Textbook of Oral Pathology Anil Govindrao Ghom, Shubhangi Mhaske (Jedhe)
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1Textbook of ORAL PATHOLOGY2
Second Edition
Editors Anil Govindrao Ghom MDS (Oral Medicine and Radiology) Professor and Head Department of Oral Medicine and Radiology Chhattisgarh Dental College and Research Center Sundra, Rajnandgaon, Chhattisgarh, India Shubhangi Mhaske (Jedhe) MDS (Oral Pathology) Professor and Head Department of Oral Pathology People's Dental Academy Bhopal, Madhya Pradesh, India ForewordsManisha Sanjay Tijare Jagdish V Tupkari
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Textbook of Oral Pathology
First Edition: 2009
Second Edition: 2013
Printed at
5Contributors 7Foreword to the Second Edition
It is at once a great privilege and pleasure to write a foreword for the invaluable compilation of 2nd edition of Textbook of Oral Pathology by Dr Anil Govindrao Ghom and Dr Shubhangi Mhaske (Jedhe). The authors have taken extraordinary pains and care in putting together meticulously the data collected over many years. This has resulted in production of superb new edition. The excellent features of this edition are that the authors covered all the topics according to new syllabus of almost all universities. Special attraction, which I found in the book, is the multiple choice questions at the end of each chapter and the points to remember.
An attempt has been made in the book, to simplify and make it easy to remember the subject. The book will help the undergraduate and postgraduate students to get a bird's eye view of the entire topics.
I would like to congratulate the efforts of editors for designing 2nd edition of Textbook of Oral Pathology. I am sure that the book will rapidly find a place in most progressive libraries the world over.
Manisha Sanjay Tijare MDS (Oral Pathology)
Professor and Head
Department of Oral Pathology and Microbiology
People's College of Dental Sciences and
Research Centre
Bhopal, Madhya Pradesh, India
Dean, Faculty of Dentistry
Barkatullah University, Bhopal, Madhya Pradesh, India
PhD Guide
Barkatullah University, Bhopal, Madhya Pradesh, India
Executive Committee Member
Indian Association of Oral and Maxillofacial Pathologists (IAOMP)
9Foreword to the First Edition
It gives me immense pleasure to write a few words about the Textbook of Oral Pathology.
This book is the outcome of combined efforts of Dr Anil Govindrao Ghom, Professor of Oral Medicine and Radiology and Dr (Mrs) Shubhangi Mhaske (Jedhe), Associate Professor of Oral Pathology and Microbiology. I know Dr Shubhangi as undergraduate as well as postgraduate student. I feel her sincerity coupled with hard work and humanly approach toward the patients during her postgraduate studies contributed in making the textbook.
My heartiest congratulations to Professor (Dr) Anil Govindrao Ghom and Dr (Mrs) Shubhangi Mhaske (Jedhe) for their great endeavor in bringing out the book. The book contains six sections which are divided into 37 chapters related to oral lesions/diseases inclusive of basic topics of oral pathology. The topics like microscopy, stains and routine as well as special investigations are noteworthy. The lots of updated information in the book will be helpful to undergraduates, postgraduates and also for practising dental fraternity.
The total of over 600 clinical photographs, microphotographs and line diagrams incorporated in the book are definitely useful for in-depth understanding of the subject. The textbooks available on these subjects are many, but only a few ones cover both the subjects: oral medicine and radiology as well as oral pathology. Contribution of Indian authors toward the books in dentistry is less as compared to the foreign authors. Therefore, Mrs Mhaske (Jedhe) deserves a word of appreciation for her sincere and painstaking efforts.
The book is an excellent contribution to a scientific literature in Indian scenario and thereby facilitating our students to understand various diseases.
With regards and best wishes
Jagdish V Tupkari
Professor and Head
Department of Oral Pathology and Microbiology
Government Dental College and Hospital
Mumbai, Maharashtra, India
11Preface to the Second Edition
I may not have gone where I intended to go, but I think I have ended up where I needed to be.
― Douglas Adams
In the study of oral and dental sciences, oral pathology is the subject that concentrates on the mechanisms of the disease process and the morphologic changes in tissue that it causes. Everyday, there are new additions to the knowledge of the subject and we have to keep pace with it to update our students about it. That is the reason, we are here with the 2nd edition of Textbook of Oral Pathology.
In our first edition, there is a lot of feedback which has come to improve the quality of the book. We tried to incorporate all the feedback in the book. As due to new Dental Council of India (DCI) guidelines, multiple choice questions (MCQs) are part and parcel of examination pattern of the Bachelor of Dental Surgery (BDS) curriculum. We have incorporated MCQs at the end of every chapter so that students can practice it and have some insight into what type MCQs can be there in the examination. Also, we have included ‘points to remember’ in every disease so that with respect to time, students can revise it fast. There are also many new additions of photographs—clinical, histopathological as well as radiological in this edition.
In spite of an essential sincere efforts, elements of human error or shortcomings are likely; the readers are welcome to point out all such mistakes and render valuable suggestions for further improvements and shall be greatly acknowledged.
Anil Govindrao Ghom
Shubhangi Mhaske (Jedhe)
13Preface to the First Edition
In the study of oral and dental sciences, oral pathology is the subject that concentrates on the morphologic changes in oral tissues which cause diseases and the mechanisms of the disease process. Most recently published works on the subject are the product of eminent authorities with multiple authorship with current research advances. ‘Why another book in oral pathology’? This question can probably be answered by the phrase,
Nothing can be changed by changing the face
But many things can be changed by facing the change.
The purpose of the book is mainly to provide the undergraduate and postgraduate students, an easy way of reference for covering a broad-spectrum of oral pathology in lucid and simple language. In support of all the composite works, it can be stated that the progress of oral and maxillofacial pathology in its many varied specialties coming up has made the subject too vast to be covered adequately by a single author. Also, a balance between the advances and the basic essentials is need of the hour. With this balanced perspective and from the viewpoint of the graduate and postgraduate students under training, the authors have endeavored to compile the oral and maxillofacial pathology with respect to the related essential clinical oral medicine and radiology. The book gives an extensive coverage and emphasizes on detailed description, adequate well-labeled illustrations, flow charts, recent developments and molecular aspects. Aside from oral pathology in general, the initial phase of the book includes the basics of the embryology, anatomy and pathology. The study of microscope, tissue processing, diagnostic tests and advanced techniques are also included. The photomicrographs and the clinical photographs in the book signify the adage: “A picture is worth a thousand words”; as the reader is encouraged to study the details and to clarify the confusion of the topics.
In spite of sincere efforts, elements of human error or shortcomings are likely; the readers are welcome to point out all such mistakes and render valuable suggestions for further improvements and shall be greatly acknowledged.
Anil Govindrao Ghom
Shubhangi Mhaske (Jedhe)
This book could not have been written without the encouragement and motivation of my teachers and students. I would also like to express my gratitude for my contributors Drs Sangamesh Halawar, Pranoti Pradhan, Monal Yuwanati, Pradnya Lele, Aparna Thombre, Avadhoot Avadhani, Vivek Thombre, Amol Gadbail, Rashmi Ekka, Seema Vaidya, Smruti Nanda, Savita Ghom, Satish Chhugani, without whose help and cooperation writing the book would have been an uphill task.
I would like to acknowledge the efforts of my Postgraduate students Satish, Manjari, Mansi and Bharani. I am also thankful to Drs Swati Arora and Varun Rastogi, Senior Lecturers, Department of Oral and Maxillofacial Pathology, Kalka Dental College, Meerut, Uttar Pradesh, India, for their contribution of different classification systems of odontogenic tumors.
Last but not least, my dear wife, “As fish is without water, so is me without my wife Savita.” Her contribution to my life is beyond what i can express in words. I am also thankful to my daughter Milini and son Sanvil for their love and affection.
Finally, i am indebted to the almighty for presenting me with such wonderful opportunities and people in this life.
Anil Govindrao Ghom
I dedicate my work to my caring devoted mother, Late Mrs Sulochana Jedhe to whom I owe special idiosyncratic gratitude throughout my life. I express my profound thankfulness to my enthusiastic, dynamic and empathetic husband Dr Ashok Mhaske (Vice Dean, Professor and Head, Department of Surgery, People's College of Medical Sciences and Research Centre); my compassionate son Sumedh; benevolent father Shri Shrikant Jedhe (Retd), Additional Registrar, Cooperative Societies, Maharashtra Government; munificent parents-in-laws Anna and Aai (Shri NS Mhaske and Mrs Rukhmini Mhaske); knit family ties Niket, Samir (Engineer), Sharayu Tayade (Engineer), Shirin, Dr Mandakini, Dr Maya and Advocate Dharmanand.
I extend my indebted thankfulness to all who contributed especially my colleagues, relatives, friends, and dear students. Each one provided extremely and distinctly valuable support for the completion of this work. My special thanks to Honorable Suresh Vijaywargiya, Chairman, People's Group, Bhopal; Ms Megha Vijaywargiya, Director (Human Resource), People's Group, Bhopal, Madhya Pradesh, India, for the inestimable support and my colossal inspiration; Dr Jagdish V Tupkari, Professor and Head, Department of Oral Pathology and Microbiology, Government Dental College and Hospital, Mumbai, Maharashtra, India; Dr Suresh Barpande, Dean, Government Dental College and Hospital, Aurangabad; Dr Vinay Hazare, Dean, Government Dental College and Hospital, Nagpur, Maharashtra, India; Dr MK Gupta, Dean, People's Dental Academy, Bhopal, Madhya Pradesh, India; Dr Alka Kale, Dean, KLE institute of Dental Sciences, Belgaum, Karnataka, India; Dr PV Wanjari and Dr Sangeeta Wanjari, Professor and Head, Department of Oral Pathology, Modern Dental College, Indore, Madhya Pradesh, India.
Shubhangi Mhaske (Jedhe)