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Is the adenoid facial type new?
395
Abstracts
pearance. Blood pressure 200 Red cell count 9,500,OOO or about double the normal. The condition being a true plethora of the ancients the patient was bled several times with remarkable improvement, although this could be only temporary, There was enlargement of the spleen.
Is the Adenoid
Facial Type New?
20, 1926, xxiii,
Editorial.
The Dental
Surgeon, February
No. 1112.
Sir Harry Baldwin, surgeon-dentist to King George V, who has compared many of Sargent’s portraits with those of 6he Tudor period, declares that the so-called adenoid type of face, so familiar to the dentist, is a product of the last hundred years only. The characters of this facial type are its narrow-arched jaws, pinched-in nose and inadequate nostrils. He suggests that it may be due to deficiency in vitamin-B through the excessive use of modern white bread. The editor of the Dental Surgeon suggests that there may be another factor which inheres, in white bread but has nothing to do with vitamin content, this being the softness, not only indeed of white bread but of most of our other foods. This softness has led to a disuse of the muscles of mastication and defective development of the bones involved. In passing, the editor alludes to a theory of adenoids quite at variance with the precedingthat they have resulted from the modern habit of sleeping with open windows which in a damp climate is of doubtful value. No doubt the adenoid face, if it is modern, is due to a number of factors involved in our present day rapid social evolution.
True Tetanus
with Eruption of a Wisdom Tooth, K. Bettsack (Munich). Zahnaerztliche Rundschau, February 21, 1926, xxxv, 8. Simple mechanical lockjaw occurs to some extent in difficult eruption of the lower wisdom teeth but the following case appears to have been an example of true tetanus. The symptoms began with some sore throat and inability to open the mouth but these manifestations abated. When the author first saw the patient there were no serious symptoms beyond those ordinarily present in difficult dentition of a third molar and he contented himself with cleansing the gum socket and prescribing a wash. The patient did not return and the author learned that he was in the hospital for tetanus. He was summoned in consultation, for the surgeon could find no port of entry for a lockjaw germ, unless it should prove to be connected with the erupting tooth. The patient improved immediately under antitetanus serum and after his recovery consulted the author for caries in the tooth in question. The author thereby had an opportunity of obtaining a history as follows: When the tooth first began to cause unpleasant symptoms the patient was planting potatoes and frequently felt of the tender gum with a finger soiled by garden earth, which is noted for harboring tetanus bacilli. In thus doing he could readily have inoculated the abraded surface of the gum with the latter.
Fatty Degeneration
of the Pulp. H. Willner (Breslau) . Deutsche zahnaerztliche Wochenschrift, February 12, 1926, xxix, 3. This condition has only recently obtained recognition as a separate type of degeneration of the pulp. Preisswerk first mentioned it in his textbook in
Abstracts
pearance. Blood pressure 200 Red cell count 9,500,OOO or about double the normal. The condition being a true plethora of the ancients the patient was bled several times with remarkable improvement, although this could be only temporary, There was enlargement of the spleen.
Is the Adenoid
Facial Type New?
20, 1926, xxiii,
Editorial.
The Dental
Surgeon, February
No. 1112.
Sir Harry Baldwin, surgeon-dentist to King George V, who has compared many of Sargent’s portraits with those of 6he Tudor period, declares that the so-called adenoid type of face, so familiar to the dentist, is a product of the last hundred years only. The characters of this facial type are its narrow-arched jaws, pinched-in nose and inadequate nostrils. He suggests that it may be due to deficiency in vitamin-B through the excessive use of modern white bread. The editor of the Dental Surgeon suggests that there may be another factor which inheres, in white bread but has nothing to do with vitamin content, this being the softness, not only indeed of white bread but of most of our other foods. This softness has led to a disuse of the muscles of mastication and defective development of the bones involved. In passing, the editor alludes to a theory of adenoids quite at variance with the precedingthat they have resulted from the modern habit of sleeping with open windows which in a damp climate is of doubtful value. No doubt the adenoid face, if it is modern, is due to a number of factors involved in our present day rapid social evolution.
True Tetanus
with Eruption of a Wisdom Tooth, K. Bettsack (Munich). Zahnaerztliche Rundschau, February 21, 1926, xxxv, 8. Simple mechanical lockjaw occurs to some extent in difficult eruption of the lower wisdom teeth but the following case appears to have been an example of true tetanus. The symptoms began with some sore throat and inability to open the mouth but these manifestations abated. When the author first saw the patient there were no serious symptoms beyond those ordinarily present in difficult dentition of a third molar and he contented himself with cleansing the gum socket and prescribing a wash. The patient did not return and the author learned that he was in the hospital for tetanus. He was summoned in consultation, for the surgeon could find no port of entry for a lockjaw germ, unless it should prove to be connected with the erupting tooth. The patient improved immediately under antitetanus serum and after his recovery consulted the author for caries in the tooth in question. The author thereby had an opportunity of obtaining a history as follows: When the tooth first began to cause unpleasant symptoms the patient was planting potatoes and frequently felt of the tender gum with a finger soiled by garden earth, which is noted for harboring tetanus bacilli. In thus doing he could readily have inoculated the abraded surface of the gum with the latter.
Fatty Degeneration
of the Pulp. H. Willner (Breslau) . Deutsche zahnaerztliche Wochenschrift, February 12, 1926, xxix, 3. This condition has only recently obtained recognition as a separate type of degeneration of the pulp. Preisswerk first mentioned it in his textbook in