Principles of Oral and Maxillofacial Surgery Sixth Edition Edited by U J Moore FDSRCS (Eng), PhD (Ncle) Senior Lecturer in Oral and Maxillofacial Surgery University of Newcastle-upon-Tyne A John Wiley & Sons, Ltd., Publication Principles of Oral and Maxillofacial Surgery Principles of Oral and Maxillofacial Surgery Sixth Edition Edited by U J Moore FDSRCS (Eng), PhD (Ncle) Senior Lecturer in Oral and Maxillofacial Surgery University of Newcastle-upon-Tyne A John Wiley & Sons, Ltd., Publication This edition fi rst published 2011 © 1965, 1981, 1984, 1991, 2001 by Blackwell Science Ltd © 2011 by Blackwell Publishing Ltd Blackwell Publishing was acquired by John Wiley & Sons in February 2007. Blackwell’s publishing program has been merged with Wiley’s global Scientifi c, Technical and Medical business to form Wiley-Blackwell. 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Stomatognathic System–surgery. 2. Oral Surgical Procedures–methods. 3. Stomatognathic Diseases–surgery. WU 600] RK529.P752 2011 617.5'22–dc22 2010041320 A catalogue record for this book is available from the British Library. This book is published in the following electronic formats: epdf 9781444393163; ePub 9781444393170 Set in 10/12.5 pt Times by Toppan Best-set Premedia Limited 1 2011 Contents Preface to the Sixth Edition vii Acknowledgements vii Foreword to the First Edition viii List of Contributors ix 1 The New Patient 1 2 General Patient Management 10 3 Problems Related to Certain Systemic Conditions 24 Mark Greenwood 4 Medical Emergencies 42 Mark Greenwood 5 Pharmacology and Oral Surgery 62 John G Meechan 6 The Operating Room, Instruments and the Surgical Team 74 7 Surgical Principles and Technique 87 8 Extraction of Teeth and Roots 105 9 Extraction of Unerupted or Partly Erupted Teeth 132 10 Complications of Tooth Extraction 156 11 Preparation of the Mouth for Prostheses 175 Justin Durham and Francis Nohl 12 Treatment of Surgical Infections in the Orofacial Region 201 Jonathan G Cowpe v vi Contents 13 Treatment of Cysts of the Jaw 225 14 Management of Maxillofacial Trauma 244 15 Tumours of the Mouth and the Management of Oral Cancer 282 Peter J Thomson 16 Surgical Treatment of Salivary Gland Disease 299 Peter J Thomson 17 Temporomandibular Disorders (TMDs) and Chronic Orofacial Pain 313 Justin Durham 18 Facial Deformity 327 Keith R Postlethwaite Index 341 Preface to the Sixth Edition Oral and maxillofacial surgery continues to develop, with new technologies being embraced. These developments have been incorporated into this new edition for the new generations of students; however, full attention is still paid to the fundamental basis of patient assessment and diagnosis, which form the cornerstone of any surgical specialty. Developing the decision - making process for the learner is one of the more diffi cult aspects of teaching and learning. We hope that this book still helps in this process. E xplanation of principles has remained the priority and this is still intended as an undergraduate and early postgraduate text. Acknowledgements This textbook had its inception in the early days of the specialty and much has changed within the discipline and the book since then. It is important to con- tinue to acknowledge those who created the environment for these changes and influenced the contributions to this new edition. I am grateful to Wiley-Blackwell, who have strongly supported the concept of developing a new edition. The process has been much facilitated by their steady yet insistent style of management and I can honestly say it has been a pleasure. It is invigorating to be part of something that feels very positive and my fellow contributors have been equally positive about the process. I would like to thank them for their prompt and relaxed style of authorship. I am grateful also for any illustrations that have been permitted to be included, as they are essential to the understanding of the text. vii