=Ulcerous Form.=--This does not occur in children under five, but may
attack persons of all greater ages. It is often seen following measles
and scarlet fever, and in the poor and ill nourished, and after the
unwise use of calomel. There are redness and swelling of the gum about
the base of the lower front teeth, and the gums bleed easily. Matter,
or pus, forms between the teeth and the gum, and the mouth has a foul
odor. The gum on the whole lower jaw may become inflamed, and a yellow
band of ulceration may appear along the gums. The glands under the jaw
and in the neck are enlarged, feeling like tender lumps, and saliva
flows freely. In severe cases the gums may become destroyed and eaten
away by the ulceration, and the bone of the jaw be diseased and
exposed. As in the graver cases it may become necessary to remove dead
bone and teeth, and the very dangerous form next described may
sometimes follow it, it will be seen that it is a disease requiring
skilled medical attention. The treatment consists in using, as a mouth
wash and gargle, a solution of chlorate of potash (fifteen grains to
the ounce) every two hours. Cases usually last at least a week.
=Gangrenous Form.=--This is a rare and fatal form of inflammation of
the mouth and occurs in children weak and debilitated from other
diseases, as from the contagious eruptive fevers, chronic diarrhea,
and scurvy. It is seen more often in hospitals and is contagious. A
foul odor is noticed about the mouth, in which will be seen an ulcer
on the gum or inside of the cheek. The cheek swells tremendously, with
or without pain, and becomes variously discolored--red, purple, black.
The larger proportion of patients die of exhaustion and blood
poisoning within one to three weeks, and the only hope is through
surgical interference at the earliest possible moment.
=CANKER.=--A small, shallow, yellow ulcer, appearing on the inside of
the lips or beneath the tongue during some disorder of the digestion.
It is very tender when touched and renders chewing or talking somewhat
painful. Treatment consists of touching the ulcer carefully with the
point of a wooden toothpick which has been dipped in pure carbolic
acid (a poison) and then rinsing the resulting white spot and the
whole mouth very carefully, so as not to swallow any of the acid.
Inflammation of the mouth occurs in two other general diseases, in
syphilis and rarely in diphtheria. In children born of syphilitic
parents, deep cracks often appear at either side of the mouth and do
not heal as readily as ordinary sores, but continue a long time, and
eventually leave deep scars. In diphtheria the membrane which covers
the tonsils sometimes spreads to the cheeks, tongue, and lips, but in
either case the general symptoms will serve to distinguish the
diseases, and neither can be treated by the layman.
Public-domain text, read in full here on John Shaqi.
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