General Anatomy, Applied to Physiology and Medicine, Vol. 2 (of 3)Bichat, Xavier
Science
General Anatomy, Applied to Physiology and Medicine, Vol. 2 (of 3)
Bichat, Xavier
Human anatomy; Human physiology
The following phenomena take place about the sixth or seventh month
after birth, very rarely sooner, still more rarely before birth, though
there are examples of this, as is proved by the history of Louis XIV.
At first the two small incisor teeth of the lower jaw appear, sometimes
together, sometimes separately; soon after the corresponding incisors
of the superior jaw. A month or two later, the four other incisors
are cut. At the end of the first year, the four canine teeth usually
appear. At the end of the second, or often later, two molar are cut
in each jaw and two others soon follow. Each cutting almost always
begins in the lower jaw. At the age of four years, four and a half,
sometimes five or six, always at a very uncertain period, there appear
below two other molars and then two above, which complete the number
of twenty-four teeth forming the first dentition; all these except the
last four fall out and are replaced by new ones.
The following is the mechanism of this first dentition; the
ossification extending constantly towards the root, the tooth can no
longer be contained in the socket; it pierces the alveolar portion of
the membrane and the mucous membrane of the mouth and an intermediate
medullary texture that separates them, with much ease, as this triple
layer gradually becomes thinner as the cutting approaches. Is this
phenomenon owing only to the mechanical pressure of the tooth? I think
that there is another cause; for observe that here the membranes are
very little raised before rupturing; whilst that in polypi and other
tumours that sometimes arise under the membrane of the gums, it is
infinitely more stretched, still it does not break, but is only lifted
up. The mechanism of the opening of the gums is not more known than the
principle of the severe accidents which are sometimes connected with
it. The sac which formed the original membrane of the follicle being
thus open, its portion which lines the socket unites to the membrane
of the mouth, becomes continuous with it and at the same time adheres
intimately to the neck of the tooth; and as during the development
of the root, the internal face of this membranous portion, at first
loose as we have seen, has gradually contracted adhesions with it, it
follows that this root is found fastened between the alveolar portion
which lines its exterior, and the medullary portion which covers the
interior; it is this which gives it solidity. As the adhesions of
the membrane increase, we can less easily distinguish it. It is rare
that in the first dentition the formation of the root is finished as
completely as in the second; its internal cavity remains also very
broad, and the marrow is more developed.
_Second Dentition considered before Cutting._
Public-domain text, read in full here on John Shaqi.
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