. Injuries and diseases of the jaws : the Jacksonian prize essay of the Royal College of Surgeons of England, 1867. n June 3 the patient was discharged well. A microscopic examination by Mr. Charles Tomes, showedthat the structure of the growth closely resembled that ofthe small polypi which are sometimes found occupying thecavity of carious teeth : it was a true hypertrophy of thegum, and chiefly of the fibrous portion. It sprang from theperiosteum round the neck of the teeth, just within themargin of the alveoli. From this point a dense stroma ofinterlacing fibres, covered by a thin mucous a
. Injuries and diseases of the jaws : the Jacksonian prize essay of the Royal College of Surgeons of England, 1867. n June 3 the patient was discharged well. A microscopic examination by Mr. Charles Tomes, showedthat the structure of the growth closely resembled that ofthe small polypi which are sometimes found occupying thecavity of carious teeth : it was a true hypertrophy of thegum, and chiefly of the fibrous portion. It sprang from theperiosteum round the neck of the teeth, just within themargin of the alveoli. From this point a dense stroma ofinterlacing fibres, covered by a thin mucous and epitheliallayer, grew np round the toothy the growths from oppositesides meeting over it and coalescing, so as almost to cover attachment within the socket was important, for thisexplained how it was that a successful result could not beobtained without removing part of the alveolus. Unless thiswas done, the base of the growth was left behind, and recur-rence soon took place. The second patient, Mr. L., ^et twenty-six, came under mycare in June, 1877, with hypertrophy of the gum and alveoli Fig. of the right side of the lower jaw, extending from the rightwisdom-tooth to the left canine. The affection had beennoticed from early childhood, and gave no pain. The condi-tion of the ofum is seen in fig. 112. 232 DISEASES OF THE GXTMS. On June 19, the patient being under chloroform, Iremoved the affected alveolus with Listons powerful cross-cutting forceps. The widom-tooth was left, but the othei-teeth were necessarily sacrificed up to the left canine. Thehaemorrhage was free, but was controlled with the actualcautery freely applied, and the patient made a good recoveryin a fortnight. Mr. Ibbetson subsequently fitted someartificial teeth; the patient is now in much gi*eater comfortthan before. The growtli is fibrous in structure^ and is an exampleof pure hypertrophy. The preparation is in UniversityCollege Museum (1010). In conclusion, I would say that nothing less tha
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