Interstate medical journal . ain resecting the jaw if the union wasfibrous. Dr. Whipple also crowned the lower teeth posterior of the cut so that 716 BLAIR. they would occlude the upper, and filed some points to improve theocclusion of the incisors. I crave pardon for this digression, but the article referred to is some-what misleading. In this case the bone sections were made at the site of the abnormalgrowths. That on the left being broadest, which was situated betweenthe bicuspids, was taken as a gauge and a section nine thirty-secondsof an inch was removed from each side. On the right the
Interstate medical journal . ain resecting the jaw if the union wasfibrous. Dr. Whipple also crowned the lower teeth posterior of the cut so that 716 BLAIR. they would occlude the upper, and filed some points to improve theocclusion of the incisors. I crave pardon for this digression, but the article referred to is some-what misleading. In this case the bone sections were made at the site of the abnormalgrowths. That on the left being broadest, which was situated betweenthe bicuspids, was taken as a gauge and a section nine thirty-secondsof an inch was removed from each side. On the right the space betweenthe bicuspid and the molar was not as great and the second bicuspidwas removed. There was a shooting forward of the whole jaw be-sides, and the amount removed was not sufficient to entirely correctthe deformity. You will still perceive some lateral projection. Besidesthis the only abnormality he now has is the almost complete loss of cu-taneous sensation in the lower lip, the area supplied by the inferior dental. Fig. 1. Fig. 2. Fig. 3. nerve through the mental foramen. The sensation of the tooth pulpis good. Figure 1 is a cast of patients jaws before the operation. Figure2 shows the present condition with the molars capped with the goldcrowns. Figure 3 shows what this condition would be with properorthodontic treatment; here the gold crowns have been removed, theinferior incisors shortened and the superior incisors moved forwardto a proper position. This, of course, was done in the cast, but itwould be perfectly practical and should be done on the patient, andwould have been done had I at that time a sufficient knowledge of thepossibilities of orthodontic operations. It could still be done and wouldgive a better result than the method proposed in the same case by in a friendly commentary on my operation in a previous issueof the Cosmos, as it would produce a more nearly ideal facial outline. These casts express the difference in our ideas as to the treatm
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