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882 EXTRACTION OF TEETH.

three teeth should be removed at a sitting, lest uncon-

trollable hemorrhage ensue.
After all the teeth are removed from one or both
of the jaws, the gums and alveolus should undergo a
trimming process : all detached, flabby, or prominent
portions of the gums should be dissected off; the
all loose portions of the
whole ridge made uniform ;
all the prominent points and sharp
alveolus removed ;
edges cut down; and the whole border of the process
rendered as smooth and even as possible. By this
means, the healing of the parts is facilitated, and they

assume the desired condition and form in much less
time, and with far less soreness and inconvenience.

CONDITIONS TO BE OBSERVED IN EXTRACTION.

Such conditions are often found to exist in the
system, as indicate the necessity of great care in the
operation, or of prior treatment, or forbid the extrac-
tion of the teeth altogether. Of these conditions, the
following are some of the more obvious :
Extreme debility.
Great nervous irritability.
Excessive local inflammation, especially where it
tends to the other parts.
Much irritability of the parts intimately connected

with the teeth.