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Oral and Maxillofacial Pathology: A Rationale for Treatment by roberts E.marx

Preface
This book is intended to be a clinically oriented and forward-looking guide for oral and maxillofacial surgeons and other advanced dental and medical specialists who deal with pathologies in the oral cavity, midface, and neck. It focuses on the mechanism of each disease and how that dictates its clinical and radiographic presentation as well as the serious considerations on a sample differential diagnosis. It then progresses to specific treatment recommendations that the authors use or have researched as the most beneficial. Treatments avoid such vague phrases as “a wide local excision” and instead provide specific margins and anatomically based techniques. Generic medication protocols also are avoided for those conditions not treated with surgery; instead, specific drugs, doses, routes of administration, length of treatment and alternative treatments are described in the context of how each works to affect the natural course of the disease. Discussion of each disease or condition concludes with the prognosis after treatment.

This book challenges some of the established concepts and dogmas currently prevailing in oral and maxillofacial pathology and surgery. It also is likely to challenge the reader’s acceptance of dental and medical school teaching, which too often consists of a rushed and superficial presentation of these pathologies. It is the authors’ hope that the evidence and rationales presented in this text are convincing of this change and of this approach to learning. This book is also specifically intended to simplify and streamline terminology. The reader will note numerous terminology changes from the past—changes that use only one name to describe and identify the specific underlying cause of each condition. This is reinforced in the last chapter of the book, “Where Have All the Great Terms Gone?,” a concise review and explanation of why the old name for some diseases is inappropriate today.

The reader may use this text as a cover lesson in clinical and histopathologic oral and maxillofacial pathology; as a reference text on a chapter-by-chapter basis to review the specifics of each disease category; or as a case reference to refresh their knowledge about a specific disease or the specific presentation of a new patient. In any case, it is the fond hope of both authors that clinicians will increase their knowledge and ability to care for their patients, who in turn will receive more accurate diagnoses and better treatment.

Robert E. Marx, DDS
Chief and Professor of Surgery
Division of Oral and Maxillofacial Surgery
University of Miami
Miami, Florida

Diane Stern, DDS
Private Practice in Oral Pathology
Plantation, Florida

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