Clinical Oral Medicine and Pathology
Clinical Oral Medicine and Pathology, is a clinically relevant and accessible resource for health care professionals that truly bridges the worlds of dentistry and medicine. This handbook of oral medicine and oral pathology serves as a highly readable gui
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Jean M. Bruch · Nathaniel S. Treister
Clinical Oral Medicine and Pathology
Jean M. Bruch, DMD, MD Massachusetts Eye and Ear Infirmary Boston, MA [email protected]
Nathaniel S. Treister, DMD Brigham and Women’s Hospital Boston, MA [email protected]
ISBN 978-1-60327-519-4 e-ISBN 978-1-60327-520-0 DOI 10.1007/978-1-60327-520-0 Springer New York Dordrecht Heidelberg London Library of Congress Control Number: 2009927497 © Humana Press, a part of Springer Science + Business Media, LLC 2010 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Humana Press, c/o Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)
Preface
What is oral medicine? Broadly speaking, it is the field of medicine that encompasses the diagnosis and management of diseases affecting the oral cavity. Many conditions produce oral signs and symptoms, and yet the oral cavity is an unfamiliar zone for many clinicians. Physicians generally receive little formal training in dental and oral medicine, and tend to view the oral cavity as a place reserved for their “dental” colleagues. Likewise, dentists are experts in the diagnosis and management of diseases related to the teeth and periodontium; however, the proportion of dental education dedicated to the “non-dental” part of the oral cavity often falls short. For these reasons, it is not at all uncommon for a patient to visit five to ten doctors before receiving a correct diagnosis and appropriate treatment plan, often months to years following onset of symptoms. It was from this landscape that this book was designed and written. Given the wide range of clinical presentations, patients with oral complaints may seek out or be referred to a variety of health care providers, including primary care physicians, dentists, otolaryngologists, oral surgeons, dermatologists, neurologists, psychiatrists, and rheumatologists. Many of these oral conditions can be recognized and managed without the need for additional specialty referral. In t
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