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August 2, 1884

Spasm of the Orbicularis and Possibly Cataract Due to Dental Irritation.

JAMA. 1884;III(5):129. doi:10.1001/jama.1884.02390540017004

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—Mr. H. Sewill, M.R.C.S., reports an interesting case in British Medical Journal, May 10, 1884, of which the following constitute the main features: A nervous middle aged spinster with facial spasm and neuralgia on the right side of the face and head, associated with spasm of the orbicularis. There was great tenderness in the region of the right upper canine; the neighboring teeth were much encrusted with tartar and the gums were red and swollen. The lens of the right eye is said to be "almost opaque." Dr. Ferrier, who examined the case, supposed that the dental irritation was the cause of the trophic disorder leading to cataract.

Examination of the mouth revealed a vulcanite plate which had not been removed " for years," and together with the teeth was covered with tartar. The whole of the teeth were carious, but the right canine was broken down nearly to the gum

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