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June 19th.—Four teeth more were removed, the health of
the patient still continuing to improve. Some parts of the
sockets had come away by exfoliation. The patient com-
plained of pain in the jaws.
July 7th.—I found our patient almost recovered, and in
excellent spirits. Mr. Lawrence, who had seen him a few
days previously, had taken away the greater part of the re-
maining teeth and sockets, which had become so loose as to
be removed without much difficulty.
August 11th.—Captain M. visited me, to state that all the
remaining dead teeth and sockets had been removed some
time previously, by Mr. Lawrence. His health had much im-
proved, and his mouth was healing very rapidly. His speech,
however, remained very defective ; a misfortune principally
owing to the almost total loss of motion of his under jaw.
He intended in a few days to depart for Ireland, to visit his
relations and friends, and to return after some time to sub-
mit to the necessary operations to cure the adhesions of his
mouth, agreeably to the advice of Mr. Lawrence, and then
to supply the deficiency of his teeth by a double set of an
artificial masticating apparatus.
Case IV* Mr. S , from , a gentleman of about fifty
five years of age, of a very robust and plethoric constitution,
and constantly active habits of life, gave the following state-
ment of his case.
His health had been generally good, but during the last
six years he had sometimes suffered from swellings of the
face, accompanied by an erysipelatous appearance, and heat
of the skin, as well as an abtuse pain particularly situated in
the nose, and its surrounding parts.


* An Essay on the diseases of the jaws, ^'c - &c - by Leonard Koecker.
London, 1828, pages 79 to 84.
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