Mupparapu 2016

Oral Radiology: Interpretation and Diagnostic Strategies
Preface
D i a g n o s t i c Im a g i n g i n D e n t i s t r y
Mel Mupparapu, DMD, MDS

Editor
For every technological innovation in Oral and Maxillofacial Radiology, we have hailed
the change as stunning and revolutionary. Better visualization of anatomy has led to
better diagnosis. We are now able to image an anatomical region of interest with
some sense of understanding thanks to the technological innovations in the field of
radiology, including computed tomography (CT), MRI, and radionuclide imaging, fol-
lowed by PET, PET/CT, and PET/MR, and cone-beam computed tomography
(CBCT). CBCT is a game changer for all dental practitioners as they are able to finally
look at teeth, their supporting structures, and jaws three-dimensionally. Since the dis-
covery of radiographs in 1895 by Wilhelm Conrad Röntgen, what we have been able to
accomplish in this short 120-year period is amazing. We have been able to better un-
derstand the effects of radiation on the human body at every level, selectively use ra-
diation for diagnostic as well as therapeutic purposes, and recognize the concepts of
radiation safety in order to introduce better radiation hygiene measures. We are
certainly in a safer world than our predecessors; thanks to them, we are more prudent
in our methods as we have learned the lessons of radiation injury from each and every
amputation that the early radiologists went through. Father of modern dentistry and
early radiology in the United States, Dr Charles Edmund Kells (1856-1928) of New Or-
leans, Louisiana, paid with his life trying to understand the biological effects of radia-
tion. Selective and prescriptive radiology based on the selection criteria, guidelines,
dose reduction strategies, and awareness campaigns like Image Gently changed radi-
ology for the better.
Diagnostic radiology is both challenging and rewarding. When I approached the
associate publisher for Elsevier Clinical Solutions, John Vassallo, I had only one
concern in my mind: How can I make the topics in diagnostic dental radiology more
interesting for students, residents, and practicing dentists? What insights can I provide
the readers to make a topic more interesting? My mentor and former chair of Radiology
at Penn Dental Medicine, the late Dr Bob Beideman, taught me the philosophy of being
a good educator. His knowledge and love for radiology and his kindness always
Dent Clin N Am 60 (2016) xi–xiii

http://dx.doi.org/10.1016/j.cden.2015.10.001 dental.theclinics.com
0011-8532/16/$ – see front matter Ó 2016 Published by Elsevier Inc.
xii Preface
inspired me. For this issue, I knew that the study of diagnostic imaging should have an
overview with current developments in the field of oral and maxillofacial imaging. I
hope that my colleague, Dr Christine Nadeau from the Université Laval, and I were
able to present a comprehensive treatise. The issue would not be complete without
an article on the developmental disturbances. Dr Ghada AlZamel from the King Abdu-
laziz Medical City-Dental Center, Riyadh and Dr Scott Odell from Penn Dental Medi-
cine aided me in authoring an extensive review on the anomalies related to teeth
and jaws. We also hope that the tables come in handy for a quick look-up for syn-
dromes of the head and neck. Learning radiology of periodontal diseases is an integral
component in becoming an astute diagnostician. I teamed up with Drs Jon Korostoff,
Ali Aratsu, and Brian Kasten from the Department of Periodontology at Penn Dental
Medicine to present the readers with a comprehensive review of the radiology of peri-
odontal diseases. I could not have gone to better experts than my colleagues, Drs
Mansur Ahmad and Eric Schiffman from the University of Minnesota, for an article
on temporomandibular disorders (TMD) and orofacial pain. They spearheaded and
published the Research Diagnostic Criteria for TMD and the development of image
analysis criteria that led to better understanding of TMD diagnosis. The article on
benign lesions was written by my esteemed colleague from Boston University, Dr
Anita Gohel, and her associates, Drs Osamu Sakai and Alessandro Villa. My col-
leagues from the Rutgers School of Dental Medicine, Drs Steven Singer and Adriana
Creanga, undertook the arduous task of writing an article on cancerous lesions of
jaws, a topic that is very difficult to condense due to the wealth of information available
on the subject. They did a marvelous job in presenting the relevant material to the
readers. There is one topic that most dental practitioners and specialists alike have
a hard time understanding due to the ambiguous nature of the disease process and
its variations—the benign fibro-osseous lesions of the jaws. My colleagues from
Loma Linda University, Drs Ken Abramovitch and Dwight Rice, did a phenomenal
job in comprehensively presenting the pathognomonic radiographic features to the
audience by using pertinent radiographic images. My frequent trips to India as a
visiting professor to the Sibar Institute of Dental Sciences fostered a valued friendship
with my colleagues, Drs Baddam Venkat Ramana Reddy, Kiran Kuruba, and Samatha
Yalamanchili, who helped me report the material on granulomatous lesions affecting
the jaws. Drs Art Kuperstein and Tom Berardi from Penn Dental Medicine assisted
me with writing the article on systemic diseases affecting jaws; a large majority of
the lesions in this article were observed firsthand in the admissions clinic of Penn
Dental Medicine. Finally, the issue would not be complete without the masterful writing
skills of my colleagues from Penn Dental Medicine, Drs Sunday Akintoye and Temi-
tope Omolehinwa, who presented the material on chemical and radiation-associated
jaw lesions. I would like to thank the many contributors who readily shared their im-
ages for this publication, especially Dr Mansur Ahmad from Minnesota, Dr Elena Kurtz
from Philadelphia, Dr Maano Milles from Newark, Drs Carl Bouchard and Joanne
Ethier from Canada, and Dr Adrian Creanga from Romania.
This issue would not have been possible without the help and support from the
associate publisher, John Vassallo, developmental editor, Kristen Helm, and journal
manager, Joseph Daniel, along with several other members of the Elsevier staff. My
sincere appreciation goes to the Department of Oral Medicine administrative staff,
Hazel Dean and Umme Jahani, and my Radiology clinic staff, Carol Walsh, Karen
McAdoo Wong, and Roseanne Butts, for accommodating my scheduling conflicts
while I was authoring this issue.
I would like to thank my wife, Anitha, and my children, Vamsee and Archana, for
putting up with me when I was burning the midnight oil or denying them a promised
Preface xiii
road trip so that I could catch up with writing my articles. I can say with certainty that
this would not have been possible without their patience, understanding, and appre-
ciation of my love to teach and share.
Mel Mupparapu, DMD, MDS

Department of Oral Medicine
University of Pennsylvania School of Dental Medicine
Robert Schattner Center
Suite 214, 240 South 40th Street
Philadelphia, PA 19104, USA
E-mail address:
mmd@dental.upenn.edu

Mupparapu 2016

Uploaded by

Copyright:

Available Formats

Mupparapu 2016

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Mupparapu 2016

Uploaded by

Copyright:

Available Formats

Oral Radiology: Interpretation and Diagnostic Strategies

Mel Mupparapu, DMD, MDS

Dent Clin N Am 60 (2016) xi–xiii

Mel Mupparapu, DMD, MDS

You might also like

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.