Page 85 - An essay on the diseasesof the jaws, and their treatment

DISEASES OF THE JAWS. 63 were all that required extraction, from tlie left side of the upper jaw, which was effected with inflammation and mortification; these operations were followed by a considerable discharge of foetid matter from the antrum, through the sockets of the extracted teeth, and the disease was immediately relieved from all the direct local irritation. The great timidity of the patient would not suffer the removal of the other teeth that required to be extracted from the opposite side of the mouth on the same day, and it was therefore unavoidably delayed ; he was directed to wash his mouth frequently with a warm emollient mixture and the external sores were to be dressed daily as usual. April 19th. The patient was in excellent health and spirits. The diseased cavities of the left upper and under jaws were under the influence of healthy inflammation and granulation, the dis- charge from the ear, and from the opening opposite the temple had ceased, and the sore begun to heal, in consequence of the re- lief afforded by the convenient outlet of the matter from the upper maxillary cavity. The suppuration from the other external sores had also diminished in some degree, and the matter had become more concentrated in the swelling imder the chin, which gradually increased in size. Thus encouraged, the patient now very readily submitted to the necessary operations for the removal of seven dead roots, and decayed teeth from the right side of the upper and under jaw, by which every tooth which could cause irregular and morbid action of that side was also removed. The frequent washing of the mouth was continued, and the diseased cavity of the under jaw directed to be frequently cleansed with a long soft brush, made for the purpose and dipped in the warm lotion. 4 April 23rd. The successful progress of the cure greatly ele- vated the spirits of the patient, who was now in very good health. The whole mouth was under the influence of healthy inflam- mation, the condition of the diseased antra continued to improve, and absorption in all the sockets and gums of the upper and under jaws was going on regularly. Tlie external fistulous sores were all improving, and the purulent collection under the chin had