. St. Louis courier of medicine. y. Upon examination of the interiorof the mouth, a curious condition was found. There were noteeth: on the left side there was complete absence of the alveolarborder, and part of the body was wanting; so frail did it look and feel that the least strain would seem sufficient to fracture it. Fromthe inferior to the superior border of what remained of the jaw bone,was between one-third and one-fourth of an inch, and between theinternal and external surface perhaps less. The bone was twistedoutward upon its axis, causing the peculiar deformity of the facereferred t
. St. Louis courier of medicine. y. Upon examination of the interiorof the mouth, a curious condition was found. There were noteeth: on the left side there was complete absence of the alveolarborder, and part of the body was wanting; so frail did it look and feel that the least strain would seem sufficient to fracture it. Fromthe inferior to the superior border of what remained of the jaw bone,was between one-third and one-fourth of an inch, and between theinternal and external surface perhaps less. The bone was twistedoutward upon its axis, causing the peculiar deformity of the facereferred to. There was a minute opening internally, correspondingto a point slightly superior to the mylo-hyoid canal and on a linewith the junction of the anterior border of the ramus with thebody of the bone, which I subsequently found to correspond tothe cavity from which I removed the specimen which I show you. During the first week in June I operated, assisted by Drs. Kingand Laidley. After he was anesthetized with ether, an incision. Jaw-bone and tooth, one-haif the true size. 498 Cases from Practice. [Dec, 1888. an iri^h and a half long was made in the line of the two openingsalreaay mentioned. In the attempt to remove the bony substance(it proved to be a tooth) the crown was loosened and broken off. Tb remainder of the tooth was taken out with a pair of toothforces a. The direction of the cavity was backward, inward andslightly upward. It was firmly imbedded in the jaw-bone. In alllikelihood the position the tooth occupied was due to the long con-tinue inflammation, resulting in the distortion of the bone. It issir fular perhaps that the presence of the tooth was not suspecteda\ e operation performed two years before, though it is possibleit a enclosed by bony tissues. The edges and sides for a part ofthe depth were carious: they were scraped, the wound partly sewedup and the cavity dressed antiseptically. Five weeks elapsedbefore it healed over. At present the wound is closed an
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188
