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To the Editor:
—Considerable attention has been bestowed on oral sepsis as an essential etiologic factor in systemic infections, and there is reliable scientific evidence in support of the tooth-root theory of this large class of diseases. The fact that chronic septic foci in teeth and elsewhere are exceedingly difficult to recognize in the majority of cases is undoubted. It is particularly instances of periapical infection or abscess that offer the greatest difficulty in this respect. Here, even a Roentgen examination, which should always be made by an expert, may fail to render reliable aid.Daland states that the diagnosis of mouth sepsis should be made by a dentist who is specially trained for this, in which opinion I concur. The physician, however, who encounters a case of systemic infection in which the teeth are suspected should refer the patient to a competent nose and throat specialist with a view to
Anders JM. Mouth Sepsis. JAMA. 1917;LXVIII(7):567. doi:10.1001/jama.1917.04270020231030