. The Dental cosmos . th pus flowing fromthe gingival margin. A silver probe passedinto the pus pocket of the loose teeth wouldtravel upward into the external surface ofthe maxilla. By probing, I could ascertainthat there was considerable bone inquiry into the history of this case,the patient admitted to me that he had hada chancre twenty years ago, but he deniedever having had secondary symptoms. Aserum diagnosis was made, which showed apositive Wayserman reaction. The patientwas then placed under anti-syphilitic treat-ment, and within two weeks we succeeded ininducing the tu
. The Dental cosmos . th pus flowing fromthe gingival margin. A silver probe passedinto the pus pocket of the loose teeth wouldtravel upward into the external surface ofthe maxilla. By probing, I could ascertainthat there was considerable bone inquiry into the history of this case,the patient admitted to me that he had hada chancre twenty years ago, but he deniedever having had secondary symptoms. Aserum diagnosis was made, which showed apositive Wayserman reaction. The patientwas then placed under anti-syphilitic treat-ment, and within two weeks we succeeded ininducing the tumor to break down. The pa-tient was operated upon shortly after. The right maxillary bone was found to be con-siderably necrosed. We therefore removedthe entire degenerated mass and packed withgauze, which was later removed to allow thewound to heal by granulation. The patientmade splendid progress, and ten days laterwas given an injection of salvarsan. He hasmade an uninterrupted recovery. (See and 4.) Fig. Results after anti-syphilitic treatmentand surgical interference. This patient for almost twenty yearshad frequently consulted a dentist in re-gard to his loose teeth, yet at no timewas an attempt made to diagnose his case,except that he was told he had pyorrhea,just because his teeth were loose ! Attention is called to another case, asfollows: Mrs. S., twenty-seven years of age, noticeda swelling over the right second consulted her dentist, who informed herthat she had a blind abscess. He painted theexternal surface with iodin, and later appliedwhat the patient called a gum blister. She,however, noticed no improvement, so the den-tist extracted the tooth. The swelling re-mained at a standstill, and so one by one she 1310 THE DENTAL COSMOS. had the molars and the remaining bicuspidextracted. This gave her no relief, and thecondition became worse, evidently owing tothe infection entering through the woundcaused by the extraction. The dentist diag-nose
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