The Dental cosmos . TREATMENT OF FRACTURES OF THE 613 Case 3. About twenty-four hours after the adjustment of the appli-ance, the patient complained of numbness extending from the pointof fracture to the symphysis. On examination, after the removal ofthe chin-piece, it was thought that the numbness was due to an injuryof the nerve at or near the mental foramen. It remained for someweeks, but eventually normal sensation was regained. The splint was worn with comfort for six weeks, the chin-piecebeing occasionally removed for the purpose of cleansing. Occlusionof teeth was found correc
The Dental cosmos . TREATMENT OF FRACTURES OF THE 613 Case 3. About twenty-four hours after the adjustment of the appli-ance, the patient complained of numbness extending from the pointof fracture to the symphysis. On examination, after the removal ofthe chin-piece, it was thought that the numbness was due to an injuryof the nerve at or near the mental foramen. It remained for someweeks, but eventually normal sensation was regained. The splint was worn with comfort for six weeks, the chin-piecebeing occasionally removed for the purpose of cleansing. Occlusionof teeth was found correct at this time. Case 5.—Male, aged thirty. Treated at Bellevue Hospital, jaw fractured at the symphysis. The left central incisor, beingloose, was removed. The right fragment was displaced downwardand inward ; the left inward. The splint used in this case was similar to the one last described,except that for the steel wire, gutta-percha chin-piece, and rubber Fig. band, an external metal compress was substituted. This was con-structed from a saw-frame such as is used by mechanical dentists(Fig. 13). To this was attached a revolving brass chin-piece(Figs. 14, 15) ; this was padded with spongio-piline covered with oiledsilk (Fig. 16). The splint was worn four weeks, when occlusion ofthe teeth was found to be correct. This external metal compress was found to be simpler in its con-struction, more readily applied, and more effective. The chin-pieceshould be made of any size or form the case may require. If thereare external wounds or abscesses, holes should be cut in the chin-piece corresponding with these, thus permitting drainage and treat-ment. For the reduction or retention of any fracture of the lower jaw withmuch displacement, and where external pressure is required, this formof splint will prove as effective as any appliance that may be used, it is not always necessary to completely reduce the fractureat the time of introductio
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectdentist, bookyear1890
