File:Albany medical annals (1898) (14782486745).jpg

Identifier: albanymedicalann1918medi (find matches)
Title: Albany medical annals
Year: 1898 (1890s)
Authors: Medical Society of the County of Albany (N.Y.) Albany Medical College. Alumni Association
Subjects: Medicine
Publisher: Albany, N.Y. : Burdick & Taylor
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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the affectedside, I found a painful response from the first superior molar.This tooth held a very large metal filling. My patient told me itwas filled ten or twelve years ago, and never gave her any pain.The filling was removed, exposing a putrescent pulp. Aftercleaning out all septic matter and treating the root canals untilthey were in a thoroughly aseptic condition, the tooth was filled.Since then she has had no return of her neuralgia. The second patient, Miss V., called to have her teeth examinedand cleaned. Upon examination I found two teeth with pulpssuppurated. I asked her if these teeth gave her any pain, andreceived a negative reply. I concluded that there must havebeen some pain, and inquired about a neuralgia affecting that sideof the face. She told me that she suffered from neuralgia forseveral years, but it did not come from her teeth, as they hadbeen frequently examined to determine if they caused her trouble.Miss V. added: My physician informs me that I am of a neural-
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Fig mospheric conditions without suffering the least pain. Pulp nodules or pulp stones sometimes produce facial neural-gia, and their presence is very difficult to determine. They arefound in teeth of persons past middle life, and are often caused by Albany Medical Annals. 265 the wearing down of the crowns through mastication. Irrita-tions due to clasps will also cause their development. Impacted wisdom teeth are occasionally the cause of facialneuralgia and very difficult to treat. These teeth press againstthe root of the adjacent molar, producing absorption. Theabsorption goes on until the pulp is exposed, and its death fol-lows. The crown of the second molar may not be decayed, andit is hard to determine which tooth is causing the pain. Figure No. 1 shows a case of impacted wisdom tooth, with thetooth removed showing the absorbed root of the second molar.This certainly caused neuralgia. Figure No. 2 shows another case of impacted wisdom tooth.A slight absorption of the root of the

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