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MANDIBULAR SUCTION-EFFECTIVE
DENTURE AND BPS:
A COMPLETE GUIDE
J. Abe, K. Kokubo, K. Sato
Quintessence
price £114.00; pp 292
ISBN 9784781202600
Removable prosthodontics is not the
most glamorous and exciting element in
restorative dentistry but we still need to
be aware of latest developments in dif-
ferent techniques to aid our success. The
authors recognised the difculties faced
when educating other s about the suction
effect for mandibular complete dentures
and wanted to develop a user-friendly
denture fabrication system. It looks at the
biofunctiona l prosthetic system (BPS) and
the use of a simple four-step technique to
fabricate a suction effective denture.
The book confers and illustrates the
fundamentals of removable denture
prosthetics and BPS in a clear reproduc-
ible stepwise method before looking
at the simple foursteps to achieve t he
suction-effective complete denture.
Each ‘step’ has a dedicated chapter with
vibrant step-by-step images accompa-
nying the content. The key difference
I have attained from reading this book
is the new approach in the technique
for taking the preliminary impression.
They have carefully designed a cut back
tray that allows for specic anatomi-
cal features of the soft and hard tissues
to be reliably recorded with minimal
distortion, especia lly at the retro molar
pad. A step we could pay more detailed
attention to accomplishing cor rectly. The
aim is for a more accurate denture form
and suction effect. Throughout the book
the authors emphasise the importance of
teamwork and communication between
the dentist and the dental technician
and the importance of convey ing the
information required at each stage using
the models. T he concluding chapters are
compiled of a number of challenging
cases of both the edent ulous mandible
and maxilla with a nal chapter on
aesthetic enhancements. T hese cases are
comprehensive and easy to follow.
With advances in implant dentistr y,
implant retained prosthesis are increas-
ingly common. Yet this may not be a
valid treatment option for many, as the
construction of good mucosal borne
removable prosthesis cannot be under
estimated. This book introduces t his
novel technique and I look forward to
trying out the steps discussed. Overall
the book is a great resource for any cli-
nician from the specialist prost hodon-
tist to the eager undergraduate looking
to improve their understanding of the
anatomy of the soft/hard tissues of the
mandible and ma xilla and how to adapt
denture fabrication to achieve good
resulting suction dentures.
J. Trainor
MANAGEMENT OF
COMPLICATIONS IN ORAL AND
MAXILLOFACIAL SURGERY
M. Miloro, A. Kolokythas
(eds)
Wiley-Blackwell
price £117.00; pp 376
ISBN 9780813820521
Aimed at oral and maxillofacial sur-
geons, this text is the rst to concentrate
solely on the management of complica-
tions associated with head and neck
surgical procedures. Assum ing t he read-
ers have an advanced level of surgical
knowledge allows the authors more scope
to focus on the problems encountered.
The editors are well-respected, with
Antonia Koloky thas listed in the Dental
Products Report’s ‘Top 25 women in den-
tistr y 2012’, whose interest lies with oral
cancer research, whilst Michael Miloro’s
clinical prole includes bone grafting
and microneurosurgery.
The rst chapter highlights the impor-
tance of identifying patient risk, which
will ultimately impact on treatment suc-
cess. Complications associated wit h gen-
eral anaesthesia are described and provide
a usef ul reference to guide informed
consent for many surgical procedures.
Whilst written primarily for specialists,
chapters are applicable to others outside
the eld. ‘Maxillofacial trauma’ contains
comprehensive information on mandibu-
lar fract ures–a common presentation
in accident and emergency, suitable for
trainees. Chapter nine, entitled ‘Cosmet ic
surgery’, is useful for GDPs considering
expanding their clinical reper toire to
include facial aesthetics, as it describes
the management of complications related
to botox and injectable llers.
The book fails to acknowledge the
importance of collaboration between
the maxillofacial surgeon and other
members of the dental team, most nota-
bly in Chapter 12entitled ‘Lip cancer’,
where there is only brief reference to
the dental implications associated wit h
radiotherapy. There is opportunit y to
expand this text to include those com-
plications, including mucositis, xeros-
tomia and rampant caries, which can
have devastating effects on the patient.
The modern text refers to new imaging
techniques including three-dimensional
BRITISH DENTAL JOURNAL VOLUME 215 NO. 6 SEP 28 2013 309
Books, videos, CD-ROMs, DVDs
and any other relevant items
submitted for a review in the
BDJ should be addressed to:
Laura Pacey,
Assistant Editor,
British Dental Journal,
Nature Publishing Group,
4-6 Crinan Street,
London,
N1 9XW
REVIEWS
Book reviews
© 2013 Macmillan Publishers Limited. All rights reserved
cone beam computed tomography and
computer-assisted surger y, for example
in hard tissue reconstruction in Chapter
13, which can signicantly reduce post-
operative complications by simulating a
surgical plan and fabricating a template
to guide bone grafting.
I expect this will be a popular refer-
ence text for many oral and maxillofa-
cial specialists. However, I feel it could
benet f rom further editing to break
down the written content with more
images and data reference boxes, thus
appealing to a wider audience who have
a particular interest in the topic.
E. McCrory
THE ORTHODONTIC MINI-IMPLANT
CLINICAL HANDBOOK
R. Cousley
Wiley-Blackwell
price £49.99; pp 184
ISBN 9781118275993
The orthodontic mini-implant clinical
handbook has been developed to guide
professionals in a new and acceptable
means of yielding anchorage within
orthodontic treatment. It is strongly
weighted towards maximising success
within clinical practice. As the varied
applications for these bone anchorage
devices become more apparent, this book
provides a foundation towards treatment
in an evidence-based manner.
This lustrous hardback introduces the
concepts, indications, contra-indica-
tions and biomechanics of orthodontic
mini-implants. The early 11chapters
equip the reader with a sound under-
standing on wh ich to build on. R ichard
Cousley provides a detailed approach in
the pre-, peri and post-operative aspects
of mini-implant insertion. Limitations
and handy troubleshooting tips are
emphasised throughout t he text. This
is par ticularly benecial for clinicians
who are actively adopting the technique
into their routine practice. The major-
ity of the handbook is dedicated to
specic mini-implant applications, such
as incisor retraction and asymmetr y
correction. Within these chapters, the
author has included a clinical objective
along with other alternative treatment
options. This is valuable in enabling
the audience to draw comparisons with
conventional anchorage techniques.
Each clinical scenario is supported with
case examples and a literature refer-
ence, asserting the author’s experience
and knowledge in this eld.
The handbook displays a host of colour-
ful clinical photographs and illustrations.
This brings the clinical information to
life, and engages the reader with the
concepts of this treatment modality. It
also helps visualise the biomechanics
involved, which are explained simply but
effectively. The style of writing is easy
to follow, with salient points highlighted
in pur ple text boxes throughout each
chapter. The layout utilises bullet points
and subheadings to depict a step by
step approach to mini-implants, a st yle
descr ibed by the author as a ‘cook-book’,
emphasising the very logical, concise
nature of the book, which could easily be
used as a reference tool. The orthodontic
mini-implant clinical handbook is a com-
pact, informative read for all orthodontic
clinicians and personnel involved with
treatment using mini-implants. I have no
hesitation in recommending this book as
an essential read for orthodontic specialt y
trainees who may benet from the pro-
gressive approach.
C. Martin
ADULT ORTHODONTICS
B. Melsen (ed)
Wiley-Blackwell
price £104.00; pp 408
ISBN 9781405136198
Adult or thodontics is not new, wit h
the rst case being recorded in 1901,
however, since then patient age has
increased signicantly and the num-
ber of adults receiv ing treatment has
escalated worldwide. This book has been
superbly constructed by Birte Melsen, in
conjunction with a host of other out-
standing contributors, many of whom are
considered leaders in this eld. It seeks
to demonstrate an unrestricted range of
problems and solutions for adult patients,
highlighting the skills and abilities
required by clinicians to perform them.
The author establishes from the outset
that the patient’s presenting complaint
is often only the ‘tip of the iceberg’
and for many adult patients managing
expectations and achieving realistic
resu lts are key. Over its 20chapters, the
potential adult patient population groups
are introduced, with their present-
ing complaints, orthodontic problems
and treatment outcome. This is usually
delivered by a series of clear clinical
photographs, with accompanying, eas-
ily readable paragraphs. Additionally a
companion website and CD-ROM provide
supplemental case examples.
From her experience as a biologic
researcher, Melsen gives us detailed
background k nowledge into the aetiol-
ogy of malocclusions by means of
viv id histological sections and labelled
diagrams. In the same manner chapters
on the body’s tissue reaction and per i-
odontal problems are covered.
Throughout the book emphasis is
placed on an interdisciplinar y approach
to treatment with a chapter dedicated
to explaining this concept and further
independent chapters on the collabora-
tion bet ween orthodontics and periodon-
tics, as well as the link with prosthetics.
The book is instilled with evidence-based
supported information throughout and
explores contemporary techniques such
as 3D visual treatment objective (VTO)
for use in pre-treatment work-ups, and
the use of mini implants for anchorage.
Current expectations of the adult
patient places demands on the ortho-
dontist to provide aesthetic and effective
treatment in a shorter per iod of time,
without the obv ious appearance of an
appliance. Choosing the correct, least
complex appliance rst time around can
reduce treatment time. T his book helps
with the appliance selection, design and
treatment sequencing. Advantages of the
various aesthetic options are discussed,
including t he use of ceramic brackets,
lingual and Invisalign® systems, along-
side their limitations in comparison to the
more conventional metal-based methods.
In summary, this is a comprehensive
and advanced insight into adult ortho-
dontics and onethat would be clini-
cally relevant for any specialist who is
involved in the assessment and manage-
ment of complex adult orthodontic cases.
M. Gormley
310 BRITISH DENTAL JOURNAL VOLUME 215 NO. 6 SEP 28 2013
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