1. The Jaws Are Different The Most Unique Bones in the Human Skeleton
© Photo: Michel Manomivibul, used with artist’s permission
Start of Discussion
Dedication
Resources
Copyright
Dr. Bouquot

2. Dr. Bouquot, Bisphosphonate ONJ
Special Thanks and Prayers to the Men and Women Who Sacrifice to Keep Us Free
Cheat Lake
Cheat Lake
Cheat Canyon
Cooper’s Rock
Col. Jeff Swisher, from Morgantown, West Virginia

3. Dr. Bouquot, Soft Tissue Tumors
January, 2009
Lectures By Bouquot © Dr. J.E. Bouquot, Morgantown, WV
© Copyright Notice
Lecture Aids/Handouts
This presentation is, essentially, the modern version of a handout. It is intended for participants attending lectures/courses given by the author. Designated owners of the photographic images retain the copyrights for those images. You are welcome to use this presentation for your own study or study with other health professionals. However, permission is NOT given for the publication of these photos in electronic or any other format for profit or for public viewing.
Note: Dr. Bouquot is affiliated with West Virginia University & the University of Texas. While every attempt has been made to be accurate, the information and ideas in this presentation are not necessarily the views of these institutions.

4. Dr. Bouquot, Oral Cancer, Precancer
Jerry Bouquot, DDS, MSD, DABOMP, FAAOMP, FICD, FACD, FADI, FRSM
Director of Research, The Maxillofacial Center for Education & Research
Adjunct Professor & Past Chair, West Virginia University & University of Texas, Houston
1,650+ talks in 50 states and 27+ countries
320+ publications, with 6,000+ citations
Born & raised: St. Paul, Minnesota (just another Minnesota Swede)
St. Olaf College, Minnesota (BA, psychology, biology)
University of Minnesota (DDS, MSD in oral pathology)
Mayo Clinic: Bone Pathology Fellowship
Royal College of Dent., Copenhagen, Denmark: Oral Path Fellowship
Chair (18 yrs), Oral & Maxillofacial Pathology, WVU
Chair (8 yrs), Diagnostic & Biomedical Sciences, University of Texas
Senior Visiting Scientist, Mayo Clinic, Rochester, Minnesota
Dental Director, West Virginia Bureau for Public Health
Consultant, Pittsburgh Children’s Hospital; NY Eye and Ear Infirmary
Osteonecrosis Scientific Advisory Board, Novartis Pharmaceuticals
Board of Directors (national), American Cancer Society
Executive Council, Amer. Academy of Oral & Maxillofacial Pathology
President, American Board of Oral & Maxillofacial. Pathology
President, Eastern Society of Teachers of Oral Pathology
President, Western Society of Teachers of Oral Pathology
President, Organization of Teachers of Oral Diagnosis
President (6 times), American Cancer Society, West Virginia Division
Career Development Award, American Cancer Society
Outstanding Teacher Award, West Virginia University (8 times)
Heebink Award for Service to Humanity, West Virginia University
Scholar’s Walk (Two bronze plaques), West Virginia University
St. George National Award, American Cancer Society
W. Robert Biddington Distinguished Lecturer, West Virginia University
Robert B. Bridgeman Distinguished Dentist Award, WV Dental Assoc.
Arkansas Traveler Award, from Governor of Arkansas
Fleming & Davenport Award for Original Research, University of Texas
Distinguished Alumnus Award, University of Minnesota
Pioneering Teaching & Research Award, University of Texas
Gorlin Visiting Professor, University of Minnesota
Honorary Life Member, International Association of Oral Pathologists
2004
1980
1973

5. Dr. Bouquot, Oral Cancer, Precancer
Part 1 of 3
For More Information: The Neville Book Used in almost all U.S. dental schools; one of most popular books in dentistry, 1,350+ pictures (in color), published by Elsevier
Authors:
Brad Neville
(Medical University of South Carolina)
Douglas Damm
(University of Kentucky)
Carl Allen
(Ohio State University)
Jerry Bouquot
(Maxillofacial Center, West Virginia)
1995 – 1st edition
2002 – 2nd edition
2008 – 3rd edition
2016 – 4th edition (available in 2015)
(Bouquot not an author)
Most popular oral pathology textbook in history

6. In the BouquotToGo Dropbox Folder
The BouquotToGo Files
In the BouquotToGo Dropbox Folder
Part 2 of 3
A collection of >100 Power Point presentations with >3,600 copyright-free photos, mostly clinical, of oral lesions. This collection was first made available in 1995 and has been continuously updated and added to since then. Representative presentations:
The 53 Most Common Oral Lesions (a clinical atlas of >500 photos
The Must Know Oral Lesions (a differential diagnosis aid; > 500 photos)
Troubled Bones (Inflammatory & ischemic bone disorders; >1,100 photos
The Jaws are Different (discussion of why the jaws are the most unique of all human bones)
The CD Johnson Collection (oral lesions found in an Urgent Care Clinic; >500 photos)
Cone beam CT Diagnosis
If links don’t work: a request to
Dropbox link to BouquotToGo folder:

7. in a major way, as one of Dr. Bouquot’s
Part 1 of 3
Oralpath.com/maxillofacialcenter.com The most popular Oral Pathology websites
(2,700,000 hits in 2010; started: 1998)
Note: These have not been touched since 2004! They are presently being improved and updated
in a major way, as one of Dr. Bouquot’s
retirement hobby
(3,676,000 hits in 2010; started 1997)

8. Dr. Bouquot, The Abused Mouth
University of Texas, Houston, 2010
Dedicated to Two Exceptional Individuals
This Seminar is dedicated to Dr. Bouquot’s mentors: Dr. Robert Gorlin, Minneapolis, Minnesota (right), Dr. Jens Pindborg, Copenhagen, Denmark (left), premier experts in teaching, clinical research, and the diagnostic arts

9. The Jaws Are Different They are the Most Unique Bones in the
An MFCenter Moment
The Jaws
Are Different
They are the Most
Unique Bones
in the
Human Skeleton
The Jaw Law:
The jaws have a greater number and a greater variety of diseases than all other bones of the human skeleton combined
© Photo: Painting by Michel Manomivibul, used with permission
J. E. Bouquot, DDS, MSD, FAAOMP, FICD, FACD,FADI, FRCM (UK)
Director of Research, The MFCenter for Education & Research, Morgantown, WV
Adjunct Professor & Past Chair, University of Texas, Houston
Adjunct Professor & Past Chair, West Virginia University, Morgantown, WV

10. The jawbones are vital We live in a world of aesthetics, right?
What would you look like without the facial bones?

11. The Jaws are different 19 unique features
Ameloblastic fibroma
Bisphosphonate related osteonecrosis
Periapical infection
Intraosseous salivary hamartoma
Fractured mandible
Periodontal infection 1.
More tumors & cysts than all other bones combined 3.
More infections
than all other bones combined 4.
More trauma than
all other bones combined 2.
Only bones with epithelium
(odontogenic & salivary) 5.
More exposed bone than

12. The Jaws are different 19 unique features7.
More implants than all other bones combined 8.
Closer to surface than any other bones 6.
More radiation than any other bones 9.
The only bones with “stuff” placed next to them
10.
The only bones routinely getting vasoconstrictors
Osteoradionecrosis
Cocaine osteonecrosis
Smokeless tobacco keratosis
Dental implants
Local anesthesia with vasoconstrictor

13. The Jaws are different 19 unique features
cli
The Jaws are different 19 unique features
12.
Faster turnover than any other bones (10-20x faster)
14.
More focal osteoporosis than any other bones
11.
More cortical “bumps” than all other bones combined
13.
The only bones with
central fibrous scar tissue
Buccal exostoses
Torus mandibularis
Focal osteoporotic
marrow defect
Periapical scar
New bone formation around PA granuloma
Intramedullary fibrous scar
15.
The bones most likely to contain infection walled off by constantly recreated new bone

14. The Jaws are different #17 = the most unique thing of all
17.
The only bones with
large sensory nerves
16.
The only bones
with lymphatics
18.
with teeth/open covering
19.
More internal voids than any other bones
Trigeminal Nerve
Gasserian
Ganglion
Location of 85%+ of all neuralgias
Brain uses 40% of its sensory input
activity interpreting signals from
trigeminal nerve
Ischemic bone cavitation in dried mandible

15. Nasal and Paranasal Sinuses They are awfully close to jawbones
Ethmoid
Frontal
Nasal
Maxillary
Odd fact: Local infection within 30 days before a stroke has been found in 2 studies to be the #1 risk factor for stroke; 80% of the infections are oral/sinuses
- How? Hypercoagulation states? Direct bacterial metastasis?
Periapical infections can spread to sinus lining
Odd fact: A small % of us have roots sticking into sinuses, sometimes with bare roots
Sinusitis can affect underlying sinus wall
Corticosteroid-induced osteonecrosis can result from asthma nasal sprays

16. J. E. Bouquot and J. E. Bouquot 1973
Dr. Bouquot: Cell injury and death
J. E. Bouquot and J. E. Bouquot 1973