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the removal of the remaining injurious three teeth, which
were the lateral incisor and cuspidatus of the left side of the
upper, and cuspidatus of the right side of the lower jaw, but
nothing would induce the patient to submit to the supposed
disadvantageous loss of them. Having already so much re-
covered his general health from the removal of the stated
eleven teeth, and the local disease seeming to him also to be
very rapidly improving, he hoped that the extraction of these
three teeth might prove ultimately unnecessary, and he in-
sisted, at all events, upon giving them a sufficient trial, before
submitting to their removal.
After returning home to the country, the local disease con-
tinued to improve, but did not perfectly subside ; some inflam-
mation remained, and a return of the tumour was appre-
hended ; in consequence of which the gentleman visited Lon-
don again, and on consulting Mr. [ awrence, that gentleman
now positively insisted oi> the extraction of the three teeth I
had pointed out as the cause of the irritation kept up in the
affected parts.
May 10th.—These three teeth in question were extracted.
May 15th.—The teeth were again scaled and all the tar-
tar perfectly removed.
After this complete removal of the local exciting causes,
the inflammation and pain in the nose almost immediately
subsided, and healthy inflammation and absorption of the
diseased gums and sockets followed, as well as a complete
cure of the local affection.
The patient was now rapidly restored to vigorous health,
which he has ever since continued to enjoy.
*"Dr. Regnoli, of Forli, relates a case, in which a fungoid
affection of the maxilla and gums, was successfully treated

*An Lssav on Uie Diseases of the jaws, ant] their treatment, &c. &.n. l>y
Leonard Koecker, London, 1828, pages 20 to 23.