The Dental cosmos . agments inorder to draw and retain the tongue forward. This was accomplished,though not without some difficulty, and the patient drank two glasses ofmilk. About two hours later the wire broke, but the patient was able toswallow as well as before, although complaining of pain during the act. May 5. Patient took three cups of coffee. Fragments again wiredin position. May 6. Patient swallowed all the food he wished. Wire failed tohold fragments in place. May 7. Swelling had almost disappeared. Odor from the mouth was very offensive. TREATMENT OF FRACTURES OF THE MAXILLA. 6l I


The Dental cosmos . agments inorder to draw and retain the tongue forward. This was accomplished,though not without some difficulty, and the patient drank two glasses ofmilk. About two hours later the wire broke, but the patient was able toswallow as well as before, although complaining of pain during the act. May 5. Patient took three cups of coffee. Fragments again wiredin position. May 6. Patient swallowed all the food he wished. Wire failed tohold fragments in place. May 7. Swelling had almost disappeared. Odor from the mouth was very offensive. TREATMENT OF FRACTURES OF THE MAXILLA. 6l I May 9. Large fragment of the jaw, containing one bicuspid and twomolars, became detached during the night. The third molar alsocame away, together with a piece of granite about the size of a pea(Fig. 8). Treatment up to this time consisted of disinfecting themouth with a solution of carbolic acid and glycerine. The woundwas also dressed with the same, and the jaw supported with a four-tailed bandage. Fig. 8. Fig. Fig. 9.—Model showing displacement. May 15. Impressions were taken in plaster of Paris preparatory tomaking an interdental splint (Fig. 9). This was constructed similarto those already described, with the addition of two steel wires (oldexcavators) vulcanized in the splint and curved upward as theyemerged from the corners of the mouth, thus avoiding pressure on the Fig. 10.


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Keywords: ., bookcentury1800, bookdecade1890, booksubjectdentist, bookyear1890