Lead poisoning and lead absorption : $b The symptoms, pathology and prevention, with special reference to their industrial origin, and an account of the principal processes involving riskLegge, Thomas Morison, Sir
Science
Lead poisoning and lead absorption : $b The symptoms, pathology and prevention, with special reference to their industrial origin, and an account of the principal processes involving risk
Legge, Thomas Morison, Sir
Lead poisoning
1. A fine bluish line is seen around the gingival margins, more
pronounced on the interdental papillæ of the gum, and always more
marked around such teeth as are coated with a deposit of tartar
than around teeth which are clean. This line is undoubtedly due to
the decomposition of the lead salts which have gained access to the
mouth, by the sulphuretted hydrogen produced by the decomposition and
putrefaction of food, epithelial débris, and other materials, which
have accumulated around the edges of the teeth and in the interdental
spaces. Peculiar evidence of this may often be seen in the mouths of
certain persons whose parotid glands are discharging saliva which
promotes deposits of calculus. Thus, one may often find merely the two
first upper molar teeth on both sides of the upper jaw coated with
tartar, no other teeth in the upper jaw being similarly affected. This
deposit of calcium phosphate and carbonate is exceedingly porous,
and becomes saturated with the products of decomposition, evolving
sulphuretted hydrogen in fairly large quantities. In the mouths of
such persons working in lead factories a dark bluish staining of the
cheek in apposition to the filthy tooth may be frequently seen, and
where the rest of the teeth are free from deposit no such staining
is observable. Viewed with a hand-lens, the blue line is seen to be
made up of a large number of minute granules of dark colour which are
deposited, often deeply, in the tissue. It is a matter of importance to
note that a blue line is rarely seen in the mouths of those persons who
pay attention to dental hygiene; where the teeth are clean, the gums
closely adherent to the teeth, and entire absence of pus and freedom
from deposit we have never seen a Burtonian line produced. Many of the
so-called healthy mouths with _perfect teeth_ have yet _infected gums_.
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