Dental review; devoted to the advancement of dentistry. . ividual case. The following illustrations taken from cases of clinical caseswill serve to emphasize a variety of conditions that may develop whennormal contact is lost. Fig. 8.—Shows normal contact lost by decay, only partially re-stored by filling. The fillings were excellently placed but for this one slight defect 608 THE DENTAL REVIEW. which may have been slightly increased by the extraction of the secondmolar allowing the first molar to drop back slightly. The jamming in of food into this interproximal space duringmastication has br
Dental review; devoted to the advancement of dentistry. . ividual case. The following illustrations taken from cases of clinical caseswill serve to emphasize a variety of conditions that may develop whennormal contact is lost. Fig. 8.—Shows normal contact lost by decay, only partially re-stored by filling. The fillings were excellently placed but for this one slight defect 608 THE DENTAL REVIEW. which may have been slightly increased by the extraction of the secondmolar allowing the first molar to drop back slightly. The jamming in of food into this interproximal space duringmastication has brought about a serious inflammation with usualswelling, inviting infection which in this case has occurred withinthe gum tissue itself on its lingual aspect, forming a gingival abscessinstead of suppuration between the gum and tooth neck as usuallyoccurs. In this class of cases the alveolar septum is soon lost either byabsorption or necrosis. With the discharge of pus the tissue rapidlydrops down, exposing the cemento-enamel junction on the tooth necks. Fig. 5. which soon become annoyingly sensitive. Unless a remedy be appliedearly these teeth will be lost from pyorrhea. The remedy consists in restoring and maintaing the normal con-tact, but when that has been delayed until such serious inflammationhas occurred it will require the greatest care to restore and maintainthe usefulness of such affected teeth. Fig. 9-10, are illustrations of the buccal and lingual sides of asimilar case, but a more advanced stage of trouble. The normal con-tact point was worn flat. ORIGINAL COMMUNICATIONS. 609 The crowding of food past this contact point and use of tooth-picks which that necessitated has brought about the absorption of theentire alveolar process between these teeth and complete recession ofthe gums to a point where restoration of normal contact will do littlegood, for already the second molar is practically lost fr.»m the result-ing pyorrhea. Figs. 11-12 represent the buccal and l
Size: 1373px × 1820px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, bookiddent, booksubjectdentistry
