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321
in the left as in the right ear. The gums and teeth were
perfectly sound and beautiful. Care had been taken to pre-
serve their natural shape and appearance, and particularly to
prevent the stopping being visible on the exterior surface of
such front teeth as had been filed.
" Before I left Philadelphia in 1822, I saw the patient fre-
quently. Her health and spirits were good, and her hearing,
if not perfect, was as good as that of any other member of
her family."




SECTION IV.

INFLAMMATION AND PAINFUL AFFECTIONS OF THE EYES FROM
DEFECTIVE TEETH, &C


In some instances a remarkable sympathy is found to ex-
ist between the eyes and their integuments, and inflamed
teeth.
A few weeks since a lady, residing in the northern part of
this city, called on me with a request that I would examine
her teeth, and extract those which were so far defective as
to be incurable from dental operations. She at the same
time showed me the fang of the first bicuspis of the upper
jaw on the right side. The crown of the tooth was nearly
all decayed away, and the fang was subject to frequent in-
It was remarkable that whenever the fang of
flammation.
the tooth was inflamed, the lining membrane of the lachry-
mal duct became inflamed so much as to entirely close the
duct, and prevent the passage of the tears to the nose, in
consequence of which they would be constantly trickling
down over the cheek. For a considerable length of time
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