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Surgical endodontics
204
Rritish
Journal of Oral and Maxillofacial Surgery
Plastic Surgery. It cost f7.50, it had 108.5 pages and its clear, well-written content magically opened the doors to my chosen surgical speciality. It was with great anticipation therefore that I read the updated, 143’) paged. C80 hard-back, fourth edition of Grabb and Smith. The book is written for the resident in plastic surgery in the lJSA and its contributors arc mostly from that country. The content of the book is sound and reasonably up-todate and although the text is somewhat dogmatic, the information in the book covers the whole spectrum of plastic and reconstructive surgery including that overlap of surgery which plastic and oral and maxillofacial surgeons share in this country. This book is easy to read. and the black and white illustrations and the diagrams are all relevant and appropriately placed in the book. The editors have avoided the unnecessary repetition which so often mars multi-authored books. References both old and new (the latest being 19%)) are good and there are helpful suggestions for indepth reading of various topics. It is difficult to know whether to recommend this book to every oral and maxillofacial surgeon. Although about a third of the content is relevant, it is probably better covered in specialist books on oral and maxlllofacial surgery. I lowever, I would strongly advise trainee plastic surgeons to buy this book as it gives a good, affordable, comprehensive overview of plastic surgery as practiscd in the late 1980s. After 20 years and four editions. Grabb and Smith has retained its magic and will, I am sure, open the doors of plastic surgery to many plastic surgery trainees. D. S. MURRAY Consultant Plastic Surgeon Wordslcy I lospital West Midlands
Diseases of the Jaws: Diagnosis and Treatment. der Waal. DKK675.
Munksgaard,
Copenhagen.
IYYI.
By I. van pp. 304. Price
Professor van der Waal is head of the Department of Oral and Maxillofacial Surgery of the Free University of Amsterdam, and his previous contributions in the field of oral pathology arc well known. His book is well presented and this allows easy access to its contents. The photographic reproductions arc numerous and of excellent_ quality. It confines itself to those diseases which primarily this remit it is affect the hard tissues. and within comprehensive. It is therefore an excellent reference book. whilst at the same time it is very readable. The book is concise and well structured, and this facilitates easy assimilation of the information. Both clinical and histopathological aspects are discussed. It also contains an extensive and mainly comtcmporary bibliography. The book provides excellent and detailed information on rare pathologies. howcvcr in an attempt to be comprehcsivc. descriptions of the more common conditions such as lrismus and periodontal disease arc discussed in a rather superficial fashion. These subjects have previously been better described clscwhere. a rather Personal,ly. I also feel the book promotes artificial dlvrde between hard and soft tissue pathology. This is perhaps not desirable in a publication which attempts to provide a clinical approach to the subject of oral diseahc. The important subject of squamous cell carcinoma for instance is briefly mentioned only in as far it may invade the bone. The book therefore gives a rather unbalanced overview of those conditions which might prcscnt to practitioners. For instance. mandibulofacial
dysostosis is mentioned in the first chapter on congenital and developmental disturbances. However. other conditions such as hemifacial microsomia which also give rise to facial deformity are omitted. In summary. the book is an extremely worthwhile reference which, on the whole. provides clear concise information on mainly hard-tissue pathologies which may affect the jaws. As a text however, it fails to include some important common conditions and provides superficial descriptions of others. Notwithstanding these criticisms however, the information which the book dots contain is on the whole well presented and illustrated. I would strongly rccommcnd its inclusion as a reference book for the oral and maxillofacial departmental library.
Consultant
Infection
Control
for
K. R. PWVLETHWAITE Oral and Maxillofacial Surgeon The Royal Victoria Infirmary Newcastle Upon Tync.
the
Dental
Team.
Samaranayake, F. Scheutz. J. A. Cottone. Copenhagen. pp 143. ISBN Y7-16-10368-8.
By L. P. Munksgaard,
This well-written book should be compulsive and important reading for every member of any out-patient surgical team, including of course, oral and maxillofacial surgeons. The authors set out to ‘emphasise both the general principles and practical aspects of cross-infkction control in dentistry’. This they have achieved well. The book is well-written and in an easily readable style which refers to very useful topics and includes a good bibliography and index. It is a sad fact but unfortunately true. that HIV infection has made us become aware of cross-infection. This book quite correctly states that the risks of transmission of HIV is much lower than Ilcpatitis B and of course some other infections. I felt that greater emphasis could be placed on stressing the importance of other organisms which may be of importance in cross-infection. I felt that in certain areas. particularly the ‘micro-organism and their properties’ tended to involve too much jargon and was somewhat too technically orientated. The text book might imply that this was a book which could be handled by any member of the team and yet clearly the depth of detail in some areas was quite extensive. The result of this. however, means that the book provides much information for those wishing to glean it from the references or the text. There is a very useful glossary of terms and abbreviations. This book would provide a very useful source of information for all members of the team and certainly should be a part of every oral and maxillofacial surgery out-patient reading list. M. ROBSON Sister in Charge Dcpartmcnt of Oral and Maxillofdcial Surgery Sunderland District General Hospital
Surgical Endodontics. Blackwell Scientific Price f89.50.
By J. L. Gutman & J. W. Harrison. Publications, Oxford. 1991. pp 46X.
By and large, surgical endodontics (at its most basic. the apicctomy) comprise relatively straightforward procedures. It might be asked whether 468 pages could profitably be written, or read. on the subject. If so. this book is the result. It is well-produced. The crisp black and white photos are appropriate and entirely illuminating.
giving the lie to the current enthusiasm tor colour rather than substance. The text is lucid, and of impressive scholarship. I would imagine that the huge number of references arc comprchensivc. and as such they will bc a boon to any researcher. The book proceeds in logical sequence. starting with history and histology, proceeding to medical problems and sequential steps in surgical technique; and concluding with problem-solving. No exception can be taken to the substance of the text and the very many techniques that are comprehensively described, compared and discussed; though inevitably. personal prefercncc invites the occasional quibble. For example, I would not view the prcscnce of a bony dehiscencc at the end of a root as being a reason tither for disquiet or having to resect the root to a low level. Who should read the book? Thcrc can be little doubt that it is aimed, partly at least, at the novice. Some philosophies which are propounded, such as the need to instil confidence in your patient, will have been grasped by most registrars and above. Yet, the student or house officer who is ahout to embark upon their first apiccctomy may be confused rather than helped by the welter of facts and discussion put before them. It is all well and good to state that all apical cavities should be varnished heforc placing the retroscal. l&search proves it; but how on earth do you do it? If you decide that you cannot varnish the cavity and cannot. on the basis of the text, use amalgam with a good conscience, which of the plethora of other sealants. discussed and analysed should you use‘! This is a splendid, definitive book; and must bc csscntial reading for all who undertake surgical endodontics. Those who are starting a surgical career, may have some difficulty in getting a perspective. Those who already have some cxpcricnce in the subject will henefit greatly, particularly. in the opportunity to critically review. reassess. and improve their clinical technique through sound cndodontic and surgical principles based on cxpcricnce, rcscarch. and scholarship. I. E. BAKNES Professor of Opcrativc Dentistry University of Newcastle upon ‘I’ync
Occlusion. By Il. Thomson. 1990. pp 292. Price f49.50.
2nd Edition. Wright, ISBN &723&2075-X.
A description of some common types of articulators is given in chapter eight with an explanation of the rationale for fully and semiadjustable articulators with a section on the limrtations of these instruments. This chapter has been revised to include advances in condylar tracking devices and computerised methods of recording manclibular movcment. The occlusal requirements in fixed prosthodontics arc discussed in chapter I1 whcrc advanced periodontal discasc is given as a contraindication for occlusal reconstruction, despite the volume of evidence to the contrary which emerged from Scandinavia more than I5 years ago. where workers showed that it was not only possible but indeed essential for the survival of the dcntition to restore the advanced periodontally diseased mouth with full arch fixed prostheses. The only other arca of disagrccmcnt this reviewer found in the text was frequent rcfcrence to the strangulated pulp theory on pages 31. 116 and 1 IO. even though this theory was disproved 20 years ago. One of the most controversial areas of clinical dentistry is the role of occlusion in the pathogcncsis of the mandibular dysfunction syndrome, and this subject is covered in chapter 13 which has been completely rewritten since the lY8l revision of this book. Included is a summary of the literature on the subject from 1835 to 198’). followed by a discussion of the more significant clcvelopmcnts over the past 10 years, including current thinking on the psychological aspects and the increasing USC of psychotrophic drugs in the management of this syndrome. The author has made frequent and skilful use of analogies to explain difficult concepts. and the text is liberally strewn with light hcartcd remarks like ‘occlusal function takes place behind closed lips’ which help to make the book an easy and enjoyable read. The final exhortations from the author advise patients to keep their teeth apart. and dentists to give patients an occlusion with which they can function and forget about. Students and clinicians at all levels will benefit from the balanced approach to the difficult subject of occlusion which this book offers.
Consultant
M. CASSIDY in Restorative Dentistry Leeds Dental Hospital
London.
The first edition of this book was orginally published in lY7S and rcviscd in IY81 as part of the Dental Practitioner Handbook series. The second edition is presented in a different format with a hardback cover, and is published by Wright. The layout of subject matter has been rcarrangcd and six additional chapters have been written taking account of new information, changing terminology and current opinion, using the FDI tooth notation system throughout. Much of the illustrative material from the previous edition remains. but many new diagrams have been added which will facilitate understanding of the text by the undergraduate student in particular. A new chapter on neuromuscular function has been added which covers the anatomv and ncurophysiology of maxillomandibular articulation’in an easily understood fashion which will be useful revision for those whose reading of the subject is less than frcqucnt. Masticatory function has been revised as a separate chapter and includes discussion on tooth contact patterns. deglutition. respiration. speech and facial expression in light of information provided by electrognathographic studies.
The Patient and the Plastic Surgeun. By R. M. Goldwyn. 2nd Edition. 1990. Little Brown Europe 1~);Churchill Livingstone. pp 290. Prlcc f4S. ISBN
Medical. distributed in Edinburgh 8~ I,ondon.
In this book Dr Goldwyn gives us the bcncfit of his experience of dealing with patients in over 30 years of practice as a plastic surgeon in the USA. Many of the instances cited will bc easily rccognizahle to all plastic surgeons on both sides of the Atlantic. IIc gives.good practical advice regarding general matters of patient cart and also the more specific problems rclatcd to certain proccdurcs. The appendix contains several personal authorisation forms. for cxamplc in depth consent forms for individual procedures-is this the true meaning of informed consent? This very readable book has much to offer both the cxpcricnccd operator and the trainee plastic surgeon
C. A. RIIII) Plastic Surgeon ‘l‘he Koyill Victoria Infirmary Newcastle Upon ‘I‘~Iw. C‘OllSUltilllt
Rritish
Journal of Oral and Maxillofacial Surgery
Plastic Surgery. It cost f7.50, it had 108.5 pages and its clear, well-written content magically opened the doors to my chosen surgical speciality. It was with great anticipation therefore that I read the updated, 143’) paged. C80 hard-back, fourth edition of Grabb and Smith. The book is written for the resident in plastic surgery in the lJSA and its contributors arc mostly from that country. The content of the book is sound and reasonably up-todate and although the text is somewhat dogmatic, the information in the book covers the whole spectrum of plastic and reconstructive surgery including that overlap of surgery which plastic and oral and maxillofacial surgeons share in this country. This book is easy to read. and the black and white illustrations and the diagrams are all relevant and appropriately placed in the book. The editors have avoided the unnecessary repetition which so often mars multi-authored books. References both old and new (the latest being 19%)) are good and there are helpful suggestions for indepth reading of various topics. It is difficult to know whether to recommend this book to every oral and maxillofacial surgeon. Although about a third of the content is relevant, it is probably better covered in specialist books on oral and maxlllofacial surgery. I lowever, I would strongly advise trainee plastic surgeons to buy this book as it gives a good, affordable, comprehensive overview of plastic surgery as practiscd in the late 1980s. After 20 years and four editions. Grabb and Smith has retained its magic and will, I am sure, open the doors of plastic surgery to many plastic surgery trainees. D. S. MURRAY Consultant Plastic Surgeon Wordslcy I lospital West Midlands
Diseases of the Jaws: Diagnosis and Treatment. der Waal. DKK675.
Munksgaard,
Copenhagen.
IYYI.
By I. van pp. 304. Price
Professor van der Waal is head of the Department of Oral and Maxillofacial Surgery of the Free University of Amsterdam, and his previous contributions in the field of oral pathology arc well known. His book is well presented and this allows easy access to its contents. The photographic reproductions arc numerous and of excellent_ quality. It confines itself to those diseases which primarily this remit it is affect the hard tissues. and within comprehensive. It is therefore an excellent reference book. whilst at the same time it is very readable. The book is concise and well structured, and this facilitates easy assimilation of the information. Both clinical and histopathological aspects are discussed. It also contains an extensive and mainly comtcmporary bibliography. The book provides excellent and detailed information on rare pathologies. howcvcr in an attempt to be comprehcsivc. descriptions of the more common conditions such as lrismus and periodontal disease arc discussed in a rather superficial fashion. These subjects have previously been better described clscwhere. a rather Personal,ly. I also feel the book promotes artificial dlvrde between hard and soft tissue pathology. This is perhaps not desirable in a publication which attempts to provide a clinical approach to the subject of oral diseahc. The important subject of squamous cell carcinoma for instance is briefly mentioned only in as far it may invade the bone. The book therefore gives a rather unbalanced overview of those conditions which might prcscnt to practitioners. For instance. mandibulofacial
dysostosis is mentioned in the first chapter on congenital and developmental disturbances. However. other conditions such as hemifacial microsomia which also give rise to facial deformity are omitted. In summary. the book is an extremely worthwhile reference which, on the whole. provides clear concise information on mainly hard-tissue pathologies which may affect the jaws. As a text however, it fails to include some important common conditions and provides superficial descriptions of others. Notwithstanding these criticisms however, the information which the book dots contain is on the whole well presented and illustrated. I would strongly rccommcnd its inclusion as a reference book for the oral and maxillofacial departmental library.
Consultant
Infection
Control
for
K. R. PWVLETHWAITE Oral and Maxillofacial Surgeon The Royal Victoria Infirmary Newcastle Upon Tync.
the
Dental
Team.
Samaranayake, F. Scheutz. J. A. Cottone. Copenhagen. pp 143. ISBN Y7-16-10368-8.
By L. P. Munksgaard,
This well-written book should be compulsive and important reading for every member of any out-patient surgical team, including of course, oral and maxillofacial surgeons. The authors set out to ‘emphasise both the general principles and practical aspects of cross-infkction control in dentistry’. This they have achieved well. The book is well-written and in an easily readable style which refers to very useful topics and includes a good bibliography and index. It is a sad fact but unfortunately true. that HIV infection has made us become aware of cross-infection. This book quite correctly states that the risks of transmission of HIV is much lower than Ilcpatitis B and of course some other infections. I felt that greater emphasis could be placed on stressing the importance of other organisms which may be of importance in cross-infection. I felt that in certain areas. particularly the ‘micro-organism and their properties’ tended to involve too much jargon and was somewhat too technically orientated. The text book might imply that this was a book which could be handled by any member of the team and yet clearly the depth of detail in some areas was quite extensive. The result of this. however, means that the book provides much information for those wishing to glean it from the references or the text. There is a very useful glossary of terms and abbreviations. This book would provide a very useful source of information for all members of the team and certainly should be a part of every oral and maxillofacial surgery out-patient reading list. M. ROBSON Sister in Charge Dcpartmcnt of Oral and Maxillofdcial Surgery Sunderland District General Hospital
Surgical Endodontics. Blackwell Scientific Price f89.50.
By J. L. Gutman & J. W. Harrison. Publications, Oxford. 1991. pp 46X.
By and large, surgical endodontics (at its most basic. the apicctomy) comprise relatively straightforward procedures. It might be asked whether 468 pages could profitably be written, or read. on the subject. If so. this book is the result. It is well-produced. The crisp black and white photos are appropriate and entirely illuminating.
giving the lie to the current enthusiasm tor colour rather than substance. The text is lucid, and of impressive scholarship. I would imagine that the huge number of references arc comprchensivc. and as such they will bc a boon to any researcher. The book proceeds in logical sequence. starting with history and histology, proceeding to medical problems and sequential steps in surgical technique; and concluding with problem-solving. No exception can be taken to the substance of the text and the very many techniques that are comprehensively described, compared and discussed; though inevitably. personal prefercncc invites the occasional quibble. For example, I would not view the prcscnce of a bony dehiscencc at the end of a root as being a reason tither for disquiet or having to resect the root to a low level. Who should read the book? Thcrc can be little doubt that it is aimed, partly at least, at the novice. Some philosophies which are propounded, such as the need to instil confidence in your patient, will have been grasped by most registrars and above. Yet, the student or house officer who is ahout to embark upon their first apiccctomy may be confused rather than helped by the welter of facts and discussion put before them. It is all well and good to state that all apical cavities should be varnished heforc placing the retroscal. l&search proves it; but how on earth do you do it? If you decide that you cannot varnish the cavity and cannot. on the basis of the text, use amalgam with a good conscience, which of the plethora of other sealants. discussed and analysed should you use‘! This is a splendid, definitive book; and must bc csscntial reading for all who undertake surgical endodontics. Those who are starting a surgical career, may have some difficulty in getting a perspective. Those who already have some cxpcricnce in the subject will henefit greatly, particularly. in the opportunity to critically review. reassess. and improve their clinical technique through sound cndodontic and surgical principles based on cxpcricnce, rcscarch. and scholarship. I. E. BAKNES Professor of Opcrativc Dentistry University of Newcastle upon ‘I’ync
Occlusion. By Il. Thomson. 1990. pp 292. Price f49.50.
2nd Edition. Wright, ISBN &723&2075-X.
A description of some common types of articulators is given in chapter eight with an explanation of the rationale for fully and semiadjustable articulators with a section on the limrtations of these instruments. This chapter has been revised to include advances in condylar tracking devices and computerised methods of recording manclibular movcment. The occlusal requirements in fixed prosthodontics arc discussed in chapter I1 whcrc advanced periodontal discasc is given as a contraindication for occlusal reconstruction, despite the volume of evidence to the contrary which emerged from Scandinavia more than I5 years ago. where workers showed that it was not only possible but indeed essential for the survival of the dcntition to restore the advanced periodontally diseased mouth with full arch fixed prostheses. The only other arca of disagrccmcnt this reviewer found in the text was frequent rcfcrence to the strangulated pulp theory on pages 31. 116 and 1 IO. even though this theory was disproved 20 years ago. One of the most controversial areas of clinical dentistry is the role of occlusion in the pathogcncsis of the mandibular dysfunction syndrome, and this subject is covered in chapter 13 which has been completely rewritten since the lY8l revision of this book. Included is a summary of the literature on the subject from 1835 to 198’). followed by a discussion of the more significant clcvelopmcnts over the past 10 years, including current thinking on the psychological aspects and the increasing USC of psychotrophic drugs in the management of this syndrome. The author has made frequent and skilful use of analogies to explain difficult concepts. and the text is liberally strewn with light hcartcd remarks like ‘occlusal function takes place behind closed lips’ which help to make the book an easy and enjoyable read. The final exhortations from the author advise patients to keep their teeth apart. and dentists to give patients an occlusion with which they can function and forget about. Students and clinicians at all levels will benefit from the balanced approach to the difficult subject of occlusion which this book offers.
Consultant
M. CASSIDY in Restorative Dentistry Leeds Dental Hospital
London.
The first edition of this book was orginally published in lY7S and rcviscd in IY81 as part of the Dental Practitioner Handbook series. The second edition is presented in a different format with a hardback cover, and is published by Wright. The layout of subject matter has been rcarrangcd and six additional chapters have been written taking account of new information, changing terminology and current opinion, using the FDI tooth notation system throughout. Much of the illustrative material from the previous edition remains. but many new diagrams have been added which will facilitate understanding of the text by the undergraduate student in particular. A new chapter on neuromuscular function has been added which covers the anatomv and ncurophysiology of maxillomandibular articulation’in an easily understood fashion which will be useful revision for those whose reading of the subject is less than frcqucnt. Masticatory function has been revised as a separate chapter and includes discussion on tooth contact patterns. deglutition. respiration. speech and facial expression in light of information provided by electrognathographic studies.
The Patient and the Plastic Surgeun. By R. M. Goldwyn. 2nd Edition. 1990. Little Brown Europe 1~);Churchill Livingstone. pp 290. Prlcc f4S. ISBN
Medical. distributed in Edinburgh 8~ I,ondon.
In this book Dr Goldwyn gives us the bcncfit of his experience of dealing with patients in over 30 years of practice as a plastic surgeon in the USA. Many of the instances cited will bc easily rccognizahle to all plastic surgeons on both sides of the Atlantic. IIc gives.good practical advice regarding general matters of patient cart and also the more specific problems rclatcd to certain proccdurcs. The appendix contains several personal authorisation forms. for cxamplc in depth consent forms for individual procedures-is this the true meaning of informed consent? This very readable book has much to offer both the cxpcricnccd operator and the trainee plastic surgeon
C. A. RIIII) Plastic Surgeon ‘l‘he Koyill Victoria Infirmary Newcastle Upon ‘I‘~Iw. C‘OllSUltilllt