Page 408 - My FlipBook

404 ACCIDENTS IX THE EXTRACTION OF TEETH.

diseased one, unless it be in a case of those deep-
seated, hidden affections which are difficult to diag-
nose. It sometimes happens, however, that a sound
tooth is removed; and when a mistake of this kind
is made, the diseased tooth should also he at once
removed, and then, if the conditions are favorable,
the healthy one should be immediately replaced.
The circumstances most favorable for such replace-
ment, are, a good constitution in a state of health,

and a normal condition of the mouth, especially of
the gums and mucous membrane, so that the attach-
ment would take place with as little inflammation
and soreness as possible. If the tooth is necessarily
kept out of the mouth many minutes, it should be
placed in water at about blood heat: and before the
replacement, the socket should be thoroughly cleansed
of coagulum. The tooth is then introduced, pressed
firmly to place, and allowed to remain without dis-
turbance or irritation, till the attachment has become
complete. During the time it is reuniting, treatment

may be required to counteract inflammation. Meager
diet, abstinence from stimulants, and quiet, should
always be recommended in the case.
This operation has been wholly condemned by some
very g:od dentists. Dr. Koecker declares that it
should never be attempted. But numerous success-
ful cases, well attested, give assurance that it may