Menu Expand
Oral Pathology for the Dental Hygienist - E-Book

Oral Pathology for the Dental Hygienist - E-Book

Olga A. C. Ibsen | Joan Andersen Phelan

(2016)

Additional Information

Book Details

Abstract

Oral Pathology for the Dental Hygienist: With General Pathology Introductions, 7th Edition, offers the most trusted general and oral pathology information that’s tailored to the specific role and responsibilities of the dental hygienist. Expert authors Ibsen and Phelan incorporate the ideal mix of clinical photographs, radiographs, and focused discussions to help you learn to properly identify, understand, evaluate, and document the appearance of normal and diseased states. Plus, robust learning features — like case studies, synopsis tables, learning objectives, and a practice exam — further reinforce the information you need to know to pass the national board exam and succeed as a dental hygienist.

  • Tailored content focuses on the role of the dental hygienist in oral health care.
  • Unparalleled art program features a wealth of high-quality radiographs and color clinical photos depicting oral pathologic conditions to help you clearly recognize normal and abnormal manifestations.
  • NBDHE-style review questions are included in each chapter.
  • Pathology synopsis charts provide at-a-glance summaries to help you digest the most critical information for each lesion, disease, or condition.
  • Vocabulary resources include key term listings with definitions and phonetic pronunciations, highlighted terms in text, and a back-of-book glossary for handy reference.
  • Online resources on the companion website enhance the learning experience.
  • NEW! Chapter on orofacial pain includes content on burning mouth and tongue syndrome, Bell’s palsy, and trigeminal neuralgia, in addition to temporomandibular joint disorders.
  • NEW! Emphasis on differential diagnosis promotes the critical thinking required in diagnostic situations.
  • NEW! Content on dynamic topics — including xerostomia, bisphosphonates, sprue, gluten sensitivity, and more — summarizes the most cutting-edge, evidence-based dental practice.
  • NEW! Clinical photographs include new images on hives; hand, foot, and mouth disease; and more, added to the already superior art program.
  • REVISED and EXPANDED! NBDHE-style chapter review questions provide valuable study tools for classroom and board exams.

Table of Contents

Section Title Page Action Price
Front Cover cover
Endsheet 2_Evolve page IFC2
Oral Pathology for the Dental Hygienist i
Copyright Page iv
Personal Dedication v
Professional Dedication vii
Contributors ix
Preface xi
Importance to the Profession xi
About This Edition xi
New to This Edition xi
About Evolve xii
For the Student xii
For the Instructor xii
From the Authors xii
Acknowledgments xiii
Table Of Contents xv
1 Introduction to Preliminary Diagnosis of Oral Lesions 1
Objectives 1
Vocabulary 1
Clinical Appearance of Soft Tissue Lesions 1
Soft Tissue Consistency 1
Color of Lesion 2
Size of Lesion 2
Surface Texture 2
Radiographic Terms Used to Describe Lesions in Bone 3
Additional Vocabulary Words 5
The Diagnostic Process 6
Making a Diagnosis 6
Clinical Diagnosis 6
Radiographic Diagnosis 9
Historical Diagnosis 13
Laboratory Diagnosis 16
Microscopic Diagnosis 18
Surgical Diagnosis 18
Therapeutic Diagnosis 18
Differential Diagnosis 20
Variants of Normal 20
Fordyce Granules 20
Torus Palatinus 21
Mandibular Tori 21
Melanin Pigmentation 21
Retrocuspid Papilla 22
Lingual Varicosities 22
Linea Alba 23
Leukoedema 23
Other Benign Conditions With Unique Clinical Features 23
Lingual Thyroid 23
Median Rhomboid Glossitis (Central Papillary Atrophy) 23
Erythema Migrans (Geographic Tongue) 24
Fissured Tongue 24
Hairy Tongue 24
Review Questions 26
Selected References 25
Books 25
Journal Articles 25
Chapter 1 Synopsis 28
2 Inflammation and Repair 32
Objectives 32
Vocabulary 32
Injury 34
Innate Defenses 34
Inflammation 34
Microscopic Events of Inflammation and Clinical Signs 34
White Blood Cells in the Inflammatory Response 37
Neutrophils 38
Macrophages 38
Biochemical Mediators Involved in Inflammation 39
Kinin System 40
Clotting Mechanism 40
Complement System 40
Other Biochemical Mediators of Inflammation 40
Systemic Clinical Signs of Inflammation 40
Fever 40
Leukocytosis 41
Lymphadenopathy 41
Elevated Levels of C-Reactive Protein 41
Chronic Inflammation 42
Antiinflammatory Therapy 42
Reactive Tissue Responses to Injury 43
Tissue Repair 43
Microscopic Events During Repair 43
Day of Injury 43
Day After Injury 44
Two Days After Injury 44
Seven Days After Injury 44
Two Weeks After Injury 44
Types of Repair 44
Healing by Primary Intention 45
Healing by Secondary Intention 45
Healing by Tertiary Intention 45
Bone Tissue Repair 45
Factors That Impair Healing 46
Traumatic Injuries to Teeth 46
Attrition 46
Abrasion 47
Abfraction 47
Erosion 48
Injuries to Oral Soft Tissue 49
Oral Mucosal Burns 49
Aspirin Burn 49
Phenol and Other Chemical Burns 49
Electric Burn 50
Thermal Burns 50
Lesions Associated With Cocaine Use 50
Lesions From Self-Induced Injuries 51
Traumatic Ulcer 51
Hematoma 52
Frictional Keratosis 52
Linea Alba 52
Nicotine Stomatitis 52
Smokeless Tobacco Keratosis (Tobacco Pouch Keratosis, Spit Tobacco Keratosis) 52
Traumatic Neuroma 52
Amalgam Tattoo 54
Melanosis 55
Solar Cheilitis (Actinic Cheilitis) 55
Mucous Retention Lesions 56
Sialolith 56
Necrotizing Sialometaplasia 57
Sialadenitis 57
Reactive Connective Tissue Hyperplasia 58
Pyogenic Granuloma 58
Peripheral Giant Cell Granuloma 58
Peripheral Ossifying Fibroma (Peripheral Fibroma With Calcification) 59
Fibroma, Irritation Fibroma, Traumatic Fibroma, and Focal Fibrous Hyperplasia 60
Denture-Induced Fibrous Hyperplasia 60
Inflammatory Papillary Hyperplasia of the Palate 61
Gingival Enlargement 61
Chronic Hyperplastic Pulpitis 62
Inflammatory Periapical Lesions 62
Periapical Abscess 62
Periapical Granuloma 63
Radicular Cyst (Periapical Cyst) 63
Tooth Resorption 64
Focal Sclerosing Osteomyelitis 65
Alveolar Osteitis 66
Review Questions 68
Selected References 66
Books 66
Journal Articles 66
Websites 68
Chapter 2 Synopsis 72
3 Immunity and Immunologic Oral Lesions 78
Objectives 78
Vocabulary 78
Immune Response 80
Antigens in the Immune Response 81
Cellular Involvement in the Immune Response 81
B-Cell Lymphocytes 81
T-Cell Lymphocytes 82
Natural Killer Cells 83
Macrophages 83
Dendritic Cells 83
Cytokines in the Immune Response 84
Major Divisions of the Immune Response 84
Types of Immunity 85
Immunopathology 85
Hypersensitivity 85
Type I Hypersensitivity 85
Type II Hypersensitivity 86
Type III Hypersensitivity 86
Type IV Hypersensitivity 86
Drug Hypersensitivity 86
Autoimmune Diseases 86
Immunodeficiency 87
Oral Immunologic Lesions and Diseases 87
Aphthous Ulcers and Recurrent Aphthous Stomatitis 87
Types of Aphthous Ulcers 87
Diagnosis 87
Treatment and Prognosis 89
Urticaria and Angioedema 89
4 Infectious Diseases 116
Objectives 116
Vocabulary 116
Bacterial Infections 117
Impetigo 117
Tonsillitis and Pharyngitis 117
Tuberculosis 118
Diagnosis 118
Treatment and Prognosis 118
Actinomycosis 118
Syphilis 119
Congenital Syphilis 120
Diagnosis and Treatment 120
Necrotizing Ulcerative Gingivitis 120
Pericoronitis 120
Diagnosis 120
5 Developmental Disorders 148
Objectives 148
Vocabulary 148
Embryonic Development of the Face, Oral Cavity, and Teeth 149
Face 149
Oral and Nasal Cavities 150
Teeth 150
Developmental Soft Tissue Abnormalities 151
Ankyloglossia 151
Commissural Lip Pits 151
Lingual Thyroid 152
Developmental Cysts 152
Odontogenic Cysts 153
Dentigerous Cyst 153
Eruption Cyst 153
Primordial Cyst 153
Odontogenic Keratocyst 153
Calcifying Odontogenic Cyst 155
Lateral Periodontal Cyst, Gingival Cyst, and Botryoid Odontogenic Cyst 156
Glandular Odontogenic Cyst 157
Nonodontogenic Cysts 157
Nasopalatine Canal Cyst 157
Median Palatine Cyst 158
Globulomaxillary Cyst 158
Median Mandibular Cyst 158
Nasolabial Cyst 158
Lymphoepithelial Cyst 159
Epidermal Cyst 159
Dermoid Cyst and Benign Cystic Teratoma 159
Thyroglossal Tract Cyst 159
Pseudocysts 160
Stafne Defect 161
Simple Bone Cyst 161
Aneurysmal Bone Cyst 161
Developmental Abnormalities of Teeth 162
Abnormalities in the Number of Teeth 162
Anodontia 162
Hypodontia 162
Supernumerary Teeth 163
Abnormalities in the Size of Teeth 164
Microdontia 164
Macrodontia 164
Abnormalities in the Shape of Teeth 165
Gemination 165
Fusion 165
Hypercementosis 166
Concrescence 166
Dilaceration 167
Enamel Pearl 167
Talon Cusp 168
Taurodontism 168
Dens Invaginatus 169
Dens Evaginatus 169
Supernumerary Roots 170
Abnormalities of Tooth Structure 170
Enamel Hypoplasia 170
Enamel Hypoplasia Caused by Febrile Illness or Vitamin Deficiency 170
Enamel Hypoplasia Resulting From Local Infection or Trauma 170
Enamel Hypoplasia Resulting From Fluoride Ingestion 171
Enamel Hypoplasia Resulting From Congenital Syphilis 171
Enamel Hypoplasia Resulting From Birth Injury, Premature Birth, or Idiopathic Factors 171
Enamel Hypocalcification 172
Endogenous Staining of Teeth 172
Regional Odontodysplasia 172
Abnormalities of Tooth Eruption 172
Impacted and Embedded Teeth 172
Ankylosed Teeth 173
Review Questions 175
Selected References 173
Books 173
Journal Articles 173
Chapter 5 Synopsis 178
6 Genetics 186
Objectives 186
Vocabulary 186
Chromosomes 188
Normal Cell Division 188
Mitosis 188
Stages of Mitosis 188
Meiosis 189
First Meiosis 189
Second Meiosis 190
Lyon Hypothesis 190
Molecular Composition of Chromosomes 190
Deoxyribonucleic Acid 190
Ribonucleic Acid 191
Types of Ribonucleic Acid 191
Genes and Chromosomes 192
Chromosomal Abnormalities 192
Gross Chromosomal Abnormalities 193
Alterations in Number and Structure of Chromosomes 193
Clinical Syndromes Resulting From Gross Chromosomal Abnormalities 193
Trisomy 21 193
Trisomy 13 194
Turner Syndrome 194
Klinefelter Syndrome 194
Cri du Chat (Cat Cry) Syndrome and Wolf-Hirschhorn Syndrome 195
Patterns of Inheritance 195
Autosomal-Dominant Inheritance 195
Autosomal-Recessive Inheritance 195
X-Linked Inheritance 195
Lyon Hypothesis and X-Linked Recessive Traits 195
Genetic Heterogeneity 196
Multifactorial Inheritance 196
Examples of Inherited Disorders 196
Inherited Disorders Affecting the Gingiva and Periodontium 196
Cyclic Neutropenia. 196
Papillon-Lefèvre Syndrome. 197
Focal Palmoplantar and Gingival Hyperkeratosis. 198
Gingival Fibromatosis. 198
Laband Syndrome. 198
Gingival Fibromatosis With Hypertrichosis, Epilepsy, and Mental Retardation Syndrome. 198
Gingival Fibromatosis With Multiple Hyaline Fibromas. 198
Inherited Disorders Affecting the Jawbones and Facies 198
Cherubism. 198
Ellis–van Creveld Syndrome. 199
Cleidocranial Dysplasia. 199
Gardner Syndrome. 200
Mandibulofacial Dysostosis. 200
Nevoid Basal Cell Carcinoma Syndrome. 201
Osteogenesis Imperfecta. 201
Torus Mandibularis. 202
Torus Palatinus. 202
Maxillary Exostosis. 202
Inherited Disorders Affecting the Oral Mucosa 202
Isolated Cleft Palate and Cleft Lip With or Without Cleft Palate. 202
Hereditary Hemorrhagic Telangiectasia. 203
Multiple Mucosal Neuroma Syndrome. 203
Neurofibromatosis of von Recklinghausen. 204
Peutz-Jeghers Syndrome. 204
White Sponge Nevus. 205
Inherited Disorders Affecting the Teeth 205
Amelogenesis Imperfecta. 205
Dentinogenesis Imperfecta. 206
Dentin Dysplasia. 206
Radicular Dentin Dysplasia. 206
Coronal Dentin Dysplasia. 206
Hypohidrotic Ectodermal Dysplasia. 207
Hypophosphatasia. 208
Hypophosphatemic Vitamin D–Resistant Rickets. 209
Pegged or Absent Maxillary Lateral Incisors. 209
Taurodontism. 209
Review Questions 210
Selected References 209
Books 209
Journal Articles 209
Chapter 6 Synopsis 212
7 Neoplasia 218
Objectives 218
Vocabulary 218
Description of Neoplasia 219
Causes of Neoplasia 219
Classification of Tumors 219
Names of Tumors 220
Treatment of Tumors 221
Epithelial Tumors 221
Tumors of Squamous Epithelium 221
Papilloma 221
Premalignant Lesions 221
Leukoplakia 221
Erythroplakia 223
Oral Submucous Fibrosis 223
Epithelial Dysplasia 223
Squamous Cell Carcinoma 223
Risk Factors 225
Treatment and Prognosis 225
Verrucous Carcinoma 226
Basal Cell Carcinoma 227
Salivary Gland Tumors 227
Pleomorphic Adenoma (Benign Mixed Tumor) 227
Monomorphic Adenomas 227
Adenoid Cystic Carcinoma (Cylindroma) 229
Mucoepidermoid Carcinoma 230
Other Malignant Salivary Gland Tumors 230
Odontogenic Tumors 230
Epithelial Odontogenic Tumors 231
Ameloblastoma 231
Calcifying Epithelial Odontogenic Tumor 231
Adenomatoid Odontogenic Tumor 231
Calcifying Odontogenic Cyst (Calcifying Cystic Odontogenic Tumor) 232
Mesenchymal Odontogenic Tumors 233
Odontogenic Myxoma 233
Central Cementifying Fibroma and Central Ossifying Fibroma 234
Cementoblastoma 235
Mixed Odontogenic Tumors 236
Ameloblastic Fibroma 236
Ameloblastic Fibro-Odontoma 236
Odontoma 236
Peripheral Odontogenic Tumors 237
Tumors of Soft Tissue 237
Lipoma 237
Tumors of Nerve Tissue 237
Neurofibroma and Schwannoma 237
Granular Cell Tumor 238
Congenital Epulis 238
Tumors of Muscle 239
Vascular Tumors 239
Lymphangioma 239
Malignant Vascular Tumors 240
Tumors of Melanin-Producing Cells 241
Melanocytic Nevus 241
Melanoma 241
Tumors of Bone and Cartilage 241
Osteoma 241
Osteosarcoma 242
Tumors of Cartilage 242
Tumors of Blood-Forming Tissues 242
Leukemia 242
Lymphoma (Non-Hodgkin Lymphoma) 242
Multiple Myeloma 242
Metastatic Tumors 244
Review Questions 246
Selected References 245
Books 245
Journal Articles 245
Leukoplakia and Erythroplakia 245
Salivary Gland Tumors 245
Odontogenic Tumors 246
Lipoma 246
Neurogenic Tumors 246
Vascular Tumors 246
Tumors of Melanin-Producing Cells 246
Tumors of Bone 246
Tumors of Blood-Forming Tissues 246
Metastatic Tumors 246
Chapter 7 Synopsis 251
8 Nonneoplastic Diseases of Bone 258
Objectives 258
Vocabulary 258
Benign Fibro-Osseous Lesions 259
Periapical Cemento-Osseous Dysplasia 259
Florid Cemento-Osseous Dysplasia 260
Focal Cemento-Osseous Dysplasia 260
Fibrous Dysplasia 261
Types of Fibrous Dysplasia 261
Monostotic Fibrous Dysplasia 261
Polyostotic Fibrous Dysplasia 261
Paget Disease of Bone 262
Central Giant Cell Granuloma (Central Giant Cell Lesion) 263
Aneurysmal Bone Cyst 264
Osteomalacia 264
Review Questions 265
Selected References 264
Books 264
Journal Articles 264
Chapter 8 Synopsis 269
9 Oral Manifestations of Systemic Diseases 270
Objectives 270
Vocabulary 270
Endocrine Disorders 272
Hyperpituitarism 272
Clinical Features and Oral Manifestations 272
Diagnosis and Treatment 272
Hyperthyroidism (Thyrotoxicosis, Graves Disease) 272
10 Orofacial Pain and Temporomandibular Disorders 304
Objectives 304
Vocabulary 304
Orofacial Pain 305
Burning Mouth Disorder (Burning Mouth Syndrome) 305
Clinical Features and Oral Manifestations 305
Treatment and Prognosis 305
Trigeminal Neuralgia (Tic Douloureux) 305
Answers 320
Chapter 1 320
Chapter 2 320
Chapter 3 320
Chapter 4 320
Chapter 5 321
Chapter 6 321
Chapter 7 321
Chapter 8 321
Chapter 9 321
Chapter 10 322
Glossary 323
A 323
B 324
C 324
D 326
E 327
F 327
G 328
H 328
I 329
J 330
K 330
L 330
M 330
N 332
O 332
P 333
R 334
S 334
T 335
U 336
V 336
W 336
X 336
Index 337
A 337
B 339
C 340
D 342
E 343
F 344
G 345
H 346
I 348
J 349
K 349
L 349
M 350
N 352
O 352
P 353
Q 356
R 356
S 357
T 359
U 360
V 360
W 361
X 361
Y 361