Interstate medical journal . 506 INTERSTATE MEDICAL JOURNAL The radiographic evidence of an apical abscess (see Fig. 1, 2, 3) is easily demonstrated by a more or less circular shadow about theapex of the tooth which represents a granuloma. This is practicallyalways in bone which has been absorbed during the process of de-velopment of the abscess. It is characteristic of these granulomatato have tough resistant sacks which can be easily removed en masseby curettement. Cultures from them invariably show the presenceof streptococcus Fig. 3.—High-power microphotograph of granuloma. E, g
Interstate medical journal . 506 INTERSTATE MEDICAL JOURNAL The radiographic evidence of an apical abscess (see Fig. 1, 2, 3) is easily demonstrated by a more or less circular shadow about theapex of the tooth which represents a granuloma. This is practicallyalways in bone which has been absorbed during the process of de-velopment of the abscess. It is characteristic of these granulomatato have tough resistant sacks which can be easily removed en masseby curettement. Cultures from them invariably show the presenceof streptococcus Fig. 3.—High-power microphotograph of granuloma. E, granulation tissue. The most potent causes of apical abscesses are: first, infectedpulps; and secondly, faulty root canal technic. The treatment of these cases is divided into three groups; first,medicinal; secondly, surgical; and lastly, radical. The medicinalconsists of applying disinfectants to the root canals, such as formocresol. The surgical treatment of root scaling or apecoectomy withcurettement and the radical treatment of extraction and bonecurettement. Tracy: New Findings in Epilepsy 507 SOME NEW FINDINGS IN EPILEPSY. By EDWARD A. TRACY, M. D., Boston. A somewhat intensive study of a case of epilepsy during the pastyear resulted in the findings briefly described below. The findingsare based on notes of over five hundred examinations in which thereflex-vasoconstriction reaction-times and the reflex vasoconstric-tion valuations are carefully recorded. The case studied is one of chronic epilepsy, the patient, a girlnow fift
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