Oral surgery; a text-book on general surgery and medicine as applied to dentistry . he tongue, inside of the cheek,pillars of fauces, tonsils and pharynx, although no part ofthe oral cavity is exempt. Symptoms.—The mouth is usually dry, painful and ten-der, the tongue is coated, and there is difficulty in swallow-ing. Glandular enlargements are rare. It is differentiatedfrom the other varieties of stomatitis by the absence ofulceration or pus formation, but there is instead an irregu-lar elevated patch, which is at first pearly white, but, astime approaches for it to shed, becomes yellow. Diph
Oral surgery; a text-book on general surgery and medicine as applied to dentistry . he tongue, inside of the cheek,pillars of fauces, tonsils and pharynx, although no part ofthe oral cavity is exempt. Symptoms.—The mouth is usually dry, painful and ten-der, the tongue is coated, and there is difficulty in swallow-ing. Glandular enlargements are rare. It is differentiatedfrom the other varieties of stomatitis by the absence ofulceration or pus formation, but there is instead an irregu-lar elevated patch, which is at first pearly white, but, astime approaches for it to shed, becomes yellow. Diph-theritic patches most resemble thrush, but in diphtheriathe patches usually begin on the tonsils or in the pharynx,the deposit is thicker, more defined and continuous, andthere is glandular infiltration with marked constitutional 130 MOUTH LESIONS symptoms. Recovery usually follows, though in feeblechildren the condition may persist and death may resultfrom inanition. Treatment.—The treatment should begin with correctionof the diet and methods of administration of food. The. Fig. 19.—Mycosic Stomatitis. mouth should be cleansed and, in artificially fed children,the bottle, nipple, etc., should be kept sterile, while thefood products should be of the best. Antiseptics, suchas borax and bicarbonate of soda, in a powder, shouldbe applied locally. Honey and sugar should not beused, as they encourage fermentation. AgNOg appliedto ulcers and keeping the mouth clean are the mostsatisfactory treatments. One application is usually allthat is necessary. LOCAL ACUTE STOMATITIS 131 (e) Canceum Oris Gangrenous stomatitis, also known as noma and can-crum oris, is a destructive inflammation of the mucousmembrane and other structures of the mouth. It is gener-ally a sequela of measles, but may follow any of the eruptivefevers. A predisposing cause is the low vitality of thechild from the former disease. A specific microbe or para-site has not been found, although streptococci are usuall
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1912
