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Manual Of Oral Surgery 3rd Edition PDF Free Download
The previous editions of this manual have enjoyed great appreciation; the didactic effectiveness, the clarity and coherence of the book have made it a reference for many students, as well as a practical guide for professionals and specialists. For this third edition, the majority of the chapters have been rewritten and new clinical cases have been added.
Strengths
✔Clarity of explanation for beginners to easily grasp the basics of the discipline
✔Step-by step description of the Minimally-invasive surgical techniques
✔Surgical anatomy is described with the use of extremely high-quality illustrations
✔All the new implantology techniques and materials are described
✔Correct management and prevention of complications
Table of Contents
CHAPTER 1
Basic principles
M. Chiapasco, M. Zaniboni
Introduction
Adequate preoperative evaluation
Chief complaint and description of the main symptoms (history of the present illness, HPI)
Clinical examination
Radiographic examination
Interpretation of the radiographic exams
Diagnostic hypothesis
Evaluation of the patient’s general health (review of systems, ROS), past medical history
(PMH) and possible request for additional exams
Treatment plan and anaesthesia selection
Relationship between biological risks and benefits obtained
Informed consent for the surgical procedures
References
CHAPTER 2
Surgical anatomy of the jaws
M. Chiapasco, M. Zaniboni
Introduction
Posterior mandible
Anterior mandible
Floor of the mouth
Tongue
Anterior maxilla
Posterior maxilla
Palate
Cheek
Upper and lower lip
References
CHAPTER 3
The surgical intervention
M. Chiapasco, M. Zaniboni, L. Serioli, A. Flora, T. Anello, E. Corsi
Preparation: environment, operators, surgical armamentarium, patient
Clean preparation
Sterile preparation
Local anaesthesia
Posterior mandible
Anterior mandible
Floor of the mouth
Tongue
Posterior maxilla
Anterior maxilla
Palate
Malar region
Lower lip
Upper lip
Techniques for soft tissue incision and flap preparation
Preventing ischemia
Preventing flap laceration
Preventing damages to important anatomic structures
Preventing wound dehiscence
Position of the incision relative to the gingival margin
Flap elevation
Subperiosteal flap elevation
Flap retraction
Ostectomy
Revision of the surgical field
Haemostasis
Suture
Suture removal
Suturing techniques
Techniques for the incision and dissection of the soft tissues
Incision
Elevation of the surgical flap
Epiperiosteal elevation or dissection
Principles of wound healing
Postoperative patient management
References
CHAPTER 4
Dental extractions
M. Chiapasco, M. Zaniboni, A. Coggiola, P. Casentini
Introduction
Indications
Contraindications
Preoperative evaluation
Preparation of the patient for the extraction
Simple extractions
Basic techniques
Extraction of maxillary teeth
Extraction of mandibular teeth
Complex tooth extractions: open surgical technique
Technique
Surgical technique for the removal of fractured root apexes
References
CHAPTER 5
Impacted teeth
M. Chiapasco, M. Zaniboni, F. Gatti, G. Garattini
Introduction
Etiopathogenesis
Problems associated with tooth impaction
Treatment of eruption disorders
Impacted incisors
Impacted maxillary canines
Mandibular canines
Impacted premolars
SURGICAL EXPOSURE AND ORTHODONTIC
ALIGNMENT
Impacted first and second molars
Impacted third molars
Final considerations
Surgical planning
Preoperative evaluation: position of the impacted tooth and accessibility
Radiographic examination
Surgical techniques
Basic techniques
EXTRACTION
Surgical planning
Surgical techniques
Mandibular third molars
Surgical anatomy: notable anatomic structures
Surgical protocol for the extraction of impacted mandibular third molars
Basic techniques
Extraction of the third molar and periodontal health of the second molar
Germectomy of the mandibular third molar
Basic techniques
Maxillary third molars
Surgical anatomy: notable anatomic structures
Surgical protocol for the extraction of maxillary third molars
Basic techniques
Germectomy of the maxillary third molars
Impacted maxillary canines
Surgical anatomy: notable anatomic structures
Surgical protocol for the extraction of impacted maxillary canines
Impacted mandibular canines
Surgical anatomy: notable anatomic structures
Surgical protocol for the extraction of impacted mandibular canines
Other impacted teeth
Impacted incisors
Impacted premolars
Impacted first and second mandibular molars
Impacted first and second maxillary molars
Multiple impactions
Supernumerary teeth
AUTOGENOUS TOOTH TRANSPLANTATION
AND TOOTH REIMPLANTATION
Surgical planning
Identification of the tooth position and orientation of the impacted
tooth, and morphology of the recipient site
References
CHAPTER 6
Odontogenic infections
M. Chiapasco, M. Zaniboni, P. Fusari
Introduction
Etiopathogenesis
Predisposing factors
Clinical evolution
Anatomical factors influencing the diffusion of odontogenic infections
Primary dissemination pathways
Secondary dissemination pathways
Dissemination by contiguity
Haematogenous dissemination
Lymphatic dissemination
Diagnosis of odontogenic infections
Clinical examination: analysis of signs and symptoms
Radiographic examination
Differential diagnosis
Treatment
Treatment of odontogenic infections according to their clinical presentation
Basic techniques
References
CHAPTER 7
Surgical endodontics
M. Chiapasco, M. Zaniboni, R. Micolani, A. Montinari
Introduction
Examination: analysis of signs and symptoms
Radiographic examination
Indications
Contraindications
Surgical treatment
Surgical armamentarium
Locoregional anaesthesia
Surgical flap design
Locating root apex and ostectomy
Enucleation of the lesion and curettage of the cavity
Apicoectomy
Retrograde cavity preparation
Apical filling
Management of the residual bone defect
Basic techniques
Follow-up
References
CHAPTER 8
Cysts of the jaws
M. Chiapasco, M. Zaniboni, A. Rossi
ENDOSSEOUS CYSTS OF THE JAWS
Etiopathogenesis
Clinical examination: analysis of signs and symptoms
Radiographic examination
Diagnosis
Classification
Differential diagnosis
Surgical treatment
Basic techniques – Enucleation of endosseous cysts of the jaws
Basic techniques – Marsupialisation
Surgical protocol for cyst enucleation
Surgical protocol for cyst marsupialisation
Marsupialisation associated to orthodontic repositioning of an impacted tooth
Surgical approach according to different areas of the jaws
Follow-up
CYSTS OF THE MAXILLARY SINUS
Etiopathogenesis
Clinical examination: analysis of signs and symptoms
Instrumental screening
Differential diagnosis
Treatment
Surgical protocol
Follow-up
DYSEMBRYOGENIC CYSYS OF THE FLOOR
OF THE MOUTH
Etiopathogenesis
Classification
Clinical examination: analysis of signs and symptoms
Instrumental screening
Differential diagnosis
Treatment
Surgical protocol
Surgical techniques
Follow-up
References
CHAPTER 9
Benign tumours of the oral cavity
M. Chiapasco, M. Zaniboni
Introduction
Biopsy – General principles
Incisional biopsy
Excisional biopsy
Needle aspiration biopsy
Benign odontogenic tumours
Diagnosis
Treatment
Benign odontogenic tumours
Non-odontogenic benign tumours
References
CHAPTER 10
Surgical pathology of the salivary glands
M. Chiapasco, M. Zaniboni, A. Rossi, L. Maccarini
Introduction
SIALOLITHIASIS OF THE SALIVARY GLANDS
Epidemiology and etiopathogenesis
Clinical examination: analysis of signs and symptoms
Diagnosis
Instrumental examinations
Differential diagnosis
Treatment
Alternatives to surgery
Surgical anatomy
Surgical treatment
Basic techniques
Postoperative follow-up
CYSTS AND PSEUDOCYSTS OF THE MINOR
SALIVARY GLANDS
Epidemiology and etiopathogenesis
Clinical examination: analysis of signs and symptoms
Diagnosis
Differential diagnosis
Surgical treatment of cysts and pseudocysts
Excision
Surgical anatomy
Basic techniques
Surgical treatment of sublingual ranulas
Excision of the ranula in association with sublingual sialoadenectomy
Excision of the ranula
Marsupialisation
Basic techniques
Surgical anatomy
Postoperative follow-up
References
CHAPTER 11
Surgery of the oral frenula and minor preprosthetic
surgery
M. Chiapasco, M. Zaniboni
Introduction
FRENULA
Superior labial frenulum
Correlated issues
Surgical techniques
Basic techniques
Inferior labial frenulum
Correlated issues
Surgical techniques
Lingual frenulum
Correlated issues
Surgical techniques
Basic techniques
MINOR PREPROSTHETIC SURGERY
Classification of atrophies of the edentulous jaws
Clinical examination: analysis of signs and symptoms
Instrumental screening
Clinical presentations
Soft tissue atrophy sequelae
Hard tissue atrophy sequelae
Post-traumatic and post-extractive defects
Neoplasms of the hard tissues
Neoplasms of the soft tissues
Frenula
Treatment
Surgical techniques
Basic techniques – Soft tissues
Treatment planning with the aid of specifically designed software:
Basic techniques – Hard tissues
References
CHAPTER 12
Dentoalveolar trauma
M. Chiapasco, M. Zaniboni, A. Coggiola
Introduction
Trauma classification
Clinical examination: analysis of signs and symptoms
Instrumental screening
Treatment
General principles
Surgical protocols
Implant rehabilitation after tooth loss due to trauma
Basic techniques
Follow-up
References
CHAPTER 13
Implant surgery
M. Chiapasco, P. Casentini, M. Zaniboni
BASIC IMPLANT SURGERY
Introduction
Historical overview
Biology of osseointegration
Main phases
Bone-implant interface and different implant surfaces
One or two-piece implants, one or two surgical phases
Long term results of implant-supported prosthetic rehabilitations
Local and systemic contraindications to implant treatment
Prosthetic-driven implant placement: treatment plan
Treatment plan: the use of narrow/short implants
computer-guided surgery
Implant surgery
Preparation of the surgical environment (operating room, operators, patient)
Preoperative and postoperative medications
Types of anaesthesia
Access flaps
Preparation of the implant site
Surgical sequence for the preparation of the implant site
Suture
Peri-implant soft tissue management
Postoperative radiographic follow-up
Postoperative treatment
After implant placement
Basic techniques
IMPLANT REHABILITATION – COMPLEX
CASES
Bone defects
Soft tissue defects
Materials and surgical techniques for bone reconstruction/regeneration
Autogenous bone harvesting
Onlay bone grafts
Inlay bone grafts
Sinus floor elevation
Distraction osteogenesis
Ridge expansion
Revascularized free flaps
References
CHAPTER 14
The most common complications in oral surgery:
prevention and management
M. Chiapasco, M. Zaniboni
Introduction
INTRAOPERATIVE COMPLICATIONS
Relevant haemorrhage
Prevention
Management
Nerve lesions
Prevention
Management
Soft tissue laceration
Prevention
Management
Root fractures
Cortical fractures
Prevention
Management
Mandibular fracture
Prevention
Management
Temporomandibular joint (TMJ) dislocation
Prevention
Management
Tooth dislocation inside the soft tissues
Management
Buccal fat pad herniation
Management
Oroantral communications
Clinical examination: analysis of signs and symptoms
Instrumental screening
Management
Communications and fistulae associated with sinus infection
Migration of foreign bodies inside the maxillary sinus
Management
POSTOPERATIVE COMPLICATIONS
Delayed haemorrhage
Management
Wound dehiscence
Prevention
Management
Post-extractive infections: alveolar osteitis
Prevention
Management
Post-extractive infections: subperiosteal abscess
Management
Bone sequestra
Prevention
Management
References
Manual Of Oral Surgery 3rd Edition PDF Ebook
Basic principles
M. Chiapasco, M. Zaniboni
Introduction
Adequate preoperative evaluation
Chief complaint and description of the main symptoms (history of the present illness, HPI)
Clinical examination
Radiographic examination
Interpretation of the radiographic exams
Diagnostic hypothesis
Evaluation of the patient’s general health (review of systems, ROS), past medical history
(PMH) and possible request for additional exams
Treatment plan and anaesthesia selection
Relationship between biological risks and benefits obtained
Informed consent for the surgical procedures
References
CHAPTER 2
Surgical anatomy of the jaws
M. Chiapasco, M. Zaniboni
Introduction
Posterior mandible
Anterior mandible
Floor of the mouth
Tongue
Anterior maxilla
Posterior maxilla
Palate
Cheek
Upper and lower lip
References
CHAPTER 3
The surgical intervention
M. Chiapasco, M. Zaniboni, L. Serioli, A. Flora, T. Anello, E. Corsi
Preparation: environment, operators, surgical armamentarium, patient
Clean preparation
Sterile preparation
Local anaesthesia
Posterior mandible
Anterior mandible
Floor of the mouth
Tongue
Posterior maxilla
Anterior maxilla
Palate
Malar region
Lower lip
Upper lip
Techniques for soft tissue incision and flap preparation
Preventing ischemia
Preventing flap laceration
Preventing damages to important anatomic structures
Preventing wound dehiscence
Position of the incision relative to the gingival margin
Flap elevation
Subperiosteal flap elevation
Flap retraction
Ostectomy
Revision of the surgical field
Haemostasis
Suture
Suture removal
Suturing techniques
Techniques for the incision and dissection of the soft tissues
Incision
Elevation of the surgical flap
Epiperiosteal elevation or dissection
Principles of wound healing
Postoperative patient management
References
CHAPTER 4
Dental extractions
M. Chiapasco, M. Zaniboni, A. Coggiola, P. Casentini
Introduction
Indications
Contraindications
Preoperative evaluation
Preparation of the patient for the extraction
Simple extractions
Basic techniques
Extraction of maxillary teeth
Extraction of mandibular teeth
Complex tooth extractions: open surgical technique
Technique
Surgical technique for the removal of fractured root apexes
References
CHAPTER 5
Impacted teeth
M. Chiapasco, M. Zaniboni, F. Gatti, G. Garattini
Introduction
Etiopathogenesis
Problems associated with tooth impaction
Treatment of eruption disorders
Impacted incisors
Impacted maxillary canines
Mandibular canines
Impacted premolars
SURGICAL EXPOSURE AND ORTHODONTIC
ALIGNMENT
Impacted first and second molars
Impacted third molars
Final considerations
Surgical planning
Preoperative evaluation: position of the impacted tooth and accessibility
Radiographic examination
Surgical techniques
Basic techniques
EXTRACTION
Surgical planning
Surgical techniques
Mandibular third molars
Surgical anatomy: notable anatomic structures
Surgical protocol for the extraction of impacted mandibular third molars
Basic techniques
Extraction of the third molar and periodontal health of the second molar
Germectomy of the mandibular third molar
Basic techniques
Maxillary third molars
Surgical anatomy: notable anatomic structures
Surgical protocol for the extraction of maxillary third molars
Basic techniques
Germectomy of the maxillary third molars
Impacted maxillary canines
Surgical anatomy: notable anatomic structures
Surgical protocol for the extraction of impacted maxillary canines
Impacted mandibular canines
Surgical anatomy: notable anatomic structures
Surgical protocol for the extraction of impacted mandibular canines
Other impacted teeth
Impacted incisors
Impacted premolars
Impacted first and second mandibular molars
Impacted first and second maxillary molars
Multiple impactions
Supernumerary teeth
AUTOGENOUS TOOTH TRANSPLANTATION
AND TOOTH REIMPLANTATION
Surgical planning
Identification of the tooth position and orientation of the impacted
tooth, and morphology of the recipient site
References
CHAPTER 6
Odontogenic infections
M. Chiapasco, M. Zaniboni, P. Fusari
Introduction
Etiopathogenesis
Predisposing factors
Clinical evolution
Anatomical factors influencing the diffusion of odontogenic infections
Primary dissemination pathways
Secondary dissemination pathways
Dissemination by contiguity
Haematogenous dissemination
Lymphatic dissemination
Diagnosis of odontogenic infections
Clinical examination: analysis of signs and symptoms
Radiographic examination
Differential diagnosis
Treatment
Treatment of odontogenic infections according to their clinical presentation
Basic techniques
References
CHAPTER 7
Surgical endodontics
M. Chiapasco, M. Zaniboni, R. Micolani, A. Montinari
Introduction
Examination: analysis of signs and symptoms
Radiographic examination
Indications
Contraindications
Surgical treatment
Surgical armamentarium
Locoregional anaesthesia
Surgical flap design
Locating root apex and ostectomy
Enucleation of the lesion and curettage of the cavity
Apicoectomy
Retrograde cavity preparation
Apical filling
Management of the residual bone defect
Basic techniques
Follow-up
References
CHAPTER 8
Cysts of the jaws
M. Chiapasco, M. Zaniboni, A. Rossi
ENDOSSEOUS CYSTS OF THE JAWS
Etiopathogenesis
Clinical examination: analysis of signs and symptoms
Radiographic examination
Diagnosis
Classification
Differential diagnosis
Surgical treatment
Basic techniques – Enucleation of endosseous cysts of the jaws
Basic techniques – Marsupialisation
Surgical protocol for cyst enucleation
Surgical protocol for cyst marsupialisation
Marsupialisation associated to orthodontic repositioning of an impacted tooth
Surgical approach according to different areas of the jaws
Follow-up
CYSTS OF THE MAXILLARY SINUS
Etiopathogenesis
Clinical examination: analysis of signs and symptoms
Instrumental screening
Differential diagnosis
Treatment
Surgical protocol
Follow-up
DYSEMBRYOGENIC CYSYS OF THE FLOOR
OF THE MOUTH
Etiopathogenesis
Classification
Clinical examination: analysis of signs and symptoms
Instrumental screening
Differential diagnosis
Treatment
Surgical protocol
Surgical techniques
Follow-up
References
CHAPTER 9
Benign tumours of the oral cavity
M. Chiapasco, M. Zaniboni
Introduction
Biopsy – General principles
Incisional biopsy
Excisional biopsy
Needle aspiration biopsy
Benign odontogenic tumours
Diagnosis
Treatment
Benign odontogenic tumours
Non-odontogenic benign tumours
References
CHAPTER 10
Surgical pathology of the salivary glands
M. Chiapasco, M. Zaniboni, A. Rossi, L. Maccarini
Introduction
SIALOLITHIASIS OF THE SALIVARY GLANDS
Epidemiology and etiopathogenesis
Clinical examination: analysis of signs and symptoms
Diagnosis
Instrumental examinations
Differential diagnosis
Treatment
Alternatives to surgery
Surgical anatomy
Surgical treatment
Basic techniques
Postoperative follow-up
CYSTS AND PSEUDOCYSTS OF THE MINOR
SALIVARY GLANDS
Epidemiology and etiopathogenesis
Clinical examination: analysis of signs and symptoms
Diagnosis
Differential diagnosis
Surgical treatment of cysts and pseudocysts
Excision
Surgical anatomy
Basic techniques
Surgical treatment of sublingual ranulas
Excision of the ranula in association with sublingual sialoadenectomy
Excision of the ranula
Marsupialisation
Basic techniques
Surgical anatomy
Postoperative follow-up
References
CHAPTER 11
Surgery of the oral frenula and minor preprosthetic
surgery
M. Chiapasco, M. Zaniboni
Introduction
FRENULA
Superior labial frenulum
Correlated issues
Surgical techniques
Basic techniques
Inferior labial frenulum
Correlated issues
Surgical techniques
Lingual frenulum
Correlated issues
Surgical techniques
Basic techniques
MINOR PREPROSTHETIC SURGERY
Classification of atrophies of the edentulous jaws
Clinical examination: analysis of signs and symptoms
Instrumental screening
Clinical presentations
Soft tissue atrophy sequelae
Hard tissue atrophy sequelae
Post-traumatic and post-extractive defects
Neoplasms of the hard tissues
Neoplasms of the soft tissues
Frenula
Treatment
Surgical techniques
Basic techniques – Soft tissues
Treatment planning with the aid of specifically designed software:
Basic techniques – Hard tissues
References
CHAPTER 12
Dentoalveolar trauma
M. Chiapasco, M. Zaniboni, A. Coggiola
Introduction
Trauma classification
Clinical examination: analysis of signs and symptoms
Instrumental screening
Treatment
General principles
Surgical protocols
Implant rehabilitation after tooth loss due to trauma
Basic techniques
Follow-up
References
CHAPTER 13
Implant surgery
M. Chiapasco, P. Casentini, M. Zaniboni
BASIC IMPLANT SURGERY
Introduction
Historical overview
Biology of osseointegration
Main phases
Bone-implant interface and different implant surfaces
One or two-piece implants, one or two surgical phases
Long term results of implant-supported prosthetic rehabilitations
Local and systemic contraindications to implant treatment
Prosthetic-driven implant placement: treatment plan
Treatment plan: the use of narrow/short implants
computer-guided surgery
Implant surgery
Preparation of the surgical environment (operating room, operators, patient)
Preoperative and postoperative medications
Types of anaesthesia
Access flaps
Preparation of the implant site
Surgical sequence for the preparation of the implant site
Suture
Peri-implant soft tissue management
Postoperative radiographic follow-up
Postoperative treatment
After implant placement
Basic techniques
IMPLANT REHABILITATION – COMPLEX
CASES
Bone defects
Soft tissue defects
Materials and surgical techniques for bone reconstruction/regeneration
Autogenous bone harvesting
Onlay bone grafts
Inlay bone grafts
Sinus floor elevation
Distraction osteogenesis
Ridge expansion
Revascularized free flaps
References
CHAPTER 14
The most common complications in oral surgery:
prevention and management
M. Chiapasco, M. Zaniboni
Introduction
INTRAOPERATIVE COMPLICATIONS
Relevant haemorrhage
Prevention
Management
Nerve lesions
Prevention
Management
Soft tissue laceration
Prevention
Management
Root fractures
Cortical fractures
Prevention
Management
Mandibular fracture
Prevention
Management
Temporomandibular joint (TMJ) dislocation
Prevention
Management
Tooth dislocation inside the soft tissues
Management
Buccal fat pad herniation
Management
Oroantral communications
Clinical examination: analysis of signs and symptoms
Instrumental screening
Management
Communications and fistulae associated with sinus infection
Migration of foreign bodies inside the maxillary sinus
Management
POSTOPERATIVE COMPLICATIONS
Delayed haemorrhage
Management
Wound dehiscence
Prevention
Management
Post-extractive infections: alveolar osteitis
Prevention
Management
Post-extractive infections: subperiosteal abscess
Management
Bone sequestra
Prevention
Management
References
Manual Of Oral Surgery 3rd Edition PDF Ebook
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