FOUR PERMANENT FIRST MOLARS. 59 



of the first molars. I found the two under ones so 

 much afiected by caries, that any interference with 

 them on my part would have entailed a long 

 attendance, and the more than chance, in my 

 opinion, of gumboil following on such attendance, 

 for which reason I left the under teeth to nature, 

 being aware that before long toothache would 

 compel their removal. It will be seen from Fig. 6 

 the teeth have been since removed ; had they been 

 removed sooner, the patient would have been saved 

 many nights of toothache, and the success of the 

 operation would have been more certain and per- 

 fect, although I expect the result will be good, 

 owing to the position of the remaining teeth. The 

 first time I saw the patient, as I did not receive 

 leave to remove the first molars, and as it was not 

 in the power of the parent to grant me the neces- 

 sary time to assist nature by means of mechanism, 

 in placing the upper laterals in their normal posi- 

 tion, I decided on the removal of the right upper 

 first bicuspid, to admit the eye-tooth into position, 

 which was placed completely over the lateral. Had 

 it been in the power of the parent to grant me the 

 necessary time, and had I been allowed to remove 

 the first molars, this would have proved a most 

 beautiful case in support of the operation I am 

 advocating. 



VII. The last case I wiU refer to is that of a 

 family of five children. The eldest girl, who is 

 either the eldest or the second eldest child of the 



