Page 84 - An essay on the diseasesof the jaws, and their treatment

63: AN ESSAY ON THE eyes, and all tlie other features of the face towards the affected side. The matter was discharged externally through four fistulous open- ings, viz., one opposite the temporal bone, the second at the parotid gland, the third at the maxillary angle under the anterior part of the chin, and the fourth from the ear, a great portion of the external parts of which had been destroyed by the disease. On viewing the disease within the mouth, it was found that the three molar, and the second bicuspid teeth of the left side had been previously lost, and the membranous and osseous cellular structure of the affected jaw had been destroyed to such an extent as to form a cavity, extending from the angle to the first bicuspis, and wide enough to allow the introduction and mo- tion of the finger, which was filled with dark greenish matter. Tlie first bicuspis and cuspidatus had lost a part of their sockets, and all the other teeth of the under jaw were either very irregular or carious, and the gums and sockets were either more or less diseased, or in a state of necrosis. The upper jaw of the same side was also diseased, and the an- trum filled with pus, the discharge of which was partially ob- structed by some dead roots and teeth. All the incisors and mo- lares of that jaw were also very irregular and lapping one over the other, and many of them were either diseased or dead, and their gums and sockets inflamed and suppurating. The great accumulation of putrid matter and the various morti- fied and diseased structures, produced a very offensive and cada- verous smell. * TREATMENT. The treatment I pursued, was the same which I have described in the foregoing essay. April 12th. The cuspid and first bicuspid teeth of the under jaw on the left side were extracted, the sockets of which had suf- fered from the disease, and thus had been rendered causes of irritation. The patient then became exceedingly timid, and would not permit me to proceed, but promised to return the next morning with his father. April 13 th. Four dead and decayed teeth were removed, which