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- The Diseases and Treatment of the Investing Tissues of the Teeth (Classic Reprint)
The Diseases and Treatment of the Investing Tissues of the Teeth (Classic Reprint)
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Excerpt from The Diseases and Treatment of the Investing Tissues of the Teeth
With an irritation of the gingivae from any form of injury, there is opportunity for suppuration, with subsequent involvement of the attach ment of the peridental membrane. As has been mentioned, the irritation is likely to result in a deposit of serumal calculus, which becomes a secondary cause of the further progress of the case. In connection with the more acute suppurations there is often considerable pain. Absorptions of the gingivae occur as a result of the constant irritations and repeated suppurations.
It would be almost impossible to cite all the causes of these injuries. Lack of contact of the teeth due to extractions of neighboring teeth, ¿at fillings, crowns, etc., improper contact of teeth, irregularities of contour due to sharp edges of cavities, bad margins of fillings and crowns, etc., abuse of these tissues in operations, and injuries by patients in cleaning, are the most frequent causes.
In cases in which contacts are not normal, and food is wedged between the teeth, the septal gingivae become in¿amed from the repeated im pactions of food, also from the efforts to remove it. These impactions will, after a time, result in the absorption of the central portion of the septal tissue, while the buccal and lingual portions may be pushed out ward in their respective embrasures. Their appearance is that of slightly swollen festoons. Later on, as the central portion is further depressed, there is likely to be some absorption of the buccal and lingual portions also. This may continue until the absorption has included much of the bone of the alveolar septum, with deep pus pockets on the proximal surfaces of the teeth.
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