Dental cosmos (1893) (14776794354)

Identifier: dentalcosmos3518whit (find matches)
Title: Dental cosmos
Year: 1893 (1890s)
Authors: White, J. D McQuillen, J. H. (John Hugh), 1826-1879 Ziegler, George Jacob, b. 1821 White, James William, 1826-1891 Kirk, Edward C. (Edward Cameron), 1856-1933 Anthony, Lovick Pierce, 1877-
Subjects: Dentistry
Publisher: Philadelphia : S. S. White Dental Manufacturing Co
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities



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alveolar border anddischarged the pus into the mouth, two of them discharging both inthe mouth and in the antrum, as is evidenced by the specimen No. I(see Fig. i, #)* which I will pass about for your inspection. This * It is so difficult to reproduce these sections by cuts that the specimensthemselves must be seen in order to thoroughly comprehend many of thepoints referred to in the paper.—M. H. F. AMERICAN MEDICAL ASSOCIATION. 31 does not show a very large proportion of cases where antral troublehas come from the teeth, being less than eight per cent in fifty-sevenpossible cases. In addition to these figures I wish to offer as negative evidence sta-tistics from my own records in regard to the relation of these dis-eases of the teeth to the antrum, as they have come under my dailyobservation. I have in the past ten years treated 916 cases of pulp-less teeth, 224 of these being superior molars, which, accordingto the authors named above, could and probably would have caused Fig. 2.
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inflammation or pus in the antrum of Highmore. Out of this numberfrom my own records only one had pus in the antrum as far as I couldtell ; and this is the only marked and certain case of empyema of themaxillary sinus caused by the teeth that I have seen. I have, on the other hand, treated a case in which the teeth weremade pulpless, and some of them lost in consequence of disease of theantrum ; and this I believe to be a condition more frequently broughtabout than the reverse, from the fact that some of the teeth (in theskulls examined) perforated the floor of the antrum with no protuber-ance, septa, or other covering save that of the mucous membrane.Specimens of these I will pass about for your inspection (see Fig. 2, a). 1132 THE DENTAL COSMOS. Such perforation I have found in eight cases, which number I believeto be smaller than it should be could all cases have been thoroughlyexamined for minute openings. It must be evident that the mucousmembrane covering the apices of such teet