. Elementary and dental radiography / by Howard Riley Raper . iately began to wonder whether or not I was about to discover an authentic caseof congenital absence of a first molar. I say authentic, because in records of this 152 DENTAL RADIOGRAPHY kind it is not always that one may be sure that the history is authentic. But inthis particular case there can be no doubt. The child was the sister of another girlin my care and had been under my observation since she was four years of age,I have casts of her mouth at the age of five, which show the primary denturecomplete. I may add also that there


. Elementary and dental radiography / by Howard Riley Raper . iately began to wonder whether or not I was about to discover an authentic caseof congenital absence of a first molar. I say authentic, because in records of this 152 DENTAL RADIOGRAPHY kind it is not always that one may be sure that the history is authentic. But inthis particular case there can be no doubt. The child was the sister of another girlin my care and had been under my observation since she was four years of age,I have casts of her mouth at the age of five, which show the primary denturecomplete. I may add also that there never had nor has been any caries, and con-sequently there was no possibility that a molar had been extracted, a suspicionalways warranted when we find a first molar absent from the mouth of an ordinary small mouth radiograph was made, and while it did not disclose theshadow of a molar, neither did it satisfactorily show what really existed. I there-fore determined to have a large radiograph made, so that we might have a pictureof the entire Fig. A. Odontoma in region which should normally be occupied by lower first molar. Patient S yearsold. Malposed lower second molar. (Radiograph by Schamberg, of New York City.) The patient was sent to Dr. M. I. Schamberg, who made radiographs of bothsides of the mandible, that we might compare them. The radiographs are repro-duced in Figs. A and B. My surprise may be imagined when I found that in theregion which should have been occupied by the second bicuspid and the first molar,there was a well-defined composite odontoma. And perhaps even more astonishingis the position of the molar lying distally of the tumor. Whether this tooth, whichis seen lying horizontally in the bone, is the first molar or the second molar, is aquestion that has been raised by an orthodontist of national reputation, a man of THE USES OF THE RADIOGRAPH IN DENTISTRY 153 keen judgment and well informed as to tooth forms. While I am willing to admittha


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