 1 1 l-l 4th St., N.W. Suite 1000, Washington DC 20005, USA 4-6 July 1986 British Dental Association Annual Conference, Manchester, UK Details: British Dental Association, London, WI M 8AL Conference considered the Journal

for

and Scientific 64 Wimpole

Street

organrzers who wish details of events for inclusion in this section of future issues of of Dentistry should contact the Editor.