. Journal of the New York Institute of Stomatology, American Academy of Dental Science, Harvard Odontological Society and the Metropolitan District (Mas . nes 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 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 o


. Journal of the New York Institute of Stomatology, American Academy of Dental Science, Harvard Odontological Society and the Metropolitan District (Mas . nes 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 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 loss ofalignment of the teeth, a fracture is easily recognized. Modernsurgery and intelligent treatment require a radiograph that wemay not only know the position of the fragments and the exactline and location of the fracture, but also learn whether the boneis broken in one or more places. (Figures IV, V, VI, and VII.) Tic-Douloiircux. Fortunately, tic-douloureux is not commonly met with, yet. Fig. 6. Lateral view of fracture of inferior maxilla, (a) Fragments of hone and pieces of bullet seen in region ofsecond biscusped, first and second indicates remainder of bullet which caused fracture, lodged in tissues of neck. the prognosis is so grave and the neuralgia so severe and violentthat we should be familiar with its pathology. To my mind thebest way to reach a diagnosis is by exclusion and then we shouldnot feel sure until we have exhausted all the means, methods andappliances known to dental science, for the relief from a minorneurectomy is generally not permanent and a major operation, asa last resort, is apt to prove fatal. The most characteristic symptom is paroxysmal pain and atypical contortion of the muscles of the face while this is in prog-ress, w hich is not found in any other disease of the face, m


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