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Moore - Principles of Oral and Maxillofacial Surgery

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Moore Principles of Oral and Maxillofacial Surgery
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This edition first published 2011 1965 1981 1984 1991 2001 by Blackwell - photo 1

This edition first published 2011

1965, 1981, 1984, 1991, 2001 by Blackwell Science Ltd

2011 by Blackwell Publishing Ltd

Blackwell Publishing was acquired by John Wiley & Sons in February 2007. Blackwells publishing program has been merged with Wileys global Scientific, Technical and Medical business to form Wiley-Blackwell.

Registered office: John Wiley & Sons Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK

Editorial offices: 9600 Garsington Road, Oxford OX4 2DQ, UK

The Atrium, Southern Gate, Chichester, West Sussex PO19 8SQ, UK

2121 State Avenue, Ames, Iowa 50014-8300, USA

For details of our global editorial offices, for customer services and for information about how to apply for permission to reuse the copyright material in this book please see our website at www.wiley.com/wiley-blackwell.

The right of the author to be identified as the author of this work has been asserted in accordance with the UK Copyright, Designs and Patents Act 1988.

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher.

Designations used by companies to distinguish their products are often claimed as trademarks. All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book. This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold on the understanding that the publisher is not engaged in rendering professional services. If professional advice or other expert assistance is required, the services of a competent professional should be sought.

Library of Congress Cataloging-in-Publication Data

Principles of oral and maxillofacial surgery / edited by U.J. Moore. 6th ed.

p. ; cm.

Includes bibliographical references and index.

ISBN 978-1-4051-9998-8 (pbk. : alk. paper) 1. MouthSurgery. 2. MaxillaSurgery. 3. FaceSurgery. I. Moore, U. J. (Undrell J.)

[DNLM: 1. Stomatognathic Systemsurgery. 2. Oral Surgical Proceduresmethods. 3. Stomatognathic Diseasessurgery. WU 600]

RK529.P752 2011

617.5'22dc22

2010041320

A catalogue record for this book is available from the British Library.

This book is published in the following electronic formats: epdf 9781444393163; ePub 9781444393170

Preface to the Sixth Edition

Oral and maxillofacial surgery continues to develop, with new technologies being embraced. These developments have been incorporated into this new edition for the new generations of students; however, full attention is still paid to the fundamental basis of patient assessment and diagnosis, which form the cornerstone of any surgical specialty. Developing the decision-making process for the learner is one of the more difficult aspects of teaching and learning. We hope that this book still helps in this process.

Explanation of principles has remained the priority and this is still intended as an undergraduate and early postgraduate text.

Acknowledgements

This textbook had its inception in the early days of the specialty and much has changed within the discipline and the book since then. It is important to continue to acknowledge those who created the environment for these changes and influenced the contributions to this new edition.

I am grateful to Wiley-Blackwell, who have strongly supported the concept of developing a new edition. The process has been much facilitated by their steady yet insistent style of management and I can honestly say it has been a pleasure. It is invigorating to be part of something that feels very positive and my fellow contributors have been equally positive about the process. I would like to thank them for their prompt and relaxed style of authorship.

I am grateful also for any illustrations that have been permitted to be included, as they are essential to the understanding of the text.

Foreword to the First Edition

There is an increasing need for trained oral surgeons in the world today. An operative field that was a no-mans-land partly controlled by the general surgeon, partly controlled by the dental surgeon, has now come to be the field of a specialised branch of dentistry.

In the past we have had to use books written and published in America, and, fine though these books are, it is refreshing to find a book produced by a British oral surgeon, because in the world today, British oral surgery has undoubtedly the highest general level of training and achievement in the oral surgical field.

Mr J. R. Moore has had considerable practical experience as an oral surgeon in a consultative capacity before devoting his talents to teaching, and he has produced a book of great practical use both to the student or trainee learning oral surgery and also a book of great interest to the established specialist.

I deplore the fragmentation of the dental profession by dividing it into so many specialities, but in the field of oral surgery there are procedures which the dental surgeon would not wish to carry out. Therefore a knowledge of the difficulties and hazards of an oral surgical procedure is essential for the general dental surgeon, who should include this book in his library.

It is with great pleasure that I commend this work of Mr J. R. Moore of University College Hospital to the profession.

T G Ward

List of Contributors

Jonathan G Cowpe

BDS, FDSRCSEd, PhD, FDSRCSEng, FCDS (HK), FFGDP (UK), FDSRCPSGlas, FHEA

Director, Postgraduate Dental Education for Wales, School of Postgraduate Medical and Dental Education, Wales, Cardiff University and Professor/Consultant in Oral Surgery, School of Dentistry, Cardiff University

Justin Durham

BDS, PhD, MFDS, RCS (Ed), FHEA

NIHR Academic Clinical Lecturer in Oral Surgery, School of Dental Sciences, Newcastle

Mark Greenwood

MDS, PhD, MB ChB, FDS, FRCS, FRCS (OMFS), FHEA

Consultant Oral and Maxillofacial Surgeon and Honorary Professor of Medical Education in Dentistry, Newcastle Hospitals NHS Foundation Trust and Newcastle University

John G Meechan

BSc, BDS, PhD, FDSRCS(Edin), FDSRCPS(Glas)

Senior Lecturer and Honorary Consultant in Oral Surgery, School of Dental Sciences, Newcastle

Francis Nohl

MB BS, BDS, MSc, MRD, FDS, RCS, DDS

Consultant and Honorary Senior Clinical Lecturer in Restorative Dentistry, Newcastle Dental Hospital and School

Keith R Postlethwaite

FRCS, FDSRCS, MB ChB, BDS

Consultant Oral and Maxillofacial Surgeon, Newcastle upon Tyne Hospitals NHS Trust

Peter J Thomson

BDS, MBBS, MSc, PhD, FDSRCS, FFDRCSI, FRCS(Ed)

Professor of Oral and Maxillofacial Surgery, Newcastle University

Chapter 1

The New Patient

  • History
  • Principles of examination
  • Systematic procedure for examination of the oro-facial tissues
  • Special investigation
  • Diagnosis
  • Treatment planning

It is difficult to overstress the importance of a good history and thorough clinical examination for every patient. It is on this that the diagnosis is made and the treatment plan based. A full, clearly written record of the original consultation is essential to assess progress following treatment. This is particularly true if a colleague should be called to see the patient in the practitioners absence. The medico-legal importance of accurate records cannot be overemphasised.

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