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ritis is sciatica. One case of sciatica had a large number of abscessed teeth which

extracted at once under ether. The patient had the sciatica for two weeks steadily, but after the extraction there was an immediate cessation of the neuralgia. This case, however, had some slight arthritis accompanying the neuritis which, of course, was slower to respond to the treatment. A case of tri-facial neuralgia is worth recording. Mr. A. B. A., 6498, entered July 19, 1915, a man of 60 years, an American minister, whose family history, habits and past history are negative, had for three months had a true tri-facial neuralgia. The pain came on at intervals of a few minutes as a sharp spasm in the left forehead and side of the face. A physical examination revealed many teeth worn down almost to the gums, a post nasal discharge, and a tender area corresponding to the region in which the spasms occurred. Examination of the blood and urine and a Wasserman test gave negative findings. He was admitted to the hospital on July 19, and no improvement was noted by rest, diet and cathartics until on August 6, his teeth were all extracted. In twenty-four hours the spasms of pain had entirely ceased. In two weeks all pain had gone from the affected area, altho little, tenderness remained. In this case the mental ability has been considerably impaired by the stress of the pain, and it is probable that he will not entirely recover this at his age, but the neuralgia is entirely cured.

The remarkable feature of these cases is the immediacy of the results. The effects of the neuralgia may take some little time for recovery, but removal of the irritant seems to give immediate relief. Whether these cases are due to absorption of the septic material as are the rheumatic cases, is not clear to us.

A consideration of the data obtained from the work of the last two years at the hospital gives the following conclu

sions: Dental infection, even if slight, is responsible for a very large proportion of chronic arthritis and acute rheumatism; endocarditis is another symptom of the same streptococcal infection and is also very frequently caused by dental infection; myocarditis and pericarditis, when not caused by tuberculosis or syphilis, may also be symptoms of the same disease; nephritis, when slight as evidenced by albuminaria alone, may be a symptom; nephritis in its more advanced stages, altho it may have been originally caused by diseases connected with dental infection, is not amenable to treatment by the removal of dental foci alone;

pernicious anemia seems to have little or no connection with dental infection; neuritis seems to be associated more closely with irritants than with dental infection, but a larger number of neuralgias are attributable to dental diseases.

We wish to make acknowledgment here to Dr. S. Marx White, for suggestions and help gained from his paper and tables on this subject. Our tables cover the work to August 1st, 1915.

The first table is of the hospital cases. The sign * means present. Where two signs exist, as or *, the upper one regards the presence of the disease; the lower, the presence or absence of treatment.

The second table is that of the patients treated in the pyorrhea department in the College of Dentistry of the University of Minnesota during the school year 1914-1915.

The following are the abbreviations used in the second table:

Mr.

Miss or Mrs.
Ging. Gingivitis.
Perid. Peridentitis.
Si. Slight.
Med. Medium.
Adv. Advanced.
Sev. Severe.
Pyor. Pyorrhea.
Neg. Negative, or without significance.
Pos. Possible
Rt. Right.
Cond. Condition
Rheum. Rheumatism.

a

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11.

Mi3. E. H.

6288

33

Much
Improved

10.

T. G.

3965

12.

A. K.

4140

38

Cured

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Hospital Number.

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N. M.

4306

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2806

21

Much
Improved

5743

33

4682

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6028

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3268

32

Recurrent
Rheumatism

Improved

Still some rheumatism.

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Name.

16.

Mrs. G. 0.

4615

17.

A. P.

18.

Mrs. J. P.

19.

Mrs. E. R.

20.

D. E. S.

21.

H. S.

22.

J. B. S.

23.

Mrs. K. S.

24.

J. N. S.

25.

Mrs. C. W.

26.

Mrs. M. B.

27.

Mrs.

M. F.

28.

R. F.

6133

26 Acute

Rheumatism

Greatly
Improved

Improvement tonsillectomy tion.

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F. L. H.

5556

63

Died

5102

28

Died of Septicemia

33

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24

Acute Rheumatism

Greatly Improved

Growing worse until extraction, followed by immediate improvement.

63

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75

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29.

30.

V. J.

31.

E. R.

3605

32.

Mrs. M. S.

4324

33.

Miss T. S.

3414

19 Acute

Rheumatism

34.

E. S.

4393

35.

J. O'B

4968

36.

Miss M. C.

5845

37.

Mrs. J. C.

4954

38.

F. J.

5635

39.

F. M.

5447

40.

J. S.

41.

N. S. Name.

4892

50

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42.

N. W.

43.

W. C.

44.

T. D.

45. H. 0.

46.

E. R.

47.

Mrs. F. W.

48.

J. A.

49.

J. B.

50.

A. B. A.

51.

A. M. E.

52.

F. H.

53.

Mrs. R, B.

54. J. S.

5928

66

Improved

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