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It is the purpose of this Joumu to repiew so far as possible the most important literature as it 2 appears in English and Foreign .periodwals, and to prcscnt it i,n abstract form. Authors are re- E quested to send abstracts or reprmts of them pap-s to the pubbshers. E z
A Surgeon on Oral Sepsis. w’illy JTrycr (Xw September,
1924, xxx, 9.
The pioneer work of Billings and others before the World War, together with the experiences during the lat,ter, have served to bring the surgeon and dentist in closer touch. The new t,eachings concerning oral sepsis were naturally carried by their enthusiastic disciples to an extreme, until we began to seek the presence of a purulent focus to explain almost t,he whole of pathology. One ill eflcct was the indiscriminate sacrifice of human teeth. Disenlight.enment followed, for the patient often not only lost his teeth but still retained the disease for thte cure of which they had been sacrificed. Unwelcome collateral results followed the radical removal of tonsils and adenoids, such as increased numbers of acute pulmonnri abscesses. In making a diagnosis of infcctcd teeth and tonsils indiscrinlil?atcly, the rcfincmc~nts of diffcrcntial diagnosis wtlrc often ignored as in the following cast. A paticnl in good general health and vigor after having sustained a tumble was found to Limp painfully and the diagnosis was made of’ chronic arthritis of the hip joint. As his teeth were in bad shape and needed attention for themsclvcs it was thought wiscl to cxtrnct thrm. There was no resulting improvemc>nt in the joint and the mobilization of diagnostic resources brought to light an impacted consolidated crack in the femur neck. He was helped by orthopedic devices to compensate for the shortening and made a fair recovery. While the pendulum is swinging back none of the gains have been lost, and WC still search for possible focal infection ill obscure cases. Even if not thr sole or dominant causal factor, an infected tooth may contribute to t,hc totality of an infection. Clean mouths arc a hygienic necessity for as Black has shown the mouth always grows worse with years and aft(lr the age of fifty there arc no longer any aseptic mouths. The article by Dr. Mcycr will be continued.
Dietary Deficiencies and Dental Abnormalities. Dental
Items of Interest,
B. B. Jones 9.
A direct connection between these two entities has hardly yet been traced although the relationship between defective diet and diseased gums has long been known. Recently Gerstenberger seems to have shown that aphthous stomatitis is due likewise to scantiness of B vitamine for he cures it wit,h McCollum’s discovery of the D vjtamine and its yeast and tomato juice. s1n