Oral surgery; a text-book on general surgery and medicine as applied to dentistry . Fig. 81.—Papilloma of Alveolus. its surface was not granular except at some points. Opera-tion included removal by the use of the knife under localanesthesia. There was no return after several months. (b) Polypus Polypi of the gums are seen quite frequently and resem-ble such growths in other parts of the body. They differfrom papillomata in that they are usually single, grow to POLYPUS 261 considerable size, and have a distinct pedicle, while tumorsof the papillomatous variety are multiple and grow exuber-antl
Oral surgery; a text-book on general surgery and medicine as applied to dentistry . Fig. 81.—Papilloma of Alveolus. its surface was not granular except at some points. Opera-tion included removal by the use of the knife under localanesthesia. There was no return after several months. (b) Polypus Polypi of the gums are seen quite frequently and resem-ble such growths in other parts of the body. They differfrom papillomata in that they are usually single, grow to POLYPUS 261 considerable size, and have a distinct pedicle, while tumorsof the papillomatous variety are multiple and grow exuber-antly and rapidly. These tumors vary from the size of a pea to a horsechestnut, and are found on the gums in the neighborhoodof diseased teeth. They are said to be caused chiefly bythe ragged edge of a carious tooth, but it is probable thatptomaines from the operations of bacteria stimulate papil-. FiG. 82.—Papilloma of Alveolus. (Case of Dr. C. B. Bratt.) lomatous growths upon granulating mucous surfaces andhave more to do with their etiology than is usually sup-posed. The growths in question exhibit on section large,branching papillae, covered with an abnormally thick layerof squamous epithelium. The polypi are purely local intheir origin and are non-malignant. Treatment.—The treatment consists in removal undera local or general anesthetic. A scalpel or scissors may beused. There is no tendency to return. If there is retura 262 NEOPLASMS OF SOFT TISSUES however, the growth will he from a new point of the gum,and not at the point of original growth. Illustrative Cases.—Figure 84 shows a typical poly-pus of the process in a girl of eight years. The growthwas over the alveolus with a distinct pedicle or contractedbase attached to the lingual gingival margin. The surface,while slightly roughened, did not bleed as do was performed by severing the pedicle
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1912
