Page 806 - My FlipBook

804 ORTHODONTIA AS AN OPERATIVE PROCEDURE.

Farrar. Extract the first bicuspid and adjust the appliance ; use a sharp
now bur dipped in five per cent, carbolic acid or one per cent, corrosive
sublimate or listerine. Then, resting the hand against the canine, cut
out the palatal and buccal V-shaped plate, making a concave surfiice
of the alveolar process, as illustrated in Fig. 833.
"If the upper incisors are to be carried back, cut semicircular
spaces just posterior to the teeth to be moved (Fig. 834). To carry a
canine into place which is erupting into the vault of the mouth, remove
the alveolar process in the direction of the line of travel (Fig. 835).
" In moving teeth laterally by a jack-screw, it will be found that not
infrequently one tooth moves faster than the other. To bring both to
their proper position cut out the alveolar process on the side of the
slowest-moving tooth, and both will come into proper position (Fig. 836).
To rotate a tooth, cut a circular groove as deep as possible around the
tooth, leaving enough process to hold the peridental membrane intact
(Fig. 837). In this manner teeth may be moved very rapidly and witli-
FiG. 837.
Fig. 836.

Spreading cuspids (Talbut). Rotation (Talbot).
out much pain. This should always be done by means of screws. By
this method we have the tooth or teeth to be moved completely under
control. Any of the teeth in the mouth may be used for the fixed
point of resistance, thus doing away with all unsightly appliances out-
side the mouth. When in place, they should be anchored in the usual
manner. Antiseptic washes should be used from time to time, such as
one per cent, corrosive sublimate, listerine, or five per cent, carbolic acid.
" In operations of this nature the peridental membrane and also the
periosteum are apt to be injured. This was the particular question in
recommending it to the profession. Although I have had a few cases
of infection, I am quite certain now that such injuries are not of any
serious consequence, since with proper precaution no bad results will
follow."