Dental review; devoted to the advancement of dentistry. . melting down of the alveolar processes and the positively discover-able granular, sheetlike and nodular deposits on the roots of theteeth, accompanied by the formation of pus, which does not cease to ORIGINAL COMMUNICATIONS 547 flow until these deposits are removed surgically. This is a true necro-sis of hard and soft tissues. What are we to argue from this? If mercury, or uric acid, orstored urea or the alcohol habit plays such an important part in theinception and continuance of the loosening of the teeth why will notthe disease of th
Dental review; devoted to the advancement of dentistry. . melting down of the alveolar processes and the positively discover-able granular, sheetlike and nodular deposits on the roots of theteeth, accompanied by the formation of pus, which does not cease to ORIGINAL COMMUNICATIONS 547 flow until these deposits are removed surgically. This is a true necro-sis of hard and soft tissues. What are we to argue from this? If mercury, or uric acid, orstored urea or the alcohol habit plays such an important part in theinception and continuance of the loosening of the teeth why will notthe disease of the gums be arrested or eliminated by discontinuance ofthese habits without local treatment? The uric acid theory, it seemsto me, while sound as to its general effect on the whole economy,plays but an inferior and inconsequential part in the destructionof the alveoli. Mouth breathing, as is well known, affects the superior teethoperated upon by the entrance and expulsion of the air through themouth, and not those of the inferior jaw, or only slightly. The. Fig. 3. Wiring teeth with gold wire. (G. W. Pitts.) mouth-breather usually has the spreading of the six anterior teethaccompanied by their distortion, and but rarely are the bicuspids ormolars affected, unless occasioned by the presence of and activityof a microorganism yet unknown and undiscovered. Pyorrhoea alveolaris, as we know it in Chicago, Xew York orBoston, is a disease, principally of local origin, due perhaps in manyinstances to some of the exciting causes mentioned by numerouswriters, but proliferated and extended by the putrefactive fermentof Wedl previously quoted. The medicinal causes will readily occur to you. They have beendwelt upon by so many writers that I need not particularly at this timeenumerate them. The use of the file and disc, the incomplete restora-tion of the interproximate space, rapid wedging, the extraction of 548 THE DENTAL REVIEW. teeth, all have a bearing on the inception of this disease. Badl
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