. Injuries and diseases of the jaws : the Jacksonian prize essay of the Royal College of Surgeons of England, 1867. ly, but fortunately being able to preserve the teeth,and the patient is now quite well, eight years afterwards. When the epulis is very extensive, it may be convenientlyremoved with the alveolus to which it is attached, by making 246 EPULIS. a vertical incision with a small saw at each extremity of thedisease, and then connecting the cuts by a horizontal onewith cross-cutting bone forceps. Under no circumstances,except when the growth is of a malignant character, canit be necessa
. Injuries and diseases of the jaws : the Jacksonian prize essay of the Royal College of Surgeons of England, 1867. ly, but fortunately being able to preserve the teeth,and the patient is now quite well, eight years afterwards. When the epulis is very extensive, it may be convenientlyremoved with the alveolus to which it is attached, by making 246 EPULIS. a vertical incision with a small saw at each extremity of thedisease, and then connecting the cuts by a horizontal onewith cross-cutting bone forceps. Under no circumstances,except when the growth is of a malignant character, canit be necessary, I believe, to cut through the whole thicknessof the lower jaw, since it has been shown repeatedly thatcommon epulis never involves the base of the bone, and thecontour of the face depends so much upon its preservation,that it should not be interfered with. When the growth is of large size and situated at the sideof the mouth, some difiiculty may be experienced in extir-pating it, but with properly made angular and semicircularbone-forceps .(tigs. 125 and 126) this may generally be over- Fio. 125. Fig.
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