The disease of pyorrhea alveolaris, in spite of its name, is not always associated with a flow of pus from the infected tooth-sockets. As a matter of fact, pus does not appear in 25 per cent of the cases. The main symptoms are inflammation of the peridental membrane, bleeding of the gums at the slightest touch and a tendency for the teeth to elongate and be sensitive to mastication. Finally, the gums separate from the roots of the teeth, forming pockets in which salivary calculus and infection cause such centers of irritation and disintegration that the destruction of the teeth involved is only, a question of time unless the tartar is removed from the roots, the mass of infection destroyed and the gums stimulated to reattach themselves to the roots of the teeth.
A single blind fistula from an infected root may cause the most profound nervous depression, which, being
HEAD J. TREATMENT OF LOOSE TEETH DUE TO INFLAMMATORY DEGENERATION OF THE GUMS AND ALVEOLAR PROCESS. JAMA. 1913;61(25):2232–2237. doi:10.1001/jama.1913.04350260030011
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