The question how far children should be allowed to crack nuts may here
be considered. If the child has been brought up on pappy food, and has
in consequence brittle and ill-developed teeth, the cracking of hard
nuts will be likely to injure them, and this is _a fortiori_ true if
any of the teeth are carious or “filled.” And not only nuts but hard
food of any kind, such as ship’s biscuits, may in these circumstances
injure the teeth, as many of those who went through the recent South
African campaign can testify. But if, on the other hand, the child has
from the beginning been fed on coarse, hard foods, so that the teeth
have been allowed to grow dense and strong, no harm is likely to ensue
from cracking such nuts as filberts and Spanish nuts. If a squirrel
or a monkey weighing a few pounds can do so with impunity, surely the
young human should be able to also. The cracking should, however, be
done by the molars, while such hard nuts as Brazils had best not be
tackled at all.
Animal food does not need the same amount of mastication as vegetable
food, since it is not digested in the mouth, though some contend that
the mixture of proteid with alkaline saliva facilitates its subsequent
peptonisation. Cooked animal food is, however, all the better for some
mastication, owing to the coagulation of the proteids, and, in order
to insure the efficient mastication of meat, fish, and poultry, Dr.
Sim Wallace recommends that they should be given in large pieces cut
thin. “Flat pieces about one inch square generally _necessitate_ a
certain amount of mastication. It is difficult to swallow large flat
pieces of meat without mastication, but when finely minced little or no
mastication is called forth.” The younger the child the more underdone
should the meat be.
EXAMINATION OF THE MOUTH AND ADJACENT PARTS
If a child be brought up on the lines indicated and under healthy
conditions generally, it is tolerably certain that the maxillary
apparatus will develop normally, that the teeth will be strong and
well opposed, and show little tendency to disease; but, inasmuch as
the methods advocated are but seldom put into practice, disorders of
the teeth, more especially caries and irregularities, are common, and
hence with a view to promote more efficient mastication it is always
advisable to examine our patient’s teeth.
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