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P. 245
. ;
OF DRAWING THE TEETH. 229
consequence, because from the nature of the union between
the Teeth and sockets, these last can scarcely be broken
farther than the points of the fang, and in very few cases so
far; therefore little mischief can ensue, as the fracture ex-
tends no farther than the part of the socket which will
naturally decay after the loss of the Tooth ; and that part
which does not decay, will be filled up as a basis for the gum
to rest upon. It has been supposed that the splinters do mis-
chief. I very much doubt this ; for if they are not so much
detached as to lose the living principle, they still continue
part of our body, and are rounded off at their points as all
splinters are in other fractures, and particularly here, for
the reasons already assigned, viz., because this part has a
greater disposition for wasting. And if they are wholly de-
tached, they will either come away before the gum contracts
entirely ; or, after it is closed, will act as an extraneous body
form a small abcess in the gum ; and come out.
diathesis, or was the subject of scurvy : in the latter case, the "bleeding
did not come so much 4xom the socket of the tooth as from the surface
of the gums. Secondly, the bleeding lasts for several days, and ample
time is allowed for the administration and operation of internal
remedies.
In cases where the hemorrhagic diathesis is present, we ought, there-
fore, to rely rather upon constitutional (1) than local remedies, but when
the patient is plethoric, or only of a weak constitution, local remedies
may generally be depended upon to arrest the bleeding.
Of the various styptics that have been recommended to arrest the
bleeding, the most valuable are the tinctura ferri, sesquichloridi and
creosote.
With regard to creosote, it is necessary to remark that the kind com-
monly met with acts merely as a mild astringent ; but that known as
Germau creosote acts as a powerful caustic, and then it is necessary to be
careful that none of it flows on to the other parts of the mouth.
Mialhe regards it as one of the most powerful coagulants of albumen
that we possess.]
(1) See Richardson, opus, cit
OF DRAWING THE TEETH. 229
consequence, because from the nature of the union between
the Teeth and sockets, these last can scarcely be broken
farther than the points of the fang, and in very few cases so
far; therefore little mischief can ensue, as the fracture ex-
tends no farther than the part of the socket which will
naturally decay after the loss of the Tooth ; and that part
which does not decay, will be filled up as a basis for the gum
to rest upon. It has been supposed that the splinters do mis-
chief. I very much doubt this ; for if they are not so much
detached as to lose the living principle, they still continue
part of our body, and are rounded off at their points as all
splinters are in other fractures, and particularly here, for
the reasons already assigned, viz., because this part has a
greater disposition for wasting. And if they are wholly de-
tached, they will either come away before the gum contracts
entirely ; or, after it is closed, will act as an extraneous body
form a small abcess in the gum ; and come out.
diathesis, or was the subject of scurvy : in the latter case, the "bleeding
did not come so much 4xom the socket of the tooth as from the surface
of the gums. Secondly, the bleeding lasts for several days, and ample
time is allowed for the administration and operation of internal
remedies.
In cases where the hemorrhagic diathesis is present, we ought, there-
fore, to rely rather upon constitutional (1) than local remedies, but when
the patient is plethoric, or only of a weak constitution, local remedies
may generally be depended upon to arrest the bleeding.
Of the various styptics that have been recommended to arrest the
bleeding, the most valuable are the tinctura ferri, sesquichloridi and
creosote.
With regard to creosote, it is necessary to remark that the kind com-
monly met with acts merely as a mild astringent ; but that known as
Germau creosote acts as a powerful caustic, and then it is necessary to be
careful that none of it flows on to the other parts of the mouth.
Mialhe regards it as one of the most powerful coagulants of albumen
that we possess.]
(1) See Richardson, opus, cit
