Preface to the fifth edition

Robinson, Max; Hunter, Keith; Pemberton, Michael; Sloan, Philip

doi:10.1093/oso/9780199697786.002.0003

Front Matter

Preface to the fifth edition

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https://doi.org/10.1093/oso/9780199697786.002.0003

Pages

vii–viii

Published:

July 2018

Extract

The fourth edition of Soames’ and Southam’s Oral Pathology was the culmination of a process of refinement of both content and production. Being tasked to produce a fifth edition was a major challenge for us. More than ten years has elapsed since the fourth edition was printed and as knowledge of the pathological mechanisms underlying oral diseases has advanced, new evidence-based management guidelines and therapies have become available. Accurate diagnosis is increasingly based on a multi-disciplinary approach involving the integration of rapidly evolving imaging techniques and molecular pathology tests. Sound diagnosis, however, is still based on an informed clinician taking an accurate history, making a thorough clinical examination, and selecting appropriate diagnostic tests. The modern dentalcare professional in training and in clinical practice has to contend with a vastly expanded knowledge base. Understanding of oral and maxillofacial pathology is essential if the clinician is to navigate successfully through clinical guidelines, make timely referrals to specialists, and provide good care for patients. The dental curriculum has changed to reflect this expansion of knowledge. High-quality specialist texts are now available that provide integrated clinico-pathological approaches to dental caries, periodontal diseases, temporomandibular joint disorders, and oral diseases in children. To reflect this we have chosen to reduce the content of chapters on these topics. Sections on certain diseases that have become less prevalent have been removed and new material on disorders that are more likely to be encountered nowadays has been added. This radically revised edition begins with an introductory chapter that outlines the importance of clinical assessment and how the synthesis of a differential diagnosis informs the selection of further investigations, including those provided by the cellular pathology laboratory. The subsequent chapters guide the reader through the various diseases that they may encounter in the oral cavity, starting with a comprehensive section on the oral mucosa, which leads on to an updated chapter on oral cancer and oral potentially malignant disorders. Diseases of the salivary glands are dealt with in the succeeding chapter. The text then follows the sequence of the pathology of teeth and supporting structures, including jaw cysts and odontogenic tumours, along with bone disorders. There are two new chapters: one that describes the important lesions that clinicians should recognize on the face and lips, and another that explores the differential diagnosis of neck lumps, which we consider to be an important part of the clinical examination. We conclude with a chapter on the oral manifestations of systemic disease, which highlights the importance of oral disease in the context of human disease. We hope that we have preserved much of the excellent content and character of the fourth edition. The radiology content has been updated by including examples of cross-sectional imaging. Virtually all the photomicrographs have been replaced with carefully selected images to illustrate key pathological features. We have continued the theme of tabulation and text boxes, which so enhanced the fourth edition, as we agree with our predecessors that these significantly aid learning.

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Preface to the fifth edition

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