File:The Dental cosmos (1891) (14801335913).jpg

Identifier: dentalcosmos3318whit (find matches)
Title: The Dental cosmos
Year: 1891 (1890s)
Authors: White, J. D McQuillen, J. H. (John Hugh), 1826-1879 Ziegler, George Jacob, 1821-1895 White, James William, 1826-1891 Kirk, Edward C. (Edward Cameron), 1856-1933 Anthony, L. Pierce (Lovick Pierce), b. 1877
Subjects: Dentistry Dentistry
Publisher: Philadelphia, S. S. White Dental Manufacturing Co
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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mmedi-ately afterward the fixture could be inserted to retain the remainderof the maxilla in a normal position during the process of healing ;this to be followed by a piece of mechanism such as would in somemeasure correct the great deformity which usually results from suchan extensive loss of tissue. I obtained correct plaster representations of the teeth in theirarticulating relations, and constructed an interdental splint, whichwas fitted and kept in readiness for use. On March 21 Dr. McBurney operated(with a view to the removal of DENTAL DEVICES FOR CORRECTING DEFORMITY, ETC. 731 nearly the entire left half of the inferior maxilla. An incision wasfirst made just beneath the lower edge of the jaw, extending from themedian line to the angle. This incision was supplemented by avertical one extending from the angle upward along the posteriorborder of the ramus as far as the middle of the lobe of the ear. Thecheek and superficial soft parts were dissected from the outer surface Fig. 2.
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of the bone, and the muscles, etc., from the inner surface as far as themucous membrane, keeping well off from the tumor. The mucousmembrane was then divided, the left first bicuspid extracted, and theinferior maxilla sawed through at that point. The end of the leftsection was then seized and dislocated outward, the pterygoid muscleswere divided, and the bone removed at the articulation. The splint was adjusted before the patient left the operating-table,to illustrate its application in view of the surgeons and students pres- 732 THE DENTAL COSMOS. ent. The splint was then removed until recovery from the influenceof the anesthetic. Thereafter it was kept in position, except duringnecessary irrigations, until the patient was dismissed as cured. It was a happy inspiration that prompted the preliminary construc-tion of this appliance, as the recovery of the patient was more rapidthan ordinary, the splint fitting accurately and keeping the articulationof the remaining teeth continuously n

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