Oral surgery; a text-book on general surgery and medicine as applied to dentistry . ation is continued,and a sinus, persistent in its nature, is established. Theseconditions run a very acute course and are caused by theintroduction of streptococcus or some other active bac-terium into the tissues. Symptoms.—The most important symptoms are persis-tent pain and swelling that pits on pressure, known asedema, tenderness, rigors and possibly chills, followed withslight fever. All swelling of the process, however, mustnot be considered a forerunner of serious necrosis. Indeed,such a result would be
Oral surgery; a text-book on general surgery and medicine as applied to dentistry . ation is continued,and a sinus, persistent in its nature, is established. Theseconditions run a very acute course and are caused by theintroduction of streptococcus or some other active bac-terium into the tissues. Symptoms.—The most important symptoms are persis-tent pain and swelling that pits on pressure, known asedema, tenderness, rigors and possibly chills, followed withslight fever. All swelling of the process, however, mustnot be considered a forerunner of serious necrosis. Indeed,such a result would be the exception. Diagnosis.—The diagnosis is very important since it is ALVEOLAR NECROSIS 181 upon the early and proper management of such a case thatthe subsequent history depends. Prognosis.—The prognosis is very good if the troubleis recognized and incised before pus formation. Even afterpus formation, recovery may take place if delay has notbeen too great. Treatment.—The treatment includes the removal of thecause. If stomatitis, use local antiseptics and control infec-. FiG. 34.—Periostitis of Mandible. Showing area of exfoliation of bone from internal surface. tions. Disinfect the ulcer early with tincture of iodin, withthe hope that sequestration will not occur. Early curette-ment of the bone and disinfection, in cases where the peri-osteum is involved, may also induce repair without exfolia-tion. When the latter is evident, time should be given forthe line of demarcation to be established before extensiveoperations are performed. It should be remembered, how-ever, that the great majority of cases are averted by earlyincision and disinfection. Traumatisms.—Injuries of the alveolus, other than thosefrom tooth extractions, may come from blows or be asso-ciated with fractures. Here we usually have infection, peri-ostitis and exfoliation of a portion of the external table ofthe bone, as the accompanying case shows. A boy, aged twelve years, received a blow over the
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1912
