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Go to evolve.elsevier.com/html/shop-promo.html to search and browse for products. 2015v1.0 Oral Anatomy, Histology and Embryology For Elsevier Content Strategist: Alison Taylor Content Development Specialist: Carole McMurray/Helen Leng Project Manager: Joanna Souch Designer: Miles Hitchen Illustration Manager: Andy Richford Illustrator: Richard Tibbetts Oral Anatomy, Histology and Embryology Fifth Edition B. K. B. Berkovitz BDS, MSc, PhD, FDS (Eng) Emeritus Reader, Anatomy and Human Sciences, Biomedical and Health Sciences, King’s College, London, UK and Visiting Professor, Oman Dental College, Oman G. R. Holland BSc, BDS, PhD, CERT ENDO Professor, Department of Cariology, Restorative Sciences and Endodontics, School of Dentistry and Department of Cell and Developmental Biology, University of Michigan, Ann Arbor, MI, USA B. J. Moxham BSc, BDS, PhD, FHEA, FRSB, Hon FAS, FSAE Emeritus Professor of Anatomy, Cardiff School of Biosciences, Cardiff University, Cardiff, UK Contributions on dental radiography J. Makdissi DDS, MMedSc, FDSRCS (Eng), DDRRCR, FHEA Clinical Senior Lecturer/ Honorary Consultant in Dental and Maxillofacial Radiology, Queen Mary School of Medicine and Dentistry and Barts Health NHS Trust, London, UK Edinburgh London New York Oxford Philadelphia St Louis Sydney Toronto 2018 © 2018 Elsevier Ltd. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, 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 permissions policies and our arrangements with organisations 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). First edition 1988 Second edition 2002 Third edition 2005 Fourth edition 2009 Fifth edition 2018 ISBN 978-0-7234-3812-0 Int’l ISBN 978-0-7234-3813-7 eISBN 978-0-7020-7452-3 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 treatment 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, instructions, or ideas contained in the material herein. The publisher’s policy is to use paper manufactured from sustainable forests Printed in China Last digit is the print number: 9 8 7 6 5 4 3 2 1 Contents Preface vii Acknowledgements viii 1. The appearance of the oral cavity 1 2. Dento-osseous structures 9 3. Regional topography of the mouth and related areas 70 4. Vasculature and innervation of the mouth 91 5. Sectional anatomy of the oral cavity and related areas 102 6. Functional anatomy 106 7. Enamel 123 8. Investing organic layers on enamel surfaces 144 9. Dentine 152 10. Dental pulp 176 11. Cementum 195 12. Periodontal ligament 207 13. Alveolar bone 237 14. Oral mucosa 261 15. Temporomandibular joint 293 16. Salivary glands 303 17. Development of the face 323 18. Development of the palate 330 19. Development of the jaws 341 20. Development of the tongue and salivary glands 346 21. Early tooth development 350 22. Amelogenesis 369 23. Dentinogenesis 387 24. Development of the dental pulp 399 25. Development of the root and periodontal ligament 402 26. Development of the dentitions 421 27. Ageing and archaeological and dental anthropological applications of tooth structure 442 Further reading 450 Index 451 This page intentionally left blank Preface The fifth edition of our book, although following the form and principles objectives for their learning. Putting aside the issue of whether we wish established in our earlier editions, has involved us making substantial students to become deep learners rather than superficial or strategic learners changes to the text and to the imagery. In particular, we have made major for examinations (the authors would prefer deep learning for a learned revisions to the chapters concerned with functional anatomy, enamel, profession), it would indeed be most useful if internationally there were alveolar bone, temporomandibular joint, salivary glands, amelogenesis, accepted standards that incorporated ‘core’ knowledge and agreed objectives. dentinogenesis and anthropological applications of tooth structure. However, Such parameters presently do not exist! We accordingly anguished somewhat all chapters have undergone revisions, whether to change and update the on the construction of the ‘learning objectives’ within our book. They remain text or to improve, or add to, the images. For example, for the chapter very generalised at this stage but it is our intention to look very closely describing the general appearance of the oral cavity we have incorporated at these over the coming years to try to tease out what really is required many new images and, within the chapter for dento-osseous structures, all of today’s dental students for their education in the dental sciences. We the images for tooth morphology have been increased in size by 50% in would be most grateful for comments from academics and students on order to make clearer the features we describe in the text. Line diagrams these issues so that we can better command what should be taught and for each chapter have all been redrawn for consistency of style across the learned for oral anatomy, histology and embryology. That said, we are book and there is a brief overview at the beginning and a set of learning totally wedded to the belief that this book should remain ‘encyclopaedic’ objectives at the end of each chapter. Many new references have been in scope, especially when it seems that there increasingly is a shortage added at the end of each chapter so that students can, where interest takes of teachers in the discipline. Furthermore, dentally-qualified teachers in them, follow up and expand upon our descriptions and comments. the dental sciences are getting as rare as ‘hens’ teeth’ and hence we have As for the previous editions, we have retained the considerable number expanded the sections in our book dealing with clinical considerations. of illustrations so that much of the information we present is in visual Given that many students like to test themselves as they study, we have form. Indeed, we remain adamant that a single image is ‘worth a thousand provided opportunities for self-assessment at the book’s website. words’, particularly where photographs and photomicrographs are employed Finally, as we have said in the prefaces for previous editions of this book, rather than diagrams. In this respect, we still wish students to look at we are extremely grateful to our colleagues who have commented and ‘real’ material, warts and all! criticised our efforts and we welcome further comments and suggestions. There is much talk in the world of healthcare education about the Indeed, we still ‘do not pretend to be infallible and would ask for indulgence need to teach ‘core’ material and to provide students with clear sets of if we have strayed from scientific rectitude’. Acknowledgements We are most grateful to the numerous colleagues who generously provided Prof. T R Arnett, Dr R J Cook, Prof. M C Dean, Dr L Feinberg, Dr photographic material for our book and these have been acknowledged A Grigoriadis, Dr J D Harrison, Prof. F Hughes, Prof. E Kidd, Prof. J in the legends. We acknowledge photographic assistance from Kirkham, Prof. A Linde, Prof. R W A Linden, Dr A Loughlin, Dr H M Mr M Simons. In addition, we owe a debt of thanks to the following Liversidge, Prof. P R Morgan, Prof. P G Proctor, Prof. A J Sloan, Prof. researchers for their help and constructive criticisms of the text: T F Watson.
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