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operations had been of little permanent advantage. In some
instances, the caries had proceeded so far as to affect the
lining membrane of some teeth, which caused so much pain
as to oblige her to have them extracted. Upon examining
her teeth, I found she had lost all of them upon her under
jaw, except five, which were one right bicuspid, the canine,
and one right lateral incisor, and the left dentes sapientia
and that of these five, three were very much diseased ; two
of which had lost their vitality, and were very loose, around
whose fangs the gums had been very considerably absorbed
away, and in a constant state of suppuration, discharging a
considerable quantity of offensive matter. She had, J think,
eleven teeth remaining on her upper jaw, to wit : the canine
and incisor teeth, and one bicuspid, and four molares. All
of these teeth were more or less diseased except one of the
molares, and three front incisores. Her gums, as I before
noticed, were in a state of suppuration around some of the
teeth of the under jaw, and the gums covering the under
jaw appeared very pale. On the upper jaw the gum was un-
naturally pale, having several small swellings in different
parts about as large as small peas, which were very sensible,
red, and inflamed, and bled very readily upon being irritated.
As she would not consent to have any of her upper teeth
extracted, I extracted the two on the under jaw that had lost
their vitality, and around whose fangs the gums were in a
state of suppuration. After this, I partially cleaned her
teeth. As I was not, on account of the bleeding, able to
clean them perfectly at one sitting, I also scarified the small
inflamed swellings upon the gums of the upper jaw ; I then
gave her some of the oak-bark decoction, and also gave her
a very soft brush, directing her to rinse her mouth freely
three times a day for several days, with the decoction before
mentioned, and at the same time to pass the brush gently
227
operations had been of little permanent advantage. In some
instances, the caries had proceeded so far as to affect the
lining membrane of some teeth, which caused so much pain
as to oblige her to have them extracted. Upon examining
her teeth, I found she had lost all of them upon her under
jaw, except five, which were one right bicuspid, the canine,
and one right lateral incisor, and the left dentes sapientia
and that of these five, three were very much diseased ; two
of which had lost their vitality, and were very loose, around
whose fangs the gums had been very considerably absorbed
away, and in a constant state of suppuration, discharging a
considerable quantity of offensive matter. She had, J think,
eleven teeth remaining on her upper jaw, to wit : the canine
and incisor teeth, and one bicuspid, and four molares. All
of these teeth were more or less diseased except one of the
molares, and three front incisores. Her gums, as I before
noticed, were in a state of suppuration around some of the
teeth of the under jaw, and the gums covering the under
jaw appeared very pale. On the upper jaw the gum was un-
naturally pale, having several small swellings in different
parts about as large as small peas, which were very sensible,
red, and inflamed, and bled very readily upon being irritated.
As she would not consent to have any of her upper teeth
extracted, I extracted the two on the under jaw that had lost
their vitality, and around whose fangs the gums were in a
state of suppuration. After this, I partially cleaned her
teeth. As I was not, on account of the bleeding, able to
clean them perfectly at one sitting, I also scarified the small
inflamed swellings upon the gums of the upper jaw ; I then
gave her some of the oak-bark decoction, and also gave her
a very soft brush, directing her to rinse her mouth freely
three times a day for several days, with the decoction before
mentioned, and at the same time to pass the brush gently
