A Clinical stfttrA odontomas. 
es 
Stowe and Thwartes, veterinarians of East Saginaw, Mich., 
who, under date of Jan. 24, 1890, assure Mr. Woodworth that 
“ the enlargement on the right side of face was caused by a 
caries of the fifth molar tooth, which we removed, and we may 
also say that the most of such cases make a good recovery in 
the course of time. The swelling of the nostril is due to Mr. 
Long’s man using a strong solution of acid.” 
With this history he was presented to us in fairly good gen¬ 
eral condition three weeks later (14th Feb.) for examination, 
when he had a very repulsive appearance, somewhat similar 
but not equal to that depicted in Fig. 9. The right side of 
the face was enormously swollen, from the eye to the nostril; 
at the region of the second molar (fifth tooth) there was an 
opening through the superior maxillary bone about one inch 
in diameter, surrounded by abundant unhealthy granulations, 
which bled at the slightest touch. From this opening and 
the right nostril there was an abundant and very offensive 
purulent discharge. Inside the mouth, the gums on the af¬ 
fected side were greatly swollen, the first and third pre-molars 
were almost buried, but could be felt and were drawn out 
with the fingers. The second pre-molar could not be felt and 
was supposed to be out, but after several days, when the 
swelling of the gums had largely disappeared, it was found 
and taken out, like the others. The fourth and fifth teeth 
were out, leaving one superior molar on right side. 
The other teeth throughout the mouth seemed natural 
and well-preserved. Those removed were free from caries, 
but were quite short and the fangs appeared atrophied. 
A metallic probe passed into the facial opening came in 
contact with a rough, hard surface. The animal was secured 
by backing into stocks, fastening the head by a halter rope to 
posts on each side and with a twitch on the nose. We freely 
enlarged the externa! opening, and clearing away the debris 
and unhealthy granulations, came upon what was evidently a 
very large odontome. The surface of the tumor was well 
bared, and after over two hours of hard work with bone chis¬ 
els, heavy tooth-cutting forceps and a variety of bone-exect- 
ing instruments, we succeeded in removing by piecemeal an 
