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Are there any female bleeders?
89
Abstracts
stitute for apicectomy. Originally repla.nting was thought to require immediat.e performance in the belief tha.t the tooth must be living-at least as fa.r as its periodontal membrane is concerned. This is now known to be based on error; so much so in fact that in 1921 Tompkins reported cases of successful implantation of porcelain dummy teeth. At the present day reimplantation is believed to be done under the most favorable conditions if there is a delay of three days to a week. This advantage is due to certain changes which take place in the alveolus, the latter containing many active living cells. Opinion as to the length of the fixation period varies extremely-from three weeks to eight months, according to the operator and the choice of method. The presence of the periosteum of the root is of no advantage or disadvantage. We still know very little of the method of attachment which Nature practices, having only a. few animal experiments as foundation. More or less absorption of the root takes place but it does not appear that this is often followed by loosening. Cases cited show that replanted teeth have persisted in their sockets for many years-sixteen and twenty-seven for example.
Are There Any Female Bleeders ? Hans Hirschfeld, Rundschau,
November
Berlin.
Zahnaerztliche
11, 1928.
According to reference works there are no female hemophiliacs, for in this hereditary affection the disease is transmitted only by the male members. Nevertheless cases are now and then reported in which women have bled very freely in the dentist’s office and recently Dr. Lewinski reported an add.itiona! case in the Rundschau. Hirschfeld, who has studied these reports critically, decides that not. one of these women was a true bleeder. In order to uphold such a diagnosis the following points must be definitely established: There must have been a tendency to bleed from the earliest times and under all circumstances in which hemorrhages are apt to occur. Second, there should be the familial incidence, although it is admitted that in rare instances no other family members show the tendency. Third, blood tests must show that the coagulation t,ime of the blood is actually longer than Dhe average by a considerable extent, akhough in other respects the blood should be normal. In the case reported by Lewinski there was no blood test made, nor are there any data given to indicate that the patient had ever showed a hemorrhagic tendency before. The question now arises, why do these women sometimes bleed? In the author’s opinion they have a blood disease although it has nothing in common with true hemophilia. The coagulation time is normal and there is a large number of blood platelets, a condition not encountered in hemophilia. The disease, in the author’s opinion, is a form of Werlnoff’s disease, sometimes known as land scurvy, which is seen in acute expressions as purpura, and other local hemorrhages. Hemorrhage here is annoyin g and persistent. beet hardly of the type seen in true hemophilia.
Should a Dentist Charge for Advice ? Editorial
in the Dental
Surgeon, Novem-
ber 10, 1928. The editor states his opinion that as much publicity as possible should be given to a recent court case in which a dentist practicing in the West End of
Abstracts
stitute for apicectomy. Originally repla.nting was thought to require immediat.e performance in the belief tha.t the tooth must be living-at least as fa.r as its periodontal membrane is concerned. This is now known to be based on error; so much so in fact that in 1921 Tompkins reported cases of successful implantation of porcelain dummy teeth. At the present day reimplantation is believed to be done under the most favorable conditions if there is a delay of three days to a week. This advantage is due to certain changes which take place in the alveolus, the latter containing many active living cells. Opinion as to the length of the fixation period varies extremely-from three weeks to eight months, according to the operator and the choice of method. The presence of the periosteum of the root is of no advantage or disadvantage. We still know very little of the method of attachment which Nature practices, having only a. few animal experiments as foundation. More or less absorption of the root takes place but it does not appear that this is often followed by loosening. Cases cited show that replanted teeth have persisted in their sockets for many years-sixteen and twenty-seven for example.
Are There Any Female Bleeders ? Hans Hirschfeld, Rundschau,
November
Berlin.
Zahnaerztliche
11, 1928.
According to reference works there are no female hemophiliacs, for in this hereditary affection the disease is transmitted only by the male members. Nevertheless cases are now and then reported in which women have bled very freely in the dentist’s office and recently Dr. Lewinski reported an add.itiona! case in the Rundschau. Hirschfeld, who has studied these reports critically, decides that not. one of these women was a true bleeder. In order to uphold such a diagnosis the following points must be definitely established: There must have been a tendency to bleed from the earliest times and under all circumstances in which hemorrhages are apt to occur. Second, there should be the familial incidence, although it is admitted that in rare instances no other family members show the tendency. Third, blood tests must show that the coagulation t,ime of the blood is actually longer than Dhe average by a considerable extent, akhough in other respects the blood should be normal. In the case reported by Lewinski there was no blood test made, nor are there any data given to indicate that the patient had ever showed a hemorrhagic tendency before. The question now arises, why do these women sometimes bleed? In the author’s opinion they have a blood disease although it has nothing in common with true hemophilia. The coagulation time is normal and there is a large number of blood platelets, a condition not encountered in hemophilia. The disease, in the author’s opinion, is a form of Werlnoff’s disease, sometimes known as land scurvy, which is seen in acute expressions as purpura, and other local hemorrhages. Hemorrhage here is annoyin g and persistent. beet hardly of the type seen in true hemophilia.
Should a Dentist Charge for Advice ? Editorial
in the Dental
Surgeon, Novem-
ber 10, 1928. The editor states his opinion that as much publicity as possible should be given to a recent court case in which a dentist practicing in the West End of