February 13, 1892

Case of Mal-Assimilation of the Phosphates and Carbonates.

JAMA. 1892;XVIII(7):202. doi:10.1001/jama.1892.02411110020004

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To the Editor of the Journal of the American Medical Association:  I would like to present to the profession through the columns of the Journal an exceedingly interesting case of mal-assimilation of the phosphates and carbonates.The patient is 13 years of age, of very nervous temperament, and has incontinence of urine. At home she is constantly doing things that she ought not to do. She goes to school and learns her lessons apparently without much effort. She eats and sleeps well, partaking largely of meat, but does not care for milk.The condition of her mouth is as follows, and seems to the writer to offer a solution of the trouble: The teeth were covered completely by tartar, and the enamel was easily scraped off. When the tartar was removed the little girl seemed to be in great agony. The teeth would ache, sometimes in one tooth and sometimes

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