. The teeth in health and disease . lications in theExtraction of Teeth. Like other surgical operations the extractionof teeth is at times attended with certaindifficulties and complications and the healingof the gums may not proceed as favourably ascan be desired. Considerable resistance toefforts to effect the removal of a tooth willsometimes occur. This is naturally, thoughnot always, most frequently met with in thoseof strong physique. Isolated teeth remaininglong after their neighbours are lost are alwaysmore difficult to extract than those in series, asthe bone in the vacant sockets beco
. The teeth in health and disease . lications in theExtraction of Teeth. Like other surgical operations the extractionof teeth is at times attended with certaindifficulties and complications and the healingof the gums may not proceed as favourably ascan be desired. Considerable resistance toefforts to effect the removal of a tooth willsometimes occur. This is naturally, thoughnot always, most frequently met with in thoseof strong physique. Isolated teeth remaininglong after their neighbours are lost are alwaysmore difficult to extract than those in series, asthe bone in the vacant sockets becomes con-solidated around them. Colyer (Lecturer on Dental Surgery to EXTRACTION OF TEETH 115 the Charing Cross Hospital) says :— It mayperhaps be found impossible to remove thetooth. When this is the case it is better todismiss the patient and to make a fresh attempttwo or three days later. The tooth will prob-ably be loose as a result of the inflammationand can be easily removed. ! The chief causes of undue resistance to efforts. Fig. 57.—Lower Molar Teeth with roots enlarged by Exostosis. of extraction are abnormal density of thebone, divergent or twisted roots, or the en-largement of the roots of the tooth broughtabout by a disease known as exostosis, which ismet with very frequently where a gouty ten-dency exists. Broken-down teeth and rootsare obviously the most difficult to extract, butwith a good set of modern instruments, skil-fully employed, the dentists power to removeeven the most unpromising-looking roots is sur-prising ; but at the same time the occasional 1 Extraction of the Teeth. Colyer. n6 THE TEETH fracture of a tooth and the inability to removethe roots at the same sitting are not proofs ofwant of skill. Coleman (Examiner in Dental Surgery)says:—A tooth, the attachments of whichare of greater strength than its own cohesiveforce, must of necessity yield in the latter,as will a rotten carrot when attempted tobe pulled from the ground. In such cases,should
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