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because of the goitre which was on the rigntside and which MLSS Madinger
informed me appeared about four years ago, and apparently developed very suddenly.
Miss Madlinger also informed me that in the morning upon her awakening, the pillow
is covered by a watery discharge which is rather foul smelling. This epparently
occurs every morning.
The Xray pictures reveal that there are numerous cavities of decay present. The
right superior lateral tooth, which has a small filling, also indicates an area
of decay on the distal surface. The left superior cuspid and first bicuspid
both indicate large carious conditions, and the left superior second molar shows
a carious condition on its distal surface. The left superior third molar indicates
that this tooth is badly broken down and infected. The left inferior first molar
indicates an ares of decay on its distal surface and a severe bony absorption about
the roots. The left inferior cuspid and first and second bicuspids all indicate a
carious condition on their distal surfaces and a severe bony absorption about the
roots.
The right inferior first and second bicuspids indicate a carious condition
on
their
surfaces with a bony absorption about the roots. The right inferior second molar
indicates partial root canal therapy. The mesial root of this tooth has apparently
been filled to only a slight extent, and there is also a break in the filling or
the enamel margin on the disto-occlusal surface.
The bony framework of this jaw certainly has a very peculiar appearance. There
seems to be a necrosis which is most noticeable in the lower anterior region. This
is shom in Films M, N and La It is also shom in Films 0 and K to a lesser degree.
It is also shomn in Films G and F above the apices of the teeth. This condition
again appears to a lesser degree in Films B, C and D above the apices of
the
teeth.
If Ican be of any further service to you regarding this case, I shall be happy to
assist you. I am
Cordially yeurs,
Hel fanition
F. C. BARTLEMAN, D.D.S.
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- 75727121
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"ocrText": "because of the goitre which was on the rigntside and which MLSS Madinger\ninformed me appeared about four years ago, and apparently developed very suddenly.\nMiss Madlinger also informed me that in the morning upon her awakening, the pillow\nis covered by a watery discharge which is rather foul smelling. This epparently\noccurs every morning.\nThe Xray pictures reveal that there are numerous cavities of decay present. The\nright superior lateral tooth, which has a small filling, also indicates an area\nof decay on the distal surface. The left superior cuspid and first bicuspid\nboth indicate large carious conditions, and the left superior second molar shows\na carious condition on its distal surface. The left superior third molar indicates\nthat this tooth is badly broken down and infected. The left inferior first molar\nindicates an ares of decay on its distal surface and a severe bony absorption about\nthe roots. The left inferior cuspid and first and second bicuspids all indicate a\ncarious condition on their distal surfaces and a severe bony absorption about the\nroots.\nThe right inferior first and second bicuspids indicate a carious condition\non\ntheir\nsurfaces with a bony absorption about the roots. The right inferior second molar\nindicates partial root canal therapy. The mesial root of this tooth has apparently\nbeen filled to only a slight extent, and there is also a break in the filling or\nthe enamel margin on the disto-occlusal surface.\nThe bony framework of this jaw certainly has a very peculiar appearance. There\nseems to be a necrosis which is most noticeable in the lower anterior region. This\nis shom in Films M, N and La It is also shom in Films 0 and K to a lesser degree.\nIt is also shomn in Films G and F above the apices of the teeth. This condition\nagain appears to a lesser degree in Films B, C and D above the apices of\nthe\nteeth.\nIf Ican be of any further service to you regarding this case, I shall be happy to\nassist you. I am\nCordially yeurs,\nHel fanition\nF. C. BARTLEMAN, D.D.S."
}