File:Journal of the New York Institute of Stomatology, American Academy of Dental Science, Harvard Odontological Society and the Metropolitan District (Mas (1907) (14749507236).jpg

Identifier: journalofnewyork2190newy (find matches)
Title: Journal of the New York Institute of Stomatology, American Academy of Dental Science, Harvard Odontological Society and the Metropolitan District (Mas
Year: 1907 (1900s)
Authors: New York Institute of Stomatology American Academy of Dental Science (Boston, Mass.) Harvard Odontological Society Massachusetts Dental Society. Metropolitan District Boston and Tufts Dental Alumni Association
Subjects: Dentistry
Publisher: New York, N.Y. : The Societies
Contributing Library: Columbia University Libraries
Digitizing Sponsor: National Endowment for the Humanities (NEH)

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for the extraction of a tooth alone hasbeen known to relieve all symptoms. Necrosis associated with disease of the maxillary sinus isdetermined by the history and probe, and the age and history witha consultation between rhinologist and dentist is of value in THE JOURXAL. 269 eliminating benign and malignant growths. Differentiationshould also be made between tumors of the gums and dentigerouscysts. In this type of cases the nasal discharge will be foundwanting. We should be beware of sympathetic pain localized inany of the teeth that we may not err in unnecessary extraction andrealize also that while trouble with both antra is a rare occurrence,it is within the range of possibilities. In locating foreign bodies and roots under the gum we areassisted materially with a radiograph and the presence or absenceof pus is indicated effectively by transillumination. With sound teeth on the affected side, the radiograph show-ing negatively, and no necrosis or growths present, it is reasonable
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Fig. 5. Arrow indicates line of fracture. Displacement very little. to suppose that empyema of the maxillary sinus is due to orlinked with some diseased state of the accessory air sinuses andtherefore not in the province of the dental surgeon to treat. Necrosis. Owing to the frequency with which it is met and the disas-trous results folowing a faulty diagnosis, necrosis of the max-illary bones demands our attention. Its most common causes areabscessed teeth, syphilis, tuberculosis, traumatism and chemicalpoisoning from arsenic, lead, mercury, or phosphorous. It isdiagnosed by a foul characteristic odor, the probe, and history.This disease or caries of the bone is most often associated withmalposed molars, dento-alveolar abscesses or syphilis and 270 THE JOURXAL. stomatitis or dental lesion allied with the infectious diseases ofchildhood. Fracture of the Maxillary Bones. With a history of violence, immobility or impaired move-ment of the jaws, crepitus, swelling, pain, drooling and los

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