This is the 5th edition of Crown and Bridge Prosthodontics. I bought this book because I was curious to learn about what dentists study. While there are no major scratches or stains, there are minor scratches and stains from use. Please understand that this is a used item before purchasing. I am sorry, but I cannot negotiate on the price. If you have any questions, please feel free to comment. I plan to ship via Yu-Packet Post or Nekopos. *Shipping method may be changed as appropriate. Thank you for your understanding. - Title: Crown and Bridge Prosthodontics 5th Edition - Publisher: Ishiyaku Publishers, Inc. - Language: Japanese - Edition: 5th Edition