Identifier: dentalcosmos5419whit (find matches)
Title: The Dental cosmos
Year: 1912 (1910s)
Authors: White, J. D McQuillen, J. H. (John Hugh), 1826-1879 Ziegler, George Jacob, 1821-1895 White, James William, 1826-1891 Kirk, Edward C. (Edward Cameron), 1856-1933 Anthony, L. Pierce (Lovick Pierce), b. 1877
Subjects: Dentistry Dentistry
Publisher: Philadelphia, S. S. White Dental Manufacturing Co
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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was told he had pyorrhea,just because his teeth were loose ! Attention is called to another case, asfollows: Mrs. S., twenty-seven years of age, noticeda swelling over the right second bicuspid.She consulted her dentist, who informed herthat she had a blind abscess. He painted theexternal surface with iodin, and later appliedwhat the patient called a gum blister. She,however, noticed no improvement, so the den-tist extracted the tooth. The swelling re-mained at a standstill, and so one by one she 1310 THE DENTAL COSMOS. had the molars and the remaining bicuspidextracted. This gave her no relief, and thecondition became worse, evidently owing tothe infection entering through the woundcaused by the extraction. The dentist diag-nosed her case as a chronic blind abscesswith necrosis. She finally consulted a physi-cian, who referred her to my clinic. We im-mediately investigated her history. She saidshe was married, had no children, and hadaborted three times. Physical examination Fig. 5.
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Syphilitic osteomyelitis of maxilla. showed that the patient had old scars, and>lic admitted having had syphilis. She waspromptly placed under anti-syphilitic treat-ment, and the jaw was thoroughly curetted.A diagnosis of syphilitic osteomyelitis withgranulomata of the jaw was made. Threeweeks later the patient showed splendid im-provement, and was referred to her familyphysician for further attention. (See Fig. 5.) TWO TYPICAL CASES FOR DIFFERENTIALDIAGNOSIS. Before concluding, 1 want to call at-tention to two cases, picturing how dif-ferent each case is from the standpoint of etiology, and yet how they simulateone another as to the clinical picture: Mr. L., twenty-seven years of age. Occupa-tion: Locomotive fireman. Complaint: Soreloose teeth. Habits: Fair. Urinary analysis:Negative. Headache: Considerable. Loss ofhair: Yes. Specific history: Doubtful. Bloodpressure: Normal. Serum diagnosis: Posi-tive Wasserman. Lower and upper teethloose, with the gums swollen and angry look-ing

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