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Article
September 10, 1927

BELGIUM

JAMA. 1927;89(11):896. doi:10.1001/jama.1927.02690110060028

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Abstract

Occupational Lesions in Workers in Sugar  Dr. Watry has reported that workers in sugar are all affected, after six years, with dental lesions, frankly of occupational origin. Packers of cookies and cakes are affected to a somewhat slighter extent (85 per cent) owing to the smaller quantity of sugar dust. The matter of predisposition is of essential importance in the workmen. The best prophylaxis would be effective examination of apprentices. Sugar dust causes a gingivitis of purely mechanical origin. After the gingivitis stage, a deposit of a sugary substance, a veritable sugar syrup, constituting the membrane of caries, is formed. Caries, protected by this sugar sheath, develops in a semilunar form or resembling a three-quarters moon (a form more or less raised above the gums). He found also digestive disorders (gastralgia, loss of appetite, constipation), respiratory conditions (pharyngitis, particularly in women), and cutaneous conditions, especially of the face.

Prophylaxis Against 

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