Preface i Clinical Manual for Oral Medicine and Radiology Clinical Manual for Oral Medicine and Radiology Ravikiran Ongole MDS Reader Department of Oral Medicine and Radiology Manipal College of Dental Sciences Mangalore Praveen BN MDS Associate Professor Department of Oral Medicine and Radiology KLE Society’s Institute of Dental Sciences Bengaluru JAYPEE BROTHERS MEDICAL PUBLISHERS (P) LTD. New Delhi Published by Jitendar P Vij Jaypee Brothers Medical Publishers (P) Ltd B-3 EMCA House, 23/23B Ansari Road, Daryaganj New Delhi 110 002, India Phones: +91-11-23272143, +91-11-23272703, +91-11-23282021, +91-11-23245672, Rel: 32558559, Fax: +91-11-23276490, +91-11-23245683 e-mail: [email protected] Visit our website: www.jaypeebrothers.com Branches • 2/B, Akruti Society, Jodhpur Gam Road Satellite Ahmedabad 380 015 Phones: +91-079-26926233, Rel: +91-079-32988717, Fax: +91-079-26927094 e-mail: [email protected] • 202 Batavia Chambers, 8 Kumara Krupa Road, Kumara Park East, Bengaluru 560 001 Phones: +91-80-22285971, +91-80-22382956, Rel: +91-80-32714073, Fax: +91-80-22281761 e-mail: [email protected] • 282 IIIrd Floor, Khaleel Shirazi Estate, Fountain Plaza, Pantheon Road Chennai 600 008 Phones: +91-44-28193265, +91-44-28194897, Rel: +91-44-32972089, Fax: +91-44-28193231 e-mail: [email protected] • 4-2-1067/1-3, 1st Floor, Balaji Building, Ramkote Cross Road Hyderabad 500 095, Phones: +91-40-66610020, +91-40-24758498, Rel:+91-40-32940929, Fax:+91-40-24758499, e-mail: [email protected] • No. 41/3098, B & B1, Kuruvi Building, St. Vincent Road Kochi 682 018, Kerala Phone: 0484-4036109, e-mail: [email protected] • 1-A Indian Mirror Street, Wellington Square Kolkata 700 013 Phones: +91-33-22451926, +91-33-22276404, +91-33-22276415, Rel: +91-33-32901926, Fax: +91-33-22456075, e-mail: [email protected] • 106 Amit Industrial Estate, 61 Dr SS Rao Road, Near MGM Hospital, Parel Mumbai 400 012 Phones: +91-22-24124863, +91-22-24104532, Rel: +91-22-32926896, Fax: +91-22-24160828, e-mail: [email protected] • “KAMALPUSHPA” 38, Reshimbag, Opp. Mohota Science College, Umred Road Nagpur 440 009 (MS) Phones: Rel: 3245220, Fax: 0712-2704275, e-mail: [email protected] Clinical Manual for Oral Medicine and Radiology © 2007, Ravikiran Ongole and Praveen BN All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the authors and the publisher. This book has been published in good faith that the material provided by authors is original. Every effort is made to ensure accuracy of material, but the publisher, printer and authors will not be held responsible for any inadvertent error(s). In case of any dispute, all legal matters are to be settled under Delhi jurisdiction only. First Edition: 2007 ISBN 81-8448-114-4 Typeset at JPBMP typesetting unit Printed at Gopsons Papers Ltd, Sector 60, Noida Dedicated to My Parents, Brother and Wife —Ravikiran Ongole and My Parents, Wife and Daughter —Praveen BN FOREWORD I have great pleasure in writing to this foreword for the book “Clinical Manual for Oral Medicine and Radiology” by my students Dr Ravikiran Ongole and Dr Praveen BN. The authors have taken tremendous pains in preparing this book, focusing attention on evaluation of various oral and facial abnormalities as well as basic aspects of dental radiology. They have maintained simplicity and readability that would help any beginner and expert alike enjoy reading and understanding. This book has been very thoughtfully divided into 2 parts— Oral Medicine and Radiology, each of which has logical sequence of sections. The book has the principle of “small things add to perfection but perfection is not a small thing”. I congratulate Dr Ravikiran and Dr Praveen for this fine contribution and wish and hope the book finds the deserved use and popularity. Dr Keerthilatha M Pai Professor and Head Department of Oral Medicine and Radiology Manipal College of Dental Sciences, Manipal FOREWORD ORAL MEDICINE is a specialty that deals with study of diagnosis and medical management of oral soft tissue diseases, facial pain, oral diseases in medically compromised patients, diagnosis of systemic diseases on the basis of their oral and dental manifestations, and impact of systemic diseases on the tissues of oral cavity. Many books are available as text and reference in the subject. However, there has been a need for a comprehensive manual, detailing the ways and means of collecting scientific information and its application in diagnosis and management of Oral disorders. I am sure the book “Clinical Manual for Oral Medicine and Radiology” fulfills the need to a large extent. To address these shortcomings and with a view to helping students, Dr Ravikiran Ongole and Dr Praveen Birur have taken up the task of writing the manual. The manual is specially prepared to help the students of undergraduate studies in Dentistry. Emphasis is laid on step-by- step examination protocol in the examination of each and every part of tissues in the oral cavity. I am sure this manual will be very useful and handy for day- to-day reference in Oral Medicine, Diagnosis and Radiology. Dr NS YADAV Dean, Professor and HOD Peoples College of Dental Sciences Bhopal