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1 Chapter 1Figure 1.1 Hypodontia: clinical photograph of missing maxillary lateral inci...Figure 1.2 Supernumerary premolars located lingual to the mandibular first a...Figure 1.3 Microdontia: maxillary left lateral incisor (‘peg lateral’) is co...Figure 1.4 (a) Gemination; mandibular right incisors show gemination. Note t...Figure 1.5 (a)Taurodontism of the mandibular first molar shows abnormally la...Figure 1.6 Amelogenesis imperfecta (hypocalcified type); the enamel is stain...Figure 1.7 Dentinogenesis imperfecta. (a) Note tooth wear and opalescent cro...Figure 1.8 Dentinal dysplasia radiograph showing absence of rootsFigure 1.9 (a) Mesioangular impaction of the mandibular third molar. (b) Dis...Figure 1.10 (a) Dens invaginatus; radiograph showing dens invaginatus in a p...Figure 1.11 Yellow‐brown discoloration of maxillary incisors due to fluorosi...Figure 1.12 Tetracycline‐induced grey/brown discolouration of deciduous teet...Figure 1.13 Enamel pearl on the cementumFigure 1.14 Periapical radiograph of talon cusp on a partially erupted upper...Figure 1.15 (a) Hutchinson's incisors of congenital syphilis. Note screwdriv...Figure 1.16 An extracted mandibular molar with three roots.

2 Chapter 2Figure 2.1 Rampant cariesFigure 2.2 Early childhood cariesFigure 2.3 Caries in a methamphetamine userFigure 2.4 Radiation cariesFigure 2.5 (a) Early approximal enamel caries. Undecalcified section of a pr...Figure 2.6 Dentine caries. (a) Carious tooth with clinical crown lost to dec...

3 Chapter 3Figure 3.1 Chronic hyperplastic pulpitis (pulp polyp) presenting as a fleshy...Figure 3.2 Periapical granuloma. (a) Radiolucent lesion of periapical granul...Figure 3.3 Apical abscess. (a) Presenting as a fluctuant gingival swelling; ...Figure 3.4 Condensing osteitis. Note the increased radiodensity around the r...

4 Chapter 4Figure 4.1 (a) Generalized attrition of the incisal and occlusal surfaces. (...Figure 4.2 Resorption. (a) External: cropped orthopantomograph shows externa...Figure 4.3 Hypercementosis; extracted tooth with hypercementosis at the tip ...Figure 4.4 Cracked tooth syndrome; fractured premolar tooth (black arrows) v...

5 Chapter 5Figure 5.1 Chronic gingivitis: clinical appearance of chronic marginal gingi...Figure 5.2 (a) Necrotizing ulcerative gingivitis shows papillary and gingiva...Figure 5.3 (a) Plasma cell gingivitis. Note swollen, oedematous red gingiva ...Figure 5.4 Desquamative gingivitis in a patient with mucous membrane pemphig...Figure 5.5 Generalized chronic periodontitis. (a) Disease in a 55‐year‐old w...Figure 5.6 (a) Generalized aggressive periodontitis (rapidly progressive per...Figure 5.7 Fibrous epulis. (a) Peripheral fibroma presenting as firm, pink, ...Figure 5.8 Peripheral ossifying/cementifying fibroma. (a) Pink nodular lesio...Figure 5.9 (a) Peripheral giant cell granuloma (giant cell epulis). This hig...Figure 5.10 Angiogranuloma. (a) a red lobulated mass is connected through th...Figure 5.11 Inflammatory gingival hyperplasia induced by plaque in an otherw...Figure 5.12 Generalized gingival enlargement with erythema and oedema in a p...Figure 5.13 Gingival enlargement caused by nifedipine, an antihypertensive d...Figure 5.14 Familial gingival hyperplasia. Firm fibrous gingival enlargement...Figure 5.15 (a) Gingival abscess: acute gingival abscess showing an erythema...Figure 5.16 Pericoronal abscess. Note a pus‐filled swelling partially coveri...Figure 5.17 Gingival enlargement in granulomatosis with polyangiitis (Wegene...Figure 5.18 Gingival enlargement in a patient with acute lymphocytic leukaem...Figure 5.19 Shiny, soft, bulbous, spongy gingival enlargement in a patient w...

6 Chapter 6Figure 6.1 Cropped orthopantomogram of acute suppurative osteomyelitis of th...Figure 6.2 Chronic suppurative osteomyelitis. Orthopantogram showing radiolu...Figure 6.3 (a) Focal sclerosing osteomyelitis: an intraoral radiograph showi...Figure 6.4 (a) Proliferative periostitis of the mandible: preoperative mandi...Figure 6.5 Cervicofacial cellulitis from odontogenic infection. Note diffuse...Figure 6.6 (a) Osteoradionecrosis of the mandible. (a) Note the exposed bone...Figure 6.7 Medication‐related osteonecrosis of the mandible (black arrow) in...

7 Chapter 7Figure 7.1 Radicular cyst. (a) Intraoral radiograph of a radicular cyst loca...Figure 7.2 Dentigerous cyst. (a) Cropped orthopantogram showing a dentigerou...Figure 7.3 Eruption cyst associated with tooth 11. Bluish surface of the swe...Figure 7.4 Odontogenic keratocyst. (a) Cropped Panoramic radiograph demonstr...Figure 7.5 (a) Lateral periodontal cyst. Cropped orthopantogram showing well...Figure 7.6 Calcifying odontogenic cyst. (a) Cropped orthopantogram showing a...Figure 7.7 Nasopalatine duct cyst. (a) Clinical photograph shows a palatal s...Figure 7.8 (a) Solitary bone cyst (simple bone cyst, black arrows). Note cha...

8 Chapter 8Figure 8.1 Ameloblastoma. (a) Pantomogram showing multilocular appearance of...Figure 8.2 Unicystic ameloblastoma. (a) Panoramic radiograph demonstrating r...Figure 8.3 Squamous odontogenic tumour. Bland irregularly shaped odontogenic...Figure 8.4 Calcifying epithelial odontogenic tumour. (a) Cropped panoramic r...Figure 8.5 Adenomatoid odontogenic tumour. (a) Radiograph showing an unerupt...Figure 8.6 Ameloblastic fibroma. (a) Orthopantomogram showing a well‐defined...Figure 8.7 Ameloblastic fibro‐odontome. (a). Cropped panoramic radiograph sh...Figure 8.8 (a) Odontome: Radiograph of a complex odontome. Note dense radiop...Figure 8.9 Dentinogenic ghost cell tumour. (a) An orthopantomogram showing a...Figure 8.10 Odontogenic myxoma. (a) orthopantomogram showing a poorly define...Figure 8.11 Odontogenic fibroma. Photomicrograph showing cellular fibrocolla...Figure 8.12 Cementoblastoma. (a) Round radiopacity with radiolucent rim at t...

9 Chapter 9Figure 9.1 Osteoma. (a). Clinical photograph of a 21 year old male with a sl...Figure 9.2 Gardner’s syndrome. (a) Extraoral osteomas: multiple diffuse bila...Figure 9.3 Central haemangioma. (a) Occlusal radiograph revealing a well‐def...Figure 9.4 Melanotic neuroectodermal tumour of infancy. (a) Clinical photogr...Figure 9.5 Osteosarcoma. (a) Radiographical findings in a case of chondrobla...Figure 9.6 Chondrosarcoma. (a) Coronal computed tomography revealing the pre...Figure 9.7 (a) Ewing's sarcoma. Cropped panoramic radiograph shows radioluce...Figure 9.8 Multiple myeloma. (a) Radiograph shows multiple punched‐out radio...Figure 9.9 Plasmacytoma. (a) Orthopantomogram revealing ill‐defined radioluc...Figure 9.10 Burkitt's lymphoma. (a) Tumour in a seven‐year‐old Nigerian boy ...

10 Chapter 10Figure 10.1 Ossifying fibroma. (a) Orthopantomograph showing a well‐defined ...Figure 10.2 (a) Periapical cemental dysplasia; radiograph showing partly min...Figure 10.3 (a) Periapical cemental dysplasia; photomicrograph showing woven...Figure 10.4 Central giant cell granuloma. (a) Cropped panoramic radiograph d...

11 Chapter 11Figure 11.1 Osteogenesis imperfecta. (a) Characteristic blue sclera in a pat...Figure 11.2 Cleidocranial dysplasia. (a) Extreme hyperadduction of shoulders...Figure 11.3 Cherubism. (a) An orthopantomogram showing multilocular appearan...Figure 11.4 Acromegaly. (a) Facial features: bulging forehead (frontal bossi...Figure 11.5 Brown tumour of hyperparathyroidism. (a) Orthopantomogram with l...Figure 11.6 Paget's Disease of bone. (a) Computed tomography, coronal view, ...Figure 11.7 Fibrous dysplasia of the mandible. (a) Panoramic radiograph show...Figure 11.8 (a) Torus mandibularis. Note the bilaterally symmetrical nodular...

12 Chapter 12Figure 12.1 Leukoedema of the left buccal mucosa showing grey‐white, diffuse...Figure 12.2 AnkyloglossiaFigure 12.3 Geographic tongue.Figure 12.4 Hairy tongueFigure 12.5 Fissured tongueFigure 12.6 Lingual thyroid. (a) The dome shaped red fleshy mass at the base...Figure 12.7 Macroglossia with crenations along the margins and loss of papil...Figure 12.8 Bifid tongueFigure 12.9 Bifid uvula.Figure 12.10 (a–c) Small, incomplete cleft lip (a), complete unilateral clef...Figure 12.11 Calibre persistent labial artery. (a). Note a linear elevated p...Figure 12.12 Epstein pearl in a five‐week‐old infantFigure 12.13 Oral dermoid cyst. (a) Presenting as a smooth‐surfaced, soft ti...Figure 12.14 Lingual varicosities on the ventral tongue.Figure 12.15 Lymphoid aggregate located at the posterolateral surface of the...Figure 12.16 Parotid papilla appearing as a nodule on the buccal mucosa.Figure 12.17 Prominent circumvallate papillae on the posterior tongue (yello...Figure 12.18 Generalized black‐brown physiological melanin hyperpigmentation...

13 Chapter 13Figure 13.1 Syphilis. (a) Primary: oral chancre at the corner of the mouth. ...Figure 13.2 Gonococcal stomatitis. Note inflamed erythematous lesions on the...Figure 13.3 (a‐f) Oral, radiographic and microscopic features of tuberculosi...

14 Chapter 14Figure 14.1 Pseudomembranous candidosis of the gingiva and lipsFigure 14.2 Erythematous candidosis of the tongueFigure 14.3 Angular cheilitisFigure 14.4 Denture stomatitis. (a) Diffuse erythema of the mucosa in contac...Figure 14.5 Chronic hyperplastic candidosis of the labial commissure. Well‐d...Figure 14.6 Median rhomboid glossitis. Note a lobulated bald lesion located ...Figure 14.7 Oral histoplasmosis appearing as an ulcerative lesion mimicking ...

15 Chapter 15Figure 15.1 Primary herpetic gingivostomatitis. (a) Blisters and erosive les...Figure 15.2 Herpes labialis. Note the typical focal cluster of vesicular les...Figure 15.3 Herpes zoster; clusters of vesicular lesions confined to the rig...Figure 15.4 Infectious mononucleosis. Note palatal petechiae at the junction...Figure 15.5 Oral hairy leukoplakia of the tongueFigure 15.6 Herpangina. Note multiple ulcers on the soft palate.Figure 15.7 Hand, foot, and mouth disease. (a) Note vesicular lesions on han...Figure 15.8 (a) Palatal squamous cell papilloma. (b) Photomicrograph of papi...Figure 15.9 Condyloma acuminatum presenting as multiple pink coloured sessil...Figure 15.10 Multifocal epithelial hyperplasia (Heck's disease).Figure 15.11 Verruca vulgaris seen as white cauli‐flower like lesion on the ...

16 Chapter 16Figure 16.1 (a) Minor recurrent aphthous ulcer. Note round ulcer with grey f...Figure 16.2 Oral lichen planus. Clinical types: (a). Reticular type showing ...Figure 16.3 Oral lichenoid lesion on the right buccal mucosaFigure 16.4 Pemphigus vulgaris. (a) Clinical photograph showing blisters and...Figure 16.5 Mucous membrane pemphigoid. (a) Gingival involvement showing epi...Figure 16.6 Erythema multiforme. (a) Erythematous lesions with haemorrhagic ...Figure 16.7 Lupus erythematosus. Oral lesion in chronic cutaneous lupus eryt...Figure 16.8 Traumatic ulcer. (a) Clinical photograph shows a traumatic ulcer...Figure 16.9 Radiation‐induced mucositis. Note pseudomembrane and ulcerative ...Figure 16.10 Medication induced oral ulceration. Widespread mucositis of the...

17 Chapter 17Figure 17.1 (a) Clinical photograph of irritation (traumatic) fibroma of the...Figure 17.2 Denture induced granuloma of the mandibular vestibule. Note exub...Figure 17.3 Squamous papilloma of the soft palate presenting as a papillary ...

18 Chapter 18Figure 18.1 Lipoma of the left buccal mucosa presenting as a soft fluctuant ...Figure 18.2 Schwannoma. (a) Schwannoma of the base of the tongue(b) Phot...Figure 18.3 Granular cell tumour; nodular lesion located on the dorsum of th...Figure 18.4 Cavernous haemangioma (a) Cavernous haemangioma of the tongue...Figure 18.5 Lymphangioma of the tongue. (a) Lymphangioma of the tongue. (b) ...

19 Chapter 19Figure 19.1 (a) Erythroplakia of the buccal mucosa(b) Histopathological ...Figure 19.2 (a‐e) Clinical types of leukoplakia. (a) Homogeneous leukoplakia...Figure 19.2 (f‐i) Photomicrographs of oral leukoplakia. (f) shows epithelial...Figure 19.3 (a) Chronic hyperplastic candidosis (candidal leukoplakia) of th...Figure 19.4 Palatal lesions in reverse smokers. Note palatal white keratotic...Figure 19.5 Erosive lichen planus with malignant transformation (arrow) on t...Figure 19.6 Oral submucous fibrosis. (a) Note the characteristic blanching a...Figure 19.7 Oral lichenoid lesion. Note the lichenoid reaction on the left b...Figure 19.8 Lupus erythematosus. Note the lichen planus like lesion on the l...Figure 19.9 Actinic cheilitis. (a) Clinical photograph showing diffuse invol...Figure 19.10 Sublingual keratosis. Note the typical ‘ebbing tide’ appearance...

20 Chapter 20Figure 20.1 Presentation of clinical forms of lip and oral cancer(a‐g). (a) ...Figure 20.2 Malignant melanoma of the floor of mouth. (a) Note the extensive...Figure 20.3 Kaposi's sarcoma. (a) Note a purple‐coloured nodular mass on the...

21 Chapter 21Figure 21.1 Occlusal radiographical image of a sialolith.Figure 21.2 Salivary cysts. (a) Mucocele of the lower lip. (b) Ranula of the...Figure 21.3 Sjögren's syndrome. (a) Xerostomia causing lobulated dorsum of t...Figure 21.4 Sialometaplasia of the hard palate

22 Chapter 22Figure 22.1 Pleomorphic adenoma. (a) Pleomorphic adenoma presenting as a fir...Figure 22.2 Histopathology of Warthin’s tumour in the parotid gland, showing...Figure 22.3 Mucoepidermoid carcinoma composed of epidermoid cells (black arr...Figure 22.4 Adenoid cystic carcinoma. (a) Common cribriform pattern. Photomi...

23 Chapter 23Figure 23.1 Chemical burn. Clinical photograph of aspirin burn involving lef...Figure 23.2 Frictional keratosis. Keratotic white lesion on the alveolar rid...Figure 23.3 Smokeless tobacco‐induced keratosis of the lower labial mucosa. ...Figure 23.4 (a) Smoker's palate. Note red inflamed orifices of minor salivar...Figure 23.5 (a and b) White sponge nevus. White irregular plaques with well‐...

24 Chapter 24Figure 24.1 Hereditary haemorrhagic telangiectasia. Node multiple, nodular r...Figure 24.2 Linear gingival erythema in a patient who is HIV positive, prese...

25 Chapter 25Figure 25.1 Classic brown pigmentation of the labial mucosa in a patient wit...Figure 25.2 Amalgam tattoo. Note bluish‐grey lesion on the mucosaFigure 25.3 Black and brown hairy tongueFigure 25.4 Brown pigmentation of the left buccal mucosa in a patient who is...Figure 25.5 Laugier–Hunziker syndrome. Brown pigmentated macules on the labi...Figure 25.6 Melanotic macule on the lower lip. (Source: By kind permission o...Figure 25.7 Perioral pigmentation in a patient with Peutz–Jeghers syndrome. ...Figure 25.8 Physiological pigmentation of the gingiva in an African individu...Figure 25.9 Brown oval‐shaped pigmented nevus on the hard palate. (Source: B...Figure 25.10 Smoker's melanosis in a heavy smoker

26 Chapter 26Figure 26.1 Angina bullosa haemorrhagica. Note a large ruptured blood bliste...

27 Chapter 27Figure 27.1 Traumatic ulcer. (a) Acute; note the yellowish‐grey floor of the...

Handbook of Oral Pathology and Oral Medicine

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