Pyorrhoea alveolaris and its relations to general medicine / by John Fitzgerald.

  • Fitz-Gerrald, John.
Date:
[1900?]
Catalogue details

Licence: In copyright

Credit: Pyorrhoea alveolaris and its relations to general medicine / by John Fitzgerald. Source: Wellcome Collection.

    16/100 (page 8)
    vessels supplying the pericemental membrane of a gouty nature. This will be followed by thickening of their walls from swelling of the tunica media in the usual way observed in gouty inflammation. There will then ensue obliteration of its lumen, and death of the portion of tissue to which it is supplied, with a local molecular necrosis and the subsequent deposition of urates. It appears more than probable that syphilis may account for a certain number of the cases of pyorrhoea which are met with in practice. One observer found that out of twenty-three syphilitic patients, eleven had, true pyorrhoea. In these cases there are probably two factors at work, first the constitutional weakness, which is the direct result of the disease, and secondly the gingivitis, which it is almost impossible to avoid when administering mercurial preparations. Although the greatest care may be taken to prevent salivation, yet the soreness of the gums which is almost always produced, and which is generally accepted as the indication that the proper dose has been reached, will be quite sufficient to impair the integrity of the peri-