Contemporary Oral and Maxillofacial Surgery - E-Book , livre ebook

Contemporary Oral and
Maxillofacial Surgery
SIXTH EDITION
James R. Hupp, DMD, MD, JD, MBA
Founding Dean and Professor of Oral-Maxillofacial Surgery, School of Dental Medicine
Professor of Surgery, School of Medicine, East Carolina University, Greenville, North
Carolina
Edward Ellis, DDS, MS
Professor and Chair, Department of Oral and Maxillofacial Surgery, Director of OMS
Residency, University of Texas Health Science Center at San Antonio, San Antonio, Texas
Myron R. Tucker, DDS
Oral and Maxillofacial Surgery Educational Consultant, Charlotte, North Carolina
Isle of Palms, South Carolina
Adjunct Clinical Professor, Department of Oral and Maxillofacial Surgery, Louisiana State
University, New Orleans, LouisianaTable of Contents
Cover image
Title page
Copyright
Dedication
Contributors
Preface
Acknowledgments
Part I: Principles of Surgery
Introduction
Chapter 1: Preoperative Health Status Evaluation
Medical History
Physical Examination
Management of Patients with Compromising Medical Conditions
Management of Patients during and after Pregnancy
Chapter 2: Prevention and Management of Medical Emergencies
Prevention
Preparation
Medical Emergencies
Chapter 3: Principles of SurgeryDeveloping a Surgical Diagnosis
Basic Necessities for Surgery
Aseptic Technique
Incisions
Flap Design
Tissue Handling
Hemostasis
Decontamination and Débridement
Edema Control
Patient General Health and Wound Healing
Chapter 4: Wound Repair
Causes of Tissue Damage
Wound Repair
Surgical Significance of Wound Healing Concepts
Chapter 5: Infection Control in Surgical Practice
Communicable Pathogenic Organisms
Aseptic Techniques
Sterilization with Gas
Techniques of Instrument Disinfection
Maintenance of Sterility
Operatory Disinfection
Surgical Staff Preparation
Postsurgical Asepsis
Part II: Principles of Exodontia
Introduction
Chapter 6: Instrumentation for Basic Oral Surgery
Incising Tissue
Elevating the MucoperiosteumRetracting Soft Tissue
Grasping Soft Tissue
Controlling Hemorrhages
Removing Bone
Removing Soft Tissue From Bony Cavities
Suturing Soft Tissue
Holding the Mouth Open
Suctioning
Holding Towels and Drapes in Position
Irrigating
Extracting Teeth
Instrument Tray Systems
Chapter 7: Principles of Routine Exodontia
Presurgical Medical Assessment
Pain and Anxiety Control
Indications for Removal of Teeth
Contraindications for Removal of Teeth
Clinical Evaluation of Teeth for Removal
Radiographic Examination of the Tooth for Removal
Patient and Surgeon Preparation
Chair Position for Extractions
Mechanical Principles Involved in Tooth Extraction
Principles of Elevator and Forceps Use
Procedure for Closed Extraction
Specific Techniques for the Removal of Each Tooth
Postextraction Tooth Socket Care
Chapter 8: Principles of More Complex Exodontia
Principles of Flap Design, Development, and Management
Principles and Techniques for Open Extractions
Multiple ExtractionsChapter 9: Principles of Management of Impacted Teeth
Indications for Removal of Impacted Teeth
Contraindications for Removal of Impacted Teeth
Classification Systems for Mandibular Third Molar Impactions
Root Morphology
Classification Systems for Maxillary Third Molar Impactions
Removal of Other Impacted Teeth
Surgical Procedure
Perioperative Patient Management
Chapter 10: Postoperative Patient Management
Control of Postoperative Hemorrhage
Control of Postoperative Sequelae
Postoperative Follow-Up
Operative Note
Chapter 11: Prevention and Management of Extraction Complications
Prevention of Complications
Soft Tissue Injuries
Problems with a Tooth Being Extracted
Injuries to Adjacent Teeth
Injuries to Osseous Structures
Injuries to Adjacent Structures
Oroantral Communications
Postoperative Bleeding
Delayed Healing and Infection
Fractures of the Mandible
Summary
Chapter 12: Medicolegal Considerations
Legal Concepts Influencing Liability
Risk ReductionInformed Consent
Records and Documentation
Electronic Records
Referral to Another General Dentist or Specialist
Complications
Patient Management Problems
Common Areas of Dental Litigation
When a Patient Threatens to Sue
Managed Care Issues
Telemedicine and the Internet
Rules and Regulations Affecting Practice
Summary
Part III: Preprosthetic and Implant Surgery
Introduction
Chapter 13: Preprosthetic Surgery
Advanced Preposthetic Surgical Procedures
Chapter 14: Implant Treatment: Basic Concepts and Techniques
Introduction to the Multidisciplinary Approach
Peri-Implantation Biologic and Functional Considerations
Preoperative Assessment and Treatment Planning
Surgical Techniques (Basic)
Surgical Preparation
Postoperative Management
Implant Stability
Complications
Implant Components
Implant ProstheTic Options
AcknowledgmentsChapter 15: Implant Treatment: Advanced Concepts and Complex Cases
Immediate Postextraction Placement of Implants
Bone Grafting and Graft Substitutes
Mandibular Augmentation
Maxillary Augmentation
Alveolar Ridge Distraction
Diagnostic Imaging and Virtual Treatment Planning
Special Implants
Complex Cases
Acknowledgments
Part IV: Infections
Introduction
Chapter 16: Principles of Management and Prevention of Odontogenic Infections
Microbiology of Odontogenic Infections
Natural History of Progression of Odontogenic Infections
Principles of Therapy of Odontogenic Infections
Principles of Prevention of Infection
Principles of Prophylaxis of Wound Infection
Principles of Prophylaxis Against Metastatic Infection
Chapter 17: Complex Odontogenic Infections
Deep Fascial Space Infections
Osteomyelitis
Actinomycosis
Candidiasis
Chapter 18: Principles of Endodontic Surgery
Drainage of an Abscess
Drainage of an Abscess
Periapical SurgeryCorrective Surgery
Fractured Teeth
Healing
Recall
To Perform a Biopsy or Not
Adjuncts
When to Consider Referral
Chapter 19: Management of the Patient Undergoing Radiotherapy or Chemotherapy
Dental Management of Patients Undergoing Radiotherapy to the Head and Neck
Dental Management of Patients Receiving Systemic Chemotherapy for Malignant
Disease
Dental Management of Patients with Bisphosphonate-Induced Osteonecrosis of the
Jaws (BOJ)
Chapter 20: Odontogenic Diseases of the Maxillary Sinus
Embryology and Anatomy
Clinical Examination of the Maxillary Sinus
Radiographic Examination of the Maxillary Sinus
Nonodontogenic Infections of the Maxillary Sinus
Odontogenic Infections of the Maxillary Sinus
Treatment of Maxillary Sinusitis
Antral Pseudocysts
Complications of Oral Surgery Involving the Maxillary Sinus
Chapter 21: Diagnosis and Management of Salivary Gland Disorders
Embryology, Anatomy, and Physiology
Diagnostic Modalities
Obstructive Salivary Gland Disease: Sialolithiasis
Mucus Retention and Extravasation Phenomena
Salivary Gland Infections
Traumatic Salivary Gland Injuries
Salivary Gland NeoplasmsPart V: Management of Oral Pathologic Lesions
Introduction
Chapter 22: Principles of Differential Diagnosis and Biopsy
Examination and Diagnostic Methods
General Principles of Biopsy
Intraosseous (Hard Tissue) Biopsy Techniques and Principles
Chapter 23: Surgical Management of Oral Pathologic Lesions
Basic Surgical Goals
Surgical Management of Cysts and Cystlike Lesions of the Jaws
Principles of Surgical Management of Jaw Tumors
Malignant Tumors of the Oral Cavity
Surgical Management of Benign Lesions in Oral Soft Tissues
Reconstruction of Jaw after Removal of Oral Tumors
Part VI: Oral and Maxillofacial Trauma
Introduction
Chapter 24: Soft Tissue and Dentoalveolar Injuries
Soft Tissue Injuries
Dentoalveolar Injuries
Chapter 25: Management of Facial Fractures
Evaluation of Patients with Facial Trauma
Cause and Classification of Facial Fractures
Treatment of Facial Fractures
Part VII: Dentofacial Deformities
Introduction
Chapter 26: Correction of Dentofacial DeformitiesPrevalence of Dentofacial Deformities
Causes of Dentofacial Deformity
General Principles of Facial Growth
Genetic and Environmental Influences
Evaluation of Patients with Dentofacial Deformity
Presurgical Treatment Phase
Surgical Treatment Phase
Distraction Osteogenesis
Perioperative Care of the Orthognathic Surgical Patient
Postsurgical Treatment Phase
Summary
Chapter 27: Facial Cosmetic Surgery
Historical Perspective
Facial Aging and Analysis
Nonsurgical Procedures
Surgical Procedures
Summary
Chapter 28: Management of Patients with Orofacial Clefts
Embryology
Causative Factors
Problems of Individuals with Clefts
Treatment of Cleft Lip and Palate
Dental Needs of Individuals with Clefts
Chapter 29: Surgical Reconstruction of Defects of the Jaws
Biologic Basis of Bone Reconstruction
Types of Grafts
Assessment of Patient in Need of Reconstruction
Goals and Principles of Mandibular Reconstruction
Surgical Principles of Maxillofacial Bone-Grafting ProceduresPart VIII: Temporomandibular and other Facial Pa