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P. 782
780 ORTHODONTIA AS AN OPERATIVE PROCEDURE.
states/ had taken place between 1
patient " to consult Dr. E. H. Angle, who first suggested the advisabil-
ity of resorting to double resection in this case." About a year after-
ward an operation was j)erfornied, and about a quarter of an inch was
removed from the body of the bone on each side, Dr. V. P. Blair
being operator-in-chief.
"An incision was made about half an inch in length along the base
of and just interior to the lower border of the maxilla. A cross incision
was made of the same length, about on a line with the mental foramen.
The centre of these incisions was interior, upon the borders of the
neck. The muscles and other integuments were now detached from the
Fui. 790.
Lower protiusiou. (Dr. Whipple's case.)
jaw-bone. Dr. Blair had devised or had constructed a double bone-
saw, consisting of two saws, four inches long, attached to a single handle,
and so adjusted as to make a cut in the clear just as wide as the space
between the two bicuspids on the left side. The sawing was done
through the incision from and through the internal surface of the bone
from the upper border down to the base. No vessels were ligated, as
the hemorrhage was not profuse after the vessels emptied themselves.
The bone was cut almost, but not quite, through. No attention was
given to the inferior dental canal.
*'
A small hole was now drilled through the bone on each side of the
cut, near the lower border, for the reception of a wire ligature.
" The second right bicuspid having been previously extracted, the
operation just described was repeated on the right side.
' Dental Cosmos, 1898, vol. xl. p. 552.
