. Elementary and dental radiography . row points to an impacted upper, third molar, the cause of idioparhic neu-ralgia, from which the patient had suffered recurrently for from between twenty-five to thirtyyears. (Radiograph by A. M. Cole, of Indianapolis.) <loubtless pressing the inferior dental nerve. An effort to remove thecanal filling met with failure, and the tooth was extracted to relieve thepatient of the intense pain. Again I do not print radiographs of the casebecause the prints are not sufficiently clear to permit of good half-tonereproductions. 56. Tit Cases of Eudwigs Jingina.
. Elementary and dental radiography . row points to an impacted upper, third molar, the cause of idioparhic neu-ralgia, from which the patient had suffered recurrently for from between twenty-five to thirtyyears. (Radiograph by A. M. Cole, of Indianapolis.) <loubtless pressing the inferior dental nerve. An effort to remove thecanal filling met with failure, and the tooth was extracted to relieve thepatient of the intense pain. Again I do not print radiographs of the casebecause the prints are not sufficiently clear to permit of good half-tonereproductions. 56. Tit Cases of Eudwigs Jingina. Angina is defined in Borlands Medical Dictionary as any disease orsynii)t()ni characterized b\- spasmodic suftocative attacks: Ludwigsangina as purulent inflammation seated around the submaxillary there is a pus sinus opening on the neck in the region of thesubmaxillary gland, the patient is said to have Ludwigs angina. This isthe popular application of the term, and it seems to the writer unfor- 254 DENTAL RADIOGRAPHY. Fig. 293. Photograph of a case of so-called Ludwigs angina. Also a radiograph of the caseshowing an abscess of the first permanent molar. The fistulous tract cannot be seen. tunate, for there is seldom angina—, suffocative attacks—in these casesof suppuration of the neck. Fig. 293 is a photograph of a case of so-calledTig, 2^3. Ludwigs angina occurring in a child ten years of age. The accompanying radiograph of this caseshows an abscessed lower first molar, which was responsible for the sinuson the neck. The arrow points to a notch in the lower border of the bodyof the mandible. Extraction of the lower first molar and curettementof the alveoli was all that was necessary to effect a cure in this case. Hadthe patient been older, or not so vigorously healthful, the slightly necroticarea pointed to by the arrow would have required curettement through afacial opening. The radiograph happens to demonstrate the congenitalabsence of a lower second
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