Chapter 17 - Surgical Diseases
Modern Surgery
Inflammation
Suppuration and Abscess
Mortification
Pyaemia
Ulceration and Ulcers
Boils
Carbuncle
Malignant Pustule
Burns and Scalds
Frost Bite
Chilblains
Mechanical,Injuries
Septic Wounds
Incised Wounds
Rules for Examining and Dressing Wounds
Antiseptic Dressings
Way Wounds Unite
Punctured Wounds
Lacerated Wounds
Granulation and Scarification
Gunshot Wounds
Poisoned Wounds
Fractures
Way Broken Bones Unite
Dislocations
Different Diseases of Bones
Pereostitis
Necrosis
Coxalgia
White Swelling
Bunions
Whitlow
Stiff Joint
Tumors
Cancer
Polypus
Piles
Wens
Aneurisms
Bronchocele
Water in the Scrotum
Blood in the Scrotum
Phlebitis
Varicose Veins
Hernia
Varicocele
Deformities and Irritations of the Spine
Wry Neck
Foreign Bodies in the Eye
Stye
Inflammation of the Edge of the Eyelids
Disorder of the Lashes
Ptosis
Chronic Inflammation of the Lachrymal Sac
Opthalmia
Inflammation of the Cornea
Inflammation of the Iris
Weakness of Sight
Imperfect Vision
Short and Long Sight
Squinting
Affections of the Ear
Inflammation of the Meatus
Wax in the Ear
Earache
Inflammation of the Tympanum, Deafness
Bleeding from the Nose
Ingrowing Toe Nail
Chafing and Excoriation
Foreign Substances
Bleeding from Wounds
Proud Flesh
Ambrine
Compression of Arteries to Stop the Flow of Blood
Anesthetics
Care of the Teeth
Rotting of the Teeth
Tooth-Ache
Filling Teeth
The First Teeth
Cleaning the Teeth
Ulcer of the Stomach
Glanders
X-Ray
Radium
Trachoma
Arterio-Sclerosis
Flatfoot
Riggs' Disease
Bandages

17.90 Riggs' Disease

Riggs' Disease or Pyorrhea Dentalis.
Usually begins in early adult life.
Cause. It is caused by a specific germ (Endameba buccalis) which destroys the membrane surrounding the tooth.

Symptoms and Course. The germ (Endameba) cannot attack healthy tissue. The infection usually begins around the back teeth. Any wounding of the gums by toothpicks, hard particles of food, long continued pressure between the teeth are favorable conditions.
At first the gums may appear only swollen and reddened, or to extend up between the teeth. The gums bleed easily when picked or brushed. In time a loosening of the gums from the tooth will occur forming a pocket, which gets larger andedeeper until the whole root is bared. This pocket forms a suitable place for the decomposition of food and the formation of foul-smelling pus which collects around the teeth. The tooth then falls out.

Cure - These germs (Endamebas) can be destroyed by taking two tablets of 10 grains each of powdered Ipecac three times daily for from four to six consecutive days. The treatment should be repeated from time to time until all trace of the disease is gone, which may be several weeks or months. Rinse the mouth at night with one drop of the fluid extract of Ipecac in a wineglass of water. Proper dental treatment should also be invoked, consisting of cleaning and scaling the roots, removing dead and bare bone and cleaning out the available diseased pockets.

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