Book Review: The Oral-Systemic Health Connection: A Guide to Patient Care, Second Edition

By Mark Szarejko, DDS, FAGD

This text, which features several authors’ expertise and is authored by Michael Glick, is an expansive view of the oral-systemic connection. The correlations between periodontal disease, cardiovascular disease and Type II diabetes have garnered much attention in the medical and dental professions. While this text reviews these correlations in great detail, many topics are reviewed as they relate to the oral-systemic link. The correlations between renal, pulmonary and malignant disease and oral health are among topics that are discussed and are not topics that received much publicity but are essential to the ongoing discussion of the oral-systemic link.

The holistic approach and continuum between oral and systemic health is also discussed in various topics. The oral manifestations of systemic disease, the correlations between periodontal infections and adverse pregnancy outcomes and the use of salivary biomarkers to detect systemic diseases provide more information about the bidirectional relationship between oral and systemic health and the state of optimal health and well-being.

This text would benefit new and established general dentists, dental specialists and dental hygienists. Patients are well-informed about health issues and dental professionals must be the source of information about the multiple aspects of correlations of the oral-systemic connection. The information contained in this text provides an update and practical information which the clinician can use to answer questions that patients will have about the potential links between oral and systemic health. It also provides a means to establish a foundation that will be necessary to understand the future research which will involve this issue.

This text’s opening and closing chapters provide an excellent glimpse of the diverse topics contained within. Still, they also provide information about issues that are usually not considered in the discussion about the potential links between oral health and systemic health. Chapter One written by Michael Glick, is entitled “Causation: Frameworks, Analyses, and Questions.” This chapter reminds us that it is essential to approach this topic with scientifically valid research that is corroborated among experts before causation can be assigned to a relationship between oral health, especially periodontal disease, and adverse outcomes which involve systemic health. The final chapter, authored by Michael C. Alfano, is entitled “The Economic Impact of Periodontal Inflammation.” This chapter reminds us that the cost of periodontal disease transcends the cost of treating periodontal disease and the cost involved in the prosthetic replacement of teeth lost due to periodontal disease.

The text “The Oral Systemic Health Connection Second Edition. A Guide to Patient Care” is a well-researched text that answers many questions about the potential correlation between oral and systemic health and raises others. This book is not a “fast read” due to the detail in each chapter.

It is an excellent resource for the clinician who has an interest in this discipline and for those who relay relevant and scientifically-based information about this topic to their patients.

Book Review: Orofacial Pain: Guidelines for Assessment, Diagnosis, and Management

by Dr. Anthony J. Carter

“Orofacial Pain: Guidelines for Assessment, Diagnosis and Management” is a text produced by the American Academy of Orofacial Pain (AAOP) and is commonly referred to as the “AAOP Guidelines.” It is a comprehensive overview of all aspects related to orofacial pain. A significant portion of the book is dedicated to Temporomandibular Disorders (TMDs), but it also covers other areas that may cause or contribute to orofacial pain.

As this is the fifth edition, four publications preceded this current edition. Prior publications focused primarily on TMDs. As health care professionals and researchers became more aware of the relationship between TMDs and other disorders of the head and neck, there was a need to expand the scope of this guideline. The topics covered in this text include a general assessment of the patient, diagnostic classifications, vascular and nonvascular intracranial causes of pain, primary headache disorders, neuropathic pain, intraoral pain disorders, diagnosis and management of TMDs, cervical disorders, extracranial causes of pain, sleep and the relationship of pain with mental disorders.  

The book is well organized and follows a logical progression through the chapters. At 289 pages, it is a brief but thorough overview of orofacial pain concepts with practical application to clinical dentistry. I especially enjoyed the chapter on diagnosis and management of TMDs, which happens to be the largest chapter in the book. It provides scientifically sound and effective diagnostic procedures and treatment options. The chapter on sleep and its relation to orofacial pain were brief but very interesting. It provides tips to improve patients’ sleep hygiene that I started to use in my personal life. The only suggestion for the next edition would be to include more photos and diagrams. Throughout the text, there is constant reference to vascular, musculoskeletal and neuroanatomy but no images. I had to refer to my atlas of human anatomy as I read the entire book. When discussing anatomy, it is easier to visualize the author’s point with an image.

This is an excellent text that is a great review for all dentists and specialists at any stage of their careers.

Book Review: Noncarious Cervical Lesions and Cervical Dentin Hypersensitivity: Etiology, Diagnosis and Treatment

By Dr. Virginia McKenzie Melmed

Noncarious cervical lesions (NCCLs) and cervical dentin hypersensitivity (CDH) affect more people than caries and periodontal disease in most high-income countries.  In private practice, clinicians often focus on treating the symptoms associated with these conditions, rather than address the etiologies. In Noncarious Cervical Lesions and Cervical Dentin Hypersensitivity: Etiology, Diagnosis and Treatment, Doctors Paulo V. Sores and John O. Grippo combine their clinical experience and all relevant research to dive into every aspect of NCCLs and CDH and prove the etiologies must be understood to treat these conditions successfully.  After reading this book, the dental clinician will be able to identify and understand the etiology of NCCLs and CDH, so he can stop its progression and treat it successfully.

Noncarious Cervical Lesions and Cervical Dentin Hypersensitivity is divided into three sections:  Introduction, Mechanisms of Action, and Diagnosis and Treatment.  Section I provides the necessary historical background and prevalence data of NCCLs and CDH and explores the specific characteristics of tooth anatomy that make a tooth’s cervical region less resistant to the mechanisms of stress, friction and biocorrosion. The formation of NCCLs is multifactorial, so Section II devotes a chapter to each one of the mechanisms of etiology (stress, friction and biocorrosion), explaining how each mechanism contributes to the development of NCCLs and the effects of these mechanisms working in combination.  The chapter on biocorrosion discusses which patients are considered high risk for developing NCCLs and CDH.

After providing a thorough background into the etiology of NCCLs in Sections I and II, Section III provides the reader with detailed information into the morphological characteristics of the lesions and proposes a new classification of NCCLs to aid in identifying the etiologic factors and determining the appropriate treatment. Nonrestorative protocols of occlusal, chemical, and laser therapies are described in detail, as well as when each of these therapies is indicated. Step-by-step restorative protocols of composite bonding and indirect restorations are thoroughly explained and dental materials recommended for NCCL restorations (Table 9-2) are provided. The textbook concludes with a chapter devoted to surgical protocols, where the severity of the recession defect determines the treatment approach.

When a condition is so often observed in dental practice, it must be addressed.  With this textbook, Doctors Soarer and Grippo provide everything a dental clinician needs to know on the focused topic of non carious cervical lesions and cervical dentin hypersensitivity.  The chapters are logically organized.  The chosen illustrations are beautiful photographs or easy-to-read tables with captions that provide clarity to the illustrations and text.  The end of each chapter contains a purple conclusion box, which highlights the most important concepts from that chapter.  This book is informative, easy-to-understand, and research-based.  I would recommend this book to any dental student, practicing dental clinician, and researcher.

Book Review — Lit: The Simple Protocol for Dental Photography in the Age of Social Media

Reviewed by Dr. Kimberly Tran-Nguyen

Dr. Miguel Ortiz is a well-known prosthodontist, lecturer and photographer in the dental world. He created a book to complement the courses he teaches regarding dental photography. In the age of social media, dental photography plays a crucial role if dental practitioners want to expand their practice. What makes this textbook valuable is the knowledge Dr. Ortiz brings with his experience as a previous lab technician, dental clinician and having established a well-known social media presence.

“Lit” is broken down into simplified analogies with visual representations to better explain the concepts in the book. The author organizes the first section of the book into five concepts associated with photography that can be adjusted to produce the photos desired: exposure, aperture, shutter speed, depth of field and white balance.

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