The ADA practical guide to soft tissue oral disease

279 Pages·2018·37.58 MB·English

by  Hall

The ADA Practical Guide
to Soft Tissue Oral Disease

The ADA Practical
Guide to Soft Tissue
Oral Disease
Second Edition
Michael A. Kahn, DDS
Diplomate and Director, American Board of Oral and Maxillofacial Pathology
Professor Emeritus and Chair (ret.), Department of Oral and Maxillofacial
Pathology, Oral Medicine, and Craniofacial Pain
Tufts University School of Dental Medicine
Boston, MA
J. Michael Hall, DDS, MABMH
Diplomate, American Board of Oral and Maxillofacial Pathology
Associate Professor (ret.), Department of Oral and Maxillofacial
Pathology, Oral Medicine, and Craniofacial Pain
Tufts University School of Dental Medicine
Boston, MA
1st Edition © 2014 by John Wiley & Sons, Inc.
2nd Edition © 2018 by the American Dental Association
Edition History
John Wiley & Sons, Inc. and the ADA (1e, 2014)
All rights reserved. No part of this publication may be reproduced, stored in a retrieval system,
or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or
otherwise, except as permitted by law. Advice on how to obtain permission to reuse material from
this title is available at http://www.wiley.com/go/permissions.
The right of Michael A. Kahn and J. Michael Hall to be identified as the author(s) of this work has
been asserted in accordance with law.
Registered Office(s)
John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, USA
Editorial Office
111 River Street, Hoboken, NJ 07030, USA
For details of our global editorial offices, customer services, and more information about Wiley
products visit us at www.wiley.com.
Wiley also publishes its books in a variety of electronic formats and by print‐on‐demand. Some
content that appears in standard print versions of this book may not be available in other formats.
Limit of Liability/Disclaimer of Warranty
The contents of this work are intended to further general scientific research, understanding, and
discussion only and are not intended and should not be relied upon as recommending or promoting
scientific method, diagnosis, or treatment by physicians for any particular patient. In view of ongoing
research, equipment modifications, changes in governmental regulations, and the constant flow of
information relating to the use of medicines, equipment, and devices, the reader is urged to review
and evaluate the information provided in the package insert or instructions for each medicine,
equipment, or device for, among other things, any changes in the instructions or indication of usage
and for added warnings and precautions. While the publisher and authors have used their best
efforts in preparing this work, they make no representations or warranties with respect to the
accuracy or completeness of the contents of this work and specifically disclaim all warranties,
including without limitation any implied warranties of merchantability or fitness for a particular
purpose. No warranty may be created or extended by sales representatives, written sales materials or
promotional statements for this work. The fact that an organization, website, or product is referred to
in this work as a citation and/or potential source of further information does not mean that the
publisher and authors endorse the information or services the organization, website, or product may
provide or recommendations it may make. This work is sold with the understanding that the
publisher is not engaged in rendering professional services. The advice and strategies contained
herein may not be suitable for your situation. You should consult with a specialist where appropriate.
Further, readers should be aware that websites listed in this work may have changed or disappeared
between when this work was written and when it is read. Neither the publisher nor authors shall be
liable for any loss of profit or any other commercial damages, including but not limited to special,
incidental, consequential, or other damages.
Library of Congress Cataloging‐in‐Publication Data
Names: Kahn, Michael A., author. | Hall, J. Michael, author. | American Dental Association,
issuing body.
Title: The ADA practical guide to soft tissue oral disease / Michael A. Kahn, J. Michael Hall.
Other titles: American Dental Association practical guide to soft tissue oral disease |
Practical guide to soft tissue oral disease
Description: Second edition. | Hoboken, NJ : Wiley, 2018. | Includes bibliographical
references and index. |
Identifiers: LCCN 2017057994 (print) | LCCN 2017060299 (ebook) | ISBN 9781119437598 (pdf) |
ISBN 9781119437307 (epub) | ISBN 9781119437338 (pbk.)
Subjects: | MESH: Mouth Diseases | Soft Tissue Neoplasms | Diagnosis, Oral
Classification: LCC RK529 (ebook) | LCC RK529 (print) | NLM WU 140 | DDC 617.5/22–dc23
LC record available at https://lccn.loc.gov/2017057994
Cover Design: Wiley
Cover Images: ©Michael A. Kahn
Set in 9.5/12pt Palatino by SPi Global, Pondicherry, India
Printed and bound in Singapore by Markono Print Media Pte Ltd
10 9 8 7 6 5 4 3 2 1
Contents
Preface to the Second Edition vii
Preface to the First Edition ix
Acknowledgments xi
Section I Detection and Documentation 1
1. The Extraoral and Intraoral Soft Tissue Head and Neck Screening Examination 3
2. Soft Tissue Head and Neck Pathology Description and Documentation 23
Section II Diagnosis and Management 35
3. Common Oral Soft Tissue Lesions 37
4. Differential Diagnosis of Common Oral Soft Tissue Lesions 115
5. Guidelines for Observation and/or Referral of Patients’ Lesions 129
6. The Art and Science of Biopsy and Cytology 137
Section III Clinicopathologic Exercises 147
7. Sample Patient Histories and Discussion 149
v
vi Contents
Appendix A: Glossary of Descriptive Terminology 221
Appendix B: Formulary of Over‐the‐Counter and Prescription
Medications Based on Disease Classification: Common Errors
of Prescription Writing 225
Answers to End‐of‐Chapter Questions 245
Index 259
Preface to the Second Edition
We are grateful for the positive reception within the dental and medical commu-
nities of this textbook’s first edition. In this second edition its intention remains
the same – to be a practical guide and reference source for the basic clinical
aspects of soft tissue oral and maxillofacial disease. We also appreciate the con-
structive feedback received by colleagues that aided in this edition’s revisions.
The names and organization of the book’s chapters remain the same. Within
each chapter the cited references and/or recommended readings have been
updated; however, in addition, the end of each chapter now contains self‐
assessment multiple‐choice questions with feedback comments on the correct
answer and distractors. The revisions of Chapter 1 notably include a number of
newly marketed diagnostic adjunctive devices and methods. Chapter 3 provides
updated information on some of its pathologic conditions, particularly the nature
of hemangiomas versus vascular malformations and the increasing clinical
impact the human papillomavirus type 16 has on malignant transformation (i.e.
squamous cell carcinoma) of specialized oropharyngeal epithelium as opposed to
the oral cavity proper. Chapter 5 introduces the term “oral potentially malignant
disorders” and initial commercial products designed to add additional informa-
tion to their predicted clinical behavior and management. Appendix B has been
extensively updated to reflect the ever‐changing drug formulary available to the
clinician to treat oral soft tissue diseases. Lastly, some of the photographic images
have been added or updated to enhance a lesion’s features.
We hope our efforts have enhanced the utility of this textbook for your chair-
side evaluation, differential diagnosis formulation, establishment of provisional
and final diagnosis, and management of your patient’s diagnosed oral mucosal
diseases.
Michael A. Kahn
J. Michael Hall
vii