where C represents the canine, I₁ and I₂ the central and lateral
incisors, and the double lines indicate the position of the clefts.
Careful examination of a considerable number of skulls has brought
much confirmatory evidence to light, indicating the truth of the above
proposition. Thus, to pick out a few facts from the mass of material
available:—Sabourand[53] records two cases of unilateral harelip with
cleft palate, one of which died at the age of thirty-three days. In
each the dentition was typically that described by Albrecht, viz.
four teeth on the side of the cleft (two molar, one canine, and one
precanine), and six on the opposite (two median incisors, one lateral
incisor, one canine, and two molars). Broca[54] has reported a case
of a much deformed fœtus stillborn at seven months. In this there was
cleft palate and double harelip with the os incisivum freely moveable,
but not displaced. The bone was found to consist of two little masses,
mobile on each other, and each containing two incisor germs; and on each
side external to the cleft there was a precanine similar in shape to the
incisors. The middle one of these three incisors was distinctly the least
developed.
Again, Sir William Turner[55] has carefully investigated the dentition,
as seen in casts obtained from various hospitals, of fifteen specimens
of alveolar harelip, eight of which were single left-sided, four single
right-sided, and three double clefts. To these he adds the records of
forty-nine preparations examined and reported on by Kölliker;[56] we can
here, therefore, discuss the dentition of sixty-four cases. They may be
divided into two groups:
(α) In which no precanine intervened between the cleft and the
canine—thirteen cases.
(β) In which a precanine existed between the cleft and the
canine—fifty-one cases.
In not a few instances the os incisivum contained four teeth, and yet a
precanine existed external to the cleft, _i. e._ in hexaprodontous jaws
the cleft passed between the middle and outer precanines.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account