The Brooklyn Medical Journal. Vol. II. No. 2. Aug., 1888Various
Science
The Brooklyn Medical Journal. Vol. II. No. 2. Aug., 1888
Various
Medicine -- Periodicals
Occasionally it has seemed to me that you can stop the further progress
of a periostitis, if you get it in an early stage, and prevent it from
going on to suppuration. I remember one case of a gentleman who applied
to me for a very painful gumboil in his lower jaw opposite the first
molar. The gum was swollen and reddened, and a well-marked phlegmon
could be felt. I gave him fairly large doses of mercury for a couple of
days, and it gradually melted away. There was no suspicion of syphilis
in this case.
Another remedy I believe to be of great value in treating neuralgia of
the face starting in periosteal irritation, is phosphorus. The best form
in which to administer this remedy is the preparation known as
Thompson’s solution. I can testify to this from personal experience.
Some twelve years ago I suffered from periostitis of the first bicuspid
of the upper jaw on the right side. A couple of years later, while
working hard, I had an attack of intense neuralgia of the entire second
division of the fifth. When it subsided, it left some periosteal
thickening at the exit of the nerve from the infra-orbital foramen; and
ever since then, whenever I get run down by overwork or worry, the same
pain crops out. But I have found that a few doses of phosphorus will
completely hold it in check; and in one or two patients, since then, I
have seen the same fact, that in the neuralgia due to periosteal
irritation this remedy holds a high place.
It has seemed to me highly significant that the two drugs, mercury and
phosphorous, which in continued toxic doses cause this very class of
diseases, should in physiological doses be curative. But this is in
entire consonance with the general laws of tissue irritation, and the
therapeutic fact that certain drugs acting through the nervous system
stimulate in small doses and narcotize in large ones.
The last type of dental pain I will speak of is that arising from
pressure due to hypertrophy of the cement. Where this is not due to the
peripheral irritation of a carious tooth, the causation is both
interesting and obscure. It has seemed to me that we must postulate the
agency of a constitutionally acting cause to account for certain of
these cases. I think it quite probable that in certain cases a
well-marked gouty diathesis will be found underlying this form of
disease; and a similar constitutional error must be invoked to explain
the allied cases of calcification of the pulp.
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