A History of Dentistry from the most Ancient Times until the end of the Eighteenth CenturyGuerini, Vincenzo
History
A History of Dentistry from the most Ancient Times until the end of the Eighteenth Century
Guerini, Vincenzo
Dentistry -- History
There is no doubt that the existence of the maxillary sinus was already
known before Highmore, the celebrated anatomists Vesalius, Ingrassias,
Eustachius, and Fallopius having spoken of it very clearly; only
through ignorance of the history of anatomy has it been affirmed by
many that this cavity was discovered by Highmore, to whom is only
due the merit of having described the maxillary sinus, by him called
_antrum_, most accurately, and of having made known the possibility
of a communication between it and the mouth. Highmore calls attention
to the fact that the inferior wall of the antrum often presents small
projections, which correspond with the tops of the alveoli, and that
the osseous lamina which interposes between these latter and the
maxillary sinus is often extremely thin; for which reason, it may
easily happen that, in extracting one of the teeth below the cavity,
one may bring away together with the tooth the small osseous plate that
forms the bottom of the alveolus, thus leaving the maxillary sinus
open at its inferior part. With regard to this, he refers to a most
interesting case which afterward acquired a high degree of notoriety.
It relates to a lady who had suffered from toothache for some years,
and who from time to time had had several decayed teeth extracted,
without, however, finding relief. The pain only ceased after the
patient had had the left upper canine removed. But after this operation
an incessant flow of humors from the alveolus of the extracted tooth
took place. The patient, in great anxiety at this circumstance and
desirous of seeing clearly into the causes of it, herself explored
the affected part with a silver probe, the entire length of which
penetrated into the cavity, producing in the patient the effect of its
having reached the eye. Still more amazed, and urged on by the desire
of becoming still better acquainted with the extent of the evil, she
now made use of a long feather, which she had previously stripped,
and discovered to her painful surprise that this new instrument of
exploration entered to so great a distance that it, according to her
idea, penetrated into the skull. From this she derived argument for
the belief that the morbid phenomenon had its origin in her brain.
Believing herself affected with a serious malady, she consulted
Highmore, who had the satisfaction of being able to tranquillize her
completely by making her understand that the jaw bone is hollow in the
inside, and that its cavity had remained open underneath in consequence
of the extraction of the canine tooth; and also, that the feather had
not penetrated to such a distance as she supposed, but had curved
inside the bone. As to the discharge which had given so much trouble
and alarm, Highmore considered it quite a natural circumstance, derived
simply from the opening of the antrum, as he held that in many cases
the maxillary sinus contains mucus, and that this condition was,
therefore, altogether normal.
Public-domain text, read in full here on John Shaqi.
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