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
This author relates having carried out several transplantations with
perfect success, a thing that contributed greatly to his renown not
only in France, but also in England. He distinguished himself, besides,
by the correction of dental irregularities. Lastly, it is to be
noted that this author frequently had recourse, as a remedy against
toothache, to the stretching of the dental nerve by means of moving and
partially raising the tooth (subluxation).
A. WESTPHAL. In proof of the great utility of lancing the gums in
cases of difficult dentition, A. Westphal reports a case in which the
difficult eruption of an upper canine tooth provoked considerable
inflammation and protrusion of the eye on the same side as the tooth;
these symptoms promptly disappeared, however, as soon as the gum was
lanced down to the tooth itself.[476]
J. BERTIN also declares himself in favor of this operation; he
recommends never to neglect it in cases of difficult dentition, and to
make the said incisions deep and wide enough.[477]
L. H. RUNGE, a surgeon of Bremen, published, in 1750, a monograph on
the diseases of the frontal and maxillary sinuses. He says that in
cases of inflammation of Highmore’s antrum, the pus may make its way,
corroding the bone, as far as the alveoli, or, sometimes, as far as
the orbital cavity; and, _vice versa_, alveolar suppuration can give
rise, by diffusion, to abscess of the maxillary sinus. In this latter,
tumors of various kinds may form (polypi, cysts, sarcomas, cancers,
exostosis), the existence of which is ignored at first, and only
becomes manifest tardily. Runge’s father, who was also a surgeon, had
occasion to observe, and to treat an important case of disease of the
maxillary sinus, with considerable dilatation of the same, not only
on the side of the cheek, but also on the side of the palate and of
the nasal fossæ. With a strong scalpel he perforated the outer wall of
the antrum above the molars (keeping the cheek detached) and enlarged
the aperture by making the instrument turn around on its own axis,
thus giving exit to a considerable quantity of non-purulent liquid.
Detersive and aromatic injections were used for some time. The canine
tooth, situated obliquely, having been extracted, its alveolus was
found to communicate with the antrum. From this moment, the injections
being continued, a rapid improvement was obtained and the patient was
so completely cured that no deformity of the face remained.
Runge relates a case in which, having extracted a canine tooth, he
found a cyst adhering to its root. From this he is induced to believe
that in the case related above the disorder was also to be attributed
to a large cyst having its origin in the root of the canine.
According to him, the ozena always stands in relation to a suppurative
affection of the maxillary sinus, and for its treatment one must,
therefore, have recourse to Drake’s operations.[478]
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