University of the Pacific School of Dentistry - Chips Yearbook (San Francisco, CA)

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A FRESHMAN'S WAIL OF JOY. At last the great day has arrived, For which so long we much have strived. No, we're not bound for the theater, South Pole, the moon, or the equator. From all such play we must keep away, 'Cause life's real work is here to stay. We go to lectures and quizzes, too, And cut at arms and phizzes, boo hoo! At first it's nauseating and enervating, But folks cry for doctors they're always waiting, So try we must to live up to our tru. ., And buckle down to hard study o ' bust, For there's more than one examin Lion, And if we work not with animation To home they'll send us with little fur Wliile all we'll do will be to cuss The profs for making things so hard As if in God's art they took part! Yes, much study makes us quite rurl ly 3 Indeed, we shout Hee haw ! like i.landie! Ah, study's a cinch, just six days at ix .-wir. From eight to five only, then one peek At the sky and street, and we -e on. ' 1 1-at Of the thing we have studied- -nic: , neat! And as soon as we're through witl, It's time to spread our books cut flat, To study and cram till twelve or one. At last it's to bed-Ctired out and donej- VVhere we dream of big skulls staring madly. They seem to say You fooled us badlyg Advice you gave, managed to pave The way to our untimely grave l Then they all make a start, fast as a dart, And rush toward us, to tear us apart Wliile we stand amazed, transfixed we gaze, And think here's the end of our earthly days! A terrible screech-and long arms they reach To us-but we just stare, devoid of speech! We shake and quake-when, oh dear good Lord! But that's enough for our spinal cord! Ah, it's fine to still be able To take our seats at the table, Then seizing a book from every nook, We're off again like Tennyson's brook'g And so it goes on, day in and day out, With hardly a moment to look about. Now, my friends, after reading this, Dont' you think study is full of bliss? ALEX. M. SHAPIRO, Sophomore Medical 33

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After adjusting the high-pressure syringe and supplying it with a needle, which has been previously prepared fby selecting a needle with the thickest point obtainable and grinding off of the needle to within three-eighths of an inch of the re-enforce- mentj, fill the syringe with two per cent solution of novocaine and adrenalinf' and lay syringe aside in readiness. The mouth and field of operation should now be cleansed with an antiseptic solution and the surface of the gum overlying the root is thoroughly dehydrated, and dryness maintained by proper placement of cotton rolls. p A pellet of cotton is now dipped into the novocaine solution Cwhich has been left in the mixing glass for this purposej and applied to the gum tissue, thus rendering the cutting of a semi- circular flap, almost, if not entirely, painless. Q V The flap of the gum is now turned back and a rose bur Cidentical in size with that of the needlej is used in the engine to make a hole of sufficient depth to accommodate the needle. The syringe is now used, and, upon applying considerable pressure, the novocaine solution may readily be diffused through- out the alveolar process, which contains lymph channels that facilitate this diffusion. I P The injection is made rather slowly and a period of time is required before the full physiological effect of the anesthetic is apparent. This period of time will vary with the thickness and compactness of the alveolar process. ' The successful anaesthetization of the part greatly depends upon allowing sufficient time for the proper diffusion and action of the anaesthetic solution throughout the spongy alveolar pro- cess. This method of anaesthesia may be used for the preparation of cavities in hyper-sensitive teethg for extirpation of dental pulpg for the amputation of the apex of a root, when deemed necessary Cfollowing septic pericementitis, chronic alveolar ab- scess, etc.i, and, in fact, for any surgical procedure where the operation is confined to the alveolar process and its contents. The amputation of the apex for apical thirdj of a root is accomplished after the preceding method of anaesthesia, by en- larging the opening with a larger Alveolitis bur, but upon ar- rival at the apex of the root, a dentate or crosscut fissure bur is employed by alternate lateral movements to cut through the root, at the junction of the apical third with the middle third, after which the apex is extirpated and the ragged stump made smooth with small, cylindrical, finishing stones. The cavity is washed with sterile water and then dehydrated, after which tincture of iodine is applied and the cavity allowed to heal by granulation. It is understood in this operation for the amputation of a root-apex, that the pulp has been previously extirpated and the root canal thoroughly filled with gutta percha or cement. 32

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THE CO-OPERATION OF PHYSICIAN AND DENTIST IN THE TREATMENT OF DISEASES. S. B. Fontaine, D. D. S. CAsst. Oral Surgeon to College of Physicians and Surgeons of San Francisco, Dental Surgeon to French Hospital of S. FQ When we consider the close relationship between certain diseases of the human mechanism and that of the beginning of the alimentary tract, it is hard to realize that we are only now awakening to the fact that the physician and dentist are depen- dent upon each other for the thorough and scientific treatment of various diseases. To consider all the diseases which are analogous to one another would take up more space than is at my disposal, so I will content myself with mentioning the most important only. In the vicinity of the oral cavity we have the diseases of the faucial tonsils, and of the circle of Waldeyer, which includes the adenoids. We also have the influence of the thyroid body upon the eruption of the teeth. It is only of. recent years that the significance of the thyroid body in the human system and its therapy has been discovered. Dr. Dunogier of Paris, who has made a special study of that body, cites several cases, one of which I will mention. The pa- tient,'an infant, who was greatly retarded in general development, and exhibited myxedema, had erupted but seven teeth by the age of three. After thyroid treatment had been given for three months nine additional teeth had erupted. Other cases in the oro-pharynx are the sequelae of genital diseases, i. e., secondary syphilis in the form of mucous patches and the third state or gumma. VVe also have the initial stage of syphilis in the form of chancre, and last, but not least, on account of rarity, gonor- rheal stomatitis. Thorough knowledge of these cases should be had by both members of the medical profession, not only for the rational treatment of the unfortunate victim, but for the danger of inoculating other innocent people. As we leave the oro-pharynx we come to skin diseases which are attributed to pyorrhea alveolaris, among the most common we find acne rosacea areola, eczema, edema, etc. The two explana- tions of this phenomena are: the irritation of one branch of the fifth nerve inside the mouth, producing by refiex action, a lesion of the integument by an associate branch of the same nerveg the other, the more complex condition or septic absorption from diseased gums. I r Next we have infiammation of the eyes, infection of the brain, and insanity. In cases of neurasthenia and insomnia, not due to obvious physical cause, i. e., disorders of the digestive organs and eye strain, possibly one-half of them are due to den- tal diseases, the remainder maybe caused by genital diseases. In mentioning genital disorders it is not amiss for me to men- tion a few facts on dentistry and gynecology. 34