Book Reviews

Autotransplantation of Teeth
ter, Wound Healing in Transplantation and Replantation, is supported by the classical studies of Andreason on replantation and autotransplantation. The author effectively uses contributions from a number of experienced clinicians and scientists to establish a highly professional and accurate presentation. As with many dental procedures, the success rate of autotransplantation depends on a variety of factors. This material gives the reader a sound scientic basis for understanding the process of soft and hard tissue healing along with the mechanism of bone and root resorption following the replanting technique. The text reviews the classication and clinical indications for transplantations. It also covers the sequence and treatment procedures for both intentional replantation and autotransplantation. This chapter 5, Sequence and Treatment Procedures, presents excellent clinical photographs and radiographs in a step-by-step fashion from case selection and surgical technique to immediate post-surgical care and long-term recall documentation. One example of a case thoroughly presented was the transplantation of a third molar to an area of a nonrestorable rst molar. The surgical procedures addressed included the instrument setup, pre-procedure antibiotics and disinfection and anesthesia. This was followed with a discussion of recipient site preparation, extraction of the donor tooth, try-in and plantation of the donor tooth, trimming and suturing of the ap, and nally, xation of the transplanted tooth and occlusal adjustment. There is also a complete review of the armamentarium required to properly perform these procedures. Other procedures covered in depth include transplantation of a third molar to an area of a congenitally missing tooth, transplantation of a supernumerary tooth to an area of a congenitally missing or non-restorable tooth, intentional replantation and surgical extrusion/replantation of a fractured tooth. This how to portion of the textbook is illustrated

Mitsuhiro Tsukiboshi (4 contributors). Quintessence Publishing Co, Inc, Chicago, IL, 2001: ISBN 0-86715-395-4 (192 pages with over 750 color photographs, illustrations, diagrams and radiographs; price $128.00) This superbly illustrated textbook presents the scientic and clinical aspects of autotransplantation. The concept and clinical application of autotransplantation has been discussed in the dental literature for over two hundred years, however, the procedure has not received serious attention until the last twenty-ve years. It is the authors intent to further encourage dental clinicians to consider the procedure of autotransplanting teeth during the treatment planning process as an additional treatment option, along with dental implants and prostheses. This text is easily understood and not technically complex. Following a short introductory section that provides the reader with the advantages and disadvantages of transplantation, the author presents a thorough review of the embryology, anatomy and wound healing which prepares the reader to appreciate the clinical techniques that are sequentially demonstrated in the second half of the text. The excellent photos of histology and the clear and concise original illustrations of anatomy and wound healing would be an excellent review for any dental practitioner. A signicant portion of the third chap-

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Book Reviews

so well, that an inexperienced clinician along with the expert surgeon would gain signicant insight into performing transplantation procedures. This textbook also dedicates a separate chapter to the transplantation of immature teeth. The clinical situations described include the transplantation of immature premolars and third molars to an agenesis site and the surgical repositioning of ectopically positioned teeth. The prognosis of autotransplanted teeth is discussed in terms of radiographic, clinical and histologic evidence of success. This textbook displays numerous cases with follow-up examination and demonstrates many longterm successful cases. There is a short section on the interdisciplinary application of auto transplantation. Although there are well-documented cases with photographs and radiographs relating to orthodontics, endodontics, pediatrics, periodontics, prosthodontics and operative dentistry, there is minimal written text that discusses each of these disciplines. There are other areas throughout the book where more in depth discussion would seem appropriate, however, the author may have intended to limit the amount of written discussion to maximize the ease of following the sequentially documented cases. In fact, this textbook could very well be called An Atlas of Autotransplantation. Due to the exceptional quality of the photographs and the variety of cases documented, this book could be used as an excellent model for presentation to the patient or as a teaching manual for dental assistants prior to performing a transplantation. Autotransplantation of Teeth is an excellent review of the scientic and clinical principles of transplanting teeth and while it is most useful for the practitioner actually providing this therapy (in all probability, a trained surgeon), it is also useful for any dentist considering the recommendation of such therapy to a patient. Doctor Tsukiboshi has accomplished his goal of providing an objective view of various treatment situations that were effectively managed through a transplantation procedure. In discussing the merits of using transplanting techniques in a clinical practice the author states that, Autotransplantation offers an attractive, economic, and sound approach for a number of situations. Our patients deserve our consideration of all the possibilities when faced with potential and actual tooth loss. He has also demonstrated how to successfully transplant teeth through proper case

selection and sound treatment techniques that promote healing and prevent resorption. Robert J. Loushine, DDS Associate Professor Program Director, Postgraduate Endodontics School of Dentistry Medical College of Georgia Augusta, Georgia

Wet-Fingered Dentistry: Practical Advice from Experienced Dentists

DJ Kenny and MJ Casas, Quintessence Publishing Co., Inc., Carol Stream, Illinois, 2002: ISBN 0-86715-400-4 (160 pp, 21 illus; price $38) This text is an outline of general practice techniques which covers many areas of interest and is supplemented with both clinical and administrative tips and suggestions provided by numerous practitioners from the US, Canada, Australia and the UK. It is primarily directed towards the new or recent graduate who has an interest in establishing their own practice or entering into some form of partnership. With over 72 respected contributors however, even the experienced practitioner could gain some valuable information from the information presented. The purpose of the book appears to be the highlighting of the most important considerations one would consider when establishing and guiding a successful dental practice. The authors are obviously well-suited to present their provided insights. Dr. David J. Kenny is the Director of Dental Research and Graduate Studies at the Hospital for Sick Children and is a Professor of Dentistry at the University of Toronto. He shares his time between practice, teaching and clinical research. Dr. Michael J. Casas is the coordinator of the Feeding Disorder Research Unit of the Hospital for Sick Children and is an Assistant Professor of Dentistry at the University of Toronto. He is the sole proprietor of a pediatric dentistry practice and also teaches and is active in clinical research.

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This book is organized into 19 short chapters with topics ranging from models of dental practice and risk management to geriatric dentistry and medically compromised patients. The chapters address the success and frustrations of the day-to-day general practice. Each chapter is introduced with a humorous sketch relating to the topic at hand. There are few illustrations unfortunately. The main text of the chapters is surrounded by helpful margin notes derived from the suggestions of the many contributors. This format lends itself to the material being able to be quickly skimmed. The text is not referenced, as the authors are essentially sharing experiences, and is roughly divided into the business of dental practice, the administration of dental practice and nally, clinical tips. Subjects covered in the business topic section include models of different practices, selecting your market niche and dealing with other professionals needed to help run the practice. The administration section includes chapters on complying with practice standards, risk management programs, and continuing education suggestions as well as the importance of getting involved in organized dentistry. In the clinical tips section the areas discussed include how to deal with children, how to manage and treat older patients along with provided hints in operative dentistry, prosthodontics, periodontics, endodontics and oral surgery. There are also chapters explaining how to build relationships with hospitals and physicians as well as when to refer a specic case to a specialist. With that in mind, the text is not primarily directed towards the specialist, but nevertheless offers great advice for the success of any practice. The covered topics are broad in scope but purposefully limited in detail. Many clinical and managerial points are made and many questions, with answers, are raised. Sufcient information is provided to highlight the subject and to direct the reader to further investigation as desired. The clinical tips cover most of the dental disciplines and represent the combined experience of many experienced and respected practitioners. In summary, this book is truly meant to open the eyes of the reader to many topics essential to dental practice. The text is easy to read and briey outlines dental practice needs very well. While some of the advice offered at times seems contradictory, the authors, to their credit, state that they wanted the reader to be provided with multiple points of view.

They have succeeded in providing the profession with some practical, common sense guidelines to draw upon in the every day practice of dentistry. Randall M. Pohjola, DDS Assistant Professor Department of Oral Rehabilitation Medical College of Georgia School of Dentistry Augusta, GA

The Complete Denture: A Clinical Pathway

Michael I. MacEntee with contributions by Joanne N. Walton and Chris C. L. Wyatt, Quintessence Publishing Co, Inc., Chicago, IL, 1999: ISBN 0-86715-350-4. (136 pages with index and references; 320 black and white illustrations; soft cover wire bound, price $48.00) Developed from lectures and demonstrations given at the University of British Colombia, this well-written text is intended primarily for predoctoral students and less experienced clinicians. The rst nine chapters succinctly describe the authors technique for fabricating opposing complete dentures. The author presents only one technique, stating he wanted to avoid detailed descriptions of alternative techniques, not because I feel that they are any less effective, but because, in my own experience as a clinician and a teacher, it is better to focus on one pathway to a complex task than to risk the confusion of many tracks. This is a good approach for dental students but one that most post-graduate students and experienced clinicians will likely nd disappointing. The rst chapter, Identifying the Problem, briey describes the rst patient appointment. Other chapter titles include: Impressions for Study Casts, Master Casts, Selecting Maxillary Anterior Teeth, Recording the Maxillomandibular Relationship and Arranging the Maxillary Anterior Teeth, Arranging the Mandibular Anterior Teeth and All of the Posterior Teeth, Clinical Evaluation of the Teeth in Wax, Processing Acrylic Resin, and Ad-

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Book Reviews

justment and Insertion of the Dentures. All steps are clearly and briey described and are accompanied by many black and white illustrations. Many of the steps are also referenced. While the brevity of the authors style can be appreciated in most chapters, it leads to a serious shortcoming in the section on maxillomandibular relations. In accordance with the authors one pathway approach, only one technique is described. The technique offered is based on the assumption that most patients will have two to three millimeters of freeway space when they at rest position. While this technique is similar to that described by Niswonger1, it is incompletely explained here and no reference is provided which could lead the reader to further information. Such an important area in the construction of complete dentures would have been better served with a discussion of alternative techniques and philosophies and ways in which they can be incorporated into a clinical approach. Chapters on Relining a Complete Denture and Immediate Dentures were contributed by Chris C. L. Wyatt. Dr. Wyatt follows the same format of a briey described single technique, highlighted with several illustrations. Again, these chapters would be most benecial for the dental student or new practitioner. Finally, a chapter on implant overdentures, contributed by Joanne N. Walton, follows the same format. Dr. Waltons chapter is well written and illustrated but could easily have also included informational material on tooth-borne overdentures, The book includes two appendices. The rst, The Complete Denture: A Step-by-Step Summary, briey summarizes each appointment in the denture fabrication process in terms of the armamentarium required, the steps to be executed, and what the clinician will need to nish the appointment. These one or two page summaries will provide a handy chairside check sheet for the dental student. The second appendix is a patient information sheet, Living with Your Complete Denture, developed by the Faculty of Dentistry, Department of Oral Health Science, University of British Columbia, Vancouver, Canada. This may well serve the reader best as a template to be further modied for specic use in practice. Overall, the authors suggest techniques and opinions that are solidly based in currently accepted prosthodontic practices. While the book is well writ-

ten and would serve as a good clinical reference for the dental student, it offers little for the specialist. Stephen M. Cameron, DDS Director, U.S. Army Prosthodontic Residency Program Fort Gordon, GA

Reference
1. Niswonger ME. The Rest Position of the Mandible and the Centric Relation. J Am Dent Assoc, Nov 1934; 21:1572.

Failure in the Restored Dentition: Management and Treatment

M.D. Wise, 1st Edition. Quintessence Publishing Co, Inc, Chicago, IL, 1995: ISBN 1-85097-033-5. (766 pages, illustrated; price $240.00) This comprehensive text is written primarily for the general practitioner, and presents a highly useful foundation for treatment planning and rehabilitation of patients with failing complex dental restorations. The purpose of this book is to outline a management rationale for controlled and predictable treatment outcomes in coordination with appropriate specialist referral. As the author states, it is not intended as an encyclopedic presentation of basic restorative techniques, but rather an overall approach with emphasis on three specic areas: management of failures in the restored dentition, subjects that he is most frequently asked about, and material that he found inadequately covered in other texts. The author maintains the perspective of the general practitioner, who is seen as ultimately responsible for patient care. Michael Wise maintains a private restorative practice in London, England and has taught postgraduate courses at the Institute of Dental Surgery in London and at his private practice for twenty years. He is a member of numerous professional organizations, and has lectured extensively in Britain and abroad. He is the author of many publications, including a ten part series on Occlusion and Restorative Dentistry in the British Dental Journal, which was later published as a British Dental Journal handbook. Anthony Laurie, the author of the Technical Appendix for this book, is a certied dental

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technician working full time with Michael Wise in his practice laboratory and teaching postgraduate courses. Mr. Laurie was formerly a senior technician in the Crown and Bridge Department at the Eastman Dental Hospital in London. He has lectured throughout the United Kingdom and internationally. This book of 746 pages is organized into 5 parts, with 36 chapters and Technical Appendix. High quality clinical and laboratory color photographs, radiographs and color diagrams illustrate the text. All chapters are well referenced, and the author appropriately conveys the logic of treatment choice based upon these citations. A summary of important points is presented at the end of each chapter. Part 1 presents patient and practice management, and consists of 7 chapters. It begins with the possible causes of failure in the restored dentition and their clinical presentations, ranging from general pathosis to neglect of oral maintenance. The author sets the practical tone for the remaining material by reminding the reader that the patient with failure of an extensively restored dentition has already demonstrated a susceptibility to dental disease, otherwise the initial treatment would not have been performed. General and specic patient management approaches are presented, with detailed examples of correspondance, questionnaires, medical and dental history forms, and ling systems. Next, examination techniques, charting systems and forms, radiographic assessment, and special test methods are discussed along with their diagnostic value. The authors highly organized treatment planning procedure is explained, along with fee planning and estimation techniques. The treatment management options available to the patient and practitioner, the presentation of ndings and various treatment plans and fees, and legal concerns (in reference to the laws of the United Kingdom) are subsequently examined. Examples of secondary correspondance with the patient conclude this section. Part 2 provides information on specic treatment techniques, materials and instrumentation which the author has found clinically relevant or about which he has been frequently asked. It consists of 18 chapters, with subjects ranging from premedication to restorative contingency planning. The chapters covering occlusion and occlusal schemes, vertical dimension, and occlusal adjustment and equilibration are exceptionally well writ-

ten and enhanced with illustrations. A rationale for selecting a conformative approach or a complete rehabilitation treatment plan is offered, and the use of appropriate recording instrumentation and articulators are clearly described. Temporomandibular dysfunction and dental problems of psychogenic origin are the subjects of Part 3. These 3 chapters discuss restorative management of patients with a history of facial arthromyalgia or internal derangement, and restorative implications of psychogenic dental problems or existing internal derangement. Despite the many anecdotal occlusal therapies advocated in the literature, the reader is reminded that no particular occlusal guidance scheme has yet been demonstrated by controlled trials to eliminate or prevent temporomandibular dysfunction. Caution and restraint in treatment, possible medical consultation/ treatment options, use of reversible treatment modalities, and an informed patient are justiably emphasized in this section. The author provides a brief review of temporomandibular disorders and dental problems of psychogenic origin and their appropriate sequencing and treatment alternatives. Part 4 discusses the various treatment options for the complex restorative failure patient in 8 chapters. The possible treatment approaches outlined are: referral or maintenance, complete dentures, overdentures, removable partial dentures, implant supported prostheses, and re-restoration with conventional xed restorations. Indications and contraindications, and advantages and disadvantages of each of these modes are listed, and specic procedures in the fabrication of prostheses are described and illustrated in detail. The chapter covering implant prostheses is particularly useful in its discussion of planned implant placement and the necessity of mounted diagnostic casts, placement stents, and appropriate use of radiography and computed tomography. This part also provides information on possible problems following retreatment related to esthetics, function, pain/discomfort, paresthesia/hyperalgesia/anesthesia, and fees. The last chapter briey restates the authors treatment philosophy and emphasizes the necessity of logic in making truly informed clinical decisions. Part 5 provides step by step descriptions and numerous illustrations of the laboratory procedures referred to in the main text. The array of written descriptions and photographs in the appendix is

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especially helpful to the readers understanding of the more intricate and detailed procedures. In summary, this text admirably lls a void in dental literature. The author presents a practical and ethical philosophy for the management and treatment of the failing extensively restored dentition. The only shortfall noted is that the reference lists should be updated to reect current knowledge. In light of our aging population, the useful-

ness of a book on this subject can only be expected to increase. Philip S. Baker, DDS Associate Professor Oral Rehabilitation Department Medical College of Georgia School of Dentistry Augusta, GA