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sued, suppuration took place, a fistulous opening was formed
passing outside the cheek, and several pieces of bone were
discharged through the external opening, and the child did
not recover from this state of her jaw and face, until about
nine months had elapsed. An ill looking scar was left ever
after upon the side of her lower jaw. If great care in ex-
tracting these teeth is not used by the dentist the most per-
nicious consequences are the result. The gum is apt to be
torn, the jaw shattered in the most dangerous manner, so as
often to destroy the rudiments of the young permanent teeth,
and to lead to violent inflammation and suppuration. The
tooth should be first loosened by carrying it to one side of its
socket with some force, so as to break the attachments of
the lining membrane, and then by a moderate effort, it is
easily lifted out of the socket. If the tooth itself is not loose,
the gum in general should be previously separated in the
most perfect manner from the tooth by the use of a gum-
lancet. If the tooth is loose, the gum need not be sepa-
rated.

Extraction of the Adult Teeth.

This is an operation of very frequent occurrence as we
seldom see a person arrived at twenty years of age, who has
not been obliged to submit to it at one time or another. It
is very important that its principles be well understood.
This operation is performed by almost all country physicians,
and many in the cities. It is to be regretted that many per-
sons attempt the performance of it, who have not suitable
instruments, and have no correct idea of the manner in
which it ought to be performed, and consequently are guilty
of the greatest mal-practice by their injudicious attempts to
extract the teeth. It is very important that the student of