Page 164 - My FlipBook

162 DENTAL MEDICINE.

Treatment.—(See Ulcers of the Mouth due to Syphilis.)
Gangrenous Stomatitis^ common to children during the shedding
of the temporary teeth, is indicated by a thick swelling of the
face ; skin tense and shining ; swelling becoming hard and cir-
cumscribed, but devoid of tenderness, with a central spot, red
and variegated in appearance ; the formation of an ulcer, corre-
sponding to the red spot outside, on the inside of the cheek;
profuse salivation, the ulcerated part becoming gangrenous, with
an opening through the cheek; absence of pain and destruction
of parts.
Treatment.—Preventive : Pure air, cleanliness, nourishing diet,
sulphate of quinine, internally, in doses of gr. ij to iij ; and as a
lotion, sulphate of zinc, 5j to the ounce of water. When the
disease is established, the local use of escharotics—as acetic, sul-
phuric, nitric, hydrochloric acids, nitrate of silver, acid nitrate
of mercury, or chloride of antimony—each applied by means of
a camel-hair brush to gangrenous part, and at once followed by
the application of dry chloride of lime. The mouth to be
washed out with tepid water, by means of a syringe. After
the separation of the slough, the dry chloride of lime alone may
be used. The muriated tincture of iron is also employed ; and
after the gangrene is arrested, astringent and antiseptic lotions are
efficacious.
Scrofula.—In early life the characteristics are most apparent.
Tendency to enlargement of lymphatic glands; proclivity to
certain forms of skin eruption ; to disease of the joints and
bones; the efforts necessary for growth and development overtax
the defective vital powers; defective quality of the blood and
tissues, and especially of the vascular tissue ; injuries, such as
sprains, end in chronic disease of the joint. A scrofulous child
may grow finely for several years, and then, without adequate
cause, be overtaken by meningitis or disease of vertebrae; inflam-
mations are prone to take on chronic form.
Treatment.— Pure air of country, cod-liver oil and malt, iron
and hypophosphites to increase the quantity of nutritious con-
stituents of the blood.
J Tumor of the Upper faw is indicated bv a gradually increas-