. Elementary and dental radiography / by Howard Riley Raper . insomnia, neurasthenia, mania, hysteria, mel-ancholia and dementia, it would hardly be in keeping with a work of thiskind, and I shall therefore give but one case, which is more or less typical. Case: Melancholia and insomnia. An unmar-Tifl. 295. ried woman, twenty-seven years old, a teacher, for a year had been profoundly melancholy with intract-able insomnia, delusions of various deadly sins, and entire hopelessnessof recovery. Restlessness was extreme, tonic and local uterine treatmentwere of no avail. As a last resort the teeth
. Elementary and dental radiography / by Howard Riley Raper . insomnia, neurasthenia, mania, hysteria, mel-ancholia and dementia, it would hardly be in keeping with a work of thiskind, and I shall therefore give but one case, which is more or less typical. Case: Melancholia and insomnia. An unmar-Tifl. 295. ried woman, twenty-seven years old, a teacher, for a year had been profoundly melancholy with intract-able insomnia, delusions of various deadly sins, and entire hopelessnessof recovery. Restlessness was extreme, tonic and local uterine treatmentwere of no avail. As a last resort the teeth were examined. They wereapparently in perfect condition. A skiagraph (Fig. 295) showed an im-pacted upper third molar tooth pressing against the second molar, a con- THE US US OF THE RADIOGRAPH IX DENTISTRY 259 dition obviously capable of causing irritation. Tbe symptoms, in abouta week after the removal of the tooth, began to improve. Recovery wascomplete in six or eight weeks, and has persisted. There had been at notime pain or other localizing Fig. 295. Impacted upper third molar, causing melancholia and insomnia. (Radiograph by Lodge, of Cleveland.) In concluding our consideration of this subject, I quote from a recentpaper by Dr. Upson : The following is a tabulated statement of cases of neurasthenia andthe psychoses seen in private practice during about two and a half years,in which skiagraphic examinations of the teeth and jaws were results represent the first stumbling efforts in a new and unknownfield, and so do not adequately show what may be accomplished by skilland careful endeavor along the same line: Num- Opera- Recov- Conval- Tm- Unim- Nober tion ery escent proved proved Data Manic depressive type 11 9 5 .. 2 .. 2 Dementia precox 10 8 5 1 . 2 Psychosis 4 4 1 2 .. .. 1 Insomnia 7 6 2 .. 4 Neurasthenia 26 15 1 4 6 1 3 58 42 14 7 12 3 6The following is a separate statement of the cases of impaction in-cluded above: Num. Opera- Recov- Conval- Im
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