Oral surgery; a text-book on general surgery and medicine as applied to dentistry . r weeks, and theteeth gradually approximate each other. The only deform-ity noticeable will be the prominence of the chin. Eeduc-tion has been done as late as ninety-five days after the acci-dent. If for any reason, such as ignorance or timidity of theattendant, a dislocation remains unreduced for any lengthof time, say from six to eight weeks or more, reduction bymanipulation is very difficult. If a nearthrosis or forma-tion of a new joint has occurred and the member is fairlyuseful, no attempt at reduction sh
Oral surgery; a text-book on general surgery and medicine as applied to dentistry . r weeks, and theteeth gradually approximate each other. The only deform-ity noticeable will be the prominence of the chin. Eeduc-tion has been done as late as ninety-five days after the acci-dent. If for any reason, such as ignorance or timidity of theattendant, a dislocation remains unreduced for any lengthof time, say from six to eight weeks or more, reduction bymanipulation is very difficult. If a nearthrosis or forma-tion of a new joint has occurred and the member is fairlyuseful, no attempt at reduction should be attempted. When, for special reasons, it is desirable that further 424 DISLOCATIONS effort at reduction should be made, the rational procedureis to open the joint and, where possible, scoop out the oldjoint cavity and replace the bone in its normal this is impossible, resection or arthrotomy may bepracticed with promise of a fairly useful joint. Reduction is best accomplished by standing in front ofthe patient, who is sitting on a chair, placing the Fig. 222.—Reducing Dislocated Mandible. One hand shown; both shouldbe used in the same position as shown. Bandage placed around thumb toprevent injury from teeth when the bone slips into position. protected by gauze or a napkin, well back in the angles ofthe mouth and against the rami, and, with the fingers rest-ing under the symphysis and body, elevating the chin, whilewith the thumb the condyle is slid down and back underthe eminentia articularis into place. In bilateral disloca-tions one side should be reduced at a time. The joint shouldbe kept at rest by the use of a Barton bandage for two orthree weeks, except during meals, and great care should beobserved, as recurrence is quite common. CHAPTER XXXVIII X-RAY, IN ORAL SURGERY ^ Diagnosis of oral lesions is so difficult that the assist-ance of the X-ray is desirable. There is no difficulty inshowing the lesions by this method. The only difficulty
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1912
