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P. 393
;
HEMORRHAGE. 389
Some of the accidents attendant or consequent on
the extraction of teeth, are of a grave character.
Permanent deformity has sometimes been occasioned
by extensive laceration of the soft parts, or by frac-
ture of the alveolus and of the maxilla. Intense
and protracted suffering frequently, and death some-
times, follows such accidents.
HEMORRHAGE.
Excessive and obstinate hemorrhage in some cases
follows the extraction of teeth, occasionally resulting
seriously and even fatally. There is in some con-
stitutions a hemorrhagic diathesis, so that from a
small wound, or even a scratch, there will ensue per-
sistent bleeding. This condition is dependent, first,
on a lack of tone in the bloodvessels, so that they
fail to contract at an injured or ruptured point ; and
secondly, on a peculiar condition of the blood, such
as to prevent ready coagulation, as, when there is a
relative deficiency of albumin and fibrin. It is one
of the most important duties that ever devolve on the
dentist, to make a correct diagnosis in cases where
there is a tendency to hemorrhage. Close attention
to the following points, will assist much in arriving
at a just conclusion. In persons of a hemorrhagic
tendency, there is a lymphatic, serous temperament
HEMORRHAGE. 389
Some of the accidents attendant or consequent on
the extraction of teeth, are of a grave character.
Permanent deformity has sometimes been occasioned
by extensive laceration of the soft parts, or by frac-
ture of the alveolus and of the maxilla. Intense
and protracted suffering frequently, and death some-
times, follows such accidents.
HEMORRHAGE.
Excessive and obstinate hemorrhage in some cases
follows the extraction of teeth, occasionally resulting
seriously and even fatally. There is in some con-
stitutions a hemorrhagic diathesis, so that from a
small wound, or even a scratch, there will ensue per-
sistent bleeding. This condition is dependent, first,
on a lack of tone in the bloodvessels, so that they
fail to contract at an injured or ruptured point ; and
secondly, on a peculiar condition of the blood, such
as to prevent ready coagulation, as, when there is a
relative deficiency of albumin and fibrin. It is one
of the most important duties that ever devolve on the
dentist, to make a correct diagnosis in cases where
there is a tendency to hemorrhage. Close attention
to the following points, will assist much in arriving
at a just conclusion. In persons of a hemorrhagic
tendency, there is a lymphatic, serous temperament
