EXTRACTION OF AN UlTEB MOLAR. 17 



by an enema syringe through an elastic tube 

 (the head depending), but without effect. 



On the 30th I constructed a small gutta-percha 

 scoop at the end of a probe, which was bent at 

 such an angle as to command a sweep of any 

 fossa in the antrum. In a few seconds the fang 

 was removed by means of this instrument. 



31st. — Has had occasional slight lancinating 

 pains, but the parts are surprisingly free from 

 inflammation. Ordered to foment and take an 

 aperient if the pain increased, but otherwise 

 merely to wash out the cavity gently with warm 

 water twice daily. 



Dec. 4th. — Has had very little pain. Discharge 

 rather foetid, but trifling in amount. 



11th. — No pain, and scarcely any discharge. 



The communication between the antrum and 

 the mouth is nearly closed, and air can only be 

 forced through it by an effort. 



21st. — A small quantity of air passes through 

 the opening into the cavity. No pain, and 

 scarcely any discharge. 



Jan. 18th, 1858. — A very small quantity of 

 air still passes. No discharge nor pain. The 

 adjacent parts look remarkably healthy, and 

 free from inflammation. The opening is closing 

 rapidly by granulation. 



28th. — The opening in the gum in not larger 

 than a pea, and is fast filling up. No air passes 

 into the mouth upon blowing the nose. The 



c 



