This is a preowned book of Darby and Walsh Dental Hygiene, Theory and Practice, the Sixth Edition (6th). Jennifer A. Pieren and Cynthia C. Gadbury-Amyot. The condition of the book is pretty solid. There may be very tiny creases or minor blemishes on pages, but almost everything I flipped through looks brand new on the pages. The cover has some slight marks on it, and the back cover has some grime, a slight tear, and a sticker on it. The spine on the exterior has a very slight tear. But the spine of the book itself is perfectly fine.