Oral surgery; a text-book on general surgery and medicine as applied to dentistry . ed. 3. Gummata of the tonsil and soft palate are commonlydiagnosed after ulceration has occurred. The tonsil isswollen and hard. There is little pain, but usually some in-terference with hearing. The lymphatic glands behind theangle of the jaw (contrary to the general rule) are usuallyinflamed and sensitive from mixed infection. A gummatousinfiltration producing redness, tumefaction, and relative im-mobility, may develop in the soft palate, causing scarcelyany pain, to which the patient may pay little attention
Oral surgery; a text-book on general surgery and medicine as applied to dentistry . ed. 3. Gummata of the tonsil and soft palate are commonlydiagnosed after ulceration has occurred. The tonsil isswollen and hard. There is little pain, but usually some in-terference with hearing. The lymphatic glands behind theangle of the jaw (contrary to the general rule) are usuallyinflamed and sensitive from mixed infection. A gummatousinfiltration producing redness, tumefaction, and relative im-mobility, may develop in the soft palate, causing scarcelyany pain, to which the patient may pay little attention untilnecrosis sets in and causes ulceration, perforation or de-struction. Similar processes cause perforation of the hard TERTIARY LESIONS 229 palate and commimication between the nasal and oral cavi-ties. Such more commonly commence in the nasal struc-tures. Everyone is familiar with the ultimate contrac-tions, adhesions and deformities resulting in these cases. (b) Sclerosing Glossitis.—Sclerous glossitis is a char-acteristic lesion of syphilis. No other condition simulates. Fig. 69.—Sclerosing Glossitis of Syphilis. it. The tongue is increased in size and lobulated—deformedby irregular swellings and separated by deep furrows. Thelobules are of cartilaginous density. The tongue is insensi-tive, clumsy and stitf. The swellings are caused by gum-matous infiltration of its substance, but there is no tendencyto softening and ulceration—the masses retain their hard-ness. The whole tongue may be affected, or there may be 230 SYPHILIS OF THE :\IOrTH only a few infiltrated areas. Secondary fissures and ex-coriations which are quite sensitive may develop. Ulti-mately gradual and progressive contraction of the gumma-tous deposit leaves the tongue smaller than normal. (c) Ulcerating Gingivitis.—Gingi\i-tis, or the so-calledpyorrhea alveolaris. which has received so much attentionfrom dentists during the past few years, is in many in-stances foimd in patients who have had syiD
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