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DIAGNOSIS AND PROGNOSIS 245
extracted, if present in the mouths of patients suffering from
arthritis, heart, kidney, or splenic affections, or some other
form of grave disturbance for which definite causes cannot be
found. Patients of the above type are pecuHarly susceptible
to infections, and the dentist is not justified in subjecting
Fig. 284.—Granuloma af- Fig. 285.—Badly infected cen-
fecting bicuspids and root of tral and lateral roots.
first molar.
them to additional possible sources of infection. The co-
operation of the physician and laboratory technician should
be secured in making a decision in cases of this nature. Great
Fig. 286.—Extensive granuloma. Fig. 287.—Extensive granuloma on
lower third molar.
significance should be attached to the urinary analysis, the
blood picture and blood pressure indications. The majority
of patients suffering from streptococcal infections exhibit low