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Evolve Student Resources for Fehrenbach/Popowics: Illustrated Dental Embryology, Histology, and Anatomy, 4th edition, include the following: (cid:127) Practice Quizzes: Approximately 270 multiple-choice questions in an instant-feedback format, with rationales for correct and incorrect answers and page-number references for remediation (cid:127) Histology Matching Game: Drag-and-drop exercises for histological identification of images (cid:127) Review and Assessment Questions: Approximately 630 review/assessment short-answer questions separated by chapter (cid:127) Supplemental Considerations: Material on topics of interest that build on the core chapter discussions and enrich learning (cid:127) Tooth Identification Excercises: Matching exercises that correlate a photo of an actual permanent tooth with its tooth number and description; includes instant feedback for self-assessment (cid:127) WebLinks: Robust listings of additional web resources to supplement chapter discussions Activate the complete learning experience that comes with each textbook purchase by registering at http://evolve.elsevier.com/Fehrenbach/illustrated/ REGISTER TODAY! You can now purchase Elsevier products on Evolve! Go to evolve.elsevier.com/html/shop-promo.html to search and browse for products. 4 TH EDITION Illustr ated Dental Embryology, Histology, Anatomy and MARGARET J. FEHRENBACH, RDH, MS Oral Biologist and Dental Hygienist Adjunct Instructor, Bachelor of Applied Science Degree, Dental Hygiene Program, Seattle Central College, Seattle, Washington Educational Consultant and Dental Science Technical Writer, Seattle, Washington TRACY POPOWICS, PhD Associate Professor, Department of Oral Health Sciences School of Dentistry, University of Washington, Seattle, Washington 3251 Riverport Lane Maryland Heights, Missouri 63043 ILLUSTRATED DENTAL EMBRYOLOGY, HISTOLOGY, AND ANATOMY, FOURTH EDITION ISBN: 978-1-4557-7685-6 Copyright © 2016, 2011, 2006, 1997 by Saunders, an imprint of Elsevier, Inc. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechani- cal, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the Publisher. Details on how to seek permission, further information about the Publisher’s permis- sions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions. This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein). Notices Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical t reatment may become necessary. Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility. With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, i nstructions, or ideas contained in the material herein. International Standard Book Number: 978-1-4557-7685-6 Content Strategist: Kristin Wilhelm Content Development Manager: Ellen Wurm-Cutter Content Development Specialist: Joslyn Dumas Publishing Services Manager: Julie Eddy Project Manager: Jan Waters Design Direction: Ashley Miner Printed in China Last digit is the print number: 9 8 7 6 5 4 3 2 1 REVIEWERS JANITA COPE, RDH, MS JEFFREY R. SMITH, DMD Associate Professor Instructional Program Manager Dental Hygiene Dental Programs Oregon Tech Florida State College at Jacksonville Klamath Falls, Oregon Jacksonville, Florida iii This page intentionally left blank PREFACE OVERVIEW EVOLVE This textbook provides an extensive background for student dental A companion Evolve website is available for both students and professionals in the area of oral biology as well as dental professional instructors. It can be accessed directly at http://evolve.elsevier.com/ program graduates who need to take competency examinations or Fehrenbach/illustrated. update their background knowledge in this area. The textbook strives to integrate the clinical aspects of dentistry with the basic science INSTRUCTOR RESOURCES information that is key to its successful performance by the dental professional. • Image Collection: All of the images from the textbook are available The textbook is divided into four units: Orofacial Structures, electronically and they can be downloaded and used in PowerPoint Dental Embryology, Dental Histology, and Dental Anatomy. The or other classroom lecture formats. textbook was organized into units to accommodate differing curricu- • Test Bank: Approximately 600 objective-style questions—m ultiple- lum; thus, the units do not have to be presented in any specific order. choice, true/false, matching, short answer—are available with However, the first unit on orofacial structures serves as an outstand- accompanying objective mapping, rationales, and page/section ing review for the students before further study in oral biology, which references for textbook remediation. is also presented in this textbook. • TEACH Instructor’s Resource Manual: This resource includes de- tailed lesson plans, PowerPoint lecture outlines, classroom activi- FEATURES ties, and the answers to the workbook activities. Each of the four units for this text book consists of several chapters STUDENT RESOURCES and each chapter builds on the preceding ones in that unit. Each chapter begins with a Learning Objectives section, which serves • Practice Quizzes: Approximately 200 multiple-choice questions are as a checkpoint for the students to test their understanding of the available in an instant-feedback format and they are mapped to chapter’s content. In addition, each chapter contains key terms. The objectives with rationales for correct and incorrect answers. Page- terms are bold when presented for the first time in the text book. number references are also included for remediation. Terms used in other chapters are italicized for increased emphasis of • Histology Matching Game: This learning game has drag-and-drop important concepts. Pronunciations of these terms are provided in exercises for histological identification of images. the chapters and the Glossary. • Review & Assessment Questions: Approximately 450 review/ The chapters contain figures that incorporate both micro- assessment short-answer questions for discussion, review, and/or scopic and clinical photographs, and also useful tables and assessment. boxes. Most of the photographs are original to this text- • Supplemental Considerations—Additional Material: Information book and come from the personal collection of Margaret J. available on topics of interest to specific chapters that build on the Fehrenbach and the Dr. Bernhard Gottlieb Collection (see core chapter discussion and enrich learning. Acknowledgments). The fine illustrations of the dentitions are • Tooth Identification Exercises: Matching exercises that correlate a original to this textbook, as are most of the other ones in the other photo of an actual permanent tooth with its tooth number and de- areas of oral biology. scription are available for the students, including instant feedback Within each chapter are discussions of clinical considerations for self-assessment. of the topic covering various treatment situations; these allow • WebLinks: Robust listings of additional web resources are included for an increased integration of the basic science information into in supplement chapter discussions. everyday practice for the dental professional. Each chapter con- tains cross-references to figures and other chapters so that the ADDITIONAL RESOURCES reader can review or investigate interrelated subjects. The content of this edition incorporates additional input from students and The companion Workbook for Illustrated Dental Embryology, His- educators as well as the latest information from scientific studies tology, and Anatomy is also available for student use. The workbook and experts. features activities such as structure identification exercises, glossary exer- The textbook concludes with a bibliography, a complete glossary cises, tooth drawing exercises, infection control guidelines for extracted of key terms using short easy-to-remember phrases with pronuncia- teeth, and review questions. Patient examination procedures for extra- tion guide, and appendices that contain a review of anatomic nomen- oral and intraoral structures, the dentition, and occlusal evaluation have clature, units of measurement, permanent tooth measurements, and been added to integrate the clinical aspects of densitry with the basic developmental information for the dentitions. science information within the included clinical exercises. Case studies v vi z z z PREFACE are also present for each unit as well as removable flashcards using the in the Dental Anatomy Coloring Book, edited by Margaret J. original illustrations of the permanent dentition from the textbook. Fehrenbach. This textbook is coordinated with the Illustrated Anatomy of the Head and Neck by Margaret J. Fehrenbach and Susan W. Herring and it can be considered a companion textbook to complete the Margaret J. Fehrenbach curriculum in oral biology. Many of the figures are also presented Tracy Popowics ACKNOWLEDGMENTS We would like to thank Content Strategist, Kristin Wilhelm, Con- Biomedical Sciences, Baylor College of Dentistry, Dallas, Texas. Bern- tent Development Specialist, Joslyn Dumas, and the rest of the staff hard Gottlieb was a Viennese physician and dentist (1886-1950) who at Elsevier for making this textbook possible. In addition, we would taught at Baylor College and authored hundreds of scientific articles like to thank Heidi Schlei, RDH, BS, Instructor, Waukesha County and four textbooks. Most importantly, he is responsible for the begin- Technical College, Milwaukee, Wisconsin, for her clinical insights nings of oral histology. He is also acknowledged to be the first dental as well as Susan Herring, PhD, Professor of Orthodontics, School professional to integrate basic science information with clinical dental of Dentistry, University of Washington, Seattle, Washington, for her treatment. We are proud to continue his legacy in this manner. overall support. Also used in the compilation of this text was material Finally, we would like to thank our families, colleagues, and on orthodontic therapy from Dona M. Seely, DDS, MSD, Orthodontic students. Associates of Bellevue, Washington. Most of the elegant microscopic sections that are original to this textbook are from the Dr. Bernhard Gottlieb Collection, courtesy Margaret J. Fehrenbach of James E. McIntosh, PhD, Professor Emeritus, Department of Tracy Popowics vii This page intentionally left blank