Oral surgery; a text-book on general surgery and medicine as applied to dentistry . other destructive diseases,such as periostitis and osteomyelitis, from streptococcic,staphylococcic, tuberculous and chemical etiology. Herethe history of the disease is valuable. The gradual onsetand the night pain, with moderate swelling, are most prom-inent diagnostic points. Treatment is constitutional. In no case should the knifebe used except to remove sequestra or to liberate an activemixed suppuration. In both acquired and congenital dis-eases, iodid of potash in some form is as near a specific 232 SYPH
Oral surgery; a text-book on general surgery and medicine as applied to dentistry . other destructive diseases,such as periostitis and osteomyelitis, from streptococcic,staphylococcic, tuberculous and chemical etiology. Herethe history of the disease is valuable. The gradual onsetand the night pain, with moderate swelling, are most prom-inent diagnostic points. Treatment is constitutional. In no case should the knifebe used except to remove sequestra or to liberate an activemixed suppuration. In both acquired and congenital dis-eases, iodid of potash in some form is as near a specific 232 SYPHILIS OF THE MOUTH as any medicine known. The saturated solution of the crys-tals is doubtless the best form. In a solution of one ounceof the crystals to an ounce of distilled water, a drop repre-sents a grain of the drug. An adult should begin on fivedrops three times a day, after meals, in milk or water. In-crease one drop every day up to tolerance. When increasedin this way 100 grains have been given at a dose withoutinjurious effect. Syphilitics have a tolerance for —Acquired Cleft Palate from Syphilis. PeojDle who have not had the disease cannot take such largedoses. lodid of potash is a gastric irritant unless givenwith liquid after meals. Illustrative Cases.—¥{.. M., aged twenty-nine years, hada chancre eight years ago, with usual history and no ter-tiary symptoms until two years ago, when he had begin-ning destructive disease of the nasal bones and roof of themouth. In spite of what it was reasonable to suppose wasgood treatment, the destruction continued and would, nodoubt, have destroyed the entire maxilla. lodid of potashwas pushed to sixty grains three times daily. The destruc-tion ceased, and repair on the ulcerative surfaces was com- TERTIARY LESIONS 233
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1912
