Oral surgery; a text-book on general surgery and medicine as applied to dentistry . nded periods must necessarily be unsanitary. Es-pecially is this true in cases of fracture where open woundsexist. An interdental splint, to be effective, must be con-tinuously worn for at least one month, usually six an effort is made daily toward cleansing, putrefac-tive conditions are always found. Eemoval of the splintwould mean displacement. External Appliances.—The treatment of fractures ofthe mandible has included almost every variety of mechan-ical apparatus that could possibly have been use
Oral surgery; a text-book on general surgery and medicine as applied to dentistry . nded periods must necessarily be unsanitary. Es-pecially is this true in cases of fracture where open woundsexist. An interdental splint, to be effective, must be con-tinuously worn for at least one month, usually six an effort is made daily toward cleansing, putrefac-tive conditions are always found. Eemoval of the splintwould mean displacement. External Appliances.—The treatment of fractures ofthe mandible has included almost every variety of mechan-ical apparatus that could possibly have been used for the AFTER-TREATMENT 403 purpose. The bandage of Barton, or of Hamilton, or Gar-retsons modification of Bartons, or the vulcanite splintadjusted to the external surface of the mandible, as ad-vised by Heath, or the same variety of external supportmade of metal, plaster of Paris or other material, are allmethods of a more or less temporary nature, and are effi-cient only in those cases where the fracture is transverseand the displacement is not oreat, or when reduction has. Fig. 207.—Fracture of Ramus with Wires in Position. been accomplished and there is no tendency for displace-ment to return. With these methods it is impossible to holdoblique fractures of the ramus, or any part of the bonewhich includes the teeth, in perfect position. Previous tothe introduction of interdental splints and wiring, it wasquite common for considerable deformity to follow frac-tures of the mandible. After-Treatment.—In the after-treatment of fracture ofthe mandible, if the retaining apparatus has secured andmaintained a perfect adjustment throughout, it should be 404 FRACTURE OF THE MANDIBLE kept in position for six or eight weeks in the most favora-ble cases. In compound fractures with suppuration, whichis usual, a much longer time is required for perfect unionto take place. If mechanical means are perfect, externalbandages and apparatus are entirely unnecessary. Fractures of the Alve
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1912
