Radical and Heroic Treatment of Alveolar Abscess by Amputation of Roots of Teeth, With Description and Application of the Cantalever Crown. [Volume: 26, Issue: 3, March, 1884, pp. 135-139]

RADICAL AND HEROIO TREATMENT OF ALVEOLAR ABSCESS. 135

layer, so called because they present about the same appearance on
all sides, occupy a position between the flat cells above and the cylindrical columnar, or prismatic layer, which consists of a single
layer of cells standing directly upon the so-called " basement membrane," which separates the epithelial from the subjacent dermal or
connective tissue. These cells, which appear columnar in vertical
view, are hexagonal if seen in end view. Epithelium is intimately
concerned in many of the formative and all of the primary functional activities of life. All of the organs of special sense are
formed from the epiblast, for special sense is but a more highly
evoluted form of general sense, which was primarily confined to the
external skin layer, of which the external epithelium is that portion
which remains unchanged and still continues to perform the office
of transmitting the terminal nerve-fibers. The entire central nervous system is also transformed epithelium or epiblast. All of that
portion of the vegetative organ system which relates to secretion
and excretion is constructed from epithelium. In truth, each individual epithelial cell may be said to be a secreting or an excreting
organ. Keeping these facts in mind, let us now come to that portion of our subject which is of more especial interest to us as dentists.
(To be continued.)
RADICAL AND HEROIC TREATMENT OF ALVEOLAR ABSCESS BY
AMPUTATION OF ROOTS OF TEETH, WITH DESCRIPTION AND
APPLICATION OF THE OANTALEVER CROWN.
BY J. N. FARRAR, M.D., D.D.S., NEW YORK CITY.
(Concluded from page 81.)
WHILE extensive separation of the gum from the root and the
falling away of the adjacent wall of the socket and surrounding external alveolar tissues resulting from violent disease, with discharge
of pus along the outside of the root of the tooth and the formation of
pockets that collect and retain food, do plainly indicate the operation
of amputation of the root as the best if not the only means of permanent cure, there are other cases which are not so easily determined;
because, although there may be great destruction of the apical portion of the socket-walls and surrounding regions of the cancellated
structure, the outer plate of the alveolar process mostly remains
intact, thus rendering diagnosis more difficult. Indeed, this variety
might lead operators to differ so widely as to cause a tyro to lose
faith in all treatment except possibly that of extraction.
Each of the various modes of treatment may, however, possess
more or less merit, though differing in degree, which shows that after
all the cures depend much upon soundness of judgment in drawing