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March 9, 1889


JAMA. 1889;XII(10):339-342. doi:10.1001/jama.1889.02400870015002

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A Case of Dental Fistula Opening on the Mammary Gland.  —The following case, reported by Dr. Nicolai, of Stuttgart, Germany, in the Deutsche Monatsshrift für Zahnheilkunde for December, 1888, illustrates forcibly the importance attaching to the necessity of placing the mouth at all hazards in a perfectly physiological condition.Dr. Nicolai says: A lady, 32 years of age, who has not had her teeth examined for four years, presented herself to me to have her teeth placed in good condition. This necessitated cleaning the teeth, the removal of salivary calculus, and the introduction of eleven gold, six amalgam and two cement fillings.On the completion of these operations, the mouth was in a normal healthy condition, with the exception of the lower left first molar, of which nothing but the roots were left; these were broken, and underneath the margin of the gum. They were filled with the ichorous products

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