General and dental pathology with special reference to etiology and pathologic anatomy; a treatise for students and practitioners . or (accord-ing as to whether it is an upper or a lower tooth, respectively),involves the overlying soft tissues, causes an interstitial abscessamong the fascial layers, and discharges at some point on the faceor The symptoms accompanying the involvement of the soft tis-sues of the face or neck, in the case of an acute dentoalveolarabscess, which will discharge upon the external aspect, are unmis-takable. At some area in the swelling in the face or neck the
General and dental pathology with special reference to etiology and pathologic anatomy; a treatise for students and practitioners . or (accord-ing as to whether it is an upper or a lower tooth, respectively),involves the overlying soft tissues, causes an interstitial abscessamong the fascial layers, and discharges at some point on the faceor The symptoms accompanying the involvement of the soft tis-sues of the face or neck, in the case of an acute dentoalveolarabscess, which will discharge upon the external aspect, are unmis-takable. At some area in the swelling in the face or neck the 4Turner, J. G.: In Practice of Dental Surgery, by N. G. Bennett. 430 DENTAL PATHOLOGY inflammatory symptoms are exaggerated: there is increased red-ness, a marked degree of heat to the touch, exquisite tendernessto palpation, and toward the last unmistakable the rupture of the skin the discharge will continueuntil the cause is removed—or else will heal over temporarily, toagain discharge when exacerbations of the infection occur (sub-acute abscess. In the event that the cause is not removed, or is only. Fig. 343.—Submental sinus. Opening of a sinus from a subacute dentoalveolar abscess in a lower incisor. partially so, the condition becomes chronic. It may be timely toadd that a sinus leading from a focus of infection to the ex-terior is natures way of eliminating the infection so far as itmay be possible without mechanical or surgical interference, anda more logical way than that which attempts to drain it throughthe pinhole opening at the apex of the root. In some cases the drainage of a dentoalveolar abscess takesplace through a channel between the alveolar wall and its perios- Ai i Ti: APICAL DENTOALVEOLAR ABSCESS IM triiin. and this occurs as well in the case of abscesses upon theupper teeth as upon the lower. Abscesses in connection with lowermolars, apparently disobeying the laws of gravity, will discharge;it the neck of the tooth, owing to the
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectpathology, bookyear19
