Dental anomalies and their influence upon the production of diseases of the maxillary bones / by A.M. Forget ; translated from the French.

  • Forget, Am. (Amédée), 1811-1869
Date:
1860
Catalogue details

Licence: Public Domain Mark

Credit: Dental anomalies and their influence upon the production of diseases of the maxillary bones / by A.M. Forget ; translated from the French. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    made no sensible progress for a period of eight years. The whole of the left side of the jaw then became tumefied, and the bone, in the words of the patient, broadened and rounded. He also observed at this time that the large molars were wanting in the diseased part, while they were regu- larly developed on the right side. This morbid enlargement was accompanied by frequent fluxions of the gums, cheek, and whole left side of the face. The recurrence of this fluxion was attended by great pain, and caused an increased tumefaction in the soft parts to such an extent that the difference between the sides of the face became absolute deformity. In November, 1854, a violent inflammation occurred in the base of the jaw and the cervico-maxillary region. Antiphlogistic treatment was em- ployed, two applications of leeches were made, and the inflammatory symptoms decreased, and, fifteen days afterwards, purulent matter formed in the thick part of the cheek, which opened spontaneously, allowing the issue of a large quantity of fetid pus. The opening of this abscess became fistulous; the surrounding tissues thin, detached, and under them the bone was naked for a very considerable extent. Actual condition.—Young L., aged twenty, strong, well-developed, with an excellent constitution, and health perfect in all respects, excepting the local affection. The disease appears externally in a considerable tumefaction of the left cheek, which is more than three times its natural size; and the tumor has caused a very marked eccentric development to the corresponding maxil- lary bone. When the patient opens his mouth, which he does without effort, the whole left side of the bone was seen to resemble a large turkey-egg; the base of the jaw being confounded, without appreciable line of demarka- tion, with the internal and external faces which describe a very consider- able curve. The tumor is uniform, without depressions, or any irregular swellings upon the surface. It does not yield to pressure, and no part of it gives that sound of crepitation which is a characteristic of attenuation of the osseous tissues. The external swelling hides the superior and lateral part of the neck, descending in front several centimetres, [0-3931 inch.] The enlargement of the bone has forced the tongue from its true direction, and the floor of the mouth has been driven from the left to the right. The alveolar ridge, singularly enlarged, contains none of the grinding teeth except the first bicuspid, which stands regularly in its socket. The tissue of the gums is dark red, and unusually thick and hard. In a cir- cumscribed spot, about the size of a twenty-centime-piece, the tissue is broken, and exhibits an unequal, wrinkled, grayish surface, which gives a dry sound when struck with a metal probe, as if the crown of a tooth were hidden in the cavity.
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