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November 9, 1918


Author Affiliations

Associate in Oral Surgery, New York Post-Graduate Medical School and Hospital; Surgeon, Department of Oral Surgery, New York Throat, Nose and Lung Hospital (Columbia University, Advanced Courses for Practitioners) NEW YORK

JAMA. 1918;71(19):1530-1534. doi:10.1001/jama.1918.02600450006002

It is my intention to deal with that phase of the disease commonly known under the confusing name of pyorrhea alveolaris, which as indicated by its histopathology is a purely surgical disease and must, therefore, be treated surgically, this alone promising an expedient and a permanent cure.

For the purpose of clear presentation, I shall briefly state that I prefer to call the diseases involving the gingivae and their soft and hard underlying and adjacent tissues by the generic name given them by Talbot, of gingivitis. Further, that for purposes of practical study, I classify gingivitis into superficial, hemorrhagic and suppurative.

The first class of the disease and the less advanced forms of the second and third classes are ordinarily amenable to proper dental treatment (scaling, polishing, etc.) in conjunction with correction of such local and constitutional disturbances as may be present.

The more advanced hemorrhagic cases, and especially the