Oral and Maxillofacial Radiology

Oral and Maxillofacial Radiology: A Diagnostic Approach, Second Edition is a fully updated and revised edition of this richly illustrated reference to the wide range of diagnostic imaging modalities available for investigating lesions affecting the face and jaws.

• Provides extensive flowcharts detailing the steps of diagnosis and decisions
• Features more than 450 clinical images, including many multi-part figures, demonstrating the concepts discussed, with more images covering cone beam computed tomography, positron emission tomography, and interventional procedures
• Discusses differences in the demographic, clinical and radiological presentations, and outcomes of treatment due to ethnicity
• Presents practical approaches firmly grounded in the scientific literature, focusing on the most common and important lesions
• Includes perspectives from experts in various specialty areas, including medical radiologists, oral and maxillofacial radiologists, functional imaging specialists, and radiation oncologists

List of contributors ix

Preface xi

Part 1 Introduction 1

Chapter 1 Basics of radiological diagnosis 3

Chapter 2 Viewing conditions and physiological phenomena and radiological interpretation 47

Chapter 3 Evidence‐based radiology 63

Part 2 Advanced imaging modalities 73

Chapter 4 Computed tomography 75

Chapter 5 Cone‐beam computed tomography 89

Chapter 6 Magnetic resonance imaging 111

Chapter 7 Positron emission tomography 135

Chapter 8 Basics of ultrasound 151

Part 3 Radiological pathology of the jaws 159

Chapter 9 Radiolucencies 161

Chapter 10 Radiopacities 273

Chapter 11 Maxillary sinus 341

Chapter 12 Lesions within the soft tissues 387

Chapter 13 Imaging of the salivary glands 415

Chapter 14 Oral and maxillofacial vascular lesions 447

Chapter 15 Fractures of the face and jaws 473

Chapter 16 Temporomandibular joint diseases 493

Part 4 Extragnathic lesions 517

Chapter 17 Introduction to extragnathic lesions 519

Chapter 18 Benign lesions 529

Chapter 19 Malignant lesions 555

Part 5 Osseointegrated implants 611

Chapter 20 Osseointegrated implants 613

Index 631

David MacDonald, BDS, BSc (Hons.), LLB (Hons.), MSc (Lond.), DDS (Edin.), DDRRCR (UK), FDSRCPS, FRCDC, is Professor and Chair of Oral and Maxillofacial Radiology at the University of British Columbia in Vancouver, Canada; Consultant to the British Columbia Cancer Agency in Vancouver, Canada; and Regional Director (North America) for the International Association of Dento-Maxillo-Facial Radiology.

Provides a logical approach to using diagnostic imaging modalities to diagnose lesions affecting the face and jaws

Oral and Maxillofacial Radiology: A Diagnostic Approach, Second Edition is a fully updated and revised edition of this richly illustrated reference to the wide range of diagnostic imaging modalities available for investigating lesions affecting the face and jaws. Featuring detailed flowcharts to support the clinician in decision making, the book presents clear information on the use of these modalities, the demographic, clinical, and radiological presentations of these lesions, and their clinical consequences. This Second Edition adds two new chapters on lesions within the soft tissues adjacent to the jaws and vascular anomalies, and significantly expands many existing chapters, offering more coverage of cone beam computed tomography (CBCT) and interventional procedures.

Offering a complete resource for diagnosing face and jaw lesions, the book covers advanced modalities such as computed tomography, magnetic resonance imaging, functional and interventional imaging, and ultrasound, as well as conventional radiography, which still remains the primary imaging modality for the initial imaging of lesions of the jaws. It emphasizes how oral health contributes to the patient's overall well-being throughout, aiding clinicians in recognizing pathology or sites of concern.

• Provides extensive flowcharts detailing the steps of diagnosis and decisions
• Features more than 450 clinical images, including many multi-part figures, demonstrating the concepts discussed, with more images covering CBCT, positron emission tomography, and interventional procedures
• Discusses differences in the demographic, clinical and radiological presentations, and outcomes of treatment due to ethnicity
• Presents practical approaches firmly grounded in the scientific literature, focusing on the most common and important lesions
• Includes perspectives from experts in various specialty areas, including medical radiologists, oral and maxillofacial radiologists, functional imaging specialists, and radiation oncologists

Oral and Maxillofacial Radiology, Second Edition is an essential clinical tool for dental students, oral and maxillofacial surgeons, head and neck surgeons, oral and maxillofacial radiologists, and residents in these fields, as well as for general and specialist dentists and radiologists.