COLOR ATLAS
OF COMMON
ORAL DISEASES
ROBERT P. LANGLAIS CRAIG S. MILLERPracticing oral medicine—that is, diagnosing and tre:
ing oral manifestations of local or systemic diseases. is
often a difficule challenge for the practitioner, This com.
plexity stems from the many conditions that directly or
Indirectly affect the mouth and adj
the entailing spectrum of signs and symptoms that often
make a differential diagnosis quite difficult.
ent structures and
The organized approach that helps to simplify this aspect
of oral health care delivery demands careful history tak-
ing, methodical oral examinations, recognition of nor
mal structures and deviations from normal, and the abil
ity to form a differential diagnosis—a priority list of
conditions or diseases that che findings suggest. The dif-
ferential diagnosis forms the basis for performing tests
that should lead to a definitive diagnosis and the appro
riate treatment plan, These steps are important for
standards of care, optimal patient health and function,
protecting the clinician from censure, and nurturing
meaningful referrals.
An important step of the diagnostic sequence, not to be
overlooked, is the dental hygienist, who often sees the
Patient first. Because many signs and symptoms may
Fepresent malignant disease, precancerous lesions, or in
fectious conditions, itis incumbent upon the dental hy-
Bienist to recognize deviations from normal, identify pa.
tients who may have these disorders, and inform the
dentist of the clinical findings.
The second edition of Color Atlas of Common Oral
Diseases by Drs. Langlais and Miller greatly assists in
the diagnostic process by providing an updated and orga.
nized approach to conditions that afflict the mouth
Chapters on normal anatomy, specific tissues, different
sites, and clinical features of color and form are presented
with many high-quality color illustrations that have been
carefully selected to represent features of conditions or
diseases. The accompanying text is abbreviated to pres
ent concise overviews with emphasis on the clinical de
scription of oral lesions, which allows a useful unde
standing of the entity in question. The book also includes
a brief glossary of useful terms that describe clinica
findings, tables summarizing the characteristics of e:
h
sroup of disorders, anda separate listing of prescriptions
Useful in the management of these problems.
Because it is so difficult co master the complex variations
of signs and symptoms associated with the multitude
of oral manifestations of disease, a visual approach is
‘one of the most helpful aids. Thus, the second edition
of the Atlas will be of significant help to clinicians at
all levels of experience in creating a differential diag,
nosis, establishing a diagnosis, and forming a basis for
a rational approach to managing and resolving patient
problems,
Sol Silverman, Jr, MA, DDSThe 2nd edition of Color Atlas of Common Oral Dis
eases is a thorough revision of the frst edition and prom
ises be a large improvement. We have added more than
100 new illustrations and diagnostic concepts. Sections
6 normal oral anatomy, tooth-related disorders, gingi
Vitis, periodontitis, caries and caries progression, odon
togenic infections, and facial swellings have been added.
The sequence of the atlas has been rearranged so that
the reader begins with normal anatomy and progresses
to disease. Throughout the text, select illustrations have
been replaced with better cases that more accurately
represent the disease described.
As before, we realize that there are many excellent text
books available of oral diagnosis, oral medicine, and oral
and maxillofacial pathology; we hope that this edition
provides students with a high-quality, affordable, practi
cal, and user-friendly color atlas. The goal of this atlas
continues to be to provide both high-quality color illus.
trations and salient clinical features of common oral
diseases for those who are studying or attempting, to
identify oral disorders. We are fully aware that space
has limited the scope of the written text, which is not
intended to be all-inclusive bur rather to serve as a refer-
ence for the clinical diagnostic aspects of the more com-
monly encountered oral diseases. We hope that this ed
tion will be useful to students of dental assisting, dental
hygiene, and dentistry, as well as postgraduate dentists
and hygienists whose goal is to become more knowledge
able about the clinical appearance of oral disease. This
color atlas will also be of great value to practicing den
tists, physicians, and specialists. Although many health-
care providers may use this atlas as adjunctive material,
we have made efforts to ensure that the text is as current
as possible. In this regard, we have extensively researched
each disorder and updated all statements so that the text
is in concert with the current thinking of the majority
of the profession,
This edition continues to arrange the illustrations pr.
cally, according to clinical appearance, to facilitate the
construction of a differential diagnosis. Each color plate
consists of eight illustrations per page so that disorders
closely related by appearance or cause can be easily com-
pared. The first two sections provide the reader with the
necessary background to understand normal anatomy
and properly describe lesions to colleagues. The illustea-
tions selected for specific diseases have been chosen with
the intent of showing each disorder in its most t
appearance and location. When se
possible, we have included several examples, often from
the same patient. On the pages opposite the color plates,
the written text discusses the nature of various di
well as other clinically relevant information
cd the sex, age, and race affected by
the disorder. The emphasis continues to be on the signs
and symptoms of common oral diseases. Cause and treat
‘ment methods are briefly discussed to provide additional
valuable information. It is hoped that by arranging the
‘material in this manner, the reader will be able to inte-
grate concepts of oral diagnosis, medicine, pathology,
and radiology
ical
locations are
processes,
such as location
OF some importance to all students of dentistry are a
variety of helpful learning tips or methods. At the
of the text, the reader will find a glossary of terms;
several tables of common oral conditions; prescriptions
arranged by manage nd a self-assess
ment test similar to those used in school examinations,
and national boards, and clinical sections of the
specialty boards of Oral Medicine and Oral and Maxillo-
facial Pathology. In this edition, the appendix of pre
scriptions has been expanded and made easier to read
by placing each individual prescription in a box. The
‘most current American Heart Association guidelines for
antibiotic prevention of infective endocarditis are found
in Appendix I.
We wish to express our thanks to all health care profes
sions who have referred patients to our clinies and pro-
vided illustrations found in this text
Robert P. Langlais
Craig S, Miller
For persons involved in education, the authors have the
complete set of illustrations available for purchase as
color slides. Details on the purchase of these slides are
available by contacting