The Anatomical Basis of Dentistry REGISTER TODAY! To access your Student Resources, visit the web address below: http://evolve.elsevier.com/Liebgott/anatomical/ Evolve®Student Resources for Liebgott: The Anatomical Basis of Dentistry, Third Edition, offers the following features: Self-assessment Exam ● Over 170 multiple-choice questions allow students to test their comprehension of the material as well as prepare for the NBDE and future exams. PowerPoint Chapter Reviews ● PowerPoint presentations for each chapter provide a quick and easy way for students to review the material presented in each chapter. Dissections of the Head ● A PowerPoint presentation containing full-color cadaver dissection photos which clearly depicts the location of anatomic structures. These photos allow students to see anatomical details impossible to view in clinical examination. ThirD EDiTion The Anatomical Basis of Dentistry Bernard Liebgott, DDS, MScD, PhD Professor Emeritus, Department of Surgery Division of Anatomy Faculty of Medicine Faculty of Dentistry University of Toronto Toronto, Ontario Canada 3251 Riverport Lane Maryland Heights, Missouri 63043 THe AnAToMicAL BAsis of DenTisTRy Copyright © 2011, 2001, 1986 by Mosby, Inc., an affiliate of Elsevier Inc. isBn: 978-0-323-06807-9 Copyright to Figures 7-35, 7-48 – 7-51, 8-1 – 8-3, 8-7 – 8-23, 9-18 – 9-20, 9-22, 9-23, 10-14 – 10-18 are owned by Dave Mazierski. 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. Permissions may be sought directly from elsevier’s Rights Department: phone: (+1) 215 239 3804 (Us) or (+44) 1865 843830 (UK); fax: (+44) 1865 853333; e-mail: [email protected]. you may also complete your request online via the elsevier Web site at http://www.elsevier.com/permissions. Notice neither the Publisher nor the Authors assume any responsibility for any loss or injury and/or damage to persons or property arising out of or related to any use of the material contained in this book. it is the responsibility of the treating practitioner, relying on independent expertise and knowledge of the patient, to determine the best treatment and method of application for the patient. The Publisher isBn: 978-0-323-06807-9 Vice President and Publisher: Linda Duncan Executive Editor: John Dolan Senior Developmental Editor: courtney sprehe Publishing Services Manager: Julie eddy Project Manager: Marquita Parker Designer: Jessica Williams Printed in china Last digit is the print number: 9 8 7 6 5 4 3 2 1 DeDication To Dorion, my wife and life companion, who fully supported and encouraged my move to academia and teaching. To all my students, who made my chosen career in teaching fulfilling and rewarding. This page intentionally left blank Preface The third edition of The Anatomical Basis of Dentistry con- time to time throughout the course. Chapters 2 through 5 tinues to fulfill the need for a textbook of gross anatomy deal with the regions of the trunk of the body (back, tho- specifically written for the dental profession. Yet another rax, abdomen, and neck). Chapter 6 is devoted entirely to edition, however, begs the question, “How has the study the study of the skull and the bones that comprise it as of anatomy changed since the last version of the book?” an introduction to a thorough study of the craniofacial Human gross anatomy has not changed greatly over the complex. The head is presented in detail in Chapter 7 and centuries, but the methods of describing, illustrating, and then reviewed by systems in Chapter 8. Chapters 9 and 10 presenting the material have changed considerably and provide an overview of the upper and lower limbs to com- continue to change. In addition, the introduction of clini- plete the study of the human body and to familiarize the cal relevance has transformed the study of anatomy from student with sites of intravenous and intramuscular injec- an insufferable mandatory first-year hurdle to a meaning- tions and surrounding anatomical structures that may ful experience on which to build a successful career in the compromise these procedures. practice of dentistry. Clinical applications are featured throughout the book, Another question that is posed to virtually all stu- and Chapter 11 remains devoted to applied or clinical dents of dentistry is, “Why are dentists required to study anatomy, which is fundamental to the practice of dentistry. the complete body and not just the head and neck?” The These sections have been updated to reflect advances that answer is that, as dental professionals, we are licensed to have developed in the past decade, such as treatments, write prescriptions, take and interpret radiographs, admin- imaging, and dental implants. No pretense is made to ister anesthesia (local and general), and perform orofa- teach clinical dentistry, but rather the applied anatomy cial surgical procedures. Treatment, however, cannot be is presented to instill a keener interest in the anatomical administered until an evaluation of the patient’s health is structures involved and lay the foundations for upcoming undertaken through a medical history, which may reveal clinical courses and eventual dental practice. existing medical conditions that may modify or even pre- clude some procedures. Furthermore, despite medical his- NEW TO THIS EDITION tories and necessary precautions, complications can arise The third edition maintains the principles and scope during routine treatment. Prevention and treatment of of previous editions but features several changes and complications require sound background knowledge (of improvements. the form and function) of the human body that transcends ■■ Full-color anatomical artwork is now featured through- a basic knowledge of the dental arches. out the entire textbook. ■■ New artwork has been added to further complement ORGANIZATION the accompanying text. As in previous editions, The Anatomical Basis of Dentistry ■■ New information is introduced on the surface of the features an introductory Chapter 1 that introduces the back, movements of spine, and back strain in Chapter student to terminology and provides a general descrip- 2; the movements of the head and neck and the mus- tion of the body systems in preparation for the regional cles responsible in Chapter 5; and cone beam computed anatomy that follows. It is highly recommended that the tomography (CBCT) and additional illustrations of the student read this chapter initially and then reread it from temporomandibular joint in Chapter 11. vii Pr eface ■■ A companion Web site (Evolve) has been created to pro- and in the clinical practice of general dentistry. The book vide both student and instructor with materials such as: certainly is not intended to be an exhaustive, all-inclusive ■■ PowerPoint teaching presentations, the complete anatomical work replete with long lists of references; image collection, and a 300 question test bank for several excellent reference books are available for fur- instructors; ther study or clarification. Conversely, this book is not ■■ PowerPoint chapter reviews and a self-assessment intended as a brief synopsis or a basic textbook of anat- exam for students; and omy. It contains ample material to meet the requirements ■■ A PowerPoint presentation showing dissections of of a gross anatomy course for undergraduate dental stu- the head. dents. At the same time, it is hoped that this book will maintain its usefulness and prove valuable throughout OBJECTIVE the undergraduate clinical years and eventually take its Much thought has been given to the scope and amount place on the desk of the practicing dentist and dental of material presented in this book. It is the culmination specialist. of many years spent in the classroom, in the laboratory, Bernard Liebgott viii Acknowledgments I am extremely grateful to the following individuals who Weinberg, DDS, Dip Oral Surg, DIP ABOMS, FRCD(C), contributed to the third edition of this book: FICD; Bruce R. Pynn, DDS, MSc, Dip Oral and Maxillofacial Medical illustrators Raza Skudra, BScAAM, who cre- Surg; and Marco F. Caminiti, DDS, BSc, Dip Oral and ated most of the original line drawings and artwork for Maxillofacial Surg, who rewrote and provided clinical the first edition that were subsequently digitized and col- slides for the section dealing with the spread of dental ored for the second and third editions; David Mazierski, infections in Chapter 11. BScAAM; Brett Clayton, BSc, MScBMC; and Kevin Millar, Oral radiologists Sidney Fireman, DDS, Dip Oral BSc, MScBMC, who provided additional illustrations for Radiology, who generously provided the radiographs the second and third editions. and CT scans for the section dealing with medical imag- Medical photographers Paul Schwartz, BA, and Bill ing in Chapter 11, and Michael Pharoah, DDS, BSc, MSc, Bolychuk, who provided the photographs used to illustrate FRDC(C), who provided the MRI scans for Chapter 11. the fine osseous details of the individual bones of the body, I am indebted to all those at Elsevier Inc. who have and Rita Bauer, who provided the intraoral photographs contributed toward this third edition. I am particularly in Chapter 7. grateful to John Dolan, Executive Editor, for his support Oral and maxillofacial surgeons Bohdan Kryshtalskyj, and encouragement, and to Courtney Sprehe, Senior BSc, DDS, Dip Oral Surg, MRCD(C), FICD, who helped Developmental Editor, for her ongoing and greatly appre- rewrite and provided clinical slides for the section deal- ciated help in the planning, development, and design of ing with the temporomandibular joint in Chapter 7; Simon The Anatomical Basis of Dentistry, third edition. ix
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