If the pain is bearable and there are no chills and fever, the patient
may save the tooth by remaining in bed with a hot-water bottle
continually on the face, and taking ten drops of laudanum to relieve
the pain at intervals of several hours. Then many hours of suffering
may be prevented if the gum is lanced with a sharp knife (previously
boiled for five minutes) as soon as the gum becomes swollen, to allow
of the escape of pus. The dentist is, of course, the proper person to
consult in all cases of toothache, and the means herein suggested are
to be followed only when it is impossible to obtain his services.
=MOUTH-BREATHING= (_including Adenoids, Chronic Tonsilitis, Deviation
of the Nasal Septum, Enlarged Turbinates, and Polypi_).--Any
obstruction in the nose causes mouth-breathing and gives rise to one
or more of a long train of unfortunate results. Among the disorders
producing mouth-breathing, enlargement of the glandular tissue in the
back of the nose and in the throat of children is most important.
Glandular growths in the upper part of the throat opposite the back of
the nasal cavities are known as "adenoids"; they often completely
block the air passage at this point, so that breathing through the
nose becomes difficult. Associated with this condition we usually see
enlargement of the tonsils, two projecting bodies, one on either side
of the entrance to the throat at the back of the mouth. In healthy
adult throats the tonsils should be hardly visible; in children they
are active glands and easily visible.
We are unable to see adenoids because of their position, but can be
reasonably sure of their presence in children where we find symptoms
resulting from mouth-breathing as described below. The surgeon assures
himself positively of the existence of adenoids by inserting a finger
into the mouth of the patient and hooking it up back of the roof of
the mouth, when they may be felt as a soft mass filling the back of
the nose passages.
Other less common causes of mouth-breathing, seen in adults as well as
children, are deviation of the nasal septum, swelling of the mucous
membrane covering certain bones in the nose (turbinates), and polypi.
Public-domain text, read in full here on John Shaqi.
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