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- Dominion Dental Journal, 1916, Vol. 28
Dominion Dental Journal, 1916, Vol. 28
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Excerpt from Dominion Dental Journal, 1916, Vol. 28: Official Organ of All Dental Associations in Canada
One very strange and also illuminating fact disclosed is this: If a tooth has an abscess encompassing the end of the root, which is apparently encysted, at the end of the roots of the teeth immediately adjoining that tooth, although the teeth are alive and perfectly healthy, will be found the same micro-organisms as are contained in the abscess, showing that the micro-organisms have penetrated the walls of the abscess and invaded the contiguous tissues, showing also a probable avenue into the circulation. Now, the harm which may be done if these organisms enter the circula tion either by this avenue or any other avenue which we will speak of later on, may be done either by destroying the blood itself, in other words, by haemolyzing it, or the harm may be done by the blood stream carrying these organisms to distant parts of the body, where they will find congenial habitation, notably in the heart, the joints and cellular tissue. There is a great difference in opinion between pathologists as to the proportion of alveolar abscesses which contain haemolytic organisms, Hartzell claiming that in his investigations only one in two hundred abscesses contained haemolytic organisms. This great difference of Opinion possibly is ac counted for by the different manner in which investigators culture their organisms, but in my experience there is this to say, if the organism in a blind abscess is a haemolytic organism, the abscess is much smaller and much more difficult to find b-ray. This probably is due to the differ ence in the pyogenic qualities of the two organisms.
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