. Roentgenographic diagnosis of dental infection in systemic diseases . nt of gastric and duodenalulcer. Unmistakable cases were cured sopromptly as to indicate a causative relation be-tween the dental infection and the destructiveprocess in the gastric wall. We cannot tell whichof the two factors is most important. There isthe irritation from the infected matter which isconstantly swallowed with the saliva and there isthe hematogenous infection. The demonstrationof this easily discoverable and removable causeof many cases of gastric and duodenal ulcer, is afact of great importance. Consider t
. Roentgenographic diagnosis of dental infection in systemic diseases . nt of gastric and duodenalulcer. Unmistakable cases were cured sopromptly as to indicate a causative relation be-tween the dental infection and the destructiveprocess in the gastric wall. We cannot tell whichof the two factors is most important. There isthe irritation from the infected matter which isconstantly swallowed with the saliva and there isthe hematogenous infection. The demonstrationof this easily discoverable and removable causeof many cases of gastric and duodenal ulcer, is afact of great importance. Consider the number of 1 Report of the Minnesota. Division of the Scientific Founda-tion and Research Committee, Journal of National Dental Assovmii,m. November, 1915. OF DENTAL INFECTION 65 these cases coming to the roentgenologist for diag-nosis after months or years of pain and loss ofweight and strength. Also the tendency to re-currence after medical treatment and the tendencyto produce adhesions interfering with gastric andintestinal digestion and transit. Also the danger. Figure 36a. Figure 36b. Figures 36a and 36b.—Alveolar Abscesses and Pyorrhea in Two Cases of Gastric Ulcer. of adhesions following operative treatment andthe ever-present danger that a chronic ulcer willdevelop into cancer. Figure 36a shows alveolar abscesses of bothroots of a lower molar tooth as one of the lesionsin the case of a lady who for two years had beentreated unsuccessfully for symptoms of gastricor duodenal ulcer. After seeing the radiographshe recalled that three years previously there hadbeen pain about this tooth, the only treatmenthaving been by counter-irritant applications. 66 ROENTGENOGRAPHS DIAGNOSIS Figure 36b shows an alveolar abscess as oneof the three dental foci of infection in a lady whohad a large hemorrhage from the stomach withtemporary recovery under absolute rest and suit-
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