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Article
June 1935

NONULCERATIVE TUBERCULOSIS OF THE MOUTH FOLLOWING DENTAL PROCEDUREREPORT OF A CASE

Arch Derm Syphilol. 1935;31(6):858-860. doi:10.1001/archderm.1935.01460240083008

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Abstract

Recently, we observed a patient in whom an unusual form of nonulcerative tuberculosis developed in the soft tissues of the mouth following a regular dental procedure.

REPORT OF CASE  Mrs. A. J., an American, aged 27, a housemaid, visited her dentist on Aug. 12, 1933, because she had chipped the upper left cuspid. Owing to the severe pain when the drill was applied, the dentist devitalized the tooth under local anesthesia on September 6. A solution prepared by dissolving a tablet of procaine hydrochloride (E tablet) in Ringer's solution was injected infra-orbitally to produce local anesthesia. The root canal was treated and filled with gutta-percha dissolved in chloroform. Three weeks later the inlay was introduced. During this procedure the patient stated that she felt a burning pain over the area of the cuspid. Two hours later she first noticed a small hard mass in the soft tissues of the left

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