Talbot, when treating of interstitial gingivitis, says: "The exciting causes are either constitutional or local, but as a rule are local, or have local action." Regarding his experiments on dogs, he says: "While it is by no means improbable that constitutional factors assist in its early progress in man, still the exciting cause of this disease is tartar." Dr. G. P. Carpenter's experiments tend to establish the law that without a locally exciting cause the disease would not exist as such. The writer is in full accord with these opinions; consequently, from his standpoint, the natural and all-important treatment is to first remove the local cause, by cleansing away the deposits found about the teeth, either superficial or deep-seated. This being accomplished, local germicidal and palliative treatment should be adopted and continued until health is the result, or failure established. To accomplish these ends many methods are pursued, but all
FLETCHER MH. LOCAL TREATMENT OF INTERSTITIAL GINGIVITIS. JAMA. 1900;XXXV(8):484–489. doi:10.1001/jama.1900.24620340020001h
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