BOOK REVIEWS
sumption increased with income,
while the proportion of heavy
drinkers did not vary significant-
ly by income.
Physicians were more likely to
discuss diet and exercise with
high-income patients who needed
this advice than they were with
low-income patients who also
needed it. However, they were
BOOK REVIEWS
CLINICAL PERIODONTOL-
OGY (8TH ED.)
By Fermin A. Carranza
and Michael G. Newman,
Philadelphia, Saunders, 782
pages, $85, 1997, ISBN
0721668267
Clinical Periodontology is the
eighth edition of the original
standard text by that name,
written first in 1953 and, for the
next three editions, by Irving
Glickman, a pioneer in perio-
dontics. This is the first edition
in which the venerable Glickman
name does not appear on the
cover, an appropriate omission
considering that the prominent
researcher/clinician has now
been deceased for more than 23
years. The present edition re-
mains true to the preceding edi-
tions’ quality; it is an outstand-
ing textbook on periodontics,
with exhaustive coverage of past
and present basic and clinical
developments in this ever-com-
plex, constantly changing field.
Dr. Carranza, the author of
editions five through seven and
coauthor of the current edition,
is an able successor to the origi-
nal master. He was a student
and then a collaborator of Dr.
294 JADA, Vol. 129, March 1998
Copyright ©1998-2001 American Dental Association. All rights reserved.
more likely to discuss smoking
with low-income patients who
smoked than with high-income
patients who also smoked.
In addition, low-income pa-
tients reported that they were
more willing than high-income
patients to attempt to change
their unhealthy behavior based
on physician advice.
Glickman’s. He and coauthor Dr.
Newman contributed or coau-
thored 50 of the book’s 69 chap-
ters, covering the entire spec-
trum of periodontology from the
historical background and the
normal periodontium to the clas-
sification, epidemiology, etiolo-
gy, pathology and spectrum of
periodontal disease to its treat-
ment. This last section includes
instrumentation, emergencies,
Phase I (nonsurgical) therapy
and surgical therapy. There also
are additional sections on oral
implantology, reconstruction
and maintenance. This presen-
tation format was changed
somewhat from the previous edi-
tion and, along with alterations
in the location and sequencing of
specific chapters within each
section, it makes for a more logi-
cal approach to the subject.
The authors state in their
preface that they are interested
in satisfying the needs of gener-
al dentists and dental students
by presenting useful periodontal
information that is applicable to
the practice of dentistry. For the
most part, the authors have suc-
ceeded in this endeavor, al-
though some of the basic science
information may be of limited in-
terest to this intended group.
While there is considerable back-
ground and historical and basic
science information, the bulk of
the text does deal with proce-
Researchers concluded that
physicians need to identify and
counsel at-risk low-income pa-
tients on diet and exercise and
high-income patients who smoke.
(JAMA 1997;278:1412-7)
Compiled by Amy E. Lund, editorial coordi-
nator.
dures that the general practi-
tioner can and should perform,
or at least refer to be performed.
Furthermore, there is much here
that will be of interest to gradu-
ate students of periodontology,
although the text is not primari-
ly designed to be a reference
source for those at an advanced
level of study. Nevertheless, the
exhaustive lists of references to
the literature at the end of each
chapter, which include citations
from both classical articles and
recent publications, will certain-
ly appeal to researchers, as well
as to graduate students and
their mentors. The number and
quality of references are a defi-
nite strength of this textbook.
The chapters on local factors, oc-
clusion, AIDS, pathology, instru-
mentation and surgical anatomy
are especially interesting, practi-
cal and timely.
The authors generally fulfill
their claim to incorporate all
major recent advances in perio-
dontics, considering the infor-
mation offered on HIV-infected
patients, aggressive periodonti-
tis, antimicrobial agents,
coronoplasty and implants.
However, there is little informa-
tion on periodontal esthetic
plastic procedures. In the
surgery section, the new chap-
ter on surgical anatomy is infor-
mative and well-placed. The nu-
merous pictures of surgical
 BOOK REVIEWS
procedures are extremely use-
ful. The section on reconstruc-
tive osseous surgery could be
expanded. Mucogingival
surgery is well-illustrated, as is
the section on implants, both of
which have many color pictures.
The final chapters on periodon-
tal maintenance should be re-
quired reading for every dental
practitioner.
Any dentist interested in up-
dating his or her knowledge and
skills in periodontology by read-
ing just one text could not ask for
a more authoritative source of in-
formation than this book. The
same could be said for dental stu-
dents who are studying the sub-
ject for the first time. Even grad-
uate students should be
well-satisfied with this volume as
a supplement to their library.
Reviewed by Stephen M.
Feldman, Associate Professor,
University of Louisville, Ky.
NEW CONCEPTS IN
CRANIOMANDIBULAR
AND CHRONIC PAIN MAN-
AGEMENT
Edited by Harold Gelb, St.
Louis, Mosby-Wolfe, 379
pages, $150, 1994, ISBN
0723420416
This book on craniomandibular
disorders and chronic pain was
originally published in Europe
and is now published by Mosby-
Wolfe Publishers in the United
States. It includes a collection of
chapters by multiple contribu-
tors who represent a broad base
of clinical expertise, most of
whom are dentists, with some
authors being physical thera-
pists, physicians, chiropractors,
osteopathic physicians and social
workers. The chief author, Dr.
Harold Gelb, has devoted more
Copyright ©1998-2001 American Dental Association. All rights reserved.
than 35 years to the diagnosis
and treatment of temporo-
mandibular disorders, or TMD,
and this text is a result of his
clinical expertise in this area.
The book presents many clini-
cal cases, techniques and illus-
trations but is lacking in scien-
tific documentation. Although
many of the concepts of manage-
ment presented have some anec-
dotal efficacy in a clinical set-
ting, the mechanism and efficacy
have yet to be demonstrated. In
Chapter 1, the general principles
as outlined by Dr. Gelb reflect
the general orientation for this
text: “Craniomandibular disor-
ders are psychophysiologic pro-
cesses that are reflected in pos-
tural abnormalities that occur
throughout the musculoskeletal
system.” The correction of these
musculoskeletal pains then can
be accomplished through tech-
niques, such as the Alexander
Technique, to help in realigning
the static and kinetic postural
relationships. He states that the
factors contributing to these
problems are consistent with
those proposed by Janet Travell
and others as perpetuating fac-
tors for myofascial pain and in-
clude structural inadequacies,
postural stresses and constric-
tion of muscle, leg length dis-
crepancies, asymmetrical shoul-
der girdles and small
hemipelvises. He also empha-
sizes the importance of psy-
chosocial factors in developing
chronic pain states and the im-
portance of multidisciplinary
treatment.
The subsequent chapters re-
flect these similar concepts with
regard to posture, muscle pain
prevention and restoration of
these musculoskeletal abnormal-
ities. There is an excellent
overview of postural principles
and determinants of proper body
posture and its negative conse-
quences. Chapters 4 and 5 dis-
cuss musculoskeletal conditions
in the upper quarter consistent
with the postural concepts of
musculoskeletal pain. Chapter 6
discusses the mandibular rest
position and its relationship to
occlusion, posture and muscle ac-
tivity and extends this to the
jaw. The remainder of the book
discusses the orthopedic and pos-
tural approach to craniocervical
mandibular disorders and the es-
sentials of treatment techniques,
such as the Alexander
Technique, to improve posture. A
number of cases are presented
that discuss the use of orthotics
to help address these problems in
the temporomandibular area.
The final chapters discuss cran-
iomandibular dysfunction and
the growing child and how differ-
ent skeletal types contribute to
TMDs and postural considera-
tions for the orthodontic patient.
In summary, I believe this
text provides extensive clinical
information about the effect that
postural problems have on mus-
culoskeletal problems in the
jaw, head and neck. However,
the scientific basis for many of
the theories and treatments has
not been presented. Despite
this, the text presents useful in-
formation of interest to clini-
cians in reducing pain and dys-
function from musculoskeletal
disorders in the head and neck.
Reviewed by James R.
Fricton, University of Minnesota,
Minneapolis
BOOKS RECEIVED IN
THE DEPARTMENT OF
LIBRARY SERVICES
dAccredited Advanced
Training Programs in Oral and
Maxillofacial Surgery;
JADA, Vol. 129, March 1998 295