44 
J. F. PEASE. 
I then outlined the operation with the knife and with bone 
saw, tried to remove the outer plate formed by the pre-maxillary 
and superior maxillary bones, which were enormously bulged 
at the site of the tumor, but the saw struck the core of the tumor 
and would not cut it. However, the tumor was movable, and, 
after getting a start with the before-mentioned stellate curettCy 
I inserted a finger beneath the hard core and enucleated the 
whole tumor, dissecting at the borders with the knife. The cavity 
was spherical and about three inches in diameter. The inside 
border of the tumor overlapped the hard palate, so that the 
tumor was fungiform and fully five inches across the top. As 
haemorrhage was quite free, the cavity was packed with a large 
wad of cotton, dusted freely with iodoform and kept in position 
by a bandage passed alternately over the nose and over the upper 
incisors beneath the upper lip. The following day, I dissected 
the flesh from the buccal surface of the thin edge of bone, 
before mentioned, and cut off the edge of bone as low as practi¬ 
cable with the bone forceps. This allowed the flesh to roll in 
over the cut surface, greatly lessening the external disfigurement. 
Then, after thoroughly curetting with a sharp curette, remov¬ 
ing considerable fibrinous material, similar to Case I. I used 
the same dressing and obtained an equally good recovery. When 
last seen, about two weeks after the operation, the cavity was 
nearly healed over and the deformity was diminishing. 
The tumor removed weighed about lo ounces, and upon in¬ 
spection is seen to be both fibroid and dentoid. The hard nucleus 
would seem to place it in the class of “Radicular Odontomes,” 
while the fibrinous masses arising from the bottom of the follicle 
would indicate its classification with the “ Follicular Odon- 
tomes.” Possibly, it would come under Dr. Sutton’s fourth 
class, “ Composite Odontomes,” although not strictly an aberra¬ 
tion of the whole tooth germ. 
Case III, was the first in chronological order, and was not 
understood at the time. The writer was called out to a neigh¬ 
boring town to see a well-bred colt of one year or over, with an 
immense swelling of the right superior maxilla. The whole 
