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Three Sets of Erupting Upper Central Incisors
I n c id e n t s ing the part in a hot saline solution. There was no improvement. After several visits, roentgenograms of the foot were taken, which proved negative as far as the bone structure was concerned. T he boy was then referred to a wellknown internist, who diagnosed the case as one of epiphysitis. The foot and leg were put in a cast, October 31, 1939, and this was worn for six weeks. During this time, sul fanilamide was administered. There was no change in the condition. T he patient walked only with the aid of crutches for the next ten weeks. He was referred to this office for a check up of his teeth, December 23. It should be noted here that there was no history of trauma nor was there any evidence of sys temic infection. It should also be noted that, for some time after the onset of the condition, the boy had been tested and treated for an allergy, with no results. A roentgenogram revealed an infected up per left first molar, which was immediately removed. Tw o days later, on Christmas Day, the boy’s mother reported that she had received the “ finest Christmas present ever,” that the patient had his shoes on and was running around “ like a regular boy.” She said further, “ He expects to attend classes in school on January 3.” L a te r the case was discussed w ith sev eral em inent pathologists an d internists, and it was agreed that, althou gh m ost unusual to say the least, the ch an ge was possible. In a n y case, the facts are these and th ey can be rea d ily substantiated b y all parties concerned. 88 Clinton Avenue.
Fractured C entral Incisor B y K . R . D u r h a m , D .D .S ., T a h o k a , T exas. A man, aged 32, had received a blow on the central incisor fourteen years previ ously. The tooth was knocked loose by the blow and was fractured, as the x-ray film shows, but recovered from the blow and for fourteen years was normal. T he tooth was vital according to an electric pulp test. A t the time of extraction, a lingual pocket
of
P ra c tic e
987
had developed, and the tooth was extracted for that reason. I now believe that the tooth could have been left in.
T hree Sets o f Erupting U pper C en tral Incisors By
M . H . B e r n a r d s , D .D .S ., C h icago,
111. F o l l o w i n g is a report o f a case o f three sets o f eru ptin g upper central in cisors. A b o y , aged 6 years, the youngest in the fam ily and born late in the life of his parents, was brought to the office about three months ago for extraction of two very loose upper deciduous central incisors. After the extrac tion, the patient was dismissed with instruc tions for postoperative care. Recently, the mother brought the boy to the office because
of the appearance of two conical upper cen tral incisors, which had erupted after the first extraction. A roentgenogram taken im mediately showed that this was another set of deciduous central incisors. The second set was extracted under nitrous oxide anesthesia and it is hoped that the last, and this time permanent, set of upper central incisors will finally erupt.
3934 West North Avenue.
Im pacted and Supernum erary T eeth w ith C yst: R eport of a Case B y S. L . E l l i o t t , D .D .S ., Osakis, M in n. A b o y , aged 17, was sent to me by a physician as he was having trouble breath ing, in addition to being very rheumatic. Examination revealed six impacted teeth, three supernumerary teeth and a large cyst. (Figs. 1-2.)
988
T h e J ournal
of the
A m erican D en ta l A sso c ia tio n
An operation was performed under local anesthesia and the nine teeth and the cyst were removed at one sitting through a large opening in the maxillary antrum, the antrum being left alone, with a single flap sutured in position.
Figu re i .
one p articu lar spot th at was noticeably sensitive to pressure, I relieved the sad dle area a little, and everyth in g w ent w ell fo r a fe w weeks, w hen I h ad to fu rth er relieve the pressure. A b o u t every three m onths, I had to give relief. F in a lly, a little m ore than a year ago, I took a n x -ra y picture and, on exam inin g the pictu re carefu lly, discov ered w h a t I th o u gh t to be a screw in the jaw . O n the n ext visit, the patient, after some questioning, recalled th at about tw enty-five years previously she h ad had a m olar extracted in O klahom a. She s a id : “ T h e dentist h a d a terrible time. H e d u g and d u g to g e t the roots out. H e took an instrum ent th a t looked like a b ig screw w ith a h and le on it, and he d u g w ith that, and I told him he had broken it off in m y jaw , b u t he said that
S crew in jaw . Figure 2.
The nose condition cleared up without incident, and the rheumatic condition has not returned in three years.
B roken Instrum ent in the Jaw A. U ta h .
By
D.
B arb er,
D .D .S .,
O gd en ,
I n a practice o f m ore than th irty years, the case I herew ith subm it is, I believe, the strangest. A b o u t three years ago, I em ployed a bilateral A kers applian ce to replace the low er first and second m olars on each side and the left second bicuspid. A fte r a few weeks, the patien t returned, sayin g the saddle on the le ft side hu rt w h en ever she tried to chew on that side. A s there was
he h ad n ’t. M y ja w was sore fo r some time a fter that.” She asked m e w h a t cou ld be done abou t it, an d I said th at it should be re m oved surgically, bu t she w ou ld not con sider it. A yea r later, she w as in m y office and I asked her if the saddle had bothered her a n y m ore, and she said that it had not, “ since I kn ow w h a t it is.” She says that she w ears the denture all the tim e, and I h a ve every reason to b e lieve th at the screw is still in h er jaw .
Suppurating Dentigerous Cyst B y O . J. S h a f f e r , D .D .S ., E l Paso, T exas. History.— A woman, of Mexican-Indian extraction, aged 64 years, came to the dental clinic complaining of pain and a discharge
Fractured C entral Incisor B y K . R . D u r h a m , D .D .S ., T a h o k a , T exas. A man, aged 32, had received a blow on the central incisor fourteen years previ ously. The tooth was knocked loose by the blow and was fractured, as the x-ray film shows, but recovered from the blow and for fourteen years was normal. T he tooth was vital according to an electric pulp test. A t the time of extraction, a lingual pocket
of
P ra c tic e
987
had developed, and the tooth was extracted for that reason. I now believe that the tooth could have been left in.
T hree Sets o f Erupting U pper C en tral Incisors By
M . H . B e r n a r d s , D .D .S ., C h icago,
111. F o l l o w i n g is a report o f a case o f three sets o f eru ptin g upper central in cisors. A b o y , aged 6 years, the youngest in the fam ily and born late in the life of his parents, was brought to the office about three months ago for extraction of two very loose upper deciduous central incisors. After the extrac tion, the patient was dismissed with instruc tions for postoperative care. Recently, the mother brought the boy to the office because
of the appearance of two conical upper cen tral incisors, which had erupted after the first extraction. A roentgenogram taken im mediately showed that this was another set of deciduous central incisors. The second set was extracted under nitrous oxide anesthesia and it is hoped that the last, and this time permanent, set of upper central incisors will finally erupt.
3934 West North Avenue.
Im pacted and Supernum erary T eeth w ith C yst: R eport of a Case B y S. L . E l l i o t t , D .D .S ., Osakis, M in n. A b o y , aged 17, was sent to me by a physician as he was having trouble breath ing, in addition to being very rheumatic. Examination revealed six impacted teeth, three supernumerary teeth and a large cyst. (Figs. 1-2.)
988
T h e J ournal
of the
A m erican D en ta l A sso c ia tio n
An operation was performed under local anesthesia and the nine teeth and the cyst were removed at one sitting through a large opening in the maxillary antrum, the antrum being left alone, with a single flap sutured in position.
Figu re i .
one p articu lar spot th at was noticeably sensitive to pressure, I relieved the sad dle area a little, and everyth in g w ent w ell fo r a fe w weeks, w hen I h ad to fu rth er relieve the pressure. A b o u t every three m onths, I had to give relief. F in a lly, a little m ore than a year ago, I took a n x -ra y picture and, on exam inin g the pictu re carefu lly, discov ered w h a t I th o u gh t to be a screw in the jaw . O n the n ext visit, the patient, after some questioning, recalled th at about tw enty-five years previously she h ad had a m olar extracted in O klahom a. She s a id : “ T h e dentist h a d a terrible time. H e d u g and d u g to g e t the roots out. H e took an instrum ent th a t looked like a b ig screw w ith a h and le on it, and he d u g w ith that, and I told him he had broken it off in m y jaw , b u t he said that
S crew in jaw . Figure 2.
The nose condition cleared up without incident, and the rheumatic condition has not returned in three years.
B roken Instrum ent in the Jaw A. U ta h .
By
D.
B arb er,
D .D .S .,
O gd en ,
I n a practice o f m ore than th irty years, the case I herew ith subm it is, I believe, the strangest. A b o u t three years ago, I em ployed a bilateral A kers applian ce to replace the low er first and second m olars on each side and the left second bicuspid. A fte r a few weeks, the patien t returned, sayin g the saddle on the le ft side hu rt w h en ever she tried to chew on that side. A s there was
he h ad n ’t. M y ja w was sore fo r some time a fter that.” She asked m e w h a t cou ld be done abou t it, an d I said th at it should be re m oved surgically, bu t she w ou ld not con sider it. A yea r later, she w as in m y office and I asked her if the saddle had bothered her a n y m ore, and she said that it had not, “ since I kn ow w h a t it is.” She says that she w ears the denture all the tim e, and I h a ve every reason to b e lieve th at the screw is still in h er jaw .
Suppurating Dentigerous Cyst B y O . J. S h a f f e r , D .D .S ., E l Paso, T exas. History.— A woman, of Mexican-Indian extraction, aged 64 years, came to the dental clinic complaining of pain and a discharge