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•210
saving of suffering, which should be the grand object of all
sound surgery." Trans. Society of Arts, xliv. TO. Taken
from LitteWs Museum of Foreign Literature and Science,
No. XX, for August, 1827, pp. 189, 190.
The foregoing communication of Mr. Fay was shown to
me by a friend, since commencing this work, and the reader
will notice, that what I have recommended for the front teeth,
canine, and incisores, Mr. Fay has for all the teeth, namely,
excision. How far his practice will be adopted, time will de-
termine. He intimates, that if a tooth is extracted, it loosens
the adjoining ones, and causes them to become prematurely
loose, and ultimately to fall out. This, to a certain extent, is
true, as regards to its loosening the adjoining teeth, which it
does, in a very small degree, if some teeth are extracted ; as
for instance, the canine teeth, which will loosen the incisores,
if they were before in a crowded state, but if otherwise, it
has this effect very slightly. As to its making the other teeth
fall out, I think, in a healthy state of the gums and the other
remaining teeth, this effect never takes place ; this depends
on the number extracted : the teeth, to a certain extent, sup-
port each other. He likewise observes, that filling up of the
end of the minute canal, in the stump through which the
nerve passes, with bony matter, after excision, was never
noticed, until his communication was given.
Mr. Hunter long ago remarked, that when the teeth
become worn down so low as otherwise to expose its cavity,
this became filled with bony matter. He has devoted two
pages to this subject, and given plates of two teeth thus worn
down and filled up with osseous matter.*


* See Hunter on the Teeth, Part I. pages 108, 109, and Plate XIV, figs.
24 and 25.
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