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THE OPERATION OF EXTRACTION. 637

In addition to the difficulty in removing these teeth, this severe
process of pressing the inner alveolar plate toward the tongue excites
a state of inflammation, easily communicated to the soft tissues of the
throat, and the after-eifects assume in many cases such serious condi-
tions that it is better practice to remove the second molar.
If the third molar is sound it may remain and will cause no further
trouble, as the primary difficulty was caused by crowding and pressing
upon the second molar ; and should it be necessary, from decav, to re-
move it, the extraction of the second molar first, renders the operation
simple and easy of accomplishment.
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