_The tongue._--If the tongue is not properly exercised in childhood
and youth, we find it imperfectly developed; hence in inefficient
masticators it is generally small. It must not be forgotten in this
connection that this organ is considerably exercised when the infant
is at the breast, from which the milk is obtained, not by suction,
but by a vigorous tugging and squeezing of the nipple (in which the
tongue takes considerable part), whereby the gland is reflexly excited
to secrete. When, on the other hand, the child feeds at the bottle he
obtains his milk by actual suction, and generally through an orifice
of such ample dimensions as to allow the bottle to be rapidly emptied
with comparatively little exercise of the lips and tongue. In short,
the breast-fed infant has to do some work for his living, and that of a
sort calculated to promote the health of the jaws and their appendages,
while the bottle-fed child can glut himself by doing very little more
than opening his mouth; wherefore we find the tongue and adjacent parts
less developed in the latter than in the former. It may be thought to
be a matter of indifference whether the tongue develops to its normal
proportions or remains small, but such is by no means the case, for, as
Dr. J. Sim Wallace has shown, the pressure of this structure against
the teeth promotes the normal development of the jaws, especially of
the mandible, and when it is small they are apt to be so too.
_The salivary glands._--Just as mastication increases the functional
activity of the salivary glands and buccal glands and favours their
normal development, so, contrariwise, inefficient mastication during
early life fails to call forth their normal functional activity and
to secure their adequate development. Thus we find that a child who
has been brought up on hard, starchy foods, necessitating abundant
mastication has much larger and more active salivary glands than
one who has been fed on soft foods which slip down into the stomach
before they have had the chance of being properly masticated, and it
is needless to say that the more efficient these glands are the more
likely is digestion to be carried out satisfactorily.
_The jaw-bones._--If the jaws are not adequately exercised in youth
by mastication they fail to grow to their normal size and shape, and
there is apt in consequence to be overcrowding of the teeth. The main
defect of the jaws in such cases is their smallness; they do not
present that pronounced lateral compression and anterior protrusion
which characterise the mouth-breather’s jaw, nor such extreme dental
irregularity, the most common being overlapping of the incisors,
displacement of the canines, and difficulties in regard to the eruption
of the wisdom teeth from shortness of the alveolar ridge. I have
already referred to the progressive shortening in the post-molar ridge,
which has been taking place during man’s evolution from the anthropoid
in correspondence with the alteration in his diet.
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