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2015v1.0
CONTEMPORARY
ORAL
and
MAXILLOFACIAL
SURGERY
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SEVENTH
EDITION
CONTEMPOR ARY
ORAL
and
MAXILLOFACIAL
SURGERY
James R. Hupp, DMD, MD, JD, MBA
Vice Dean for Student and Faculty Experience
Professor of Surgery
Elson S. Floyd College of Medicine
Washington State University
Spokane, Washington;
Founding Dean and Professor Emeritus
School of Dental Medicine
East Carolina University
Greenville, North Carolina
Edward Ellis III, DDS, MS
Professor and Chair
Department of Oral and Maxillofacial Surgery
University of Texas Health Science Center
San Antonio, Texas
Myron R. Tucker, DDS
Oral and Maxillofacial Surgery Education Consultant
Charlotte, North Carolina
Isle of Palms, South Carolina;
Adjunct Clinical Professor
Department of Oral and Maxillofacial Surgery
Louisiana State University
New Orleans, Louisiana
1600 John F. Kennedy Blvd.
Ste 1800
Philadelphia, PA 19103-2899
CONTEMPORARY ORAL AND MAXILLOFACIAL SURGERY, ISBN: 978-0-323-55221-9
SEVENTH EDITION
Copyright © 2019 by Elsevier, Inc. All rights reserved.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic
or mechanical, including photocopying, recording, or any information storage and retrieval system, without
permission in writing from the publisher. Details on how to seek permission, further information about the
Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center
and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher (other
than as may be noted herein).
Notice
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using
any information, methods, compounds or experiments described herein. Because of rapid advances in the
medical sciences, in particular, independent verification of diagnoses and drug dosages should be made. To the
fullest extent of the law, no responsibility is assumed by Elsevier, authors, editors or contributors for any
injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from
any use or operation of any methods, products, instructions, or ideas contained in the material herein.
Previous editions copyrighted 2014, 2008, 2003, 1998, 1993, 1988 by Mosby, Inc., an affiliate of Elsevier, Inc.
Library of Congress Control Number: 2018944860
Content Strategist: Alexandra Mortimer
Senior Content Development Manager: Kathryn DeFrancesco
Publishing Services Manager: Catherine Jackson
Senior Project Manager/Specialist: Carrie Stetz
Design Direction: Patrick Ferguson
Printed in China
Last digit is the print number: 9 8 7 6 5 4 3 2 1
My contributions to this book are dedicated to my wonderfully supportive family:
Carmen, my wife, best friend, and the love of my life; our children,
Jamie, Justin, Joelle, and Jordan; our daughters and sons-in-law,
Natacha, Joe, Jordan, and Ted; and our precious grandchildren,
Peyton, Morgan, and Owen.
James R. Hupp
To all of the people I have worked with for the past 40 years
in oral and maxillofacial surgery, including my mentors,
partners in practice, residents, students,
and the staff that has offered me so much support.
You all know who you are.
Myron R. Tucker
To the many students and residents who have allowed
me to take part in their education.
Edward Ellis III
Contributors
Richard Bauer, DMD, MD James Hupp, DMD, MD, JD, MBA
Assistant Professor Vice Dean for Student and Faculty Experience
Department of Oral and Maxillofacial Surgery Professor of Surgery
University of Pittsburgh Elson S. Floyd College of Medicine
Pittsburgh, Pennsylvania Washington State University
Spokane, Washington;
Troy R. Eans, DMD Founding Dean and Professor Emeritus
Clinical Assistant Professor School of Dental Medicine
Prosthodontics East Carolina University
University of Pittsburgh Greenville, North Carolina
Pittsburgh, Pennsylvania
Antonia Kolokythas, DDS, MSc, FACS
Edward Ellis III, DDS, MS Head and Program Director
Professor and Chair Oral and Maxillofacial Surgery
Oral and Maxillofacial Surgery University of Rochester
University of Texas Health Science Center Rochester, New York
San Antonio, Texas
Stuart Lieblich, DMD
Brian Farrell, DDS, MD, FACS Clinical Professor
Private Practice and Fellowship Director Oral and Maxillofacial Surgery
Carolinas Center for Oral and Facial Surgery University of Connecticut
Charlotte, North Carolina; Farmington, Connecticut;
Assistant Clinical Professor Private Practice
Department of Oral and Maxillofacial Surgery Avon Oral and Maxillofacial Surgery
Louisiana State University Health Science Center Avon, Connecticut
New Orleans, Louisiana
Michael R. Markiewicz, DDS, MPH, MD
Tirbod Fattahi, DDS, MD, FACS Assistant Professor
Professor and Chair Oral and Maxillofacial Surgery
Department of Oral and Maxillofacial Surgery University of Illinois at Chicago Cancer Center;
University of Florida College of Medicine Assistant Professor
Jacksonville, Florida Feinberg School of Medicine
Northwestern University;
Michael Han, DDS Assistant Professor
Assistant Professor Ann & Robert H. Lurie Children’s Hospital
Oral and Maxillofacial Surgery Chicago, Illinois
University of Illinois at Chicago
Chicago, Illinois Michael Miloro, DMD, MD, FACS
Professor, Department Head, and Program Director
Michaell Huber, DDS Oral and Maxillofacial Surgery
Professor & Diplomate University of Illinois
American Board of Oral Medicine Chicago, Illinois
Department of Comprehensive Dentistry
UT Health San Antonio School of Dentistry John Nale, DMD, MD, FACS
San Antonio, Texas Assistant Clinical Professor
Oral and Maxillofacial Surgery
Louisiana State University Health Science Center
New Orleans, Louisiana;
Private Practice
Carolinas Center for Oral and Facial Surgery
Charlotte, North Carolina
vi
Contributors vii
Edward M. Narcisi, DMD Salam O. Salman, DDS, MD, FACS
Assistant Clinical Professor Residency Program Director and Assistant Professor
Department of Restorative Dentistry Department of Oral and Maxillofacial Surgery
Clinical Co-Director, Multi-Disciplinary Implant Center University of Florida College of Medicine
Clinical Co-Director, University of Pittsburgh Medical Center Jacksonville, Florida
Presbyterian/Shadyside
School of Dental Medicine Myron R. Tucker, DDS
University of Pittsburgh; Oral and Maxillofacial Surgery Educational Consultant
Private Practice Charlotte, North Carolina
Pittsburgh, Pennsylvania Isle of Palms, South Carolina;
Adjunct Clinical Professor
Mark W. Ochs, DMD, MD Department of Oral and Maxillofacial Surgery
Professor and Chair Louisiana State University
Department of Oral and Maxillofacial Surgery New Orleans, Louisiana
School of Dental Medicine
University of Pittsburgh; Alison Yeung, DDS, MD
Professor Clinical Assistant Professor
Otolaryngology–Head and Neck Surgery Division of Oral and Maxillofacial Surgery
University of Pittsburgh Medical Center School of Dental Medicine
Pittsburgh, Pennsylvania East Carolina University
Greenville, North Carolina
Preface
The seventh edition of this internationally adopted and highly Chapter 11, “Postextraction Patient Management.” This chapter
praised textbook, Contemporary Oral and Maxillofacial Surgery, provides comprehensive information on preventing and managing
is designed to provide both dental trainees and practicing the postoperative sequelae and complications of exodontia.
dentists the fundamental principles of clinical evaluation, Chapter 12, “Medicolegal Considerations.” This chapter has
treatment planning, and surgical care for patients with diseases been updated with the most current HIPAA and Affordable Health
and deformities of the oral and maxillofacial region. This book Care Act information that affects dentistry and oral and maxillofacial
provides great detail on the foundational techniques of evaluation, surgery.
diagnosis, and care for clinical problems commonly managed Chapter 15, “Implant Treatment: Advanced Concepts and
by the general dental practitioner. The extensive number of Complex Cases.” This chapter has been updated with the latest
illustrations make the surgical techniques readily understand- virtual planning options and new cases.
able and also enhance readers’ appreciation of the biologic Chapter 20, “Odontogenic Diseases of the Maxillary Sinus.”
basis and technical fundamentals, allowing them to manage This chapter includes updated medical management and treatment
routine surgical situations as well as those that go beyond with endoscopic procedures.
“textbook cases.” Chapter 21, “Diagnosis and Management of Salivary Gland
There are two major purposes of the seventh edition of Disorders.” This chapter includes updates on imaging techniques
Contemporary Oral and Maxillofacial Surgery: (1) to present a and medical management.
comprehensive description of the basic oral surgery procedures Chapter 25, “Management of Facial Fractures.” New cases have
that are performed by general practitioners, and (2) to provide been added, with emphasis on the most recent imaging and naviga-
information on advanced, more complex surgical evaluation and tion applications.
management of patients with problems that are typically managed Chapter 26, “Correction of Dentofacial Deformities.” The most
by oral and maxillofacial surgeons but are commonly first seen current applications of computerized virtual surgical planning have
and evaluated by other dental practitioners. been expanded. New illustrations using Dolphin Aquarium technol-
Whether you are a dental student, resident, or already in ogy have been added to demonstrate surgical osteotomies, along
practice, the seventh edition of Contemporary Oral and Maxil- with many new case reports.
lofacial Surgery is an excellent resource to add to your professional Chapter 27, “Facial Cosmetic Surgery.” This chapter has been
library and regularly return to while providing patient care. rewritten by a new author emphasizing the full scope of facial
cosmetic surgery, including surgical and nonsurgical treatment of
New to This Edition the aging face.
Chapter 28, “Management of Temporomandibular Disorders.”
Chapters 1 and 2, “Preoperative Health Status Evaluation” and Updates on nonsurgical medical management have been addressed.
“Prevention and Management of Medical Emergencies.” These The latest concepts of reconstruction of severe temporomandibular
chapters have been completely updated. joint degeneration and the current technology for joint replacement
Chapter 6, “Pain and Anxiety Control in Surgical Practice.” have been augmented.
This is an entirely new chapter providing succinct presentation Chapter 29, “Surgical Reconstruction of Defects of the Jaws.”
of local anesthesia and nitrous oxide sedation as they relate to This chapter includes new information on the use of a combination
office-based oral surgery. of bone morphogenetic protein, bone marrow aspirate cell con-
Chapter 8, “Principles of Routine Exodontia.” New photo- centrate, and allogeneic bone to reconstruct the jaws without the
graphs and illustrations help enhance understanding of routine need for procurement of large autogenous bone grafts.
exodontic procedures.
viii
