Page 12 - An essay on the diseasesof the jaws, and their treatment

viii CONTENTS. ———— PACE Of Malignant and Cancerous Affections of the Jaws 35—38 Vitiated Constitution — Rapid l*rogress of tliis Form — Generally appears as Tumour of distinctive Character from the Commence- ment. Of Osseods, Fibro-Cartilaginous, SARcoMATons, Fdnqoub, and Osteo- Sarcomatods Tomodhs and Excrescences of the Jaws 38—41 Benign and Malignant Tumours—This Distinction more important to the operating Surgeon than the Dentist— Results of Neglect and Mismanagement. Of THE Treatment or the Diseases of the Jaws 41—42 Principles of Treatment the Same in aU the different Affections of the Jaws—Several Modifications only required—Excision, and such Operations of General Surgery do not come within the Scope of this Essay. Of the Treatment of Inflammation and Suppuration of the Jaws. 42—49 First Indication—Measiures for the Removal of Local Sources oi Irritation—Misrepresentation of the Author's Treatment—Inha- lation of Ether— Ought to be beneficial to scientific Dental Surgery —Entire Removal of Exciting Causes to be accomplished within a short Space of Time— Evils of Temporising— Dr. Harris's Case—Mr. Bell's Treatment—Perforation of the Antrum—Injec- tions—Views of the Older Surgeons—Surgeons of the present Day pay more Attention to the Kemoval of Exciting Causes—Mr. Law- rence, Mr. Listen, Mr. Fergusson—Eecapitvdation of Principles of Treatment—Second Indication—Case. Of the Treatment of Fistulous Perforations and Abscesses of the Jaws 49—51 Outlet for Matter in Upper Jaw generally obtained by extracting the offending Teeth—Perforation to be performed when necessary—In Lower Jaw the Matter to be let out at the most favourable Point Separation of Sequestra—Attention to General Health. Of the Treatment of Malignant and Cancerous Affections op the Jaws 51—52 Even these Forms of Disease benefited by Dental Treatment—Similar Measures required in these cases—Failing these no Chance of Reco- very—Amputation not admissible—Culpability of neglecting to re- move Exciting Causes—Case. Of the Treatment of Osseous, Fibro-Cartilaghtous, Sarcomatous, AND Osteo-Sarcomatous Tumours and Excrescences of the Jaws 52—65 Tumours Consequences not Causes of the Diseases of the Jaws Surgical Operations must frequently accompany Dental Treatment Attention to the Teeth absolutely necessary —Mr. Listen's Opinion —The utmost Care to be observed in Oi)erating oa the Teeth Epulis—Excision of the Alveoli not necessary if the Causes of Morbid Excitement be removed with these Tumours—Some more extensive Tumours removed by Dental Treatment alone—Benefit of removing Exciting Causes as preparatory to Extirpation—Sir Astley Cooper's Views—Amputation rarely required—Seldom suc- cessful when Excision of the Tumour and perfect Removal of all Causes of Excitement in the Mouth fail—Sliould not be undertaken till the Effect of these Measures has been fairly tried—Cases. Appendix 67—95 Catalogue of Casss^Table of Causes.