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2. Pronosis is very good under proper treatment. Necrotic conditions have been found to exist in from twenty to thirty cases in a dental olinic treating from 5000 to 6000 paients per annum. Necrosis is a death of the tissue and must not be comfused with such forma of bone destruction an earies or suppurating osteitis in which the bone is des- troyed by progressive cellular disintegration. In phosphorus jaw we have the actual 37 attacking of the tooth tissue. Thorpe found that fumes of phosphorus would destroy 0.37 per eent of the weight of the tooth in twelve hours in cases of decayed teeth. As far as we know radium has no specifie action on these tissues. In etiology of jaw necrom sis is fairly vell underatood and includes systemic infections such as ayphilis, tube bersulosis, scarlet and typhoid fever. Inorfanie poisons and druga may act either by local applications or aystemic absorption, as phosphorus, arsenic, meroury, hydrogen peroxide. Radium and X-ray treatment have been known to esuse mecrosis. Besides den- tal lesions such as alveolar and pyorrhea alveolaris, a large proportion of the cases cocaine was have their genesia in the dental work. It was more common when used as a local anes- A thetic. ,,fortunately some of the cases under discussion are complicated by such things as joint trouble, diabetes and syphilitic conditions. Vimcent's Angina was almo present. The question a.e to how commonly the early stages are to be found in other girls that have worked in this industry is a matter of dispute. Several of the dental sur- geoms who have treated these girls claimed to have detected the imcipient stages in t the X-ray pictures of the jaws of a large number of the workera, Other competent sur- geons who have examined the same filma dexy that say bone changes have takon place. Several of these suspected cases have had abscessed teeth which attending dentistere- fused to extract beoause he was afraid of starting a mecrotic condition. These testh were extracted by other dentists, the guma healed normally and no signa of any trouble ever appeared. It may be stated that the girls a.s a whole were worked up to such a state that they were afraid to have any dental work dome. At the time I was called to investigate the possibility of an unsuspected in-

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    "ocrText": "2.\nPronosis is very good under proper treatment. Necrotic conditions have been found to\nexist in from twenty to thirty cases in a dental olinic treating from 5000 to 6000\npaients per annum. Necrosis is a death of the tissue and must not be comfused with such\nforma of bone destruction an earies or suppurating osteitis in which the bone is des-\ntroyed by progressive cellular disintegration. In phosphorus jaw we have the actual\n37\nattacking of the tooth tissue. Thorpe found that fumes of phosphorus would destroy 0.37\nper eent of the weight of the tooth in twelve hours in cases of decayed teeth. As far\nas we know radium has no specifie action on these tissues. In etiology of jaw necrom\nsis is fairly vell underatood and includes systemic infections such as ayphilis, tube\nbersulosis, scarlet and typhoid fever. Inorfanie poisons and druga may act either by\nlocal applications or aystemic absorption, as phosphorus, arsenic, meroury, hydrogen\nperoxide. Radium and X-ray treatment have been known to esuse mecrosis. Besides den-\ntal lesions such as alveolar and pyorrhea alveolaris, a large proportion of the cases\ncocaine was\nhave their genesia in the dental work. It was more common when used as a local anes-\nA\nthetic.\n,,fortunately some of the cases under discussion are complicated by such things as\njoint trouble, diabetes and syphilitic conditions. Vimcent's Angina was almo present.\nThe question a.e to how commonly the early stages are to be found in other girls\nthat have worked in this industry is a matter of dispute. Several of the dental sur-\ngeoms who have treated these girls claimed to have detected the imcipient stages in t\nthe X-ray pictures of the jaws of a large number of the workera, Other competent sur-\ngeons who have examined the same filma dexy that say bone changes have takon place.\nSeveral of these suspected cases have had abscessed teeth which attending dentistere-\nfused to extract beoause he was afraid of starting a mecrotic condition. These testh\nwere extracted by other dentists, the guma healed normally and no signa of any trouble\never appeared. It may be stated that the girls a.s a whole were worked up to such a\nstate that they were afraid to have any dental work dome.\nAt the time I was called to investigate the possibility of an unsuspected in-"
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