By Roderick A. Cawson, Edward W. Odell
This can be a re-creation of a vintage textbook of oral pathology and oral drugs for dental scholars and applicants for postgraduate dentistry checks. Illustrated in color all through, the booklet deals a accomplished advent to the pathology of oral ailment, its scientific manifestations and the foundations of administration. a last part bargains with the medically compromised sufferer.
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Extra info for Cawson's Essentials of Oral Pathology and Oral Medicine
Note the resemblance to the hypomaturation type of amelogenesis imperfecta. only be confirmed after a tooth has been extracted. In an undecalcified section the yellow fluorescence of the tetracycline deposited along the incremental lines can be easily seen (Fig. 30). It is no longer necessary to give tetracycline during dental development. There are equally effective alternatives and it should be avoided from approximately the fourth month to 12th year of childhood. Nevertheless tetracycline pigmentation is still seen.
The aetiology is unknown but there is a genetic component in approximately 40% of cases. The risk of having such defects is greatly increased if one, and particularly if both, of the parents are affected. Cleft lip (with or without a palatal cleft) is more common in males, while cleft palate alone is approximately twice as common in females. The incidence of cleft lip is about 1 per 1000 live births, while that of isolated palatal clefts is about 1 per 2000 live births. In terms of relative frequencies, cleft lips form about 22%, combined defects of lip and palate form about 58% and isolated palatal clefts form about 20% of this group of defects.
Where there has been a change from simple natural diets to a Westernised diet, as in Alaska, caries has increased sharply, and Eskimo children now have a caries incidence at least as high as other American children. A similar state of affairs is developing in Africa as sweet eating and sweet between-meals 'snacks' have become popular. In Nigeria many of the older adults are still totally caries-free but the prevalence of dental caries among children and young people who have picked up sweeteating habits is rising rapidly.