LIBRARY OF CONGRESS. Shelf. •:S"..5.2. ^- . / \ ^ * T UNITED STATES OF AMERICA. I HORSES^ TEETH: A TREATISE ON THEIR MODE OP DEVELOPMENT, ANATOMY, MICROSCOPY, PATHOLOGY, AND DENTISTRY ; COMPARED WITH THE TEETH OP MANY OTHER LAND AND MARINE ANIMALS, BOTH LIVING AND EXTINCT ; WITH A VOCABULARY AND COPI- OUS EXTRACTS PROM THE WORKS OP ODONTOLOGISTS AND VETERINARIANS. U^ WILLIAM H. CLARKE. SECOND EDITION, REVISED. Horses have very nearly the same diseases as men.— P^iny. We out?ht to make not merely books, but valuable collections, and to acknowledge the sources whence we derive assistance.— /Jic?. NEW YORK : ' OCJ 1 8 '890 WILLIAM R. JENKINS, V ,-^^6 4 g" veterinary publisher and bookseller, • 850 Sixth Avenue 1884. Copyright, 1S79, by William H. Clarke. Smith & McDougal, Elkctrotypkks, 82 BeekPinn St., N, Y. PREFACE THE favorable reception of the first edition of this work by both press and piibhc and my desire to encourage the study of Veterinary Science and Comparative Anatomy are the chief reasons for a Revised Edition. The improvements consist in an Appendix, numerous Ilhistrations, a new Index, and the correction of errors in and the addition of fresh matter to the text and vocabulary. I am indebted to Mr. Jacob L. Wortman of Phil- adelphia for the able article on fossil horses in the Appendix, and to Prof. E. D. Cope, editor of Tlie American Naturalist, for a careful revision and im- provement of it. Some of the reference notes, how- ever, are my own. It was not my intention originally to make the book an exponent of the Doctrine of Evolution. The dis- cussion of the subject, however, is justifiable, for a work that does not embrace all the facts science furnishes is unworthy of the age, and to shirk the re- sponsibility of the discussion because the subject is unpopular is cowardly. The fact, that fossil horses' teeth are inseparably connected with those of the modern horse renders their consideration unavoidable. Further, in addition to being one of the most impor- tant factors Paleontology has thus far furnished in IV PREFACE. elucidating the subject of Evolution, they give in- creased scope and importance to the book itself. Truly the late Dr. John W. Draper was right when, at a mere glance, he said : ^' The subject (horses' teeth) is so suggestive !" So far as Evolution is concerned, I can only repeat what I said in the first Preface, namely, that it denotes improvement, and that Nature's laws are immutable, and to oppose them is as foolish as to beat the head against a stone wall. Again, as said in the first Preface, I think I can say now from experience that Special Works, on account of the thoroughness with which they are usually pre- pared, are growing in public favor (an opinion in which so able a journal as The Syracuse (N. Y.) Standard concurs), and that while General Works have their advantages, thoroughness of detail is not usually among them. W. H. 0. New York, September, 1883. CONTENTS INTRODUCTION— Fundamental Principles of Dental Science 7 CHAPTER I. TOOTH-GERMS (ODONTOGENY). Periods at which the Germs are vi^^ible injthe Fetus.— Dentine and Enamel Genns.- Gi Four itot's Researches. uus uL \Min;u iiil; ^^clUJr^ aiu viMuiu lu liiu rtjius. — ucniine ana Enamel Germs.— A Cciuciit Germ in t!ie Foal. — The Horde's Upper Grinders said to be developed from Five Germs, the Lower from Four.— Similar development of the Human Teeth.- Monsieur Ma^- CHAPTER IT. THE TEMPORARY DENTITION. Twelve Incisors and Twelve Molars.— Whv the Incisors are calle "Nippers."— The Treatment of Foals 'Aflects Teethin^. -Roots of Milk Tueth Absorbed by the Permanent.— The Tushes.' 47 CHAPTER III. THE PERMANENT DENTITION. Distinction between Premolars and Molars.— The Bow-like Incisors.— Contrasts between the U])per and Lower Grinders, ;ind the Rows formed by them. -The Incisors saved from Friction.— Horses' Teeth compared with those of other Animals.— Measurements.— Time's Changes.— Growth during Life 53 CHAPTER IV. THE CANINE TEETH OR TCSHES. Practically Useless.— Different in their Nature from the other Teeth.— Were they formerly Weapons of Ofleuir^e and Defense)— Views of Messrs. Darwin. Hunter. Bell, Yonaft, and Winter.— Their time of Cutting the most Critical Period of the Horse's Life 75 CHAPTER V. THE REMNANT TEETH. Usually regarded as Phenomenons.— The Name.— Traced to the Fossil Horses, in which (in the Pliocene Period) thev ''Cea-^ed to be Func- tionally Devclop"d.'*— X.itnre's Metamorphoses -•' The AL^encies which are at work in Modeling Animal and Ve£retab]e Forms."— Why Remnafit Teeth are often as it were. Prematurely Lost.— Fos- sil Horses and a Fossil Toothed-Bird 94 VI CONTENTS. CHAPTER VI. DENTAL CYSTS AND SUPERNUMERAKY TEETH. page Teeth growius in various parts of the Body. — Some Cysts more Prolific than others, Prodiiciiij? a Sccoud, if not a Third, " Dentition. ■"— Keports and Theories of Scienlilic Men.— Cases of Third Dentition iu Human Beings 115 CHAPTER Vn. horses' TEETH UNDER THE MICROSCOPE. The Dentinal Tabes, Enamel Fibers, and Cemental Canals Described and Contrasted 130 CHAPTER Vni. THE PATHOLOGY OF THE TEETH, Importanc3 of the Sitbject. —Caries caused by Inflamed Pulps, Blows, Virus, and Morbid Diathesis.— Supernumerary Teeth and other Derangements.— Tre|/hinuig the Sinuses.- Gutta Percha as a Fin- ing. — (.'leaning the Teeth.— A Diseased Fossil Tooth 136 CHAPTER IX. THE DENTISTRY OF THE TEETH. Reports of Cases Treated by Various Surgeons.— Gutta Percha as a Filling for Trephined Sinujcs.- Teeth Pressing against the Palate. -Passing a Probe through a Decayed Tooth.— Death of a Horse from Swallowing a Diseased Tooth 175 CHAPTER X. FRACTURED JAWS. How Caused, and how to Distinguish an Abrasion of the Gums from a Fracture of the Bone.— Replacing an Eye, Amputating part of a Lower Jaw, taking a Fractured Tooth and Bones out through the Nostril, &c 194 CHAPTER XI. THE TEETH AS INDICATORS OF AGE. Their various ways of Indicating Age.— The " Mark's " Twofold Use.— The Dentinal Star.— Marks with too much Cement.— Tricks of the Trade.- Crib-biting.— Signs of Age Independent of the Teeth 203 CHAPTER XII. THE TRIGEMINUS OR FIFTH PAIR OF NERVES. Its Nature and the Relation it bears to the Teeth.— Its Course in the Horse and in Man 216 VOCABULARY 227 APPENDIX.— Recent Discoveries of Fossil Horses.— Views of an Evo- luMonist.— Original Home of the Horse.— Elephant Tooth-Germs.— Filling Children's Teeth 257 INDEX 279 PUBLIC OPINION 287 IXTRODUCTIOX The following matter, which is designed to give at least a synopsis of the fundamental principles of dental science, is compiled from the works of the best known odontologists. It is somewljat heterogeneous in its make-up, and is, moreover, considering that it is an Introduction to a special work, anomalous, being rather an adjunct to than an explanation of the work itself. Its lack of coherency and the few repetitions, the inevitable concomitants of all compilations, are offset by the interest of its historical records and the scope and clearness of its thoughts and deductions. While it does not treat specially of horses' teeth, it is just as applicable to them as to human teeth, or to those of any of the other animals mentioned. It is believed that the student of dental science will find the matter as useful as it is interesting. In his work entitled "The Anatomy of Vertebrates" (vol. i, pp. 357-8), Prof. Richard Owen says: "A tooth is a hard body attached to the mouth or beginning of the alimentary canal, partially exposed, when developed. Calcified teeth are peculiar to the vertebrates,, and may be defined as bodies primarily, if not permanently, distinct from the skeleton, consisting Vm IXTHODUCTIOK^. of a cellular and tubular basis of minimal matter, con- taining earthy particles, a fluid, and a vascular pulp. ^^In general, the earth is present in such quautity as to render the tooth harder than bone, in which case the animal basis is gelatinous, as in other hard parts where a great proportion of earth is combined with animal matter. In a very few instances, among the vertebrate animals, the hardening material exists in a much smaller proportion, and the animal basis is albu- minous ; the teeth here agree, in both chemical and physical qualities, with bone. ^•'I propose to call the substance which forms the main part of all teeth dentine.* The second tissue, which is the most exterior in situation, is the cement. The third tissue, which, when present, is situated be- tween the dentine and cement, is the enamel. "Dentine consists of an organized animal basis and of earthy particles. The basis is disposed in the form * In a reference note in the Introduction to liis " Odontogra- phy," Prof. Owen says: "Besides the advantage of a substan- tive for an unquestionably distinct tissue under all its modifica- tions in the animal kingdom, the term dentine may be inflected adjectively, and the properties of this tissue described without the necessity of periphrasis. Thus we may speak of the ' denti- nal ' pulp. ' dentinal ' tubes or cells, as distinct from the corre- sponding properties of the other constituents of a tooth. The term 'dental' will retain its ordinary sense, as relating to the entire tooth or system of teeth." Note. — The particular paragraph to which the above note re- fers is from Prof. Owen's " Odontograpliy." " The Anatomy of Vertebrates " having been written about twenty-five vears sub- sequent to the " Odontog-ranhy," and therefore reflecting the Professor's riper thoughts, the extracts made from it were sub- stituted for very similar matter in the " Odontography." TL'BES WITH XOURISIIIXG, COI^OKLESS TLUID. ix of compartments or cells, and extremely minute tubes. The earthy particles have a twofold arrangement, be- ing either blended with the animal matter of the in- terspaces and parietes of the tubes, or contained in a minute granular state in their cavities. The density of the dentine arises principally from the proportion of earth in the first of these states of combination. The tubes contain, near the formative pulp, filament- ary processes of that part, and convey a colorless fluid, probably transuded * plasma.' They thus relate not only to the mechanical conditions of the tooth, but to the vitality and nutrition of the dentine. This tissue has few or no canals large enough to admit capillary vessels with the red particles of blood, and it has been therefore called 'unvascular dentine.' " Cement always closely corresponds in texture with the osseous tissue of the same animal ; and whenever it occurs of diff'erent thickness, as upon the teeth of the horse, sloth, or ruminant, it is also traversed, like bone, by vascular canals. When the osseous tissue is excavated, as in dentigerous vertebrates above fishes, by minute radiated cells, forming, with their contents, the ' corpuscles of Purkinje,' these are likewise present, of similar size and form, in the cement, and are its chief characteristic as a constituent of the tooth. The hardening material of the cement is partly segregated and combined with the parietes of the radiated cells and canals, and is partly contained in disgregatcd granules in the cells, wliich are thus rendered white and opaque, viewed by reflected light. The relative density of the dentine and cement varies according to the proportion of the earthy material, and chiefly of that part which is combined with the animal matter in the walls of the cavities, as compared with the size X IXlllODUCTIOX. and number of the cavities themselves. In the complex grinders of the elephant, the masked boar, and the copybara, the cement, which forms nearly half the mass of the tooth, wears down sooner than the dentine. " The enamel is the hardest constituent of a tooth, and, consequently, the hardest of animal tissues; but it consists, like the other den ;:al substances, of earthy matter arran.s^ed by organic forces in an animal matrix. Here, however, the earth is mainly contained in the canals of the animal membrane, and, in mammals and reptiles, completely fills those canals, which are com- paratively wide, whilst their parietes are of extreme tenuity. The hardening salts of the enamel are not only present in far greater proportion than in the den- tine and cement, but, in some animals, are peculiarly distinguished by the presence of the fluate of lime." Again Prof. Owen says ("Anat. of Vert." vol. i, pp. 359-GO) : '^ Teeth vary in number, size, form, structure, modi- fications of tissue, position, and mode of attachment in different animals. They are principally adapted for seizing, tearing, dividing, pounding, or grinding the food. In some animals they are modified to serve as weapons of offense and defense ; in others, as aids in locomotion, means of anchorage, instruments for up- rooting or cutting down trees, or for transport and working of building materials. They are characteristic of age and sex, and in man they have secondary rela- tions subservient to beauty and to speech. "Teeth are always most intimately related to the food and habits of the animal, and are therefore highly tOST DUKABLE OF a::imal SULST.'.XCES. xi interesting to the ph3'siologist. They form for the same reason most- important guides for tlie naturalist in the classitication of animals; and their value, as zoological characters, is enhanced by the facility with which, from tlieir position, they cau be examined in living or recent animals. The durability of their tis- sues renders them not less available to the paleontolo- gist in the determination of the nature and affinities of extinct species, of whoso organization they are often the sole remains discoverable in the deposits of former periods of the earth's history." Prof. A. Chauveau says (" Comparative Anatomy of the Domesticated iVnimals"): '• Identical in all our domesticated animals by their general disposition, mode of development, and struc- ture, in their external conformation tlie teeth present notable differences, the study of which offers the greatest interest to the naturalist. For it is on the form of its teeth that an animal depends for its mode of alimentation; it is the regime, in its turn, which dominates the instincts, and commands the diverse modifications in the apparatus of the economy ; and there results from this law of harmony so striking a correlation ])etween the arrangement of the teeth and the conformation of the other organs, that an anato- mist may truly say, 'Give me the tooth of an animal, and I will tell you its habits and structure.'" In a letter which I wrote to Prof. Theodore Gill, of the Smithsonian Institution, Washington, D. C, I asked what there was about teeth that enabled natu- ralists to tell so much by them. In reply he said: XU li^TRODUCTIOX. " The teeth are quite constant in the same type, are generally appreciably modified according to family, are the most readily preserved in a fossil state, and are in direct relation with the economy of the animal.^ Hence they furnish the best indications of the relations of the animal to w^hich they belonged, especially in cases where the type was not very different from an existing one. In the case of the older and more aberrant types, hov/ever, the indications furnished by the dentition should be accepted with great caution." In the Introduction to his '^ Odontography " Prof. Owen gives, besides his own and other men's views, a history "of the leading steps to the present knowl- edge" of dental science (that is, up to 1844), of which the following are extracts : " As regards the teeth, the principle of chief import to the physiologist arises out of the fact, which has been established by microscopic investigations, that the earthy particles of dentine are not confusedly blended with the animal basis, and the substance arranged in superimposed layers, but that these particles are built up with the animal basis as a cement, in the form of tubes or hollow columns, in the predetermined arrange- ment of which there may be discerned the same rela- tion to the acquisition of strength and power of resist- ance in the due direction, as in the disposition of the columns and beams of a work of human architecture. " Whoever attentively observes a polished section or a fractured surface of a human tooth may learn, even with the naked eye, that the silky and iridescent luster reflected from it in certain directions is due to the presence of a fine fibrous structure. EARLY illCROSCOPICAL mSCOVERIES. Xlll " Malpighi,* in whose works may be detected the germs of niany important anatomical truths that have subsequently been matured and estabhshed, says the teeth consist of two parts, of which the internal bony layers (dentine) seem to be composed of librous and, as it were, tendinous capillaments reticularly interwoven. " Leeuwenhoek,f having applied his microscopical observations to the structure of tiie teeth, discovered that the apparent fibers were really tubes, and lie com- municated a brief but succinct account of his discovery to the Royal Society of London, which was published, together with a figure of the tubes, in No. 140 of their Transactions. This figure of the dentinal tubes, with additional observations, again appeared in the Latin edition of Leeuwenhoek's works, published at Leyden in 1730.- The dentine of the human teeth, and also that of young hogs, is described as being * formed of tubuli spreading from the cavity in the center to the circumference/ He computed that he saw a hundred and twenty of the tubuli within the forty-fifth part of an inch. He was aware also of the peculiar substance now termed the cement, or crnsta j)etrosa, which enters mto the composition of the teeth of the horse and the ox. "These discoveries may be said to have appeared before their time. The contemporaries of Leeuwen- * An Italian physician ; born in 1628 ; died in 1604. He was tlie first to apply the newly-invented microscope in the study of anatomy. X A Dutch naturalist and manufacturer of optical instruments. His microscopes were said to be the best in Europe. Besides his dental discoveries, he discovered the red g-lol)ules of the blood, the inkisorial animaVules, and that of the spermatozoa. Born in Delft October 24, 1632; died there Aumist 26, 1723. XIV livTRODUCTiUN. hoek were not prepared to appreciate them ; besides they could neither re^jeat nor contlrm them, for his means of observation were pecuHarly his own; and hence it has happened that, with the exception of the learned Portal,* they have either escaped notice, or have been designedly rejected by all anatomists until the time of the confirmation of their exactness and truth by Purkmje in 1835." Continuing tlie subject, Prof. Owen further says of the three constituent parts of teeth — dentine, enamel, and cement — beginning with THE DESTINE. "Purkinje states that the dentine consists, not of superimposed layers, but of fibers arranged in a homo- geneous intermediate tissue, parallel with one another, and perpendicular to the surface of the tooth, running in a somewhat wavy course from the internal to the external surface, and he believed these fibers to be really tubular, because on bringing ink into contact with them, it was drawn in as if by capillary attraction. " On the publication of this discovery, it was imme- diately put to the test by Prof. Miiller, by whom the tubular structure of the denthie was not only con- firmed, but the nature and one of the offices of the tubes were determined. He observed that the white color of a tooth was confined to these tubes, which were imbedded in a semi transparent substance, and he found that the whiteness and opacity of the tubes were re- moved by acids. On breaking a thin lamella of a tooth transversely with regard to its fibers, and examining the edge of the fracture, Miiller perceived tubes pro- * " Histoire de rAnatomie et de la Chirurgie," Paris, 1770. WHAT TiTE Trr;r.s contain. xv jx^cting here and there from the surfaces. They were white unci opaque,, stiff, straight, and apparently not flexible. This appearance is well repres.-nted in the old figure by Leeuwenhook. If the lamellae had been previously acted upon by acid, the projecting tubes were flexible and transparent, and often very long. Hence Miiller inferred that the tubes have distinct walls, consisting of an animal tissue, and tiiat, besides containing earthy matter in their interior, their tissue is, in the natural state, impregnated with calcareous salts."* THE CEMENT. " The organized structure and microscopic character of the cement were first determined by Purkiuje and Faenkcl, and the acquisition of these facts led to the detection of the tissue in the simple teeth of man and carnivorous animals. The cement is most conspicuous where it invests the root of the tooth, and increases m thickness as it approaches the apex of the root. The animal constituent of this part of the cement bad been recognized by Berzelius as a distinct investment of the dentine long before the tissue of which it formed the basis was clearly recognized in simple teeth. Berzelius describes the cemental membrane as being less consist- ent than the animal basis of the dentine, but resisting " If Lord Bacon's theory is correct, the probability is that these tubes contain something besides earthy matter and calcareous salts, to wit, spirit. In "Novum Organura" he says (B. Mon- tagu, vol. xiv, p. 417): "All things abhor a solution of their continuity, but yet in proportion to their rarity. The more rare the bodies be, the more they suffv^r themselves to be thrust into small and narrow iiassaffos ; for water will go into a passage which dust will not go into, air which >vater will not go into, and flame and spirit which air will not go into." XVI IKTKODUCTIOX. longer the solvent action of boiling water, and retain- ing some fine particles of the eartliy phosphates when all such earth had been extracted from the dentinal tissue. Cuvier also states that the cement is dissolved with more difficulty in acid than the other dental tis- sues. Retzius,'^ however, states that the earth is sooner extracted by acid from the cement than from the dentine of the teeth of tiie horse. "In recent mammalian cement the radiated cells, like the dentinal tubes, owe their whiteness and opacity to the earth which they contain. According to Retzius, 'numerous tubes radiate from the cells, wiiich, being dilated at their point of beginning, give the cells the appearance of an irregular star. These tubes form numerous combinations with each other, partly direct and partly by means of fine branches of y^^oot^^ ^^ -g-o^y-Q-th of an inch in diameter. The cells vary in size. The average size of the Purkinjean cells in hu- man cement is y-gVo^h of an inch. In sections made transversely to the axis of the tooth, it is clearly seen that these cells are arranged in parallel or concentric strise, of which some are more clearly and others more faintly visible, as if the cement were deposited in fine and coherent layers.' The layer of cement is found in *Prof. Retzius, of the University of Stockholm, informs us that he had been led by the iridescence of the fractured surface of the substance of a tooth to conceive that that appearance was due, as in the crystalline lens, to a fine fibrous structure, and that he communicated his opinions as to the re,o-ular arranofement of these fibers to some of his colleagues in 1834. In 1885, havintr obtained a powerful microscope, he began a series of more exact researches on the intimate structure of the teeth in man and the lower animals, which he communicated to the Royal Acad- emy of Sciences at Stockholm on January 13, 1838, being then unacquainted with the discoveries of Purkinje, — Owen. EXOSTOSIS OF THE ROOT. xvii the deciduous teeth, but is relatively thinner, and the Purkiujean cells are more irregular. ■*'^In growing teeth, with roots not fully formed, the cement is so thin that the Purkinjeau cells are not visible. It looks like a fine membrane, and has been described as the periosteum of the roots, which are wholly composed of it ; but it increases in thick- ness with the age of the tooth, and is the seat and ori- gin of what are called exostoses of the roots/ These growths ai-e subject to the formation of abscesses, and all the morbid actions of true bone. "It is the presence of this osseous substance which renders intelligible many well-known experiments of which human teeth have been the subjects, such as tlieir transplantation and adhesion into the combs of cocks, and the establishment of a vascular connection between the tooth and the comb. "Under every moditication the cement is the most highly organized and most vascular of the dental tis- sues, and its chief use is to form the bond of vital union between the denser and commonly un vascular constituents of the tooth and. the bone in which the tooth is implanted. In u few reptiles (now extinct), and in the herbivorous mammalia, the cement not only invests the exterior of the teeth, but penetrates their substance in vertical folds, varying in number, form, extent, thickness, and degree of complexity, aiid con- tributing to maintain that inequality of the grinding surface of the tooth whicli is essential to its function as an instrument for the comminution of vegetable substances.'** * Ce^iext Mistaken for Tartar (Odo^'tot/ithos\— Sur- geon E. Mayltcw pays (" The Horse's Month," &c.): "Within the alveolar cavity, the crusta fetrosa^ which becames of coa- XVm INTRODUCTION^. THE ENAMEL. "The higher an animal is placed in the scale of or- ganization, the more distinct and characteristic are not only the various organs of the body, but the different tissues which enter into their composition. This la\v is well exemplified in the teeth, although in the com- parison of these organs we are necessarily limited to the range of a single primary group of animals. We have seen, for example, that the dentine is scarcely, distinguishable from the tissue of the skeleton in the majority of fishes; but that its peculiarly dense, un- vascular, and resisting structure, Avhich is the excep- tionable condition in fishes, is its prevalent character in the teeth of the higher vertebrates. "So likewise with the enamel. This substance, whicli under all its conditions bears a close analogy with the dentine, is hardly distinguishable from that tissue in the teeth of many fishes. The fine calciger- ous* tubes are present in both substances, and undergo similar subdivisions, the directions only of the trunks siderable tliickness around tlie root, is of a yellowisli-wliite color ; but where, as ou the crown of tlie tooth, it is exposed to the chemical action of food and air, it presents a darker aspect, and resembles an accumulation of tartar, for which indeed it has been mistaken. It fills up the infundibula of the grinders and lines those of the incisors. It is pierced by all the vessels which nourish the" teeth." The editor of "The Veterinarian" (1849), in a "review" of Mr. Mayhew's work, says: "Both English and French veteri- nary writers have mistaken the crusta petrosa for tartar, not be- ing aware of its existence inside as well as outside of the tooth." * This word is peculiar to if not originated by Prof Owen. It is synonymous with the word Calciferous (limy). THE EXAMEL'.; VARIEGATED BEAUTIES. XIX and branches being reversed, agreeably with the con- trary course of their respective developments. The proportion of animal matter is also greater in tlie enamel of the teeth of fishes than in the higher verte- brata, and the proportion of the calcareous salts incor- porated with the animal constituent of the walls of the tubes is greater as compared with the suberystal- line part deposited in the tubular cavities. "The enamel may be distinguished, independently of its microscopic and structural characters, by its glistening, subtransparent substance, which is white or bluisli-white by reflected light, but of a gray-brown color when viewed, under the microscope, by trans- mitted light. * * * The enamel of the molar tooth of a calf, which has just begun to appear above the gum, and which can readily be detached from the dentine, especially near the beginning of the roots, is resolvable into apparently fine prismatic fibers. If these fibers be separately treated with dilute muriatic acid, and the residue examined with a moderate mao-- nifving power, in distilled water, or, better, in dilute alcohol, portions of more or less perfect membranous sheaths or tubes will be discerned, which inclosed the earthy matter of the minute prism, and served as the mold in which it was deposited. '•' Prof. Retzius, who obtained a small portion of *^ organic or animal substance from the enamel-fibers of an incompletely-formed tooth of a horse, conjectured that it was a deposition of that fluid which originally surrounds the loose enamel-fibers, and that *in pro- portion as these fibers are pressed tighter together, and additional fibers are wedged between them, the organic deposition js forced away.' *' Retzius accuratelv describes the enamel-fibers of XX INTRODUCTION. the horse as presenting the form of angular needles, about ^eVo^l^ of an inch in diameter, wliich are trav- ersed by minute and close-set transverse striae over the whole or a part of the fiber; and he conjectures that if the enamel-fiber be a mass of the calcareous salts, surrounded by an organic capsule, that the stride may then belong to the capsule, and not to the enamel- fiber. The later researches of Dr. Schwann add to the probability of this conjecture; and the absence of the minute striae in the enamel of fossil mammalian teeth, at least in the examples which I have submitted to microscopic investigation, may depend upon the de- struction of the original organic constituent of the enamel. '^The enamel-fibers are directed at nearly right angles to the surface of the dentine, and their central or inner extremities rest in slight but regular depres- sions on the periphery of the coronal dentine. Thus in the human tooth, the fibers which constitute the masticating surface are perpendicular, or nearly so, to that surface, while those at the lower part of the crown are transverse, and consequently have a position best adapted for resisting the pressure of the contiguous teeth, and for meeting the direction in which external forces are most likely to impinge upon the exposed crown of the tooth. The strength of the enamel-fibers is further increased by the graceful, wavy curves in which they are disposed. These curves are in some places parallel, in others opposed. Their concavities are commonly turned toward each other, where the shorter fibers, which do not reach the exterior of the enamel, abut by their gradually attenuated peripheral extremities upon the longer fibers. Other shorter fibers extend from the out?r surface of the enamel tov/ard EXAMEL LINES EARALLIX AXD WAVY. XXI the dentine, and are wedged into the interspaces of the longer fibers. In the teeth of fishes, tlie calciger- ous tubes or fibers of tlie enamel, which ramify and subdivide like those of the dentine, have their trunks turned in the opposite direction, or toward the periph- ery of the tooth. So likewise in human teeth the analogous condition may be diicerned in the slightly augmented diameter of the enamel-fibers at their pe- ripheral as compared with their central extremities. When the extremities of the human enamel-fibers are examined with a magnifying power of 300 linear dimensions, by reflected light, they are seen to be co- adapted, like the cells of a honey-comb, and, like these, to be, for the most part, hexagonal. "The internal surface of the enamel is marked by fine transverse lines or ridges, of which Retzius counted twenty-four in tlie vertical extent of one-tenth of an English inch of the crown of a human incisor. These lines are parallel and wavy, and, like the analogous markings on the surface of shells, indicate the succes- sive formation of the belts of enamel-fibers that encircle the crown of the tooth. They may be traced around the Avhole crown, but are very faint upon its inner or posterior surface. Retzius cites Loeuwenhoek as the discoverer of these superficial transverse lines of the enamel, but the older observer supposed them to be indicative of the intervals between the successive move- ments in the cutting of the tooth through the gum. "The enamel, by virtue of its physical qualities of density and durability, forms the chief mechanical defense of the tooth, and is consequently limited in most simple teeth to tlie exterior surface of the exposed portion of tlje dentine, forming the crown of the tooth. * * * In the herbivorous mammalia, with the xxii introductio:j5". exception of the Edentata, vertical folds or processes of the enamel are continued into the substance of the tooth, varying iu number, form, extent, and direction, and producing, by their superior density and resistance, the ridged inequalities of the grinding surface on which its efficacy in the trituration of vegetable substances depends." Dr. Boon Hayes's thoughts are thus recorded in a *' Medical Circular," extracts from which appear in "The Veterinarian" for 1853 (pp. 535-6): "In the first place, observe the pulpal cavity, which is to the tooth what the medullary cavity is to bone. Both originate in the same way. Into it passes an artery, a vein, and a nerve. These ramify upon the pulpal surface, the artery carrying blood to the denti- nal tubuli, whence the liquor sanguinis (not blood corpuscles) proceeds to the nourishment of this ap- parently inorganic mass. "In the teeth of some animals this cavity seems to send off diverticula between the dentinal tubuli, as if for the purpose of supplying them with more vascu- larity. The dentinal tubes open on the walls of the pulpal cavity, and thence radiate to the enamel supe- riorly and the crusta petrosa inferiorly. I think it would not be difficult to prove that caries of the teeth more frequently proceeds from inflammation begin- ning in this cavity than from any other cause. "When the tubes of the dentine are examined with a high magnifying power, and by transmitted light, they appear dark. They are much more minute in diameter than the blood globules; hence the liquor sanguinis alone can penetrate them for their nourishment; so pPtiMAUY a2;d secoxdary curves. ax;u that the teeth are in the same condition as bone in this respect. "The dentinal tnbss, as before said, appear dark; the Hghter and apparently broader masses are the real substance ol' the dentine. In this, and es})ecially near the layer closest to the enamel, dentinal cells are some- times seen, which may probably be analogous to the lacunae of bone. "If the dentinal curvatures are examined, it will be seen that they are of two kinds. One set is in bold and evident curves; the other is not so evident, but it exists, nevertheless, and a little patience and a high magnifying power will demonstrate the fact that its curves are ujyon the curves of the first set. The former are called the primarv, the latter the secondary curves of the dentinal tubuli (in botanical description, a biserrated leaf). From the tubuli minute bracelets are given off on the sides, and toward the end the tubes terminate, either in cells, by anastomosis, or by looping back upon themselves. "The cement at first envelops the whole tooth, but soon wears off the crown and as far down as the neck. Compared with the dentine and enamel, it is very soft, and more closely resembles bone ; in fact in some ani- mals it is continuous with the bone of the jaw, thus proving its identity. It contains lacunae and canalic- uli, and, when there is a large mass of it, something like Haversian canals. " There is a great analogy between tooth and bone. In the cement there is absolute likeness, and in the dentine analogies too striking to be overlooked, viz., the tubuli, analogous to the canaliculi, the intertubular cells, analogous to the lacunas, and the intertubular substance, analogous to the laminae of bone. In the XXIV INTRaDUCTIO]^. enamel the greatest departure is observablej but not wider than its peculiar function suggests; and it must be remembered, first, that it is the least constant tissue of the teeth; secondly, that its chemical composition is very much the same as that of the dentine and cement, both of which resemble bone. Lastly, the analogy is completed iu a review of the mode of tooth development. Thus, upon a mucous papilla a large quantity of gelatinous matter is observable, in which certain cells appear. The gelatinous matter resembles the incipient cartilage in which ossification begins. This papilla is supplied with an artery, which nour- ishes its cells, and the cells gradually so develop that the older ones are pushed outward and form the dentine." HOW MADDER AFFECTS THE TEETH. John Hunter, one of the most celebrated physiolo- gists of the eighteenth century, made many experi- ments on the teeth of different animals, one object being to determine whether they were vascular or not. His conclusion was that they were not vascular, and he founded his belief partly upon the following experi- ment (" The Human Teeth," pp. 23-4) : " Take, for example, any young animal, as a pig, and feed it with madder for three or four weeks; then kill it. On examination you will find the following ap- pearances : First, if the animal had some parts of its teeth formed before the feeding with madder, they will be known by their remaining of the natural color; but such parts of the teeth as were formed while the animal was taking the madder will be of a red color. This shows that it is only those parts that were formed while the animal was taking the madder that are dyed ; RED, WHITE, GOLDEX, AND SILVER HUES. XXV for what were already formed will not be in the least tinged. Tiiis is diliereut in all other bones; for we know that any part of a bone which is already formed is capable of being dyed with madder, though not so fast as the part that is forming. Therefore, as we know that all otiier bones are vascular, and are thence sus- ceptible of the dye, we may readily suppose that the teeth are not susceptible of it after being once formed. But we shall carry this a step further: If you feed a pig with madder for some time, and then leave it off for a time before kilhng it, you will lind the appear- ances as above, with this addition, that all the parts of the teeth which were formsd after leaving off feeding with the madder will be white. Here, then, in some teeth we shall have white, then red, and then white again ; and so we shall have the red and white colors alternately through- the whole tooth.* "This experiment shows that a tooth, once tinged, does not lose its color. Now, as all other bones that *In the concluding part of Moore's " Lalla Rookli" ("The Light of the Harem"), the Enchantress says of an herb with the unmusical name of " Haschischat ed dab:" * ' The visions, that oft to worldly eyes The glitter of mines unfold,* Inhabit the mountain-herb, that dyes The tooth of the fawn like gold." A reference note to the above is as follows : " An herb on Mount Libanus, which is said to communicate a yellow golden hue to the teeth of the goats and other animals that graze upon it. Nisbuhr thinks this may be the herb which the Eastern alchemists look to as a means of making gold. 'Most of those alcliemical enthusiasts think themselves sure of success if they could but find out tlie herb which gilds the teeth and gives a yel- low color to the flesh of the she-^p that eat it. Even the r)il of tins plant must be of a' golden color. It is called Haschischat ed dab.' Father Jerome Dandini, however, asserts that the teeth of the XXVI INTRODUCTION. have been tinged lose their color in time, when the animal leaves off feeding with the madder (though very slowly), and as that dye must be taken into the constitution by the absorbents, it seems that the teeth are without absorbents as well as other vessels." The editor of Hunter's "Treatise," Thomas Bell, F.K.S., differed with Hunter about the vascularity of the teeth. He thus concludes a note on the above quotation : "The truth appears to be that the teeth are organ- ized bodies, having nerves and absorbent and circula- ting vessels, but possessing a low degree of living power, and so dense a structure as to exhibit phenom- ena, both in their healthy and diseased condition, which are very dissimilar from those which are ob- served in true osseous structures." TRANSPLANTING TEETH. The transplanting of teeth, which Dr. Hunter says is " similar to the ingrafting of trees," is expatiated upon at some length. He then gives an account of a case of transplanting which he admits "is not gener- ally attended with success," he having "succeeded but once out of a great number of trials." It is as follows (" The Human Teeth," pp. 100-101) : " I took a sound tooth from a person's head ; then goats at Mount Libanus are of a silver color, and adds : ' This confirms to me that which I observed in Candia, to wit, that the animals that live on Mount Ida eat a certain herb which renders their teeth of a golden color, which, according to my judgment cannot otherwise yjroceed than from the mines which are under ground.' — Dandini, Voyage to Mount Libanus" Gr^AFTIXG GEP.MS OF DOGS' TEETTT. XXVli made a wound in a cock's comb, pressed the root into it, and fastened it with threads. The cock was killed some months after, and I injected the head with a very minute injection. I then put the comb into a weak acid. The tooth was softened, and I divided it longi- tudinally. Its vessels were well injected, the external surface adhering to tlie comb by vessels similar to the union of a tooth with the gum and sockets."* * MM. E. Magitot, C. Legros, and C. Robin have experimented in traD.S[.lanting the follicles or g:'rins of dogs' tee\:h. an account of which appears in " Comptes Reudus" for 1874. They say : "Our experiments comprised 88 grafts, mostly from newly-born dogs, but some were 23 and even 58 days old. The animals were invariably sacrificsd by the pricking of the bulbs, and the jaws were opened at once, to lay the follicles bare. One-half of both jaws thus served to supply the grafts, while the other was kept for a standard of comparison. The dogs on which the grafts were applied were usually adults, but sometimes of the same age and bearing? as those that supplied them. The germs were rapidly isolated from the dental gutters, and introduced at once. In some instances they were dipped for a few minutes in the blood's serum of the sacrificed animal, which was kept by the bath (bain-marie) at a temperature of from 30' to ^5° C. They were introduced under the skin of the nai>3 of the neck, the top of the head, and the dorsal and lumbar reorions. In 36 cases the process of application consisted of a sim[)le incision and the introduction of the graft, 2 or 3 centimeters from the open- ing, which was closed by two sutural stitches. In the other 53 cases a special trocar of an interior diam-ter of 7 millimeters was used, which allowed a swifter and surer transplantation, but it did not appear to exert an appreciable influence on the results. " Ten grafts were made from newly-born dogs on adult guinea- pigs, divided as follows : Whole follicles, ; isolated enamel- organs, 3 ; bulb alone, 1. The results were all negative— caused by resorption and suppuration— corroborating M. Bert's experi- ences in grafts between animals of different zoological orders. "The 78 other grafts were made on newly-born, young, and adult dogs, and were maintained from 13 to 54 days. The 25 grafts that remained 54 days resorbed themselves. The expcti- nients in detail were as follows: 1. Isolated whole follicles, 20. 2. Fuliicles with a portion of the maxillary bone, 5. 3. Isolated XXVlll lis'TRODUCTION. This appears to prove that Dr. Hiint?r was right when he said that teeth " are capable of uniting with bulbs, IG, 4. Bulbs with a cap of rudimentary dentine, 7. 5. Isolated caps of dentine, 4. 6. Isolated enamel-organs, with a shred of buccal mucous membrane, 19. 7. Enamel-organs, with a cap of dentine adhering, 1. The results were : Of the first, 7 kept alive and grew steadily, except in one instance, in which a disturbed nutrition brought on the formation of ^lobulary den- tine and irregular stacks of enamel prisms. The second gave 3 suppurations and 2 resorptions, again corroborating Mons. Bert's experiments. The third gave 3 positive results, in two of wliich a new cap of dentine was produced, quite regular, but globulous and somewhat altered in its nutrition. The other was without enamel. In the fourth experiment tlie bulbs could not be found ; they underwent resorption. When com]iared with the preced- ing experiment, this result is astonishing ; but it should be un- derstood that these grafts were maintained from 43 to 5t dnys. Of the fifth a single one kept alive, but without sliowing any growth. It remained stationary 43 days. The sixth invariably ended in resorption, notwithstanding we were careful to graft the shred of mucous membrane, which sup})lies tlie organ with nutritive vessels. This result is not surprising when the exces- sive frailty of this tissue and its lack of vascularity are consid- ered. Some of the negative grafts were either reduced in size, being evidently in process of resorption, or underwent the oily transformation. Others caused abscesses, and were eliminated. "Conc'iisions. — 1. The grafts gave favorable results only be- tween animals of the same zoological order. 2. The isolated whole follicles and bulbs may live and develop themsolves, 3. The transplanting of more or less voluminous portions of jaws with the follicles failed through suppuration or resorption. 4. The grafts of the enamel organ, isolated, seem invariably given up to resorption. 5. Under certain circumstances the growth is regular, with no other diflference from that in the normal state than a noticeable slowness in the phenomena of evolution. 6. Under other circumstances there is trouble in the formation of the dentine and enamel, the study of which, however, may be ap- plied to the elucidation of the phenomena, still so dark, of tooth development. 7. The experiments are an acquisition to the lit- erature of and may be compare.l with other surgical grafts."* * For the translation of the above interesting: article (from the Reports of the French Academy) I am indebted to Monsieur C. Raoux. of New York. THE TEETH LIVING ORGANISMS. XXIX any part of a living body." Mr. Bell thus concludes a note on the above case of transplanting: " The experiment has an interest attached to it far more im]iortant than its having given rise to the tem- porary adoption of an objectionable operation. In the result of this experiment may be found an interesting collateral argument in favor of the organized structure of the teeth, and their actual living connection with the body. The vessels of the tooth, we are told, were well injected, and the external surface adhered everv- where to the comb by vessels. To what purpose are these vessels formed, what object can be possibly ful- filled by the existence of a vascular pulp in the internal cavity, and a vascular periosteum covering the external surface — so obviously vascular that it was -well injected from the vessels of a cock's comb, into which it had been transplanted — unless they are intended to flourish the bony substance of which the tooth consists, and to form the medium of its connection with the general system?" Prof. Richard Owen says (" Odontography," vol. i, p. 470) : " The saving of material is the least of the benefits gained by this tubular structure of the dentine. The vitality of the tissue, which Hunter recognized so forcibly, but which, being equally convinced of the non-vascularity of the tissue, he was unable to explain — ' willing rather to enunciate an apparent paradox ot be taunted with dilemma, than yield one iota of either of his convictions'* — is explicable by the possible and *Prof. Owen quotes from Bell's " notes" in Hunter's "Human Teeth." XXX INTRODUCTION. highly probable fact of a circulation of the colorless plasma of the blood through the dentinal tubes. That some elementary prolongations of nerve may also be continued into these tubes, who can confidently deny ?" As Prcf. Owen says the " teeth are always most intimately related to the food and habits of the ani- mal," it would be interesting and perhaps useful to ascertain what effect sugar and other unnsual articles of diet would have on horses' teeth. In the interest of science, experiments appear to be in order. In this connection the following paragraph, a part of which may be found in Prof WiUiam Youatt's work, " The Horse" (p. 135), the remainder in " The Veterinarian/' is interesting : " Surgeon Black, of the Fourteenth Dragoons, says that sugar was tried as an article of food during the Peninsular War. Ten horses were selected, each of which got eight pounds a day. They took it very readily, and their coats became fine, smooth, and glossy. They got no corn, and only seven pounds of hay instead of twelve, the ordinary allowance. The sugar supplied the place of corn so well, that it would probably have been given abroad ; but peace came, and with it corn. The horses returned to their usual diet, but several of them became crib-biters. The exj^eri- ment was made at the Brighton depot, during a period of three months. To prevent the sugar from being used for other purposes, it was scented with assafetida, but the latter did not produce any apparent effect on the horses." HORSPJS' TEETH. CHAPTER I. TOOTH-GERMS (ODONTOGENY). Periods at wliicli the Germs are visible in the Fetus. — Dentine and Enamel Germs. — A Cement Germ in the Foal.— The Horse's Upi)cr Grinders said to be developed from Five Germs, tha Lower from Four. — Similar development of the Human Teeth. — Monsieur Magitot's Researches. Furrows in what is subsequently transformed into jawbones, in wliieh tooth-germs are, as it were, planted, are Nature's first visible preparation for the develop- ment of the teeth. According to Prof. William You- att, the germs of the temporary teeth are visible seven or eight months before the foal is born. Three months before its birth the germs of the permanent teeth are also visible, a distinct partition separating tliem from the temporary. At this tiine, according to Veterinary Dentist C. D. House, the capsules or bags (also called follicles, sacs, &c.), containing the tooth-pulps* of the * The pulp in the cavity of a fuU-groini tooth is a delicate mass of connective tiFSu:^ containing both blood-vessels and nerves. Its external layer consists of large nucleated cells, the odontoblasts, provided with long branching processes which line the dental canals. Boll thinks the nerves' delicate terminal fibrils accompany the processes into the canals. — Woodward. For development of elephant tooth-germs see Appendix. 3^ TOOTH-GERMS. future temporary teeth are about tlie size of small peas. They will bear some pressure between the fingers, the indentions springing back like those of an India rub- ber ball. Tiie nature of tooth-germs and the development of teeth have been studied with some diligence by scien- tific men — Dr. John Hunter, it is said, making the first important discoveries in connection with the science. The discussion of this interesting and, to students, useful subject is left to these men. There is some conflict in their views, but it should be remembered that the extracts reflect tiie opinions of men from Hunter's time (over a century ago), to 1876. The de- velopment* of tooth-germs being the same in principle (though different in detail) in all mammals, the matter which follows (as has been said of that in the "Intro- duction"), is as applicable to the horse as to man. In the Introduction to his "Odontography" (Lon- don, 184-4), Prof. Eichard Owen says: "In the development of a tooth a matrix of equal complexity was first recognized to be concerned by John Hunter, the several parts of this matrix being first distinctly indicated in the * Natural History of the Human Teeth.' * * * Hunter has been gen- erally regarded by physiologists as being the author of the theory that the pulp stood to the tooth-bone in the relation of a gland to its secretion ; that the formative virtue of the pulp resided in its surface ; that the den- tine was deposited upon and by the formative or secre- tive surface in successive layers, and that the pulp, exhausted, as it were, by its secretive activity, dimin- ished in size as the formation of the tooth proceeded, except in certain species, in which it was persistent, JciiN huxteb's discovery. 33 and maintained an equable secretion of the dentine throughout the lifetime of the auimal. This idea of the pulp's function has predominated in the minds of most subsequent writers on the development of the tectii. * * * * " Three formative organs are developed for the three principal or normal dental tissues, the 'dentinal-pulp/ or puip proper, for the dentine, the 'capsule' for the cement, and the 'enamel-pulp' for the enamel. The essential fundaniental s'tructure of each formative organ is cellular, but the cells differ m each organ, and derive their specific characters from the properties and metamorplioses of their nucleus, upon which the specific microscopical characters of the resulting calci- fied substances depend. " In the cells of the dentinal-pulp the nucleus fills the parent cell with a progeny of nucleoli before the work of calcification begins. In the enamel-pulp the nucleus of the cell disappears, like the cytoblast of the embryo plant m the formation of most vegetable tis- sues. In the cells of the capsule the nucleus neither perishes nor propagates, but retains its individuality, and gives origin to the most characteristic feature of the cement, viz., the radiated cells. "The primordial material of each constituent of the tooth -matrix is derived from the blood, and special arrangements of tlie blood-vessels preexist to the devel- opment and growth of the constituent substances. A pencil of capillaries is directed to a particular spot in the primitive dentiparous groove, and terminates there by a looped network, from which spot a group of nu- cleated cells begins to arise in the form of a papilla. * . * * * * "The primary dentinal papilla and its capsule rap- 34 TOOTH-GERMS. idly increase by successive additions of nucleated cells^ apparently derived from material supplied by the cap- illary plexus at the base. The capillaries now begin to penetrate the substance of the pulp itself, where they present a subparaliel or slightly diverging pencil- late arrangement, but preserve their looped and retic- ulate termination near the apex of the pulp. Fine branches of nerves accompany the capillaries, and ter- minate also in loops. * * * The primary cells and the capillary vessels and nerv^es are imbedded in and supported by a homogeneous, minutely subgranular, mucilaginous substance, the 'blastema.' * * * The vascularity of the dentinal-pulp, and especially the rich network of looped capillaries that adorns the formative peripheral la3^er at the period of its func- tional activity, have attracted general notice, and have been described by Hunter and subsequent authors. By most this phenomenon has been regarded as evidence of the secreting function of the surface of the pulp, and the dentine as an outpouring from that vascular surface which was supposed to shrink or withdraw from the matter excreted. * * * " The enamel-pulp differs from the dentinal-pulp at its first formation by the more fluid state of its blas- tema, and by the fewer and more minute cells which it contains. The source of this fluid blastema appears to be the free inner vascular surface of the capsule. As it approaches the dentinal-pulp the blastema ac- quires more consistence by an increased number of its granules, and it contains more numerous and larger cells. Many of these show a nuclear spot, others a nucleus and nucleolus. The spherical nucleolar cells in the part of the blastema further from the capsule are so numerous as to form an aggregate mass, with a DEFIXIXG THE Bh.VSTEMA. 36 small quantity of the condensed blastema in the minute interspaces left between the cjIIs, which are pressed together into hexagonal or polygonal forms. * * * The field of the final metamorphosis of the cells into the molds for the reception of the solidifying salts is confined to close contiguity with the surface of the dentinal pulp. Here the cells increase in length, lose all trace of their nucleus, and become converted into long and slender cylinders, usually pointed at both ends, and pressed by mutual contact into a prismatic form. These cylinders have the property of imbibing the calcareous salts of the enamel from the plasmatic fluid, and of compacting them in a clear and almost crystalline state in their interior. * * * "The blastema or fundamental tissue of the capsule is, at first, semitransparent and of a pearly or opahne color, but IS soon richly ornamented by the plexiform distribution of the blood-vessels. As the period of its calcification approaches, which is later than that of the dentinal-pulp, it becomes denser, and exhibits nu- merous nucleated cells. The blastema itself presents more evidently a fine cellular or granular structure, in Avhich the calcareous salts are impacted in a compara- tively clear state, constituting the framework of the cemental tissue. The characteristic features of this tissue are due to the action of the proper nucleated cells upon the salts of the plasma diffused through the blastema in which those cells are imbedded, the cells being characterized by a single, large, granular nu- cleus, which almost fills the clear area of the cell itself If, when the formation of the cement has begun m the incisor or molar of a colt, one of the detached specks of that substance, with the surrounding and adhering part of the inner surface of the capsule in which it is 36 TOOTH-GERMS. imbedded, be examined, the nucleated cells are seen, closely aggregated around the calciiisd part, in con- centric rows, the cells of which are further apart as the rows recede from the field of calcification. Those next the cement rest in cup-shaped cavities in the periphery of the calcified part, just as the first calcified cells of the thick cement which covers the crown of a complex molar are lodged in cavities on the exterior of the enamel. These exterior cavities of the cement are formed by centrifugal extension of the calcifying pro- cess m the blastema m which the cells are nnbedded. The calcareous salts penetrate m a clearer and more compact state the cavity of the cell, but their progress is arrested apparently by the nucleus, which maintains an irregular area, partly occupied by the salts in a sub- granular, opake condition, but chiefly concerned in the reception and transit of the plasmatic fluid, which enters and escapes by the minute tubes that are sub- sequently developed from the nucleolar cavity as calci- fication proceeds. '- The radiated cells or cavities thus formed are the most common characteristic of the cement, but not the constant one. The layer of the capsule which sur- rounds the crown of the human teeth and of the simple teeth of quadrumana and carnivora, consists simply of the granular blastema, without nucleated cells, and the radiated corpuscles are, consequently, not developed m the cement v,'hich results from its calci- fication. In the thicker part of the inflected folds of the capsule of the complex teeth of the herbivora, traces of the vascularity of that part of the matrix* are persistent, the blastema calcifying around certain of the capillaries, and forming the medullary canals. The varieties of these canals are traversed by minute PROF. TOMES'S THEORY. 37 tubules, continuetl from or communicating with the radiated cells. These tubules, and the more parallel ones which traverse the thickness of the cement in many mammalia, are the remams of linear series of the minute granules of the blastema. * * * *' The general form of the dental matrix and its rela- tion with its calcified product, bear a close analogy with those of the formative organ of hairs, bristles, and other productions of the epidermal system. In these the papilla, or pulp, is developed from the external skin; in the teeth, from the mucous membrane, or internal skin." * * * * Prof. Charles S. Tomes, among dentists a recognized authority, differs with Messrs. Hunter and Owen as to the pulp's secretive office, claiming that a tooth is formed by a partial metamorphosis of its pulp. He says ('* Manual of Dental Anatomy, Human and Com- parative," pp. 104-5-6) : " Prior to the beginning of any calcification, there is always a special disposition of the soft tissues at the spot where a tooth is destined to be formed, and the name of ^ tooth -germ' is given to those portions of the soft tissue which are thus specially arranged. All, or a part only, of the soft structures making up a tooth- germ become converted into the dental tissue by a deposition of salts of lime within their own substance, 80 that an actual conversion of at least some portions of the germ into tooth takes place. The tooth is not secreted or excreted by the germ, but an actual meta- morphosis of the latter takes place. " The principal tissues, namely, dentine, enamel, and cement, are formed from dilierent parts of the tooth- germ; hence we are accustomed to speak of the enamel- 38 TOOTH-GERMS. germ and tlie dentine-germ. The existence of a spe- cial cement-germ is very doubtful, some writers assert- ing, others denying its existence. * * * " Tooth-germs are never formed upon the surface, but are situated a little distance beneath it, lying in some animals at a considerable depth. Every known tooth-germ consists in the first instance of two por- tions, and two only, the enamel and dentine germs. These are derived from distinct sources, the former being a special development from the epithelium of the mouth, the latter from the more deeply lying parts of the mucous membrane. Other things, such as a tooth-capsule, may be subsequently and secondarily formed. The existence of an enamel-organ in an early stage is independent of any subsequent formation of enamel by its own conversion into a calcified tissue, for I have shown it to be found in the germs of teeth whicli have no enamel; in fact, in all tooth-germs whatever. "That part of the tooth-germ destined to become dentine is often called the dentine papilla, having acquired this name from its papilliform shape; and in a certain sense it is true that the enamel-organ is the epithelium of the dentine papilla. Yet, although not absolutely untrue, such an expression might mislead by implying that the enamel organ is a secondary de- velopment, whereas its appearance is contemporaneous "with, if not antecedent to, that of the dentine-germ. The most general account that I am able to give of the process is, that the deeper layer of the oral epithelium sends down into the subjacent tissue a process, the shape and structure of which is, in most animals, dis- tinguishable and characteristic before the dentine- germ has taken any definite form. This process en- THE ORAL EPITHELIUM. 39 larges at its end, and, as seen in section, becomes divaricated, so that it bears some resemblance to an inverted letter Y ; or it miglit be better compared to a bell-jar with a handle. This constitutes the early stage of an enamel-germ, while beneath it, in the mucous tissue, the dentine-germ assumes its papilliforni shape. The details of the process varying in ditferent animals, I will at once proceed to the description of the devel- opment of teeth in the various groups." Prof. Tomes^s views of the development of tooth- germs in mammals are thus summarized by himself ("Philoso])hical Transactions Royal Society,'' 1875, part i, p. 285) : '^1. There is never, at any stage, an open groove from the bottom of which papilla3 rise up. "2. That the first recognizable change in the region of a forming tooth-germ is a dipping down of a process of the oral epithelium, looking, m section transverse to the jaw, like a deep simple tubular gland, which descends into the submucous tissue, and ultimately forms the enamel-organ. " 3. That subsequently to the descent of the so-called enamel-germ, the changes in the subjacent tissue re- sulting in the formation of the dentine papilla take place opposite to its end, and not at its surface. "4. That the permanent tooth-germs first appear as offshoots from the epithelial process concerned in the formation of the deciduous tooth-germ (Kolliker), the first permanent molar being derived from a primary dipping down (like a deciduous tooth), the second de- riving its enamel-germ from the epithelial neek of tlic first, and the, third from that of the second (Legros and Magi tot)." 40 TOOTII-GEllMS. Again, in the Society's Transactions for 1876 (p. 265), Prof. Tomes says : "1. It is desirable to abandon the terms 'papillary/ 'follicular/ and 'eruptive' stages, inasmuch as they are hypothetical and arbitrary, and correspond to no serial conditions veriiied by observation. "2. In all animals a tooth-germ consists primarily of two structures, and only two — the dentine-germ and the enamel-germ. The simplest tooth-germ never comprises anything more. When a capsule is devel- oped, it is derived partly from a secondary upgrowth of the tissue at the base of the dentine germ, and partly from an accidental condensation of the surrounding connective tissue. '•'3. The existence of an enamel-organ is quite uni- versal, and is in no way dependent on the presence or absence of enamel on the completed tooth, although the degree to which it is developed has distinct relation to the thickness of the future enamel. "4. So far as my researches go, a stellate reticulum, constituting a large bulk of the enamel-organ, is a structure confined to the mammalia. (It is absent in the armadillo, and I should infer from Mr. Turner's description, in the narwhal also). "5. x\s laid down by Profs. Huxley and Kqlliker, the dentine-papilla is beyond all question a dermal structure, the enamel-organ an epithelial or epidermic structure. As I believe it can be shown that the enamel is formed by an actual conversion of the cells of the enamel-organ, this makes the dentine a dermal and the enamel an epidermic structure. "6. In teleosts the nev/ enamel-germs are formed directly from the oral epithelium. They are new for- mations, and arise quite independently of any portion MONSIEUR CHAUVEAU'S THEORY. 41 of the germs of the teeth which preceded them. In mamraals and reptiles, and in some of the batrjicliia, new tooth-germs are developed from })ortions of their predecessors. "7. in all animals ex?imined the phenomena are very uniform. A process dips in from the oral epithelium, often to a great depth, its end becoming transformc^d into an enamel-organ coincidentally with the formation of a dentine-papilla beneath it. The differences lie rather in snch minor details as the extent to which a capsule is developed, and therefore no such generali- zation as that the teeth of fish in their development represent only an earlier stag-3 of the development of the teeth of mammalia can be drawn." Monsieur A. Chanveau's theory of the development of tooth-germs is as follows (" Comparative Anatomy of the Domesticated Animals,'^ p. 921) : " The teeth are developed in the interior of a cavity, named the dental follida or sac, by means of the ele- ments of three germs, one belonging to the dentine, another to the enamel, and a third to the cement. The dental follicle is an oval cavity, with walls composed of two layers. The external is fibrous and complete ; the internal, soft and gelatinous, is allied at the bottom to the dentine-germ. The latter is a prominence, which is detached from the bottom of the follicle, and has the exact shape of the tooth. Its structure comprises, in the center, delicate connective tissue, provided with vessels and nerves, and on the surface a layer of elon- gated cell.N At the summit of the follicle, facing the dentine-germ, is the enamel-germ. It is exactly ap- plied to the dentiual-pulp, which it invests like a cap. 42 TOOTH-GERMS. and is composed of a small mass of mucous connec- tive i^ssue, covered by a layer of cylindrical cells, and joined to the buccal epithelium by the guhernaculum clentis.^ Accordiug to Monsieur Magitot, the cement- organ manifestly exists in the foal. The base of the de II tine-germ has been found, but it disappears rapidly after having performed its function. '^Development of the Dental Follicle. — On the free borders of the maxillae, the epithelium of the buccal mucous membrane forms an elongated eminence — the dental ridge. Below this ridge the epithelium consti- tutes a bud, which develops in size, and is sunk in the mucous membrane. This is the enamel-germ. It has a layer of cylindrical cells on its deep surface, and in its center are round cells. After a certain time it is only joined to the epithelium, as already said, by a very thin line of cells, the gu'bernaculiim dent is. While this enamel-germ grows downward, it covers, by its base, a connective bud w^hich rises from the mucous derma. The two buds are reciprocally adapted to each other, * Coueerning the gubernaculum dentis Prof. C. S. Tomes says (" Dental Anatomy," p. 135): "Another structure, once thought to be important, but now known to be a mere bundle of dense fibrous tissue, is the ' gubernaculum.' The permanent tooth sacs, durinor their growth, have become invested by a bony shell, which is complete, save at a point near their apices, where there is a fora'men. Through this foramen passes a thin fibrous cord, very conspicuous when the surrounding bone is broken away, which is called the gubernaculum, from the notion entertained by the older anatomists that it was concerned in directing or eflTecting the eruption of the tooth. The gubernacula of the front permanent tooth sacs perforate the alveolus and blend with, the gum behind the necks of the corresponding milk teeth, those of the bicuspids uniting with the periosteum of the alveoli of their deciduous predecessors." THE DENTINE-GERM TOOTH-SHAPED. 43 and around them the connective tissue condenses and gives rise to the walls of the follicle, it will therefore be seen that the enamel-organ is a dependency of the epithelium, and the dentine-organ a production of the mucous derma. '■^Formation of the Dentine, Encunet, and Cement. — As before said, the gei'm of the dentine has exactly the form of the future tooth; consequently the dentine which arises from its periphery presents the shape of a tooth also. The dentine and enamel are developed by the modification of the elements situated at the surface of their germs. The dentine is constituted of the cells of the germ, which send out ramifying and communicating prolongations — the dentinal fibers — and by an intarcellular substance, which is impreg- nated with calcareous matter, and which, being molded around the fibers, forms canal iculi. The enamel is derived from the deep cells of its germ, which are elongated and prism-shaped, and are calcified in be- coming applied to the surfi.ice of the dentine. The cement is developed at the expense of the walls of the follicle, according to the mode of ossification of the connective tissue. ''Eruption. — As the dentine is formed, the tooth increases in length and presses the enamel-germ up- ward. The latter, constantly compressed, becomes atrophied, and finally disappears when the tooth has reached the summit of the follicle. In the same way the young organ pierces the dental follicle and gum and makes its eruption externally. "Such is the mode of the development of the tem- porary teeth, and the permanent ones are formed in the same inanner. During the development of the germ of the temporary tooth, a bud is seen detaching itself 44 TOOTH-GEEMS. from this germ and passing backward, to serve, at a later period, in forming tlie permanent tooth/' 111 another part of his work Prof Chauveau says: "The follicle in which the incisor teeth are devel- oped shows only two papillae. One, for tlie secretion of the dentine, is lodged in the internal cavity of the tooth, and is hollowed into a cup-shape at its free ex- tremity; the other is contained in the external cul-de- sac." In describing the simplicity of the structure of the horse's canine teeth (tushes), Prof. Lecoq says: ^'The disposition of tlie developing follicle is in har- mony with the simplicity of their structure. At the bottom there is a simple and conical papilla for the internal cavity; on the inner wall, a double longitu- dinal ridge, on which are molded the ridge and grooves on the inner f ice of the tooth." Prof William Youatt's theory of the development of horses' teeth is unique. He is probably correct about the bones or processes being separate, and his claim that they are solidified by the cement is certainly philosophical ; but he differs from all other authorities about the enamel completing the formation of the tooth, for it is a Avell- known fact that a virgin tooth is enveloped by cement (its protecting varnish), which wears off as soon as the tooth is brought into use. He says ("The Horse," p. 223) : "A delicate membranous bag, containing a jelly-like substance, is found in a little cell within the jawbone of the unborn animal. It assumes by degrees the shape of the tooth, and then the jelly begins to change GREAT USE OF TUE CEMEXT. 45 :he baos, and there to boil}' matter. A liard and beautiful crystallization is formed on the membrane without, and so we have the cutting tooth covered by its enamel. " 111 the i'orination of the grinders there are origin- ally five membranous bags in the upper jaw and four in the lower. The jelly in them gives place to bony matter, which is supplied by little ves- sels, and which is represented by the darker portions of the cut with central black spots. The crystalhzation of enamel may be traced around each of would be five distinct bones or teeth but for the fact that a third substance is now secreted. (It is repre- sented by the white spaces). It is a powerful cement, and through its agency the bones are united into one body, thus making one tooth of the five. This being done, another coat of enamel spreads over the sides, but not the top, and the tooth is completed." Dr. Robley Dunglison's theory of the development of the human teeth is in principle the same as Prof. Youatt's theory regarding those of the horse. In his "Medical Dictionary," article "teeth," he saj-s: "The incisor and canine teeth are developed by a single point of ossification, the lesser molars by two, and the larger by four or five." Surgeons M. H. Bouley and P. B. Ferguson believe that the teeth are the combined product of the secre- tion of the [)ulp and of the membrane which lines tlie alveolar cavities. They say that the quesiion as to whether the sensibility of the teetii is inherent in the dental substance itself, or resides exclusively in the 46 TOOIH-GEllMS. pulp, is a physiological point of which a satisfactory solution remains to be given.* * Of tlie development of teetli in the human fetus Monsieur E. Magitot says (" Comtes Rendus," 1874): "Seocnth Week — The epithelial eminence and epithelial inti^ction of Kolliker only may be seen at the edge of the jaw. The superior maxil- lary aud intermaxillary bones are not uuiteJ, and the inferior maxillary arch contains Meckel's cartilage only, without any trace of bone. The epithelial bands (enamel-organs) are succes- sively formed in the order of their designation. Ninth — The dentine bulb appears in juxtaposition with the downward ex- tremity of the enamel-organ. This stage occurs nearly simul- taneously for the whole series of temi o..i.y follicles. Tenth — The wall of the follicle detaches itself from the base of the bulb and rises uj) its sides. Fifteenth — The epithelial band begins its transformation into an enamel-organ. The enamel-germ of the first permanent molar may now be seen springing from the epithelial inflection. Sixteenth — The wall of the follicle is closed. The epithelial band is broken, and the follicle thencefor- ward has no connection with the surface epithelium. The epi- thelial bands of the permanent teeth, which are derived from the necks of the enamel-organ of the corresponding deciduous teeth, appear. S-.'venteenth — Appearance of the cap of dentine of the central and lateral incisors ; also the bulb of the first permanent molar. Eijjhtecnth — Appearance of the dentine caps of the first and second molars ; also the wall of the follicle of the perma- nent mo'ar. Ticentieth—R\g\\t of the dentine caps of the cen- tral incisor, lateral incisor, and canine, .059 ; first and second molars, .039. Appearance of dentine organ of permanent teeth, and inclosure of wall and rupture of band of first molar. Twenti/- jiftfi — Dentine cans, .07, .054. The permanent follicle walls, which ajipeared after the twenty-first week, have acquired a cer- tain distinctness. Ticeiity-eifjhth — Dentine caps, .093, .078. The epithelial germs of the permanent follicles begin their transfor- mation into enamel-organs; dentine cap first molar, .003 to .007. Thirty -second — Dentine caps, .113, .093. The first permanent molar cusps, which form upon the several apices of the dentine organ, have coalesced. Thirty-sixth — Dentine caps, .118, .109; permanent molar, .004 to .039. Thirty-ninth— Tfewtme caps, .136, .118 ; permanent molar, .039 to .073. The permanent f .^llicle walls close. The dentine caps appear one month after birth." CHAPTER II. THE TEMPORARY DEXTITIOIT. Twelve Incisors and Twelve Molars.— Why tlie Incisors are called " Nippers."— The Treatment of Foals Affects Teeth- ing.— Roots of Milk Teeth Absorbed by the Permanent. —The Tushes. The foaFs temporary teeth (known also as milk or deciduous teeth) are adapted in size and number to the capacity of the jaws and the amount and nature of the mastication required for its sustenance. There are only twenty-four temporary teeth functionally de- yeloped. They consist of twelve incisors or nippers* and twelve molars or grinders, six above and six below of each kind. The dental formula is expressed thus : Incisors, f — |; molars, |- — f=^4. According to Veterinary Dentist C. D. House, who says the care and treatment of foals will affect the growth of their teeth as much as they Avili their gen- ^ Horsemen call the incisor teeth "Nippers." The word ex- presses the office they perform, to wit, nippinjr grass, iis well as the word "grinder" does in the case of the molars — grinding corn. They call the first pair of incisors "central nippers," or " centrals," one being on either side of the median line ; the second pair are the "di\iders," for they stand between the first and third paii^ ; the third pair are called the "corners," from their forming the points of the crescent like figure. 48 THE TEMPORARY UENTITIO^T. eral development, the foal lias no teeth at birth, Na- ture providing a membrane-like cover for tlie incisors as well as the lioofs. In two or three days, however, the molars are all cut. The incisors are cut in pairs, two above and two below. The first pair protrude in from three to eight days, and attain their growth in about two months. The second pair are cut when the foal is five or six weeks old. Th^y also attain their growth in about two months. The time of cutting the third pair varies. In some foals they appear as early as the sixth month ; in others as late as the ninth. They attain their growth in about three months.* The milk teeth are smaller and wdiiter and have more distinct necks than the permanent. Their shin- ing, milky-white color, M. Chauveau says, is due to the thinness or absence of the cement, their crowns being finely striated (not cannular) on the anterior face, and their growth, unlike the permanent teeth, ceasing when they begin to be used.f '•' M. Rousseau assigns from the seventh to the tenth month as the period of the completion of the first or colt's mouth den- tition. The deciduous incisors have thinner and more trenchant crowns than the permanent. — Owen. •f- The absorption of the roots of the milk teeth by the per- manent would tend to prevent the continuous growth of the former ; but the real cause appears to be that continuous growth is contrary to their nature. As the roots are composed of cement (except the dentine lining the pulp cavity), and as they are absorbed, it naturally follows that much of the cement surrounding the crowns of the permanent teeth is derived from them (cement from cement), thus lessening the drain on the pennanent tooth pulps, which are all the better able to supply cement for the roots of the permanent teeth. The scarcity of cement on the crowns of tlie milk teeth is probably owing to the fact that they had no cement to absorb. The evil of extract- ins^E TEETH. quently prove erroneous, is strikingly shown in these observations on the use of the cuspidatus. The simple and obvious use of this tooth, in the human species, is to tear such portions of food as are too liard or tough to be divided by tlie incisors; and we frequently find it far more developed in animals which are known to be exclusively frugivorous. Not only is its structure wiiolly unadapted for such an object as that assigned to it in the text, but there is no analogous or other ground for supposing that man was originally con- structed for the pursuit and capture of living prey. His naturally erect position and the structure of the mouth would render this impossible by the means in- ferred by Hunter; and the possession of so perfect an instrument as the hand obviates the necessity of his ever employing any other organ for the purpose of seizing or holding food of whatever description." Prof. WiUiam Youatt says ('^The Horse," p. 22G): " At the age now under consideration (the fourth year) the tushes are almost peculiar to the horse, and castration does not appear to prevent or retard their development. All mares, however, have the germs of them in the chambers of the jaws, and they appear externally in the majority of old mares. Their use is not evident. Perhaps in the wild state of the horse they are weapons of offense, and he is enabled by them to more firmly seize and more deeply wound his enemy."* * Prof. C. S. Tomes says : " In the domestic races the tusks of boars are much smaller than in the wild animal, and it is a curi- ous fact that in domestic races which have become wild, the tusks increase in size at the same time that the bristles become more pronounced. Mr. Darwin suggests that the renewed THEIR PnySIOLOGICAL RELATIONS. 85 Surgeon J. H. Winter, the author of a work entitled "On the Horse," says : " It is difficult to assign their use. Their position precludes the possibility of their being used as weapons of offense or defense. They may be viewed as a link of uniformity so commonly traced in the animated world." Prof. William Percivall says that the cutting of the tushes causes the constitution more derangement than all the other teeth, and Prof. Youatt and other high authorities entertain similar views. The present chap- ter, therefore, is a proper one in which to discuss " the effects of dentition on the system generally." The discussion of the subject is left to well-known men. Messrs. Youatt and Percivall were many years ago the editors of "The Veterinarian," but their books are probably the best monuments to their memory. Prof. William Williams is the President of the Edinburgh Veterinary College. Prof. Youatt says (" The Horse," p. 230) : " This is the proper place to speak of the effect of dentition on the system generally. Horsemen in gen- eral think too lightly of it, and they scarcely dream of the animal suffering to any considerable degree, or growth of the teeth may perliaps be accounted for on the prin- ciple of correlation of growth, external agencies acting on the skin, and so indirectly influencing the teeth." A strictly analogous result might or might not follow in the case of the horse. If so, the tushes would probably be used as weapons of offense and defense. It is reasonable to suppose that they were so used by the early progenitors of the horse, whose large tushes aje described in the succeeding chapter by Pro£ Marsh. 80 THE CAXIXE TEETH. absolute illness being produced. Yet he who has to do with young horses will occasionally discover a con- siderable degree of febrile affection which he can refer to this cause alone. Fever, cough, catarrhal and cuta- neous affections, diseases of the eyes, diarrhea, dysen- tery, loss of appetite, and general derangement will frequently be traced to irritation from teething.* It is a rule scarcely admitting of the slightest deviation, that, when young horses are laboring under febrile affection, the mouth should be examined, and if the tushes are jDrominent and pushing against the gums, a crucial incision should be made over them."* Prof. Percivall says (" Hippopathology," vol. ii, p. 225) : "There was a time when I treated the subject of dentition so lightly as to think that horses never suf- fered from such a cause. Experience, however, has altered my opinion. I now frequently discover young horses with disorders or febrile irritations the produc- tion of wi]ich I hesitate not to ascribe to teething. Many years ago I was consulted concerning a horse which had fed sparingly for a fortnight and lost rap- idly in condition. His owner, a veterinary surgeon, was apprehensive about his life. Another surgeon was of opinion that the ^cuddiug' arose from preternatural * Prof. Youatt's real sentiments are doubtless here expressed, but, unfortunately for bis consistency, on page 327 of the same "work, in speaking of tbe derangement caused by teething in children and dogs, he says: " The horse appears to feel little inconvenience. The gums and palate are occasionally some- what hot and swollen, but the slightest scarification will remove this." Perhaps Prof. Youatt, like Prof. Percivall, changed his opinion late in life, and neglected to remove the blemish from Lis book. WHAT CHANGED PROF. PERC IV ALL'S MIXD. 87 bluntness of the molar teeth, which were filed. It was after this that I saw^ the horse, and I mast confess I was sit first quite as much at a loss to offer a satisfac- tory interpretation of the case as others had been. While meditating, however, after my inspection of the horse, on the apparently extraordinary nature of the case, it struck me that I had not seen the tushes. I went back into the stable and discovered two little tumors, red and hard, in the situation of the inferior tusks, which, when pressed, gave the animal insuffer- able pain. I instantly took out my pocket-knife and made crucial incisions tiirough them both, from which moment the horse recovered his appetite, and by de- grees his wonted condition. This case was the turn- ing point in my practice, and caused me to look more closely into dentition. " The cutting of the tushes, which may be likened to the eye-teeth of children, costs the constitution more derangement than all the other teeth put to- gether; on which account, no doubt, it is that the period from the fourth to the fifth 5*ear proves so crit- ical to the horse. Any disease, pulmonary in particu- lar, setting in at this period, is doubly dangerous. In fact, teething is one cause of the fatality among young horses at this period. " D'Arboval tells us to observe how the vital energy becomes augmented about the head, and upon the mucous surfaces in particular. He says: ^A local fever originates in the alveolar cavities. The gums become stretched from the pressure of the teeth against them. They dilate, sometimes split, and are red, hot, and painful. The roots compress the dental nerves and irritate the periosteal linings of the alveolar cavi- ties. These causes will enable us to explain many 88 THE CAXIXE TEETH. morbid phenomena in horses about this, the most crit- ical period of their lives.' " When yoting horses are brought to me now for treatment/' continues Prof. Percivall, "I invariably examine the teeth. Should the tusks be pushing against the gums, I let them through by incisions over their summits, and 1 extract any of the tempo- rary teeth that appear to be obstructing the growth of the permanent. In this way I feel assured I have seen catarrhal and bronchial inflammations abated, coughs relieved, lymphatic and other glandular tumors about the head reduced, cutaneous eruptions got rid of, de- ranged bowels and urinary organs restored, appetite returned, and lost condition repaired. "I am quite sure too little attention has been paid to the teeth in the treatment of young horses, and I would counsel those who have such charges by no means to disregard this remark, trifling as it may appear. The pathognomonic symptoms calling our attention, whether in young or old horses, if not to the teeth themselves, to the mouth in general, are large discharges of saliva from the mouth, with occa- sional slobbering; cudding of the food; difficulty of mastication or deglutition, or both, and stench of buc- cal secretion, perhaps of the breath as well." Prof. Percivall continues the discussion of the sub- ject of dentition and its eff'ect on the health of the horse, dwelling more particularly on the disorder known as lanipas. He sa3^s: "There is connected with dentition another pecu- liarity in the horse which we must not allow to pass unnoticed. Although the period of teething, properly LAMPAS CAUSED BY TEETHIXG. 89 speaking, may be said to terminate at the fiffh year, yet we must recollect it lias been satisfactorily demon- strated that there is a process of growth going on in the teeth throughout the remaiuder of life ; so that, in fact, at no period may the animal be said to be free from the influence of dentition. This accounts for lampas occurring in old as well as young horses, and furnishes my mind with strong proof that the tumidity of the bars of the mouth is dependent on operations going on in the teeth, and on that cause alone. " What we nowadays understand by lampas is an unnatural prominence or tumidity of the cai'tiluginous bars forming tlie roof of the mouth. Xaturally, tlie bars are pale-colored, whereas in a mouth affected with lampas they become red and tumid, losing their eir- cumllecture, and swelling to a level with the crowns of the incisor teeth, and in some cases even beyond them. This apparent augmentation of substance is ascribable to congestion of blood-vessels, but not to that alone. I believe that in many cases there will be found to be some serous and albuminous infiltration into the cel- lular membrane attaching the Imrs to the hard palate, and that this will account for the length of time the swelhng sometimes continues, as well as for the little relief, in regard to their diminution, which in such cases attends lancing of the gums. "Although in young horses it is, I believe, admitted that lampas is caused by the cutting of the teeth, yet in old horses there are those who ascribe its produc- tion to other causes, and imagine it has a great deal to do Avith a horse's health, or rather Avith his feeding. That lampas may in some cases be the cause of tender- ness in mastication, I do not deny; but, at the same time, I think I may safely aflEirm that in nine cases out 90 THE CANIKE TEETH. " of ten the cause of loss of appetite will be found else- where. The reason why lampas appears in aged horses is, in my opinioUj as before stated, on account of the continuance of the process of growth in the teeth throughout life, with the nature and laws of which we are, in our present state of knowledge, too little ac- quainted to pretend to say why it should exist in one horse and not in another, or why it should only at times appear in the same horse. "Is lampas a disease? The complaints which daily reach our ears persuade us it is. Every groom having an un thriving horse, or one that does not feed, is sure to search for lampas. If he finds it, in his mind the cause of lack of thrift is detected, and the remedy obvious — burning. Many a horse has been subjected to this torturing operation, and has thereby got added to his other ailments a foul, sloughy, carious sore on the roof of his mouth. " Supposing that lampas be owing to the teeth, do not the teeth require removal, and not the bars of the mouth? In cutting or burning away lampas we mis- take the effect for the cause. If lampas is not produced by the irritation of teething, then I would like to be informed what does cause it." Prof. Youatt says of lampas (" The Horse," p. 219) : "It may arise from inflammation of the gums, propagated to the bars when the colt is shedding his teeth — young horses being more subject to it than others — or from some febrile tendency in the consti- tution generally, as when a young horse has lately been taken from grass, and has been over-fed or insuf- ficiently exercised. It is well to examine the grinders, MASHES AND LANCIIn"G RECOMMENDED. 91 and more particularly the tushes, in order to ascertain whether they are nuiking their way through the gums. If so, incisions should be made across the swollen gums, and immediate relief will follow. At times it appears in aged horses, the process of growth in the teeth of the horse continuing during life. ^^ The brutal custom of famers, who sear and burn the bars with a red hot iron, is most objectionable. It is torturing the horse to no purpose, and may do seri- ous injury. In a majority of cases the swelling will subside without medical treatment. A few mashes and gentle alteratives will give relief, but sometimes slight incisions across the bars with a lancet or pen- knife may be necessary. Indeed, scarification of the bars in lampas will seldom do harm, though it is not as necessary as is generally supposed.'^ Concerning "Diseases occurring during Dentition" Prof. AVilliam Williams says (•' Principles and Practice of Veterinary Surgery," p. 476): "In the horse the temporary grinders are replaced by permanent ones when he is from three to four years old, and in the ox at from two years and six months to two years and nine months. In cattle tlie cutting of the permanent molars is occasionally a matter of some difficulty owing to the unshed crowns of the temporary teeth becoming entangled with the new teeth, and thus proving a source of irritation and pre- venting the animal from feeding. In some parts of tlie country such animals are called * rotten,' from their emaciated condition, and perhaps from the fetor ema- nating from the mouth. When cattle of this age stop feeding, lose condition, or drivel froni the mouth, the 92 : THE CAXINE TEETH. teeth should be examined, and if the unshed molars are causing irritation, they should be removed with the forceps. Hundreds of young cattle have been sac- rificed from this cause — actually dying of starvation. In the horse the same condition of the grinders may exist, but it is very unusual. The corner incisors, however, may present the same anomalous condition. Horses from four years to four years and six months old should have their teeth examined occasionally to see if all is going on well. " Horses at four years old are subject to a distressing cough. At this age the third temporary grinder is replaced by its permanent successor, and at the same time the sixth grinder is being cut. Some irritation exists in the gums during the eruption of all the teeth, and in some instances it is excessive, extending from the gums to the fauces and larynx. This is particu- larly the case with the sixth grinder, and as a result of the extension of the irritation, cough is excited, usually in the morning, when the animal begins to feed. It is loud, sonorous, and prolonged, the horse frequently coughing twenty, thirty, or even forty times without ceasing. It is a throat cough, originating in laryngeal irritation. " The treatment for this, which may be truly said to be a tooth-cough, is careful dieting on crushed food; hay, not much bran ; grass, if in season, or roots if grass is not obtainable ; alkaline medicines, more par- ticularly the bicarbonate of soda; gentle aperients occasionally, if the bowels be irregular. If the faeces are fetid the fetor will be much diminished by a few doses of the hyposulphite of soda, the mouth to be gar- gled with some cooling mixture, such as the borate of soda or alum." DE^'TIT10^' FEVEK. 93 Of "Dentition Fever" Prof. Williams says ("Prin- ciples and Practice of Veterinary Surgery," p. 479) : " Horses from three to four years old are more sub- ject to this species of dental irritation than those of a more tender age, and it is well known among horsemen that they will stand more fatigue at a more tender age than they will at this. The reason is because teething is now at the hight of its activity. When the animal is three years -old, eight permanent grinders are being cut, and four permanent incisors are in active growth witlim the jaws. At four years of age the same num- ber of grinders are out, and the same number of inci- sors are at a more advanced stage of growth within the jaws, in addition to the canme teeth, which make their appearance about this time. " No wonder then that the eruption of so many teeth is a source of irritation and fever. The best treatment is to throw the animal off work, turn him to grass if the weather permits, or into a loose box in a well ven- tilated spot, and give him rest until the process of den- tition is completed. If the gums are red and swollen, lancing them will prove a source of great relief." On page 503 Prof. Williams, in speaking of crib- biting and wind-sucking, says: "Want of work and the irritation of teething are generally the causes of these vices." CHAPTER V. THE REMiTANT TEETH. Usually regarded as Plienomenons. — The Name. — Traced to tlie Fossil Horses, in which (in the Pliocene Period) they " Ceased to be Functionally Developed." — Nature's^ Meta- morphoses. — " The Agencies which are at work in Modeling Animal and Vegetable Forms." — Why Remnant Teeth are often, as it were, Prematurely Lost. — Fossil Horses and a Fossil Toothed-Bird. The Eemnant or " so-called wolf-teeth " are one of the most interesting features of the horse's dental sys- tem. They are generally regarded as phenomenons, but their line of descent is as direct as that of the first premolars (grinders), which have, as it were, almost absorbed them, and have increased in bulk nearly in proportion to the decrease in bulk of the Remnant teeth. As the word "wolf" is another name for that which is hurtful or destructive, and as these teeth as well as supernumerary teeth, with which, however, they should never be confounded, sometimes do injury, the generic name, " wolf-teeth," is not a bad one. But, since these particular teeth are hereditary, being beyond doubt the remains of teeth that were once functionally developed, they require a specific name ; I have therefore adopted the name Remj^ant Teeth. PROF, marsh's researches. 95 In the evolution of the horse from an animfil of about the size of a fox to his present proportions, it is not strange that radical physical changes, of the teeth as well as other organs, should have occurred, or that they are in harmony with his bodily requirements as well as his usefulness to man. Small, four-toed limbs would support the body of an animal no larger than a fox or a sheep, but they would require additional size and strength to support tlie small horse (Hipparion) of the Pliocene period, or the large horse of the present period (E(jaus). This additional strength was gradu- ally acquired by the enlargement of the limbs and the solidification, as it were, of four toes into one, it being as natural, in conformity to the law of adaptation, for a line of succeeding animal forms to undergo bodily clianges as for an individual form to do so. During these metamorphoses equally varied and interesting changes occurred in the horse's dental sys- tem, which are described by Prof. 0. C. Marsh, of Yale College, in the article " Horse, Fossil," in " Johnson's New Universal Cyclopedia (vol. ii, p. 996). He gives a general description of the changes that have occurred in species of three geological periods, namely, the Pliocene, Miocene, and Eocen^e, those of the two last named having forty-four functionally developed teeth. The part of the article which refers to the teeth is as follows : "In the Pliocene tertiary period the horse was rep- resented by several extinct genera, the best known be- ing Hipparion (or Hippotberium). The species are small, as the name implies, Hipparion being a dimin- utive from tlie Greek Jiippos, a ' horse.' In the upper molar teeth there is in Hipparion, on the anterior por- 96 THE REM^nA^T teeth. tion of the inner side, an isolated ellipse of enamel inclosing dentine, and not joined with the main body of the tooth by an isthmus of dentine, as in Equus, at least until the teeth are nearly worn out. Anchippus, also from the Pliocene, resembled in its teeth Anchi- therium of the Miocene, a genus now considered as typical of a family distinct from that of the horse. In Anchitherium the molars have short crowns, deyoid of cement, and are inserted by distinct roots. The Mio- cene species were not larger than a sheep. The Eocene representatives of the group were still smaller, the largest hardly exceeding a fox in size. They belong to the genus Orohippus. The dentition is very simi- lar to that of Anchitherium, but the first upper pre- molar is larger and the succeeding ones smaller than in that genus. The diastema, or * place for the bit,' is distinct. The canines are large, and near the incisors. The crowns of the molars are short and destitute of cement, and the skeleton is decidedly equine in its general features. "The gradual elongation of the head and neck may be said to have already begun in Orohippus, if we compare that form with other most nearly allied mam- mals. The diastema was well developed even then, but increased materially in succeeding genera. The num- ber of teeth remained the same until the Pliocene, when the front loiver premolar 2uas lost, and subse- quently the corresponding vpper tooth ceased to he func- tionally developed.'^ The next upper premolar, which in Orohippus was the smallest of the six posterior * The italics are mine. This " corresponding upper tooth that ceased to be functionally developed," is the identical tooth that now appears a«! a mere remnant. THE LARGE TUSHES OF ORJUIPPUS. 97 teeth, rapidl}' increased in size, and finally became the largest of liie series. The grinding teeth had at first very siiort crowns, without cement, and were inserted by distinct roots. In Pliocene species the molars be- came longer, and were more or less coated with cement. The modern horse has very long grinders, without true roots, wliich are covered with a thick external layer of cement. Tlie large canines of Orohippus be- came gradually reduced in the later genera, and the characteristic 'mark' upon the incisors is found only in the later forms. It is an interesting fact that the peculiarly equine features accpiired by Orohippus are retained persistently throughout the entire series of succeeding forms." * * "The ancient Orohippus had all four digits of the fore-feet well dev'elo;)eci. In Mesohippus, of th3 next period, the fifth toe is only represented by a rudimenr, and the limb is supported by the second, third, and fourth, the middle one being the largest. Hipparion of the Later Tertiary still has three digits, but the third is much stouter, and the outer toes have ceased to be of use, as they do not touch the ground. In Equus the lat- eral hoofs are gone, and the digits tliemselves are represented only by the rudimentary splint bones. The middle or third digit supports the limb, and its size has increased accordingly. Tlie corresponding changes in the posterior limb of these genera are very similar but not so striking, as the oldest type (Orohip- pus) had but three toes behind. The earlier ancestor of the ^roup, perhaps in the lowest Eocene, probably had four on this foot and five in front. Such a predecessor is as clearly indicated by the feet of Orohippus as the latter is by its Miocene relative. A still older ancestor, possibly in the Cretaceous, doubtless had five toes on each foot, the typical number in mammals. This reduction in the number of toes may perhaps have been due to elevation of the region inhabited, which gradually led the ani- mils to live on higher ground, instead of the soft lowlands, where a many-t6ed foot would be most useful." — Prof. 0, C. Marsh. 5 98 THE LiEM:NA:>rT teeth. The article closes as follows: "Such is, in brief, a general outline of the more marked changes that appear to have produced in America the highly specialized modern Equus from its diminutive, four-toed predecessor, the Eocene Oro- hippus. The line of descent appears to have been direct, and the remains now known supply every im- portant intermediate form. Considering the remark- able development of the group throughout the entire tertiary period, and its existence even later, it seems very strange that none of tlie species should have sur- vived, and that w^e are indebted for our present horse to the Old World."* * The followiiifr extracts from Prof. C. S. Tomes's "Dental Anatomy, Human and Comparative" (pp. 247-8, 254-5), explain some of tiie causes of tlie metamorphosris described by Prof. Marsli ; " He would indeed be a rasli man who ventured to as- sert that wo had recognized all the agencies wliich are at work in the modaling of animal and vegetable forms ; but it is safe to say that, at the present time, we are acquainted with several agencies which are in constant operation, and which are com- petent to profoundly modify animals in successive generations. We know of 'natural selection,' or ' survival of the fittest,' an agency by which variations beneficial to their possessors will be preserved and intensified in successive generations ; of ' sexual selection,' vt'hich operates principally by enabling those pos- sessed of certain characters to propagate their race, while others less favored do not get the opportunity of so doing ; of ' con- comitant variation' between diflferent parts of the body, an agency much more recondite in its operations, but by which agencies affecting one part may secondarily bring about altera- tions in some other part. "The doctrine of natural selection, or survival of the fittest, is as applicable to the teeth of an animal as to any part of its organization, and the operation of this natural law will be con- stantly tending to produce advantages or 'adaptive' differences. On the other hand, th.e strong power of inheritance is tending to NOT TARE, BL'T EASILY LOST. 99 Remnant teeth are not rare, but it is rare for them to persist in the jaws till even middle age. However, preserve even that which, in the altering conditions of life, has become of very little us3. Thus we may understand riidimeutary testh to be teetli which are in process of disappearance, having ceased to be useful to their possessors, but still for a time, through the influence of inheritanc.\ lingering upon the scene. Some teeth have disappeared utterly. Thus the upper incisors of ruminants are gone, and no rudiments exist at any stage ; others siill remain in a stunted form, and do not persist through- out the lifetime of the animal, ns, f )r instance, the first premo- lars of t!in horse, or two out of the four premolars of most bears. "Teeth are profoundly susceptible of modification, but amid all their varied forms, the evidences of descent from ancestors whose teeth departed less from the typical mammalian dentition are clearly traceable by tlie existence of rudimentary teeth and other such characters. * * ■'' The power of inheritance is constantly asserting itself by the retention, for a time at least, of parts which have become useless, and by the occasional reap- pearance of characters which have been lost. * * * Things that are rudimentary often teach us most ; for being of no pres- ent use, they are not undergoing that rapid change in adaptation to the animal's habits which may be going on in organs that are actively employed." Horses are not the only animals that have had or are having changes in their dentition. Mr. C. R. Darwin says (" Descent of Man," vol. i, p. 25): "It appears as if the posterior molar or wisdom-teeth were tending to become rudimentary in the more civilized races of men. They are rather smaller than the other teeth. In the Melanian races, on the other hand, the wisdom- teeth are usually furnished with three se[)arate fanp^s, are gen- erally sound, and differ in size from the other molars less than in the Caucasian races. Prof. Sch.aaff haug.^n accounts for this difference «bpt ween the races by 'the posterior dental portion of th^ jaw being always shortened ' in those that are civilized, and this shortening may, I presume, be safelv attributed to civilized men habitually feeding on soft, cooked food, and thus using their jaws l?ss. I am informed by Mr. Brace that it is becoming quite a common pracrice in the United States to remove some 100 TB"E EZMXAXT TEETH. there may be cases wliere they never appear; but' it by no means follows that because a horse is not in pos- session of them that he never had any. There are various causes for their frequent absence, but the chief cause is their small size. Remnant teeth of the lower jaw, which are very rare, are probably cases of " re- version to a former state." * If these latter teeth were not expelled in the j,^.,, ,,,, ,^^,^ ^ ^,,,^,„.^^ manner explained below by Mons. ^i-^- original. Lecoq, the probability is that they would not long withstand the friction of the bit. The upper teeth, however, while they may sometimes be expelled by the bit, are comparatively little disturbed by it, which probably accounts for their now and then remaining in the jaws for years. Anotlier reason for their per- sistence is that their roots are long in proportion to their bodies. The reason why these teeth should not be confounded with supernumerary or abnormal teeth will appear in the succeeding chapter, which is devoted to the consideration of the latter. Monsieur Lecoq gives cogent reasons for the fre- quent absence of Remnant teeth. He says: " Supplementary molars are sometimes met with in front of the true ones, and there may be four of them, two in either jaw, above and below. They are small teeth, having but little recemblance to the others, are frequently shed with the first deciduous molar, and are not replaced. The first replacing (permanent) molar is always a little more elongated than that of the molar teeth of children, as the jaw does not grow large enoiio-h for the perfect development of the normal number." * See the second reference note, page 80. HOW TTIEY MAY BE LOST. lOl which it succeeds, and it frequently expels at the same time the supplementary molar; so that if forty-four teeth be developed in the male horse, it is very rare that they are all present at the same time." That Remnant teeth are usually regarded as phe- nomenons is abundantly proved by some of the ex- tracts that follow. In ''Johnson's Xew Universal Cyclopedia" (p. 905), article ''Horse," it is said: "An additional small tooth is occasionally found in advance of the upper molar series. This tooth, when present, is the smallest of all the teeth, and, as it has neitlier predecessor nor successor, its nature is in doubt." As the nature of these teeth appeared to be clearly explained in the article " Horse, Fossil," which imme- diately follows that on the " Horse," I wrote to Prof. Joseph Leidy, telling him I believed the "wolf-teeth" were the remnants of the teeth that "ceased to be functionally developed," and asked his opinion about the matter. Writing under date of "Philadelphia, Nov. 26, 1878," he said: * * * "I tliink you are right in supposing that the little premolars referred to by Prof. Marsh as the ' corresponding upper teeth,' which 'ceased to be func- tionally developed,' are the so-called 'wolf-teeth.'" Another letter, addressed to Prof. Theodore Gill, elicited the following repW, which was dated "Smith- sonian Institution, AVashington, D. C, IS'ov. 25, 1878:" * * '•• "The complete dentition of the adult horse is represented by the formnla : I., |; C j ; D., i; P. M., -I; M., J x 2 = 42. The 'small wolf or 102 THE REMNANT TEETH. superanmerary tooth that appears in front of the first upper premolar,' is the more or less persistent first deciduous molar (d 1) of the first series, which is not succeeded by a first premolar. The premolars are con- sequently P. M., 2, 3, and 4 of the typical educabilian dentition.'^ Prof. Eichard Owen, who, like Drs. Gill and Leidy, has a clear conception of the subject, says : " The second incisor appears between the twentieth and fortieth days, and about this time the first small, deciduous premolar takes its place. * * * The representative of the first premolar is a very small and simple rudiment, and is soon shed." Surgeon Charles Parnell, in a letter to the editor of "The Veterinarian" (1867, p. 287), says: "In reading Prof. George Varnell's articles on some of the diseases affecting the facial region of the horse's head, I notice a description of wolf-teeth. He says: *They have been supposed to be the cause of disease in the eyes of horses. This idea, however, is quite erro- neous; therefore I shall not occupy any space in dis- cussing this traditional error.' Well, I can safely say that I have in my time extracted a great many of these teeth, and not merely because they existed, hut because there was a weeping from both eyes, the cause of which was attributed to wolf-teeth, and generally in the course of a few weeks the weeping has ceased. But what convinces me that they do affect the eye is that in several cases where there were weeping and weak- ness of one eye only, I have found a wolf-tooth on the affected side only, and the recovery of the eye has in- variably followed the extraction of the tooth. The HORSES WITHOUT EARS. 103 mucous membranes and lachrymal glands appear to be the parts affected, undoubtedly from some connec- tion through the nerves. If these teetli are allowed to remain in the horse's mouthy the sight will become more or less impaired." Might not this plan (extracting the teeth), if adopted by all surgeons, eventually rid horses of the so-called wolf-teeth? Nature may be aided or injured. The effect of interfering with nature is illustrated by the following extract from Prof. W. Youatt's work, ''The Horse" (p. 154): " The custom of cropping the ears of the horse orig- inated, to its shame, in Great Britain, and for many years was a practice not only cruel to the animal, but deprived it of much of its beauty. It was so obsti- nately persisted in that at length the deformity be- "^ came in some hereditary, and a breed of horses born without ears was produced." Extracting the Remnant teeth appears to aid rather than injure nature. The practice is therefore as com- mendable as the cropping of the ears is reprehensible, and if the same result should follow that Prof. Youatt says followed the cropping of the ears, it ought to be adopted. C. D. House, an American veterinary dentist, like Surgeon Parnell, invariably extracts the Remnant teeth. He not only claims that they sometimes injure the eyes, but that in some cases, when they encroach on the maxillary branch of the fifth pair of nerves, they cause the horse to act as if insane. He says he has more than once extracted these teeth when the "insane" horse was in an open field. When the tooth 104 THE REMXAI^T TEETH. is drawn and the animal is relieved, it looks around and stares and acts as if wondering where it is and how it got there. Not more than one horse in twenty pos- sessing these teeth, he says, ever suffers injury to its eyes. Surgeon E. Jennings of Detroit has examined many fetuses and always found Remnant teeth germs ; dur- ing 37 years' practice, in more than 100 deaths under two years, not a single instance occurred where these teeth, or the germs which produce them, were not found. They will be found usually at the age of two years. Veterinary Dentist J. Ramsey of Boston treated a 7-year-old horse in 1881 that had been " out of con- dition " for several years, and consequently had had several owners. He discovered a long Remnant tooth with such a vicious inclination toward the roof of the mouth as to interfere with the use of the tongue. As soon as the tooth was extracted the horse began to cat. Prof. Williams says of Remnant teeth ("Principles and Practice of Veterinary Surgery," p. 479): " Small supernumerary teeth are often met with in front of the grinders, called Mvolf-teeth.' They have been supposed to be a cause of ophthalmia, but this is doubtful. They can produce no inconvenience; but if requested to extract them a practitioner can hardly refuse. The best method is to remove them with the tooth-forceps. "The question as to the influence of the teeth on the eyes miglit perhaps be deemed worthy of discus- sion, inasmuch as the dental nerve is a branch of that which supplies the eyes with common sensibihty, namely, the fifth. The older writers maintain od that MOOX-BLIXDXLSS. 105 ' moon-blindness' was due to wolf-teeih, and the first procedure in the treatment was their removal. Now- adays, however, the supposition is not carried quite so far, and the utmost that can be said is that the irrita- tion of teething may be an exciting cause of ophthal- mia in animals whose constitutions are hereditarily or otherwise predisposed to the disease, and the removal of supernumerary teeth, or lancing the gums, may pos- sibly be followed by some remission of the ophthalmic symptoms." Prof. Youatt thus accounts for Kemnant teeth: *' In a few instances the permanent teeth do not rise immediately under the temporary, but somewhat by their side. Then, instead of the gradual process of ab- sorption, the root, being compressed sideways, dimin- ishes throughout its whole bulk. The crown dimin- ishes also, and the tooth is pushed out of its place to the forepart of the first grinder, and remains for a con- siderable time under the name of a wolf -tooth, causing swelling and soreness of the gums, and frequently woundi'Jig the cheeks. They would be gradually quite absorbed, but the process might be slow and the an- noyance great; therefore they are extracted." Prof Youatt's theory is unique, but it fails to give a satisfactory explanation oi: the "so-called wolfteeth.^' That a tooth should be pushed out of its place is sim- ple enough; but why would the first upper temporary grinder remain in the gum and take root and the first lower not ? That " they would be gradually quite ab- sorbed," is disproved by the fact that they sometimes persist till .old age; and this fact also disproves the assertion that "they are extracted." Some surgeons lOG FOS.ilL HOII.dES' teeth. do not extract them. Prof. Yonatt doubtless meant to say they should be extracted. As Remnant teeth are found functionally devel- oped in the jaws of fossil horses — ^in which they were the largest of all the teeth — a few extracts from the works of well-known men concerning fossil horses and their teeth will be appropriate as a conclusion to this chapter. Prof. Richard Owen says ("Odontography," vol. i, p. 575): " Cuvier was unable, from the materials at his com- mand, to detect any characters in the bones or teeth of the different existing species of Equus, or in the fossil remains of the same genus, by which he could distinguish them, save by their difference of size. Among the numerous teeth of a species of Equus as large as a horse fourteen and a half hands high, col- lected from the Oreston cavernous fissures, 1 have found specimens clearly indicating two distinct spe- cies, so far as specific differences may be founded on well-marked modifications of the teeth. "One of these, like the ordinary Equus fossilis of the drift and pleistocene formations, differs from the exhtmg Equus cabcdlus by the minor transverse diam- eter of the molar teeth ; the other, in the more com- plex and elegant plication of the enamel,* and in the * In Prof. Owen's "History of "British Fos^l Mammals and Birds" (pp. 393-4), the "elegant plication of the enamel" on the crown of this tooth is illustrated. Prof. Owen says ; " Fig. 153 illustrates the character, above adverted to, of the complex plication of the enamel, as it appears on the g-rinding- surface of a partially worn upper molar tooth, the second of the right side. The leno^th of this tooth is three inches four lines, and the fangs had not begun to be formed. One cannot view the elegant fold- ings of the enamel iu the present fossil teeth, and in those of TEETH UXE.v:.T:iEr> AT ORLSTOX, EXG. 107 bilobed posterior termin:ition of tlie grinding surfdce of tlie last upper molar, more closifly approximates to the extinct horso of the Miocene period, which Herr von Meyer has characterized under tlie name of Equus caballus jyrimigenius. The Orestou fos3il teeth differ, however, from this in the form of the tifth or internal prism of dentine in the upper molars, and in its con- tinuation with the auterior lobe of the teeth, the fifth prism being oval and insulated in the Equus ^jrimi- geniiis of Von Meyer. '- Tlie Oreston fossil teeth, which in their principal characters manifest so close a relationship with the Miocene Equus primigeiiius^ d'l^er, like the later drift species {Eq. fossilis), from the recent liorse in a greater proportional antero-posterior diameter of the crown, and also in a k-ss produced anterior angle of the first premolar. I have named this British fossil horse Equus pUcidens. The fossil horse (Eq. curvidens) of South America, which coexisted with the megathe- rium,! and, like it, became extinct apparently before the more ancient primigenial spocies (Hippotlieria) of the conti- nental Miocene deposits, without being reminded of the peculiar character of the enamel of the molars of the Elasmotheriura, in which it is folded in elegant festoons. This extinct pachyderm, which surpassed the rhinoceros in size, resembled that genus very closely in the general disposition of the folds of enamel in the grindinjr teatli, but agreed with the modern horse in the deep implantation of those teeth by an undivided base. The Elasmothere appears, therefore, to have formed one of the links, now lost, which connected the horse with the rhinoceros ; and it is interesting to observe that some of the extinct species of horse, in the analogous complexity of tlie enamel folds, more closely resembled the Elasmothere than do the present species." \ " The teeta of this most jrigantic of the extinct quadrupeds of the slotli tribe are small in proportion to the size of the ani- 108 FOoSlL nOKSES' TEETH. the introduction of the human race, differs from the existing' horse by the greater degree of curvature of the upper molars." The following account of two fossil molar teeth of an extinct species of horse, discovered in South America, may be found in Prof. Owen's " Fossil Mammalia and Mammaha/' (pp. 108-9) : ^'Notice of the remains of a species of Equus, found associated tcitli the extinct Edentals and Toxodon at Punta Alta, in Bahia Blanca, and luith the Mastodon and Toxodon at Santa Fe^ in Entre Rios. — The first of these remains is a superior molar tooth of the right side. It was imbedded in the quartz shingle, formed of pebbles strongly cemented together with calcareous matter, which adhered as closely to it as the corre- sponding matrix did to the associated fossil remains. The tooth was as completely fossilized as the remains of the mylodon, megatherium, and scelidothere, and was so far decomposed that in the attempt to detach the adherent matrix it became partially resolved into its component curved lamelh-e. Every point of com- parison that could be established proved it to differ from the tooth of the common Equus cahallus only in a slight inferiority of size. "The second evidence of the coexistence of the horse with the extinct mammals of the tertiary epoch of South America reposes on a more perfect tooth, likewise of the upper jaw, from the red argillaceous mal. They are five in number on each side of the upper jaw, and, probably, four on each side of the lower. They present a more or less tetragonal figure, and liave the grinding surface traversed by two transverse angular ridges." — Owen. IX SOUTH A.MEKICA. 109 earth of the Pampas afc Bojada de Santa Fe, in the Province of Entre Eios. This tooth a^eed so closely in color and condition with the remains of the masto- don and toxodon, from the same locality, that I have no doubt respecting the contemporaneous existence of the individual horse of which it once formed part. This tooth is figured at Plate xxxii, Figs. 13 and 14, from which the anatomist can judge of its close corre- spondence with a middle molar of the left side of the upper jaw. ''This evidence^ of the former existence of a genus which, as regards South America, had become extinct, and has a second time been introduced into that conti, nent, is not one of the least interesting points of Mr. Darwin's paleontological discoveries.'' * * Mr. Darwin, in his work on " Tlie Descent of Man" (vol. i, pp. 2G0-1), says : " Altbougli the gradual decrease and final ex- tinction of the races of man is an obscure problem, we can see that it depends on many causes, differing in different places and at different times. It is the same difficult problem as that pre- sented by the extinction of one of the higher animals— of the fossil horse, for instance— which disappeared from South Amer- ica, soon to be replaced, within the same districts, by countless herds of the Spanish horse." In his "Journal of Researches" (pp. 130-1-2), Mr. Darwin gives further information concerning the fossil teeth described by Prof Owen, and advances a theory of the introduction of the horse into the " so-called New World." He says : " In the Pam- paean deposit of the Bojada I found the osseous annor of a gigan- tic, armadillo-like animal, the inside of which, when the earth was removed, was like a crreat cauldron. I also found teeth of the toxodon and mastodon, and one of a horse, in the same stained and decayed state. The latter greatly interested me, and I took scrupulous care in ascertaining that it had been im- bedded conteni^ioraneously with the other remains ; for I was not then aware that among the fossils from Bahia Blanca there 110 FOSSIL HORSES' TEETH. Prof. Thomas H. Huxley says (" Critiques and Ad- dresses," pp. 191-5) : " Let us endeavor to find some cases of true linear types, or forms which are intermediate between others, because they stand in a direct genetic relation to them. It is no easy matter to find clear and unmistakable eyidence of filiation among fossil animals. After much was a horse's tooth hidden in the matrix ; nor was it then known with certainty that the remains of horses were cammon in North America. Mr. Lyell has lately brought frftm the United States a tooth of a horse ; and it is an interesting fact that Prof. Owen could find in no species, either fossil or recent, a slight but pecu- liar curvature characterizing it, until he thought of comparing it with my specimen found here. Certainly it is a marvelous fact in the history of the Mammalia, that in South America a native horse should have lived and disappeared, to be succeeded in after ages by tlie countless herds descended from the few in- troduced by the Spanish colonists ! (I need hardly state here that there is good evidence against any horse living in America at the time of Columbus). " When America, and especially North America, possessed its elephants, mastodons, horse, and hollow-horned ruminants, it was much more closely related in its zoological characters to the temperate parts of Europe and Asia than it now is. As the remains of these genera are found on both sides of Behring's Straits and on the plains of Siberia, we are led to look to the northwestern side of North America as the former point of com- munication between the Old and the so called New World. And as so many species, both living and extinct, of these same genera inhabit and have inhabited the Old World, it seems most prob- able that the North American elephants, mastodons, horse, and hollow-horned ruminants migrated — on land since submerged near Behring's Straits— from Siberia into North America, and thence — on land since submerged in the West Indies— into South America, where for a time they mingled with the forms characteristic of that southern continent, and have since become extinct." HIPPARIOX AND A>;cniTIIERIU-\r. Ill search, however, I tliink that such a case is to ho made out in favor of the "horses. The moderu horse is rep- resented as f\ir back as the latter part of the Miocene epoch; but in deposits belonging to the middle of that epoch its pkice is taken by two other genera, Hipparion and Anchitherium. A species of Anchithcrium was referred by Cuvier to the Paleotheria. The grinding teeth are in fact very similar in shape and in pattern, and in the absence of any thick layc'r of cement, to those of some species of Paleotherium. But in the fact that tlrere are only six full-sized grinders in the lower jaw, the first premolar being very small; that the anterior grinders are as large as or rather larger than the posterior ones; that the second premolar has an anterior prolongation, and that the posterior molar of the lower jaw has, as Cuvier pointed out, a posterior lobe of much smaller size and different form, the den- tition of Anchithcrium departs from the type of the Paleotherium and approaches that of the horse. The skeleton of Anchitherium is extremely equine. '' In the Hipparion the teeth nearly resemble those of the horse, though the crowns of the grinders are not so long. Like those of the horse, they are abundantly coated with cement. In the modern horse, finally, the crowns of tlie grinding teeth become longer, and their patterns are slightly modified." Alfred Rnssel Wallace, RRG.S., &c., says ('-The Geographical Distribution of Animals," New York edition, vol. i, p. 135): ^'Ungvlata.—'VhQ animals belonging to this order being usually of large size and accustomed to feed and travel in herds, are liable to wholesale destruction by floods, bogs, precipices, drought, or hunger. It is for 112 rOSbIL HOUSES. thes3 reaions, probably, that tlieir remains are almost always more numerous than those of other orders of mammalia. In America they are especially abundant. ^'The true horses are represented in the Pliocene by several ancestral forms. The most nearly allied to the modern horse is Pliohippus, consisting of animals about the size of an ass, with lateral toes not exter- nally developed, but with some differences of dentition. Next come Protohippus and Hipparion, in which the lateral toes are developed, but are small and function- less, Protohippus being only two feet and a half high. Then we have the allied genera, Anchippus, Merychip- pus, and Hyobippus, which were still smaller animals. In the older deposits we come to a series of forms, still unmistakably equine, but with three or more toes used for locomotion, and with numerous differentiations in form, proportions, and dentition. In the Miocene we have the genera Anchitherium, Miohippus, and Meso- hippus, with three toes on each foot, and about the size of a sheep or large goat. In the Eocene of Utah and Wyoming w^e get a step further back, several spe- cies having been discovered about the size of a fox, with four toes in front and three behind. These form the genus Orohippus, and are the oldest ancestral horse known." The following account of a horse's tooth that was found while digging a well is from The Popular Science Eeview : "In a paper read before the St. Louis Academy of Science, and reported in The American Naturalist for March, 1871, Mr. G. C. Broadhead records some in- teresting facts about fossil horses. Alluding to the fact that horse remains have been found in the altered A TOOTH FOUXD IN DIGGING A WELL. 113 drift of Kansas, lie says he is now able to announce that similar remain^ have been discovered in a well afc Papinville, Bates County, Mo. Mr. O. P. Ohlinger, while digging a well, uneartlied a tooth at a depth of thirty-oae feet from the surface ; it was resting in a bed of sand beneath a 4-inch stratum of bluish clay and gravel. Beneath the sand containing tlie tooth was a gravel-bed five feet in thickness. He sent the tooth to Prof. Joseph Leidy, of Philadelphia, who pro- nounced it to be the last upper molai- of a horse, prob- ably an extinct species." In various volumes of the " Proceedings of the Acad- emy of Natural Sciences of Philadelpiiia," accounts of many other fossil horses' teeth may be found, of which the following is a specimen (" Proceedings," &c., 1871, p. 113): "Prof. Joseph Leidy exhibited a specimen of an upper molar tooth, which Mr. Timothy Conrad had picked up from a pile of Miocene marl at Greenville, Pitt County, N. C. He believed, from its size and the intricacy in the folding of the enamel of the islets at the middle of the triturating surface, that the tooth belonged to the Post- Pliocene Equus complicatus, and was an accidental occupant of the Miocene marl. It might, however, belong to a Hipparion of the Miocene period, but the imperfection of the specimen at its in- ner part prevented its j>ositive generic determination." The discoveries of horse remains since 1880 by Prof. E. D. Cope, one of the editors of Tlie American NatiiraHsf,MVQ. of an extraordinary character, and an interesting account of them appears in the Appendix to this work. Truly the Americas are rich in fossil 114 BIRDS WITH TRUE TEETH. remains, and it is becoming a common thing to hear of the unearthing of mastodons, elephants, etc. Note. — The birds of the present epoch are entirely desti- tute of true teeth, and the mandibles have generally more or less trenchant, unarmed linear edges ; but sometimes they are armed with processes of bone simulating teeth, but in no other respect entitled to that name. In former epochs, however, there existed types actually ])rovided with true teeth, having all the structural characteristics of those organs, and fitting in sockets in the jaws. These have been combined by Marsh mider the general term Odontornitlies (toothed hirds). — Gill. The teeth of Hesperornis were covered with smooth enamel, terminating upward in conical pointed crowns and downward in stout roots. The young tooth probably formed on the inner side of the root of the tooth in use, a pit for its reception being gradually made by absorption. The old tooth, being progres- sively undermined, was finally expelled by its successor, the number of teeth thus remaining unchanged. The teeth were implanted in a common alveolar groove, as in Ichthyosaurus. The skeleton measures about 6 feet from the point of the tail to the end of the bill. Hesperornis regalin appears to have had 14 functional teeth in the upper and 33 in the lower jaw, — Marsh. A fossil is the body or any known part or trace of an animal or plant buried by natural causes in the earth. The molds of shells, the impressions left by the feet of animals in wal]>:ing, implements of stone or metal, and other works of human art which have been accumulated naturally into rubbish-heaps, are thus strictly fossils. Perhaps the marks of rain, wind, waves, and shrinkage through heat should be included. * * * Fossils indicate the former existence of organic races now entirely extinct ; that, as a whole, each successive period con- tained more highly organized structures than its predecessor; that tropical forms once flourished in the polar regions ; that each epoch was characterized by peculiar groups. Hence, for- mations are identified in new countries by means of fossils. — a H. mtchcoct. For interesting articles on Fossil Botany, Fossil Fishes, Fossil Footprints, and Fossil Forests, the reader is referred to Johnson's "New Universal Cyclopedia," vol, ii, pp. 231-0. CHAPTER VI. DENTAL CYSTS AND SUPERXUMERARY TEETH. Teeth trrowing in various parts of the Body. — Some Cysts more Prolific than others, Producing a Second, it" not a Third, "Dentition." — Reports and Theories oi Scientific Men. — Cases of Third Dentition in Human Beings. The development of abnormal teeth in different parts of the body (the human body as well as those of the lower animals, particularly the horse), is not the least interesting feature in the stndy of dental science. To judge from the reports that follow, one would think the tooth-substance in some horses was an unknown quantity. It would be interesting and useful to know wiiatlier in such cases the natural teeth are in a per- fectly healthy state, and whether the temperature is natural, instead of being increased, as during certain periods of teething. While the study of these teeth may not be of paramount importance, it serves -to further illustrate the physiological relations of the den- tal system, and ought to assist the surgeon in more correctly diagnosing diseases. Surgeon George Fleming, of the Royal Engineers, contributed a valuable paper entitled "Dental Cysts, or Tooth-Bearing Tumors," to " The Veterinarian" for 1874 (p. 692), the substance of which is as follows: " In The -Gazetta Medico- Veterinaria of Milan for 1873 (p. 274), Profs. Lanzillotli-Buonsanti and Gui- 116 DENTAL CYSTS. seppe General!, of the Veterinary School of that city, published a most complete and interesting contribu- tion to our knowledge of the pathology of dental cysts in the horse, well illusLrated with wood-cuts, and in- cluding a full bibliographical record and synoptical table of these morbid productions. From their re- searches it would appear that dental cysts were first described by Mage Grouille, in 1811.* " These teeth-bearing tumors have received different names. Thus they have been designated 'erratic' or * misplaced teeth,' 'dental neoplasies,' 'odontocysts,' "'dental degeneration of the temporal bone,' 'temporal fistula,' 'abnormal development of teeth in unusual places,' 'auricular teeth,' 'odontocele,' and 'dentiger- ous cysts' or 'teeth tumors.' They may be developed in unusual places, such as the temporal region, the frontal bones, the base of the ear, the space between the branches of the lower jaw, the lumbar region, the testicles, and the ovaries. Coleman stands alone in his case of a cyst found beneatli the right kidney, in which w^ere two small molars and an incisor, attached to a bone that resembled a jaw, though the Milan profes- sors believe th.e teeth in this instance may have been developed in a testicle retained in the abdominal cav- ity. The most common situation is undoubtedly in the temporal region, as in seventy-five recorded cases sixty-eight were observed there. These cases all refer to the horse. Berger-Perriere, however, found a tem- porary incisor in a fistulous wound near the right ear * "No mention is made of the Khhiyevoiievol h role yvd6oLc,OT maxillary exostoses of Apsyrtus (' Hipp. Gr.' p. 64), who recom- mends tliat these tumors sliould be carefully and completely removed, or they will return of a larger size." Tha reference note is also Surc^eon Fleming's. A CYST MISTAKEN FOIl GLANDERS. 117 of a lamb two months and a half old {' Recucil de Med. Vetenuflire,' 1835, p. 586). '•In most instances only one tooth is fonnd. Gurlt was the first to find, on the mastoid process of the temporal bone, a mass of molar teeth fused, as it were, together. The tumor was three inches and a half high, and about two in its largest diameter. The liorse had been destroyed for glanders. Goubaux found two at the posterior portion of the sphenoid bone, and Bay four. In a cyst of the testicle Gurlt discovered six teetli, three separate and three in a mass. Bay at- tended a horse iii 1800 that appeared to be suffering witli encephalitis. It died twenty-four hours after his visit. It had always shown, on the right temporal re- gion, a tumor without a fistula, but it did not attract notice, as it apparently.caused no inconvenience. Nine years afterward, when Bay was preparing the head as a pathological specimen, he discovered this supposed exostosis to be constituted by the union of four molar teeth. The two superior teeth projected from the temporal articulation, and the inferior two were situ- ated in the petrous portion of the temporal bone, in- dining obliquely from within outward. The posterior portion of the latter projected in a very salient manner at the seUa lurcica, and must have produced much pressure on important parts of the brain. "Age does not appear to have any influence on the development of these cysts, the animals in which they have Ijeen observed ranging in age from eight or nine months to fifteen years. The period of formation also varied greatly. In regard to the side of the body in Avhich they were developed, in seventeen cases they were on the left, and in thirteen on the right. In f jurtoen cases obL^erved by Maerops, they were indiffer- 118 DEXTAL CYSTS. ently on both sides. In tliis respect clinical observa- tion has not yielded any fact of practical* importance. " Sometimes, after the extraction of a tooth, it hap- jDens that the cavity of the cyst or the bottom of the fistula does not cicatrize. This is a sure indication that a new tooth is forming. Eodet noted this fact as long ago as 1827. Macrops has observed a case of this kind. He was compelled to operate twice within three months, each time removing a molar tooth; and wdien he made his report, in 1860, it was probable that a third tooth was being developed, as the fistula had not closed." Surgeon Fleming also mentions cases that were ob- served by Surgeons Perosino, Martin, Harold, Gamgee, Coclet, Lafosse, and others. He continues: "Profs. Lanzillotti-Buonsanti and G-enerali made minute inspection of a specimen of tooth taken from the base of the ear of a foal twenty months old, and they report that microscopically the structure of sucli teeth does not differ much from natural teeth. The same constituents — dentine, enamel, and cement — were found, the only ditlerence being that they were arranged in an unusual manner. In the tooth they examined, for instance, the cement was abundant in the central part, while in that studied by Oreste and Falconio, the dentine was most abundant and the cement least in quantity." Surgeon Fleming next refers to and gives a sum- mary of the views of scientific men, who say that "A certain number of teeth may sometimes be developed as parasitic productions in a cavity similar to and situ- ated near the mouth (in which category is included A FETUS WITIIi:>T A TETUS. 119 the excellent case occurring iu a woman, and de- scribed, in 1802, by Prof. General! — an observation nnique in the teratology of mimkind — namely, a case of parasitic monstrosity, in whichy however, the designation 'dental cyst/ so inexact iu itself, is in- appropriate and fiilse);" tliat "the ovarian cysts in women, in which have been found pieces of bone and cartilage, teeth, and a lower jaw, more or less do- formed, ought to be considered as probable cases of ovarian impregnation with an incompletely developed fetus, and in young girls as examples of the intra- uterine formation of a fetus witlnn a fetus ;^' that "only in this way can be explained the lipomatous and sarcomatous congenital mas^s contained in cysts, with the teeth and fragments of bone simulating an incomplete jaw, which have been observed on the human orbit (Lobstein and Travers), on the palate (Otto), on the tongue (Stansky), on the side of the jaw, in the cheek, and on the neck, but which Schultze and Panum consider as the simple proliferation of em- bryonic plasmatic cl41s;" that '• some dental cysts are true dermoid cysts, containing hair and teeth," &c., and closes his paper with the following common-sense suggestion : " Perhaps direct researches, which have not yet been made, carried out in favorable circumstances, will bet- ter serve in deciding their real nature than all the more or less brilliant academical reasoning." John Gamgee, Professor of Anatomy and Physiology in the Edinburgh Veterinary College, in the course of a series of articles on various subjects in " The Veter- inarian" for 185G, thus comments on a case of dentig- erous cyst, the history of which was originally written 1:20 DENTAL CYoTS. by Moiisienr Lafo3se and published in the '•Journal des Veterinairo da Midi : " *'M. Lafosso, Professor of Clinical Medicine in the Veterinary School of Toulouse, had nnder his treat- ment a four-year-old mare that fjr two months before admission into the infirmary wai aifected with a phleg- monous tumor in tlie region of the left ee.r. This was opened. The wound that resulted rapidly contracted, but a fistula remained. When Lafosse first saw the case, he found a painful tumor, with a granulating w^ound just behind the scutiforra cartilage, and near the upper i)art of the parotid gland. By probing he ascertained that at the bottom of the fistulous tract Av\:s some hard substance, which he supposed to be the scutiform cartilage in an ossiiied state, or a portion of the temporal bone exfoliating. A severe operation Avas performed, and the solid substance extracted. It was double, deeply seated, and firmly adherent to sur- rounding textures. Slight hemorrhage ensued from the division of the anterior auricular, but was easily stopped. The wound was dressed, and the animal soon recovered, having shown only a few symptoms of sore throat after the operalion. " I shall not translate M. Lafosso's description of the products he extracted. They were composed of tooth-substance, and althougii it has been questioned whether it is real tooth that is developed in the shape of accidental growths in the region of the ear, still the fact is now well established, however puzzling to the minds of some it may be to comprehend their origin. '- Lafosse attempts a teratological explanation, but asks : 'If teeth are looked on as arising from the tcgu- montary system, considermg them in most animals as TEETH EMAXATIXa TIIOM OSSEOUS SYSTEM. 121 emanating from papillE© and mucous membrane, where was the dermoid papilla that constituted the basis of development of this tooth, deeply seated and close to the ear, especially as what might be taken as the crown looked toward the inner surface of the skin ?^ "Further on Lafosse shaws that in certain animals teeth absolutely emanate IVom the osseous system, as in the coluber scaher and other serpents, in which true osseous eminenc3s, cf)ated by enamel, pierce the esoph- agoan tunics, and project into the tube; they are at- tached to about thirty vertebrae, of which they form tlie inferior spinous process. These are intended to crush the eggs that tlie serpents feed upon. " Having established the fact that teeth may spring from bone as well as mucous membrane, Lafosse leads us, where we never suspected, to consider the dental tumors above spoken of as congenital, and he looks on them as having sprung from some rudiment of a maxillary bone. In a word, he looks on the abnormal tooth in question — without offering any plausible ex- planation—as an aberration in development. He does not class such teeth with the teeth formed in the ovary, &c., but rather with those instances where an extra limb or portion of an extremity is to be met with. It is an accidental excess of parts in an otherwise well- formed body. ^It cannot,' says Lafosse, 'be looked on as an osseous transformation of certain tissues.' "I have spoken of the case at length, for surgically it is of the very greatest interest. As pathological anatomists, it is our duty to study the laws of disease as well as health. It is praisew^orthy to dive into the mysteries of the origin of monsters, but it is essential to adhere to facts and not sacriiice them to theoretical explanations. 6 122 DEls^TAL CYSTS. " In common with others, I have studied several of these dental tumors. They may spring from several of the bones of the head, but especially from the region of the petrous temporal hone. They may project to- ward the interior of the cranium, but they more fre- quently project outwardly. They may be strongly implanted in the bone, or get separated; then they are maintained in their situation by the soft textures around. Their development is not more extraordinary than that of otlier osseous growths that spring from the cranial or maxillary bones; and their tooth-formed structure (teeth in the region of teeth), is not more wonderful than bony tumors in other parts of the sys- tem, whether connected or not with the skeleton.^' Prof William Sewell, President of the British Vet- erinary Medical Association, at the meeting of that body on May 15, 1838, advanced an interesting theory of the growth of abnormal teeth. It may be true, for after the teeth have attained their full growth, it is reasonable that the dental arteries are less active. But as the teeth continue to grow throughout life, a fact Prof. Sewell does not mention, it is not so reasonable that they even "in a manner cease^^ to act. The pro- fessor's remarks are thus reported ("Veterinarian," 1838, "Proceedings Vet. Med. Ass.," p. 199): " The President begged leave to direct the attention of the meeting to a horse's tooth that had been pre- sented to him. It was a fine specimen of the anomaly occasionally observed m the dental system of the horse — the production of teeth in other places than the alveolar cavities, after the natural teeth had been per- fected. The situations which Xature in her wander- ings selected were occasionally very singular. He had TEETH LIKE A CALF'S YOUXG HORN. 123 seen a tooth Avhicli grew from the petrous portion of the temi)oral bone, like a young liorn from the fore- head of a calf. It formed a hard and seemingly very painful tumor, which was ultimately opened, and the bony substance, which proved to be an almost perfect tooth, extracted. He had seen three or four :f the jDul^^-cavity, and by the irregularly tortuous dentinal tubes, which, with the canals, indicate the last con- verted remnant of the pulp in this part of the crown. The inner tract of dentine next the island of enamel is well defiiic'd, and a little broader than ti]e secretion of the enamel itself, and shows the extremities of the tubes cut transversely, wiiich, as before observed, were at this point directed chiefly in the axis of the incisor toward the working surface of the crown. The tubes- in the outer tract of dentine, inclining more toward the sides of the tooth, are more obliquely divided, and at the ends of the section they are seen lengthwise, ele- gantly diverging toward the sides of the section. This tract of dentine is bounded externally by a layer of enamel, one-sixth part thicker than that forming the central island; and the enamel is coated by an outer layer of cement, of its own thickness at the sides, but thinning off at the two ends of the section. The den- tinal tubes proceeding from the residuary pulp-tract make strong and irregular curvatures, diverging to include the divided areas of the vascular canals, and in the outer layer, at one side of the section, they de- scribe strong zigzag curves at the middle of the outer division of the dentine. "The diameter of the dentinal tubes at their central and larger ends is pretty regular, about -goVotli of an inch ; at the middle of their course, -g-oVo-tb of an inch, thence decreasing, and very rapidly, after the terminal bifurcations begin. The tubes are separated from one another by intervals varying between once and twice THE CURVES OF THE DEXTIXAL TUBES. 133 their thickness. In some parts of the dentine of the incisor they are niore closely crowded together, espe- cially near their origin from the pulp-cavity. Their secondary gyrations describe a curve of about y^oth of an inch in length. These subside in the slender terminations of the tubes, which bifurcate dichoto- mously once or twice, and send off small lateral branches near tlie enamel. The small lateral branches are chiefly visible in the peripheral third part of the tubes, and are sent off at very acute angles, except in the strongly and irregularly bent origins from the pulp-tract. I have never seen these small branches of the dentinal tubes terminating in radiated cells, like those of cement and bone, as Retzius describes; but the peripheral smallest branches near the enamel occa- sionally dilate into corpuscles much more minute than the radiated cells, as they do in the teeth of most quadrupeds. " The dentine, as seen in a longitudinal section of the crown of a molar, by a magnifying power of three hundred linear dimensions, is figured at a, Plate 137. The tubes are here separated by rather wider inter- spaces than those of the incisor, and do not decrease in size so rapidly. The convexity of tlie terminal l)end of the tubes is turned toward the summit of the crown. In the incisor, the clear dentinal cells are very small near the peripheral part of the dentine^ but increase in size as they approach the pulp-cavity. They are of a sub-circular figure, with bright, transparent lines. "The central cement in the crown of the incisor is permeated by vascular canals, separated by intervals of from two to three times their own diameter, directed in the middle of the substance in the axis of the tooth, but diverging like rays obliquely toward its periphery. 134 horses' teeth uxder the microscope. The clear substance forming the walls of the canals is arranged in concentric layers, the thickness of the walls being about equal or rather less than the area of the canal. The radiated cells, generally of a full oval, sometimes of an angular form, are chiefly dispersed in the interspaces of the vascular canals, and with their •long axis parallel with the plane of the layers of the coats. The finer system of tubes radiating from the cells, and corresponding by minute branches from the vascular canals, freely intercommunicate. In the peripheral cement of the incisors examined by me, I found no vascular canals, but only the radiated cells, and the fine tubuli which I have called 'cemental,' and which traverse the cement at right angles to its plane, and communicate with the tubes radiating from the cells. These are more usually elliptical than in the thicker central cement, their long axis being par- allel with the borders of the cement. They are most abundant next the enamel, and rarely encroach upon the clear peripheral border of the cement. The exte- rior coronal cement of the molars (Plate 137, c), is as richly permeated by vascular canals (v v), as is the central cement of the incisor. *'The enamel-fibers of the horse's incisor are very slender, not exceeding twice the diameter of the denti- nal tubes. They extend, with a single sigmoid curve, through the entire thickness of the layer, contiguous fibers curving in opposite directions. The peripheral border, or that next the cement, is everywhere indented with hemispherical pits from ji^f^\ to -g-oVo^^^ ^^ ^^ inch in diameter, from four to six of the radiated cells of the cement being ofien clustered together in the larger depressions. The inner or dentinal border is nearly even and straight; here are seen the short CLEARNESS OF THE EXAMEL- FIBERS. 135 cracks or fissures extending into the enamel. The fibers are rather more wavy in the thicker enamel of the molar teeth (Plate 137, d), "If the enamel is viewed in sufficiently thin sec- tions it is free from those wavy, dusky markings which are produced by the more tortuous fibers of the human enamel; and I have been unable to distinguish any transverse strife in the fine fibers of that tissue in the horse. The appearance of such is given by thicker sections of the enamel-fibers taken obliquely across them, and is produced by the cut ends of the fibers." CHAPTER VIII. THE PATHOLOGY OF THE TEETH. Importance of the S abject. — Caries caused by Injlamed Pulps, Blows, Virus, and Morbid Diathesis — Supernumerary Teeth and other Derangements. — Trephinino- the Sinuses. — Gutta Percha as a Filling. — Cleaning the Teeth. — A Diseased Fos- sil Tooth. The importance of the study of the pathology of the teeth is self-evident, for they not only bear impor- tant relations to the general system, but, like all other parts of it, are subject to disease and derangement. The fact that disease of tlie teeth is involved in more or less mystery, is an argument in favor of the study of the subject, for, to use Surgeon Gamgee's words, it is a '^duty to study the laws of disease as well as health," and "it is praiseworthy to dive into the mys- teries of the origin of" diseases as well as monsters. It is probably not too much to say that, to the successful surgeon, knowledge of the diseases and derangements of the teeth is indispensable. In order to facilitate the study of and cast light on the subject, I have brought into juxtaposition, as it were, a summary of the views of a few able men in regard to the cause of caries, &c., which, better still, is followed by the reports of well-known surgeons, who give the results of their experiences in detail. DECAY, EXOSTOSIS, AXD ABSCESS. 137 Dr. G. A. ]\[ills says that when the tone of a tooth can be brought to the point of resistance of the in- flammatory process, dentists will have gone a long Tvay in providing against the etfects of caries. The dentine decays faster than the enamel. Prof. Owen says a tooth lias no inherent power of rej^aration ; that in gi-owing teeth, with roots not fully formed, the cement is so thin that the Purkinjeim cells are not visible. It looks like a fine membrane, and has been described as the periosteum* of the roots. It increases in thickness with the age of the tooth, and is the seat and origin of what are called exostoses of the roots. These growths are subject to the formation of abscesses and all morbid actions of true bone. Of a diseased fossil horse^s tooth he says : " But the cavity had evidently been the result of some inflammatory and ulcerative process in the origi- nal formative pulp." Dr. Boon Hayes says : "I think it would not be diflScult to prove that caries of the teeth more frequently proceeds from in- flammation beginning in the pulpal cavity than from any other cause." Dr. Robley Dunglison says : "The most common causes of caries are blows, the action of some virus, and morbid diathesis." * Surpfcon John Hughes says : " The periosteum of the teeth is not supplied with blood in the way the same membrane iu other parts of the body usually is. It is supjdied by means of vessels coming frpm the pulp of the tooth." If this is true, then it would be easy for inflammation to be conveyed from one to the other. 138 THE PATHOLOGY OF THE TEETH. "Odontoiiecrosis" is defined by him as "dental gan- grene," and "Odontrypy^^ as "the operation of perfo- rating a tooth to evacuate the purulent matter con- fined in the cavity of the pulp" (pulpal cavity). Prof. William Percivall, referring to two diseased grinder teeth (horses'), says: " They seemed to have been cases which had origi- nated in internal injury." Surgeons Bouley and Ferguson say: "In explaining caries of the teeth, we cannot invoke the aid of inflammation and the modifications which it induces in the tissues it attacks; nor can we say that inflammation implies an active circulatory move- ment, an afflux of liquid, an alteration, nervous de- rangement, &c." Possibly the gentlemen were not aware of the in- flammation that Prof. Owen says may exist "in the original formative pulp," and of that of "the pulpal cavity" — the pulp in the cavity of a full-grown tooth — mentioned by Drs. Hayes and Dunglison. Are not such inflammations liable to be j)roduced by colds or violent shocks? Prof. George Varnell, who believes caries of the roots of horses' teeth is usually caused by external violence, says : "Inflammation of the alveolo-dental periosteum would tend to this result (caries of the roots). When the nutrition of any part of a tooth becomes arrested, decay is likely to follow. When caries begins from within, it is due to arrestation of nutrition, arising perhaps from disease of only a part of the central pulp NATURE BARRICADING DISEASE. 139 of the tooth ; if from without, it will arise from the periodontal membrane where it meets the gum." Dr. John Tomes thus describes the conservative ac- tion of nature (barricading disease, as it were) when a tooth is affected with cai'ies (•• Dental Phj^siology and Surgery"): "When a portion of dentine has become dead, it is circumscribed by the consolidation of the adjacent liv- ing tissue. The tubes, becoming filled up, are ren- dered solid, and the circulation is cut off from the dead mass. This consolidation does not go on gradually from without inward, keeping in advance of the decay, but occurs at intervals. It seems that successive por- tions of dentine lose their vitality, and that the contig- uous living portions become consolidated." Prof. M. H. Bouley and Surgeon P. B. Ferguson are the joint authors of a memoir on horses' teeth, which fills thirty or more pages of "The Veterinarian" for 1844. The substance of the part which relates to the pathology and dentistry of the teeth is as follows : * "i. Anomalies in the Number of the Teeth. — Some- times, but very rarely, we meet with supernumerary grinders in the horse. The anomaly may be caused by the persistence of the temporary teeth, the develop- ment of abnormal teeth on one or both sides of the arcades (rows of teeth), and the cutting of a greater * The phraseology of Messrs. Bouley and Ferguson's memoir has been more or less chanc^ed and the matter somewhat con- densed and rearran<^ed. The suroeons' golden ideas deserve to be set forth in clearer and more forcible language than they re- ceive at their own hands, and it is believed that some improve- ment has been made. 140 THE PATHOLOGY OF TH^ TEETH. number of permanent teeth than should naturally exist. In the latter case it is necessary to admit the existence of a greater number of dental bulbs than is normal. We saw some time ago, at the consultation of the Veterinary College in Alfort,* a horse which, to use the words of its owner, ' had a double row of teeth in the upper jaw.' '^Sometimes the supernumerary tooth is situated in one or the other jaw, in front of the normal range of grinders, without having a corresponding tooth in the opposite jaw ; at other times it is situated either within or without the arcade. The latter anomaly is caused more frequently by the deviation of a normal than by the addition of a supernumerary tooth. In the first instance it is not long before mastication is interfered with. The tooth, by its growth, which is not counter- acted by wear, finally reaches the opposite jaw, lacera- ting the mucous membrane and contusing and some- times fracturing the bone itself. In the second in- stance, the tooth, if within the arcade, is an obstacle to tlie tongue; if without, to the cheek. Besides these evil effects, supernumerary teeth cause irregularity in the arcades, and consequently prevent the exact appo- sition of the normal teeth. They interfere also with the action of the lower jaw. Hence irregularity in the friction and wear of the teeth follows, the result being that the performance of the all-important function of mastication is almost stopped. ";2. Anomalies in the Form of the Arcades. — The upper rows of grinder teeth form two curves, opposed by their concavities, while the lowxr rows form two * A city of France — Prof. Boiiley's home. Surgeon Ferguson, an Englishman, was attached to the Paris British Legation. DERANGEMENTS OF THE GllIXDERS. 141 nearly straight lines, which converge as they descend toward the symphysis of the clun. These (the curves and lines) may be, owing, in some cases, to congenital conformation, very irregular. Sometimes, in fact, the curves of the upper jaw are effaced ; at other times, and most frequently, the lines of the lower jaw are incurvated within the upper arcades. The deformities may exist singly or together. The result is that, in the approach of the jaws, the relation is not identically established between the surfaces of friction, and the result of this, in turn, is an irregularity of wear and an abnormal development of the borders of the tables (the crowns of the teeth), within in the lower jaw, without in the upper. '"'J. Exuberance of partimdar parts of the Dental Apparatus.— {A.) The upper grinders are wider than the lower, so that in order to cause friction in their entire thickness, a lateral movement of the lower jaw is required. Sometimes, perhaps because the move- ment is not effected throughout the entire limits of the segment of the circle, the outer borders of the upper teeth do not wear sufficiently, and therefore become elevated and sharp. At other times it is the inner borders of the lower teeth that project. In the former case the cheeks suffer; in the latter, the tongue. "In rare cases the tables, w^hich present a normal inclination inverse in the two jaws, at length form planes very oblique. The obliquity is sometimes so great that the internal borders of the lower teeth are very elevated, whi'e the external is almost level Avith the gums. The inverse effect manifests itself at the upper jaAV. The consequence is that the half-masti- cated food slips into the pouch of the cheek. 142 THE PATHOLOGY OF THE TEETH. " There is in the miise-um of the College at Alfort a horse's head in which this deformity may be seen in its greatest degree. The tables of the teeth at the right side form ])lanes so much inclined that they close together like the blades of shears. As there was no friction to wear the teeth down, they grew to the hight of three inches. The fonrth and fifth teeth of the right side of this rare anatomical specimen are absent. Perhaps they were carious. The rarefied and spongy tissue of the socket-bones indicate the seat of an alter- ation — probably caries — which was the point of depar- ture of the general tumefaction. The last tooth, by its oblique direction toward the empty sockets, indi- cates that the loss of the teeth occurred during the life of the animal, some time perhaps prior to its death. The defect of the right side doubtless forced the ani- mal to use the left for the purposes of mastication. In such ca^es the teeth that do not wear grow till they reach their respective opposite jaws, even when those at the opposite side of tlie mouth are in exact con- tact, an anomaly never produced in the normal state. The function of mastication operates according to the obliquity of contact, and a parallelism is established by friction between the tables which normally would be superposed. " This appears to us to be the only interpretation of the facts, and we have observed two analogous exam- ples in living horses, but we did not think to ascertain whether the deformity of an entire arcade was owing to defect of a grinder or to disease of the bone. The solution of the question would be an important acqui- sition to the science of dental pathology. " (B.) There is another kind of deformity of the arcades not very uncommon. The lower teeth wear "GUMMING IT.'* 143 out more rapidly than the upper, the cause of which is perliaps owing to the superiority of the latter in size and strength. The crown surface of the lower rows is slightly concave, the upper rows slightly' convex. The result is that the lower center teeth are sometimes worn to their sockets, which renders the mastication of hard food impossible. At first, however, tliere is no interference with mastication, and it is usually oniy in old age that the dcfoj-mity reaches its worst stage. There is no remedy for the defect, hut its progress may he retarded by the use of soft food, '^ " (C.) Lack of regularity in the length of the rows becomes the cause, in horses a little advanced in age, of a peculiar deformity in the first upper and the last lower grinders. Generally the upper range passes that of the lower by some lines, the first upper grinder lap- ping over; but sometimes the case is the reverse, the last lower grinder projecting beyond the last upper. The projecting part of the tooth grows till it reaches the opposite jaw, when, unless it is filed or chiseled off, the most serious consequences will follow. " ( D.) When a tooth is entirely deficient, the oppo- site tooth grows till it fills the void ; then, no remedy being applied, the work of destruction begins. If a tooth is only partly deficient, no matter whether it be from fracture, caries, or arrestation of growth, it is gradually destroyed by the opposite tooth. AVhen it is the first upper grinder that is deficient, the first lower acts on the palatine vault like a bnttering-ram. *I have seen,' says Solleysel (1GG9), *a mule that had a lower grinder of extreme length, the upper tooth being absent. The palate was pierced to the thickness of a * The italicized words arc mine. — G. 144 THE PATHOLOGY OF THE TEETH. finger, which caused the animal great difficulty when he drank/ •^^. Caries of the Teeih. — The grinder teeth of horses are more frequently affected with a profound alter- ation of their substance than is generally believed. The disease is called Caries ; it may not, however, be strictly analogous to caries of the bones, for the bones are vascular, while the teeth have neither vessels nor nerves. Caries of the bones implies an active labor, in which the vascular apparatus plays an important part. It is a phenomenon of interstitial suppuration, under the influence of the inflammation which has set the capillary system of the organ in play. In explaining caries of the teeth, however, we cannot invoke the aid of inflammation and the modifications it induces in the tissues it attacks; nor can we say that inflam- mation implies an active circulatory movement, an afflux of liquid, an alteration, nervous derangement, &c. If the teeth are living, the laws which govern their vitality are entirely unknown to us.* How, then, penetrate into the secrets of the alterations which they undergo, when the conditions of their normal existence are enveloped in obscurity? JS^either is it possible to resolve the question as to the essence of the affection designated by the name of caries. Therefore we design to make known only the different modes of expression relative to it " Caries usually attacks the dentine of the crown of the tseth, between two folds of enamel. The dentine becomes of a brownish or blackish color, and dissemi- " It should be borne in mind that the above viaws were enun- cUvted more than a third of a century ago. The gentlemen pro'jably say too much. Compare with Dr. Hayes's views as recorded on pag-e xxii. DENTIKE DECAYED, ENAMEL SOFTEXED. 145 nates an ofTensive odor sid generis, wliicb perhaps is as nuicli owing to the putrefaction of the saliva iu the cavity as to the decomposition of the dentine. The decay progresses between the folds of enamel, and the latter substance, notwithstanding its great density, takes on the blackish tint of the dentine and becomes sufliciently softened to allow of its being cut by a sharp instrument. Sometimes even the planes of the enamel dissolve, and then the cubic mass of the tooth becomes so much decayed that it resembles a deep cavity, the parietes of Avhich are formed by the planes of enamel laid bare by the caries. Sometimes caries attacks the tooth on one of its four side surfaces; at other times the root is attacked ; but wherever its primitive seat may be, the blackish veins always extend into the den- tine, and thus isolate the lilies of enamel. " Carious teeth rarely preserve either their form or volum.e. They become hypertrophied at their roots, but the effect does not manifest itself until the disease — having undermined all the layers of dentine in its course — has penetrated the root. When the caries has penetrated to the socket, the alveolo-dental membrane becomes irritated by the contact of decaj^ed matter, increases its secretion, and deposits a thick layer of osseous matter in the circumference of the root of the tooth, which concretes irregularly upon the normal layers. The deposition does not, however, always take place iu the circumference of the root, for in some cases it is only at isolated places that the secretion of the alveolo-dental membrane occurs. Then the root presents a succession of lar^e osseous tubercles, which bar the tooth iu, rendering its extraction very difficult. When the irritation has been from the first sufficiently active to cause suppurative inflammation, the normal 7 146 THE PATHOLOGY OF THE TEETH. secrGtion is suspended, and pus collects in the alveolar cavily, around the root, which then ceases to augment in volume. In the former case, however, the root, augmented in volume, can no longer be contained in the cavity, the walls of which are expanded by its wedge-like action, which accounts for the extreme pain in the adjacent parts, and tlie particular altera- tions in the osseous tissues. The osseous tissue tume- fies, and suppuration is established in the interior of the socket; the membrane is partly destroyed, which leaves the bone bare and exposed to the maceration of pus and the irritating contact of the morbid matter that continually penetrates into the socket by the dental fistula; the bony tissue sphacelates upon the borders, where its substance is the most compact, and its spongy tissue, which forms the bottom of the cavity, soon becomes the seat of an interstitial suppuration — that is to say, in fact, of veritable caries. The swell- ing may now extend throughout the entire extent of the maxillary bone, and thus render mastication im- possible. " It may now be seen, an alteration of this nature being set in action, how the phenomena of the nutri- tion of bone may be modified in their direction to the point of producing osteosarcoma. " Caries of the roots of any of the lower grinders may be complicated with lesions of the jaw, for the lower jaw is continuous in its entire extent. In the upper jaw the phenomena are in principle the same, but the contiguous nasal cavities and sinuses induce complica- tions the study of which is imiwrtant. It is also im- portant to take into consideration the position of the diseased tooth, in order to appreciate the extent of the lesions which a simple caries may produce. COMPLICATIOXS WITH NERVES, SINUSES, ETC. 147 **'Tlie two first upper grinder teeth are separated from the nasal cavities by a thin bone, which is easily eaten through. When caries attacks their roots, the inflammation extends itself to the membrane lining these cavities, and a perforation of the osseous partition may establish communication between the mouth and the nose. Under the influence of interstitial suppu- ration, the osseous membrane is destroyed to an enor- mous extent. The aliments pass through the dental fistula into the nose and arc expelled by it along with the product of the morbid secretion of the pituitary membrane. "The tliird grinder is situated near the m-ixillary sinuses, from which the root is separated by a thin dia- phragm. It deserves to be specially noticed on account of an anatomical peculiarity, which renders caries of this tooth very much to be dreaded. We refer to the position of large fascia (bundles) of the superior maxil- lary branch of the fifth pair of nerves, which make their exit upon the face by the submaxillary foramen, and which are placed immediately over the root of this tooth. It is easy to imagine the pain that may follow nervous complications in caries of the roots of the third grinder. " The position of the fourth, fifth, and sixth grinder teeth, immediately below the vast maxillary sinuses, from which their roots are separated by thin osseous partitions, gives to caries of these teeth, and to the complications which it induces, a special character, which demands that we should speak of it somewhat in detail. These teeth communicate with the sinuses as easily as the first and second do with the nose; but the case is far worse for the horse, there being so little outlet for the pus. 148 THE PATHOLOGY OF THE TEETH. "Wlicn the disease has ponotrated the roots, and has induced the usual inflammation, the thin parti- tii)ns that separate them from the sinuses do not resist very long. Destroyed by the dilatory effort of the hvpertrophied root and the influence of the caries, the altered matters of the mouth have free access into the sinuses. Under the influence of their contact, the membrane of the sinuses irritates, vascularizes, and thickens by a serous infiltration in the early stage. Then, the primitive cause of this modification contin- uing, the membrane hypertrophies somewhat, and in a short time, OAving to its vascular system being richly developed by inflammation, large vegetations of the nature of polypi are elevated upon it. These, on ac- count of the incessant augmentation of their volume, fill the sinuses and cause a swelling of their walls. "When the membrane of the sinuses has become the seat of an abnormal vegetation, an abundant quan- tity of purulent matter is secreted, the more liquid part of Vviiich drains out through the conduits leading to the nasal cavities, while the more concrete part' remains in the sinuses. It then, according as it loses its serosity, undergoes a transformation, and finally displays the aspect of cadaveric grease, which 'it also resembles in its repugnant odor. There is a great analogy between the disease that causes this particular lesion and that of glanders. '' Symptomatology . — The first symptom that indi- cates a derangement of the dental apparatus is a diffi- culty in mastication. The animal, excited by liunger, seizes the food with avidity. The motions of the lower jaw, however, are made with a sort of hesitation, and often only at one side. The imperfectly masticated hay, which on that account will not pass through the HUNGRY, BUT UNABLE TO EAT. 149 narrow pharynx, is dropped into the manger in the form of cads or flattened pellets. The nose is plunged into the feed, over which the animal fumbles and nib- bles, but of which it eats little. ^'Tlie insufficiency of nutrition soon produces a baneful effect on the whole economy. The coat tar- nishes, becoming dry and staring; the least exertion niakes the animal sweat; it is heedless of the whip; the mucous membranes become discolored ; the pulse weakens, and cold infiltrations sometimes appear in the extremities. To see an animal thus suddenly transformed, one is apt to mistake the true cause and attribute it to the influence of some grave organic dis- turbance. " These symptoms are common to the different dis- eases and derangements of the dental apparatus, and are sufficient to lead to a positive diagnosis. The diagnosis, however, can only be precisely determined when the mouth shall have been examined, for by this means we perceive the particular signs of each of the alterations that opposes the function of mastication. The mouth may be kept open by a speculum oru, or even by drawing ont the free portion of the tongue, which should be held' by the thumb and the third and fourth fingers, the index being placed between the inner side of the upper lip and the gum, at the space between the grinders and the tushes, while the other hand is left free to aid the inspection by taxis. "If the derangement be the result of an exuberance of a tooth, vicif>us inclinntion or projections of the tables, fractured teeth, swollen socket?, &c., the sight is ordinarily sufficient to detect it, for the teeth are, besides, frequently soiled by the greenish remains of food at the affected part, and often even the cheek is 150 THE PATHOLOGY OF THE TEETH. filled witli an accumulation of malgroiind food. The mouth should be cleaned with water, iu order that the defect may be more plainly seen ; if, however, on ac- count of its being situated far back in the mouth and the motions of the base of the tougue from side to side intercepting the view, its natui-e cannot be discov- ered with the eye, it will be necessary to resort to the sense of touch. The mouth being held open by the speculum oris, or some other firmly-fixed apparatus, the fingers should be passed rapidly within and without the arcades, but never on them, because of the danger of having them crushed : whatever may be the degree of forced dilatation of the mouth, there can never be much separation of the jaws in the region of the last grinders; besides the animal can lessen it by pressure. "When the buccal membrane has been excoriated by the contact of irregularly-worn teeth, the gums in- flamed, the jawbones contused, and the latter sphace- late or suppurate, there are some modifications of the general symptoms. The animal loses its appetite, becomes dull, 'crest-fallen,' and agitated with febrile disturbanc3, however little the heart of the inflamma- tion may be extended. The saliva, wdiich dribbles from the mouth, is stringy, and, when mixed with pus, fetid; the mouth is hot and its membrane in- jected; there is a turgescence of the gum at the point of inflammation; a tumefaction of the bone, with a grayish tint at the point where it is denuded and about to exfoliate, or else fistulse abut into the heart of the suppuration in the spongy tissue of the jaw. " Particular Symptoms of Carles.— Qavie^ of the grinder teeth is characterized by peculiar symptoms, some of which are common to the teeth in general, while others belong to some grinders in particular. CARIES differe:^t in different teeth. 151 To give precision to the diagnosis, tlie position of the teeth should be taken into consideration. Besides the symptoms common to all disorders of the teeth, caries in general presents as diagnostic signs — '• 1. A fetor very remarkable and sui generis of the mouth, and of the saliva which humefies it. "2. Dril)bling of an abundant and stringy saliva from the mouth. ".3. Existence on one of tho faces of the tooth, and principally upon its crown, either of a blackish spot or a large cavity of the same color, according to the ex- tent of the disease. " 4. The extreme pain that the animal evinces when the tooth is struck. ^^If the disease is of long standing, and especially if it has arisen from the side of the root, in addition to the foregoing modifications and complications, other and more special symptoms manifest themselves. The bone tumefies and the animal evinces pain when it is pressed by the fingers ; the gums are affected with tur- gescence, and bleed from the least contact; all the buccal mucous membrane reflects a red tint, and in the meantime fever sets in, manifesting itself by all its ordinary and general symptoms. "Caries of the first and second upper grinders may, as alrea'ly explained, be complicated with lesions of the nasal cavities. Then the pituitary membrane irritates and secretes abundant mucosities, but at one side only, with which the food becomes mixed, giving it a green tint, but very different from tlie secretions of glanders. The case is ^liffercnt, however, in the complications induced by caries of the last grindjrs. In fact there 15;^ THE PATHOLOGY OF THE TEETH. is such a close resemblance between the symptomatic expressions of the nose following caries of these teeth and chronic glanders, that error and confusion are common. It is therefore highly important to distin- guish these diseases, so essentially different in their causes and effects. " When the membrane lining the sinuses has become diseased, followed by the secretion of pus and polypus growths, a jettage is established at one side of the nose. It is white, lumpy, and abundant, and is augmented in quantity by exercise. The lymphatic ganglions be- come engorged and hard, but remain indolent, and generally roll under the finger. The zygomatic tables of the upper part of the superior maxillary and nasal bones swell at the region of the affected sinuses, and give a dull sound to percussion.* * Prof. Varnel] says : " I am not aware tliat any animal suffers from diseases of tlie sinuses of the liead to the same extent as the liors3. The sinuses clififer in size in cTifFerent breeds, and in individual horses of the same breed. I need scarcely point out the necessity of bearing this fact in mind in forming- diagnoses of obscure diseases in this region of the head. In certain case.s it is not only important to ascertain whether the sinuses contain anything abnormal, but also the nature and extent of the mor- bific matter. Percussion with the ends of the fingers is one mode of obtaining this information. Both sides of the head should be struck, and the sound produced in one part compared with that in another, and with what it is in health. I would recommend students to become familiar with these various SJunis. They will be fcmnd to differ, according to the magni- tude of the sinuses, in the same way that a large empty cask, when struck, will differ in sound from a small one. It will als3 be well to educate the ear to the character of the sounds pro- duced by percussing the sinuses in differently formed heads. * -if -r rpjjQ sinuses, strictly speaking, are air cavities, which communicate freely with each other, and by means of a DELICATE DIAGNOSTIC SIGX3. 153 "At the first appearance of this group of s3^mptoms one is apt to suspicion the existence of glanders, but a careful examination will prove it to be unfounded. On examining the nasa: cavity, the lining membrane will be seen to be smoith, polished, and uniformly rosy, with its normal follicular openings, and on unfolding the superior wing of the nostril, the salient border of the cartilage presents a neat and polished surface, tvitli- out any little pimples or morbid tint. Now, we know that in glanders, even of the sinuses, which is often unaccompanied by cankers or other ulcerations, it is in those places certain specific morbid signs may be recognized, which, although very superficial and with difficulty seen by the eye, are nevertheless of great value in the diagnosis. Such, for instance, are the peculiar aspect of the salient border of the wing of the nostril, with its vivid red tint, the small superficial erosions of the hning membrane, entirely hidden under the fold of the cartilage, and those small granular pro- jections called tubercles. In the jettage from caries nothing of this kind exists. There is a marked differ- ence in the odor too; in caries the odor is exceedingly fetid, while in glanders it is almost null. '^ If, after this attentive examination, the surgeon is still in doubt as to the specific nature of the nasal dis- small opening, with the nasal passage also. This opening is situated at the supero-posterior part of the middle meatus, and is guarded by an imperfect valve, which, when pressed upon from within, either partially or wholly closes it. It may also be closed hy the mucous merabrnno being- thickened by disease. Internally the sinusss are partially divided into compartments by thin osseous nlates, and arn lined by a slightly vascular mem- brane, whkli is continuous with that of the nasal passage, but is not so thick nor so vascular." 15 i THE PATnOLOGY OF THE TEETH. charge, it will disappear and give place to a true diag- nosis when he has examined the mouth and has had time to weigh and compare all the facts in connection with the case. '•It is more especially relative to diseases of the teeth that h recognized the truth of the old maxim in sur- gery, SuMatd causa, tollitur effectus." (The cause be- ing removed, the effect ceases.) For putting irregular teeth in order, the surgeons recommend the use of a coarse, six-inch file, with a handle from twenty to twenty-four inches long. How- ever, they say that in their day it was customary among the "vulgar" to make the horse cheiv a 7rcsp! The process, which they describe, referring among other things to the difficulty of getting the rasp precisely opposite the projections, is too slow, as they admit, to he practicable; besides it is about as difficult to com- pel a horse to chew as to compel him to drink. For the removal of snpernuraerary grinder teeth or the shortening of natural ones tliat have grown beyond the level of the other teeth, they recommend the use of a chisel and a hammer; two or three well-directed blows with the latter are usually sufficient to cut the largest tooth in two. The surgeon requires an assist- ant or "striker." In the case of the first grinder, the blows should be light, otherwise the tooth would be loosened in its socket. In the case of the last grinder, "it is necessary for the operator to be perfectly master of the chisel at the moment of its being struck, for, in escaping, it might strike against the velum palati (soft palate) and cut it through." In performing these operations they prefer tliat the horse should be in a standing position, as when in a drexchi:d with TOOTii-riLVc;},i!:xTS. 155 lying position there is danger of his swallowing the frugiuenls of the tefeth. If it is necessary, however, to cast the horse, they recommend that the head rest on the occiput, the operators being tis expeditious as pos- sible, to prevent the animal from swallowing the frag- ments. As the nose points up, tiie surgeon would have to be expeditious indeed in order to prevent the horse from being drenched, as it were, with tooth- fragments. The surgeons next describe an interesting case of dental surgery, in the performance of which the bone- forceps were used to remove the tushes. They say: "It sometimes happens that the fleshy and bony structures of tlie mouth are not well proportioned, and when the animal is put to work evil consequences re- sult, especially if the tongue is too large for the space between the branches of the jaws. A remarkable case of this kind lately came under our observation in a horse owned by the Earl of Clonmel. The animal, a rem-irkably tine one, was a very hard * puller,' in conse- quence of the bit not coming in sufficient contact with the sensitive bars. The space betAveen the tushes was too narrow for the tongue, which, after the animal had been ridden with restraint by a horse-breaker, was cut nearly through at each side. The consequence was the tongue became swollen to an enormous extent, and as the tushes increased the irritation, their removal became necessary. They were cut off to a level with the gums with the bone-forceps, the tongue was scari- fied and bathed with a cold lotion, and the animal was fit for work at the end of a week. "Perhapstat first it may seem better practice in such cases to extract the tushes entirely. But when the 156 THE PATHOLOGY OF THE TEETH. lengtli and obliquity of their roots and the fact of their being situated in tlie weakest part of the jaw are con- sidered, it is plain that such a procedure would in all probability be followed by the most serious results, such as fracture of the jaw, osteo-sarcoma,s &c., the formor having happened under our own observation." The surgeons recommend (as any intelligent person would) the removal of supernumerary or abnormal in- cisor teeth. AVhen the tooth is without the normal range it interferes with the prehensile function of the lips; when within, it interferes with the tongue. The former, they say, may either be cut off with the bone- forceps or extracted. In the latter case, however, they prefer to cut them off, but admit that some teeth re- quire extraction, for which the use of the crank-forceps is recommended. The Treatment of Caries is the next subject consid- ered. '' The only remedy for caries," the surgeons say, "in the great majority of cases, is the extraction of the tooth. If we were called on to treat the disease at its beginning, cauterizing the black spot would check its progress; but when the dental bulb has been attacked, the extraction of the tooth is the only remedy." The instrument recommended for extracting teeth is the forceps, and under ordinary circumstances, the surgeons say, fracture of the jaws ought not to occur. They mention as. useful instruments the key invented by M. Garengeot, the mouth-screw by M. Plasse, and the lever-forceps by Prof. Simonds, but say : "Instances occur in which the carious tooth cannot be seized by any of these instruments. For example, when the last upper grinder is diseased, it is sometimes THE POWER OF THE TOXGtJE. 157 impossible to dilate the mouth sufficiently to slide the instrument between it and the corresponding lower tooth. Besides, the tongue, however firmly it may be held outside the mouth, has still the power to displace the instrument by the energy of the undulatory move- ments at its base. Again, the back grinders, having ordinarily shorter bodies than the others, afford less hold for the instrument. In some cases they afford no hold at all, as their bodies are worn almost to a level with the gums. ^* Lastly, in some cases the exostosis of the root of the tooth is so great that it is, as it were, wedged in the socket, and resists all efforts to extract it. What is to be done ? The disease may lead to grave local complications and dangerous general disorders. In such a case we would recommend trephiniug the dis- eased sinus and punching the tooth mto the mouth. This operation being very unusual, and the observance of some rules requisite for practicing it, we will con- sider it somewhat in detail. "If, as sometimes happens, the swelling over the sinus is indistinct, it would be well to be guided by a prepared head, in order to apply the trephine in the exact place, which is above the diseased root. A large V or crucial incision should be made, and the trephine manipulated till the sinus is laid open. The opening should be extensive rather than confined; it is more convenient to apply upon the parietes of the sinuses three crowns of the trephine, tangent reciprocally at their circumferences; then, by the aid of a sharp in- strument and a small hammer, the angles may be re- moved. "As soon as the mucous membrane of the cavity has been laid bare, the change it has undergone may be 158 THE PATHOLOGY OF THE TEETH. seen, and also the vegetations springing from it. At the bottom of the sinus, toward the alveolar border of the ja\?, among the vegetations, is a hard, granulated, dry surface, resistant to the touch, of a grayish tint, and analogous to sphacelated bone. This is the sum- mit of the root of the tooth. ^' The surgeon then arms himself with an iron punch, rounded at the point, which he applies to the root in the sinus, and ha\'ing further separated the jaws by a few turns of the specukim oris, commands an assistant to strike shorty hard blows, the surgeon looking at the tooth to see the effect of each blow. Usually the tooth soon gives way, and falls into the mouth generally in two fragments, according to the direction of the caries. Sometimes, however, from the length of the tooth, it cannot be punched entirely into the mouth, being stopped by the opposite lower tooth; but it may be wrenched out with a pair of long pincers, the handles of which should be separated to increase the power of the operator. When the operation is terminated, the vegetations of the mucous membrane, as far as they can be reached, must be excised. To stop the hem- orrhage, and to modify the state of the membrane, pledgets of tow, moistened with a diluted solution of nitric acid, or some other caustic, should be applied. "It is really extraordinary with what rapidity the structural breaches resnlting from this operation are restored by the reparatory efforts of the organic econ- omy. The first time wo performed the operation we doubted the animal's recovery. The sinuses, laid open by a breach nearly two inches and a half in diameter, communicated with the mouth by an enormous open- ing, the root of the tooth having acquired nearly three times its normal volume. The lining membrane of TREATMENT AFTER TREPHIXIXG. 159 the maxillary siiiuse.>, and the frontal also, had suffjrod the transformation already described to its greatest degree. And, finally, it required efforts almost beyond belief to loosen the tooth and force it from its socket. Still the animal made a good recovery. " Tiie treatment following the operation should bo a? follows: Assiduous attention to cleanliness is nec- essary from the first. . On the lirst day the animal should be deprived of all solid or fibrous food; in fact, a little thin gruel is all it requires, and the mouth should be gargled with an acidulated fluid even after its use. The fluid may be applied with an ordinary syringe. Bleeding is often required, the quantity of blood to be abstracted depending on the energy of the reaction following the operation. " On the day after the operation the dressing should be raised. The interior of the sinus, cauterizad with nitric acid, reflects a blackish tint. The odor is repug- nant, and there are generally some remains of putrid alimentary matters, mixed with clots of blood, in the sinus. Detergents, such as Lebarraque's chlorinated solution of soda, mixed with a gentian wine, should be injected into the sinus and the mouth cleaned with acid gargles; a Arm pledget of chlorinated tow should be introduced into the socket, to prevent anything passing from the mouth to the sinus. The regimen should consist of gruel only, the gargles to be used often during the day. *' On the second day the borders of the sinus will be a little swollen. Reparatory work has begun in the cauterized membrane; the eschars detach themselves, exposing a rosy surface of favoralde aspect to the view. The odor is tess repugnant. Continue the aromatic detergent injections, the same food, with the addition 160 THE PATHOLOGY OF THE TEETH. of a little bran, and gargle often. As suppuration be- gins to establish itself, the dressings should be renewed two or three times during the tj\'enty-four hours. "It is not our intention to indicate the progress of the wound and the attention it demands from day to day. The tumefied bones and other structures in the region of the wound proportionally lessen, and the membrane of the sinus takes on a uniformly rosy tint and the glistening, humid aspect proper to a mucous membrane. The nasal flux finally ceases, the matter that may be secreted finding an outlet through the alveolus into the mouth. The opening made by the trephine contracts itself by degrees, but in extreme cases, like the one we have described, it is never suffi- cient to entirely repair the structures cut away. It may be hidden, however, by a leather or metallic plate, attached to the check of the bridle." The surgeons claim that the resort to this severe mode of extracting teeth is justified by the success of the operation and its concomitant results, namely, the advantage of injecting the sinuses and preventing un- healthy secretions by them, and the stopping of the discharge from the nose, which had aroused suspicion of glanders. They further say — and a better argument in favor of veterinary dentistry could not well be ad- vanced — that they believe glanders is often caused by the neglect of diseased teeth, and "that the modus 02JerancU of its production in such cases may be ex- plained on the ground of the absorption of pus by the constitution." Of trephining the sinuses they further say: "We have treated many cases of caries successfully by simply trephining the frontal and maxillary sinuses CARIES OF THE SOCKET BOXES. 161 and injecting detergents; bnt in a fiir greater number the treatment has been unsuccessful/^ Yet we believe that if, in addition to trephining, the teeth had been extracted, and a couimunieation establi^iied between the sin as and the nioutli, the results would have been more favorable. "Monsieur Delafond, in his niemoii* on the evulsion of the teeth, pubiislied in 1831, says the operation of trepbining is only practicable in the case of the three first grinders, it being necessary in the case of tlie three last to make an incision through the zygomatico-maxil- laris muscb and the nervous plexus which is formed on iL We, on the contrary, claim that the fifth pair of nerves will l>e injui*ed in oix'rating on the tbree first teeth, but that there will be little injury to the muscle in the case of the three last" The memoir concludes as follows: *' Caries Attacking the Maxillary Bone after tlie Ex- traction of the Teeth, — When caries of a tooth has in- duced consecutively interstitial suppuration of the spongy tissue of the socket, it is possible that, even after the extmction of the tooth, the disease may at- tack the bone. Then, more than ever, may we dread the tumefaction of the tissues and sarcomatous altera- tions, which are ordinarily the result of persistent sup- puration in the areola} of the spongy substance of the bones. To prevent these dangerous consequences, the socket should be cauterized with the actual cautery, * " Sinnses that may have formed by tlie matter from r.b- Bcesses io the alveolar proeessos eating- its Avay throucrh tlie wall of the alveolus, and wlnVli may o\-)Qxi cither on some part of the face or within the mouth, are seldom treated with the success one could dosir'^." — Prn,\ G'ovfte VamelL IQ'Z THE PATHOLOGY OF THE TEETH. and, if it is practicable, a counter opening by trephin- ing should be made. In some cases m our practice this mode of treatment produced the most satisfactory results. If, however, on account of the circumstances of the case, the actual cautery cannot be used, a strong solution of argeati mtras, applied with pledgets of tow or lint, may be substituted. " Complications of Operations on the Mouth, — One of the most ordinary and serious complications of opera- tions on the mouth is the excoriation of the 'bars^ by the friction of the speculum oris. The denuded bone often exfoliates, rendering the horse uniit for work for a month or more. The evil may be avoided by envel- oping the transverse bars cf the speculum with tow or some other elastic material, and by being expeditious in operating. The hemorrhage, which is never abun- dant enough to be serious, may be checked by pledgets of tow, wet with a solution of either nitric or sulphuric acid. " Regimen. — The regimen in extreme cases of caries has already been indica^d in the account of the case of trephining for caries and exostosis of the root of a grinder. In addition to well-boiled gruel, mixed or unmixed with bran, carrots and similar food will be found beneficial."* * As horses with defective, diseased, or wom-out teeth require soft or jrr'^und food, a few extracts from tlie article on " Food" in Prof. Yountt's work entitled "Tlie Horsa" (p. 10-2) and other sources will not be out of place here : " Oatmeal gruel consti- tutes one of the most important articles of diet for the sick horse. Few grooms make good ^rnel. It is either not boiled long enough, or a sufficient quantity is not used. The propor- tions sbonld be a pound of meal to a gallon of water. It should be constantly stirred till it boils, and for five minutes afterward. Carrots, according to Stewart's 'Stable Economy,' are a good PROF, varnell's views. 163 Prof. George Varuell, of the Royal Veterinary Col- lege of London, the author of a beries of articles ''On substitute for grass, and in sick or idle horses render corn un- necessary. They improve the state of the skin. At first they are slightly diuretic mid luxanve, but the eliecc lessens with use. Half a bushel is a large daily allowance. Swedish turnii.s and raw potatoes are useful foods. Raw potatoes, sliced and mixed with chaff, may be given to advantage, but it is better to boil or steam them, as purging rarely ensues. For horses recovering from sickness, barley in the form of malt is serviceable as tempt- ing the appetite and recruiting the strength. It is best given in mashes, water somewhat below the boiling heat being poured upon it, and the vessal kept covereil for half an hour. Rye is used in Germany, but generally cookad as bread, which is made from the whole flour and bran. It is not unusual in traveling through some parts of Germany and Holland to see the postil- ions help themselves an.l their horses from the same loaf. In some nortliern countries peameal is Irequently used, not only as food, but as a remedy for diabetes. Linseed, law, ground, or boiled, is sometimes given to sick horses. Half a pint may be mixed with the feed every night. It is supposed to be useful in cases of catarrh. It is very useful for a cough, but it is too nutritious for a fever. For a cough it should be boiled and given in a brau mash, to which two or three ounciss of coarse sugar may be added. Tares, cut after the i)ods are formed, but some time before the seeds are ripe, lucern, and sainfoin are useful foods. Of the former the variety known as vicia sativa is tlie best." On page 511 Prof. Youatt says " some greedy horses habitu- ally swallow their food without properly grinding it." As a remedy he recommends that chaff be mixed with the corn, oats, or beans, which, being too hard and sharp to be swallowed uith- out chewing, compels the horse to mtisticate his food. He says : " Chaff may be com]>osed of e.]ual quantities of clover or meadow hay and wheaten, oaten, or barley a^raw, cut in pieces of a quar- ter or a half an inch in length, and mixed w^ell together. The Allowance of corn, oats, or hean:i is added afterward, and mixed with the chaff. 'Many farmers very projierly bruise the oats and beans. The whole oat is apt to slip out of the chaff and be lost. 164 THE PATHOLOGY OF THE TEETH. Some of the Diseases Affecting the Facial Reg-ion of the Horse's Head" ('•Veterinarian/' 1866-GJ), and other productions, has made the disorders of horses' teeth a study, and has aided somewhat in clearing the '• mystery" that Surgeon Gowing believes will "to a certain extent always remain," for he has succeeded in casting some light on the etiology of a tooth's greatest enemy — caries. His suggestion as to plugging teeth with gutta-percha is novel, and in some cases might he practicable. However, would not cement, which gives such perfect satisfaction in human dentistry, be preferable ? It is not expensive, and can be as readily introduced into a cavity as gutta-percha; besides, as the cavity must first be thoroughly cleaned (no matter which is used), its use in the end might save time and the tooth be much longer preserved. A horse's tooth that can be got at conveniently, ought to be filled as easily and, in decay of its neck, perhaps a3 successfully as a human tooth. Prof. Varnell's views are in sub- stance as follows ("Veterinarian," 1807): " Caries of the roots of the grinder teeth is rare and generally very difficult to account for. I think that, in the majority of cases, it depends upon external yio- For old horses, and for those with defective teeth, chaflf is pecu- liarly useful, and for both classes the grain should be broken as well as the fodder. The proportions are eight pounds of oats and two of beans to twentj' of chaflf." Concerninor swallowing without grinding Prof. Youatt further says: "In cases of this kind the teeth should be examined. Some of them may ho unduly lengthened, particularly the first of the grinders, or their ragged edges may wound the cheek. In the former case the horse cannot properly masticate his food ; in the latter he will not, for horses, as too often occurs in sore throat, would rather starve than put themselves to much pain.'* THE ALVEOLO-DEXTAL PERIOSTEUM. 165 lence, although we are not always abb to trace it to such a cause. lutlammation of the ulveoio-dental peri- osteum, especially where it surrounds the root or roots of a tooth, would tend to this result. Other causes may produce the same effect. Indeed, whenever or however effected, when the nutrition of any part of a tooth ceases, decay is likely to follow. When caries begins from within, it is due to cessation of nutrition, arising perhaps from disease of only a part of the cen- tral pulp of the tooth. If from without, it arises from the periodontal membrane wiiere it meets the gum. '' Caries of the cervix (neck) of the tooth is much more common than it is in the root ; still it does not occur in more than one horse in five hundred. The question will naturally be asked, To what does this tendency to decay belong ? Under such circumstances are we not forced to the conclusion that it must de- pend either upon a defective structure of the tooth, or that the dentine, enamel, and cement are dispropor- tionately developed, or that one of them is defective in its parts? Another and perhaps the most frequent predisposing cause of caries of tlie neck of the grinder teeth is that food becomes impacted between them. Its decomposition may not only affect the teeth, but the alveolar processes also." The professor believes that caries of the crown of a tooth is generally caused by the horse biting on a stone or piece of metal during mastication. If tlie stone is lodged in the cavity of the infundibulum, the pulp of the tooth may be injured, for, to use the professor's words, '^ the thickness of the tooth between tiie upper part of the pulp-cavity and tiie bottom of the deepest infundibula is not very great." 166 THE PATHOLOGY OF THE TEETH. Of the treatiTpient of caries of the necks and crowns of grinder teetli, the professor tays: "x\3 I am not aware of any treatment by which the decaying process can be stopped, I would as an experi- ment in suitable cases — that is, in those in which the diseased part may be got at — plug the tooth with giltta- percha, having first thoroughly cleaned the cavity. If the plug can be retained in its place, s(3me benefit may be derived from its use. Beheving, however, that the decomposition of food impacted between the grinder teeth is one of the exciting causes of their decay, I would advise that it be now and then removed. It would not only prevent decay, but in cases where decay had already begun, would to some extent check its pro- gress. Indeed, I think the health of the horse would in many cases be improved by the adoption of such a plan." While the professor recommends gutta-percha plugs for the crowns of slightly decayed grinders, he says that, compared with those of the necks, they are "less likely to be of even a slight benefit, inasmuch as the plug would be removed by attrition." Where the in- terior of the grinder is destroyed by disease, and the usual longitudinal fracture has occurred, he extracts the tooth with the forceps. While, as a rule, the tooth fractures longitudinally, the corners, he says, are some- times broken off. In commenting on the diseases of the alveolar pro- cesses, Prof Varnell says: "The causes which give rise to this condition of the maxillary bones are not easy to define. That a horse so affected is from certain peculiarities predisposed to DISEASE OF ALVEOLAR PROCESSES. 1G7 it, there can be no doubt. For exatnpl?, tho teeth be- ing plciced at a distance from each otlier, thereby allow- ing the food to lodge between them, must be looked upon as a predisposing canse. A strumous diathesis, which I believe to be more common in the horse than is usually supposed, must also be regarded as a predis- posing cause. The particles of food which become impacted in these unusually wide interdental spaces, after a time decompose and give rise to fetid com- pounds, which act prejudicially on the parts they are in contact with. The membrane which covers the gums, and also that which lines the alveoli and is reflected on the roots of the teeth, becomes inflamed. The inflammation will extend to the bone, the blood-vessels of which will become enlarged, as will also the Haver- sian canals in which they ramify. The osseous laminte surrounding these canals will be partially absorbed, and to some extent separated from each other, and the enlarged spaces thus produced will be filled with in- flammatory exudation. Hence the soft, spongy state of the gums and their tendency to bleed from slight causes ; hence also the looseness of the teeth in the alveoli." Of the deformity called Parrof-Moiifli, and irregular- ities of the incisor teeth, Prof. Varnell says: "This deformity consists in the upper incisor teeth projecting in front of and overhanging the lower ones to the extent in some instances of an inch and a half. The defonnity resembles the upper bill of the parrot, which projects over the lower; hence the name. The lower incisors, from not being worn off by attrition, may become so long that the roof of the mouth is seri- ously injured. The deformity is generally associated 108 THE PATHOLOGY OF THE TEETH. with an irregular position of the upper grinders rela- tively with the lower. ''Sometimes the horse, when at pasture, is unable to take a sufficient quantity of food to keep himself in condition, and consequently he is considered legally unsound. But if fed from the manger he experiences little trouble in collecting his food; nor will his ability to masticate it be interfered with, except perhaps in old age. " Treatment. — The treatment can only be palliative. If the roof of the mouth should become diseased and mastication impaired, the only remedy is to reduce the length of the lower incisors. The instrument generally used is a file or a rasp, but the process is so tedious and slow til at it is seldom that much good is done. If the sliding-chisel could be brought to bear on them, their length could be readily reduced. Talking on the sub- ject with my friend, Surgeon Gowing, he suggested a modification of this instrument which, I think, would answer very well. '^ Irregularities of the incisor teeth, both with refer- ence to their position and number, are even more com- mon than in the grinders, but they seldom cause actual disease." Prof. William Williams, like Prof. Yarn ell, has per- formed his part in elucidating the subject of caries of the teeth, and he has also illustrated the transmission of vitality to them from the outside — through the me- dium of the cement— after it has ceased to flow through the pulp on the inside, the pulp having become con- verted into dentine. It appears that anything that disturbs the equilibrium of this flow of vitality, which is the secret of the growth of the teeth throughout CEMEXT FILLING THE PULP'S OFFICE. IGO life, may causo caries. Prof. Williams says (" Princi- ples and Practice of Veterinary Surgery," p. 470) : " Caries, dental gangrene, or decay, is almost exclu- sively confined to tlie grinder teeth — although I have seen the incisors in that condition— and may begin primarily in the root, neck, or crown of the tooth. '• Caries of the root arises from inflammation of the pulp, and may be caused by a constitutional predispo- sition or external injury. Inflammation of the pulp, however, does not always cause caries. I have several cases on record where the roots were enlarged from periodontal deposit, with abscesses surrounding the roots, without caries. Caries beginning at the roots may be due to the obliteration of the pulp-cavity at an age when the vitality of the tooth depends upon the integrity of the pulp. I need scarcely remind the professional reader that the integrity of the teeth de- pends upon a due supply, both as to quantity and quality, of nutritive materials. ^'On the roots of a recently cut tooth but little cement is met with compared with that which exists in old teeth. As age advances the cement increases, and the tooth grows from the outside. In man it is generally agreed that after a given time the dentine ceases to be produced, and that the pulp is converted into osteodentine. In the horse the pulp-cavity be- comes obliterated gradually by the pulp continuing to form dentine, the pulp simply giving way to its own ])roduct, which ultimately occupies its place and fills its cavity. In proportion as the pulp diminishes the supply of nutriment is lessened, until at length it is entirely cut off* from the interior; to provide for the vitality of the tooth the cement increases in quantity 8 170 THE PATHOLOGY OF THE TEETH. on the root, and at the expense of the perfectly formed dentine lying in immediate contact with its inner sur- face. That is to say, this layer of dentine is converted into cement by the dentinal lacnnge undergoing dila- tation and becoming identical with the hollow spaces or cells of the cement. The tooth now draws its nour- ishment from the blood-vessels of the socket, and thus continues, long after the obliteration of its pulp-cavity, to perform its part in the living organism. "This is the natural condition of old teeth. But when the pulp-cavity is obliterated at an early age, by a too rapid formation of dentine, and consequent ob- literation of the pulp when the cement is not yet sufifi- ciently developed to supply nourishment to the whole tooth, caries must be the result. Many cases of caries that have come under my observation have resulted from this cause, and very often the disease is confined to that part of the cement that dips with the enamel into the interior of the tooth, splitting it into several longitudinal fragments. "Caries of the neck of the tooth is seen in those horses whose teeth are wide apart, and is caused by the food remaining in the interspaces, and by decom- position exciting inflammation in the periodontal membrane. Caries of the neck is very commonly met with in the teeth of dogs, sometimes causing abscesses in the cheek. "Caries beginning at the crown is due to a portion of the dentine losing vitality and the power of resist- ing the chemical action of the fluids of the mouth. A portion of the enamel of the crown may be fractured by biting a stone or piece of metal contained in the food. Mere fracture of the enamel, however, is insuffi- cient of itself to lead to caries of the teeth in the lower SIFTIXG THE FEED. 171 animals, for it is a substance that is gradually worn off by mastication; but the violence whicli has caused fracture of the enamel, may at the same time have caused such an amount of injury to the dentine that it dies, and progressively becomes decomposed. In man it seems there should be death of the dentine and acidity of the oral fluids before caries can take place, test-paper ai){)lied to a carious tooth invariably show- ing the presence of free acid, and a very smaft perfora- tion in the enamel may coexist with a considerable amount of disease in the dentine." Surgeon T. W. G owing, of London, a well-known inventor of dental instruments (veterinary), in an " Essay on the Diseases of the Teeth of the Horse," which was printed in ''The Veterinarian" for 1851 (p. 632), in substance says: "I am aware that the cause of disease of the teetli must to a certain extent always remain a mystery; yet from observation and reflection we may be able to de- duce conclusions which practice will confirm. " Let us consider the two classes of horses that we are principally called upon to attend, namely, the cart or draft-horse, and the hack or carriage-horse. So far as my observations have led me, the latter class are less liable to diseases of the teeth than those of a coarser breed. Now, may not this be caused by the better care they receive in the stable? The good and efficient groom regularly sifts the provender previous to feeding his horses, and thus rids it of stones, glass, &c. The cart-horse and the machine-horse of our London omnibus proprietors, not receiving this atten- tion, are mt)re subject to diseases of the teeth. Be- sides, it is a common practice with carters to sprinkle 172 THE PATHOLOGY OF THE TEETH. the provender with siilpliuric acid, and we well know how acids affect the teeth. If such practices be al- lowed, diseases of the teeth may be readily accounted for. "The teetli being lowly organized, soon lose their power of self-preservation. Tney are affected by the general health of the animal. Should the function of the stomach or alimentary track be deranged, the teeth — from the general health of the animal being inter- fered with, and from the local functional derangement — of all parts of the bod}^ are the first to suffer or de- cay. Absorption of the gums, which may be caused by the decayed food that lodges between the grinders, is often followed by decay of the cement, which, beiug the most exterior as well as the most highly organized of the three substances composing the teeth, is the first to yield." After describing the usual symptoms of diseased teeth. Surgeon Gowing asks : " Who that has observed these symptoms, can hesi- tate for a moment to acknowledge that the animal is suffering pain, which, if we were to say arose from toothache, would not be beheved by our employers?'' Prof. W. Youatt says in substance ("The Horse/' p. 230) : " Of the diseases of the teeth we know little. Cari- ous teeth are occasionally seen. They not only render mastication difficult, but they sometimes impart a fetid odor to the food, and the horse acquires a distaste for aliment altogether. Carious teeth should be extracted as soon as their real state is known, for the disease is often communicated to the contiguous teeth and to FUXGUS H^MATODES. 173 the jaw also. Dreadful cases of ^fungus haematodes' have arisen from the irritation of caries. "Every horse tliat gets thin or out of condition, without fever or other apparent cause, should have his teeth and mouth examined, especially if, without any indication of sore throat, he 'quids' his food; or if he holds his head to one side while he eats, in order to get the food between the outer edges of his teeth. The cause is irregular teeth. Such a horse is materially lessened in value and is to all intents and purposes unsound, for although the teeth may be carefully sawn down, they will project again at no great length of time. A horse cannot he in full possession of his nat- ural powers without perfect nutrition, and nutrition is rendered imperfect by any defect in mastication." Prof. R. Owen, in his work entitled "A History of British Fossil Mammals and Birds " (pp. 388-9), gives an account of a diseased fossil horse's tooth which he found at Cromer. He says he is " induced to cite one of the curious examples of disease in an extinct animal from the rarity of its occurrence in the tissue which is the subject of it." The facts of this rare case are as follows: " One of the Cromer fossil teeth, from the lower jaw, with a grinding surface measuring one inch five lines in long (antero-posterior) diameter, and eight lines in short (transverse) diameter, presented a swelling of one lobe, near the base of the implanted part of the tooth. To ascertain the nature and cause of this en- largement, I divided it transversely, and exposed a nearly spherical cavity, large enough to contain a pistol-ball, with a smooth inner surface. The parietes of this cavity, composed of dentine and enamel of the 174 THE PATHOLOGY OF THE TEETH. natural structure, were froni one to two lines and a half thick, and were entire and imperforate. The water percolating the stratum in which this tooth had lain, had found access to the cavity through the porous texture of its walls, and had deposited on its interior a thin ferruginous crust; but the cavity had evidently been the result of some inflammatory and ulcerative process in the original formative pulp of the tooth, very analogous to the disease called 'spina ventosa' in bone." CHAPTER IX. THE DENTISTRY OF THE TEETH. Reports of Cases Treated by Various Surgeons. — Gutta-Pcrcha as a Filling for Trephined Sinuses. — Teeth Pressing? ugainst the Pahxte. — Passing- a Probe through a Decayed Tooth. — Death of a Horse from Swallowing a Diseased Tootli. Horsemen, farmers, and other practical men will find much useful information in the present chapter, for it is based on the experiences of Veterinary Sur- geons, whose reports appear in the various volumes of "The Veterinarian" (printed monthly in London), and to which I am so much indebted for other useful information. It is probably not too much to say that the more generally the chapter is read the fewer horses will be killed in the future for having decayed teeth, accompanied with a discharge from the nostril. In "The Veterinarian" for 1856 (p. 437) Surgeon J. Horsburgh reports the following interesting case, en- titled "Chronic Nasal Gleet produced by a Diseased Tooth:" "About twelve months ago I was consulted about the case of a mare with a discharge from the near nos- tril. She had been under treatment for eighteen months, and the superior maxillary sinus had been opened with* the trephine. The discharge, however, continued to flow, both from the nostril and the 176 THE DENTISTRY OF THE TEETH. wound, notwithstanding the trephining had been per- formed a year before I saw the animal " The deflnotion had an offensive smell, and the sub- maxillary gland was enlarged, causing suspicion of glanders. The opening had been made a little too high, so that the central instead of the superior j)art of the sinus was perforated. I found that the whole mischief was caused by a diseased tooth. With the assistance of a smith I removed the tooth, which was split up its middle and considerably decayed. It was more than two inches long, and was bent forward to- ward the cheek. The odor was most offensive. I then opened the frontal and maxillary sinuses, both of which were filled with fetid pus. The wounds were first treated with a weak solution of chloride of lime, and subsequently with an ordinary astringent lotion. In addition to the local treatment, I administered the din iodide of copper. "After a considerable time the wounds were allowed to heal, and the mare appeared much better. But very shortly the discharge began to flow again worse than ever, and the smell was almost intolerable. Deter- mined, if possible, to make a cure of the case, I cut into the sinus again with the skull-saw, taking out a triangular piece of bone about two inches long by one inch and a half broad. At the upper part of the ca^dty I found some masticated food in a state of de- composition. It had passed through the alveolus into the sinus. Fractured bones were removed, and the opening being extended through into the nostril, a small instrument could be passed down it into the mouth. A weak nitric acid lotion was used to induce fresh inflammatory action, and, if possible, to fill up, by an effusion of lympii, the passage through which CURED INSTEAD OF KILLED. 1T7 the food was pressed upward from the mouth into the cavity. The external wound was dressed with an ordinary heahng lotion, and tow was put into it daily, and pressed downward to the mouth. A little bUster liniment was also occasionally apphed. '• Before operating, the frontal sinus on the affected side was considerably more bulging than the other. It is now reduced, and the wound has healed. The dis- charge from the nose has stopped, and there is no smell. Thus, after about two years and a half of treatment, this mare, now only five years old, is able to resume her work, and has every appearance of being likely to remain well. "Had I not been able to effect a cure by the closing of the passage into the mouth, I would have tried filling it with gutta-percha. If a discharge were to take place again in this case, it would no doubt depend on the existence of a small aperture, and, under such circumstances, I should not hesitate to again cut into the sinus and endeavor to close the opening in the bone with gutta-percha, or some similar substance." Surgeon H. Surmon, in an article " On the Extrac- tion of Projecting Teeth," tells how he saved a horse that had been ordered killed by its owner ("Veterina- rian," vol. ii, p. '^5): "Last year a neighbor of mine had a horse which had been losing flesh for some time, and his appetite was gradually diminishing. When I first examined the horse I saw no appearance of disease that could affect his appetite, and looking at his mouth I per- ceived no laceration of the cheeks or other injury. The horse-grew worse, became almost a skeleton, and its owner ordered that it be killed. Being informed 178 THE DENTISTRY OF THE TEETH. of the fact, I expressed a wish to examine his mouth once more. I accordingly put a balling-iron into his mouth and introduced my hand, and at the extremity of the grinders I found two teeth, one on each side of the lower jaw, which had grown long enough to press into the roof of the mouth, and thus prevented the animal from eating. I endeavored to extract these teeth with an instrument similar to that used for the human teeth, but without effect, as it could not be got on them. I then contrived an instrument which was very simple. When it was passed up the mouth, the tooth became fixed between the divided end of the iron; the handle being then turned, the tooth was extracted with the greatest ease. From that moment the horse began to feed, and rapidly improved in con- dition. In a short time he went to work, and has done well." Surgeon C. May, of Maiden, Eng., thus tells how he cured "A Case of Disease of the Jaw" (" Veterinarian," 1834, p. 93); " I was requested by Mr. Earn, of Purleigh, to look at a horse which he told me had a 'cancer' in his jaw. I found my patient, a fine young chaise-horse, looking very poor, and having a constant discharge from the region of the root of the second lower grinder. There was considerable enlargement of the bone, which led me to suspect disease of the tooth, and which, on ex- amination, proved to be true. On introducing a probe into the orifice, I found that it went through the tooth into the mouth. I was informed that this sujiposed cancer had been under the treatment of a farrier, and that the poor beast had been subjected to many pain- ful caustic applications. As I was satisfied that no THREE Ul'PEK GRINDERS EXTRACTED. 179 good could be done to tlie jiiw as long as the tooth re- mained in it, I decided to extract it. I had an instru- ment made similar to the key used in human dentistry, witli a handle like that of an auger. Having cast my patient and lanced the gum, I fixed the instrument on the tooth and succeeded in extracting it, although it required nearly all my strength. There was but trifling hemorrhage, and the 'cancer' soon got well. I think our patients are more frequently the subjects ol: toothache than we suppose. Perhaps ^quidding' in many of them might be traced to a carious tooth." In a report of ten cases of diseased teeth that were treated at the Edinburgh Veterinary College during the year 1845, the details of one is thus given in ''The Veterinarian" (1845, p. G2G): "A cart-horse was brought here with a profuse flow of white, clotty, and offensively smelling matter from the off nostril. The external plate of the superior maxillary bone on the same side was considerably elevated, and pain was evinced on pressing the part. There was no ulceration visible of the Schneiderian membrane, but the submaxillary lymphatic glands were somewhat enlarged. On examination there ap- peared to be disease of the superior maxilla, in which the grinder teeth were involved. Considering the extent to which the facial bones were afi'ected, it was decided, as the only way of efiecting a permanent cure, to extract the diseased teeth. The horse was cast, and by means of the ordinary tooth-key three of the upper back teeth were extracted. In a few days after the operation the discharge diminished in quantity, and under the continued appHcation of proper remedies it entirely subsided, and the horse is now well. 180 THE DENTISTEY OF THE TEETH. "There are in this, as in former reports, cases where the superior maxillary bone and its sinuses have been injured from the elongation of the grinders of the in- ferior maxilla, causing a nasal discharge in many cases mistaken for that of glanders. They are easily reme- died by shortening the teeth with the cutting-forceps." Surgeon A. II. Santy says ("Veterinarian," 1875, p. 835): "On the 26th of June I bought a six-year-old mare. She continued to work till July 17th, when she was suddenly taken with a slight running from the near nostril, which greatly increased in twenty-four hours. The submaxillary gland on that side swelled. There was slight tenderness of the throat and loss of appe- tite, which soon passed away. I showed the animal to a brother surgeon, and told him I thought of trephin- ing. He said: 'Don't be in a hurry.' It struck me there might be something wrong with the grinders. I examined them, and found the fourth superior near side tooth with a depression on the outside and slightly raised from the surface of the other teeth. There was slight fetor from the food lodging there. I at once cast the mare, and with some difficulty extracted the tooth. I then dressed the wound and nursed the mare for a few days. The discharge from the nostril ceased in ten days. I have the mare now in constant work." The above case deserves consideration for several reasons. Thousands of horses with precisely the same symptoms have been killed because the surgeon could not discriminate between diseased teeth and glanders. The "slight tenderness of the throat and loss of appe- tite, which soon passed away," was the result of the pus "DONT BE IN A HURRY." 181 finding an outlet, winch gave partial relief. Surgeon Santy acted on the advice, " Don't be in a hurry," and consequently had time to think. The depression on the outside of the tooth and its sUght projection above the common level, were signs that the trained eye only will detect. However, had the operation been delayed for a short time, in addition to the depression on the outside of the tooth, the gum would have been more or less shrunken, and the tootli, as a natural conse- quence, would have appeared longer.* Further, in- stead of the tooth being "slightly raised from the sur- face," it might have been below it; for, the inflamma- tion having subsided, and the root-s being shortened by the caries, it is liable to be forced deeper into the socket. Its next natural movement, the caries having destroyed its periosteum, is to drop out altogether. As an offset to the foregoing cures, a few cases that terminated in death will be given. Surgeon Samuel Baker, in a letter to the editor of " The Veterinarian " (1845, p. 216), says: " I was called in by a neighboring farmer to examine a two-year-old colt, which had to all appearance a poly- pus as large as a cricket-ball grooving out of the right nostril. Respiration through that nostril was stopped. In order to ascertain its nature, I had the colt cast, and found that the nostril was filled with a hard fleshy tumor, which distended the other nostril also. After making an incision through the ala and side of the nostril, I removed a portion of the tumor, over a pound in weight. But, as still no air passed through, and * Shrinkajre of tlie o^nra, accordint^ to C. D. House, invariably follows caries of the roots of the teeth. 182 THE DEKTISTKY OF THE TEETH. there seemed not the slightest chance of gaining a passage, I ordered the colt to be killed. ''In dissecting the head I found that the cause pro- ceeded from a decayed tooth, at the root of which was a bag of matter about the size of a walnut, which by no possible means could relieve itself." Surgeon Baker does not say which of the six teeth (of course it was an upper grinder of the right side) was diseased. The complications of the caseappear to have been unusual, otherwise the bag of matter would have sooner or later found an outlet through the nos- tril. The extraction of the tooth would have probably afforded an outlet through the alveolus; this failing, the effect of trephining the sinuses should have been tried. Surgeon William Smith, of Norwich, Eng., reports a case of caries of the roots of several grinder teeth, accompanied by a discharge from the nostril, which he admits he mistook for ozena. He says ('^ Veterina- rian,'^ 1850, pp. 381-2) : ^*I was requested a few days ago to visit a horse which was supposed to be 'glandered.' I found the animal in a most emaciated and pitiable condition, with a copious greenish and very offensive discharge frojn the left nostril, with slight tumefaction of the gland on the same side. There was no appearance of ulceration, but the Schneiderian membrane had a leaden, dirty hue. Taking all the circumstances into consideration, I ordered the animal's destruction, but had its head sent to my infirmary. " Meeting Surgeon Gloag, of the Eleventh Hussars, I told him I thought I had a case of ozena. He ex- OXE TOOTH L03T AXD FOUR DISEASED. 183 pressed a wish to be present at the examint^tion of the head, and I was glad to avail myself of his assistance. "A longitudinal cut was made on each side of the septuhi nasi, and a transverse anc at a line between the. center of the orbits. Another longitudinal cut, dividing the maxillary sinuses, was made just above the roots of the grinder teeth on each side. By this means we had an opportunity of examining the sep- tum nasi on each side ; also the turbinated bones, and the frontal and maxillary sinuses. "On the left side we found an accumulation of pul- taceous food, covered with thick pus, completely filling the maxillary sinus, and extending to the turbinated bones. The frontal sinus contained an accumulation of inspissated (thickened) pus, the septum nasi was of a leaden hue, as also the membrane covering the tur- binated bones, which was much inflamed and thick-* ened, but there was no appearance of ulceration. " The difficulty was to ascertain how the food got there. After careful search, it was very evident that it could not have passed through the nostril. "We therefore gradually dislodged the food and matter, searcliing for the former's entrance, and at last found a hole in the alveolar space belonging to the last grinder, the root of Avhich was completely gone, only a small portion of the crown itself remaining. The hole w^as sufficiently large to admit the little finger. The mystery was solved— the process of mastication had deposited the food in the sinus. The fourth grinder was absent, ha\4ng been lost evidently from previous disease. "On examining the right side of the bond we found the turbinatM bones and meml)ranes covering tlie septum nasi comparatively healthy, but we discovered 184 THE DENTISTRY OF THE TEETH. a cyst, al)oiifc the size of a walnut, iii the maxillary sinus. It contained limpid fluid, and occupied the space immediately over the root of the fourth grinder tooth, which was decayed and quite loose, and bcloiu* the level of the other teeth. The teeth of the lower jaw appeared healthy." Without further examination, Surgeon Smith sent the head to the editor of " The Veterinarian," who says: "The mare (that being the sex according to the teeth) we should take to have been about twenty years old. Her incisors are sound, and so are the grinders of the lower jaw. But in the near (left) upper jaw, the second, fourth, and sixth teeth are in a state of progressive decay, and the same is true of the fourth k>oth of the off side. The vacuity caused by the de- fective last grinder has opened a passage to the an- trum, through which the food has passed, and thence into the near chamber of the nose, between the tur- binated bones, where it was discharged through the nostril. This accounts for the irritation on this side of the head, for the suppurated and even ulcerated condition of the Schneiderian membrane, and for the suspicious discharges. It was evident enough that there was no glanders. The very circumstance of ali- mentary matter being discharged through the nostril was enough to prove the contrary." Still another case of destroying a horse for what merely appeared to be glanders is recorded by Prof. * The italics are mine. Compare with comments on Surgeon Santy's case, page 181. A GOYERNMEXT HORSE'S HARD LOT. 185 William Percivall in liis work entitled "Hippopath- ology" (vol. iij p. 237). He says: "There are instances on record of carious teeth be- ing productive of such evil consequences as to lead, through error, to a fatal termination. The following relation ought to operate on our minds as a warning in jironouncing judgment in cases of glanders, or at least in such as assume the semblance of glanders : '^A horse, the property of government, became a patient of Surgeon Cherry on account of a copious defluction of discolored and purulent matter from the near nostril, unaccompanied by submaxillary tumeftic- tion, or by ulceration of the Schneiderian membrane. For two or three months the case was treated for glanders; but no improvement following, a consulta- tion was deemed necessary, the result of which was the horse was shot. ^'On examination of the head, the third upper left grinder proved to be carious, one-third of its root be- ing already consumed and the remainder rotten. The formation of an abscess within its socket had loosened the tooth, and the matter flowing therefrom had estab- lished a passage into the contiguous chamber of the nose. The antrum was also in part obstructed by the deposition of osseous matter. "This is a case which, but for the inquisitiveness of Surgeon Cherry, would have merged into that hetero- geneous class of diseases passing under the appellation of chronic glanders. "My father's museum contained several specimens of carious teeth. One was that of a grinder, the inte- rior of whicl\ was black and rugged, from being eroded by ulceration, and the roots had from the same cause 186 THE DENTISTRY OF THE TEETH. mouldered awaj. Two others presented brittle exos- toses u23on their sides, forming spacious cavities within and communicating with the contiguous teeth. One of them exhibited a perforation through which pus appeared to have issued. Both seemed to have been cases which had origiuated in internal injury." Prof. George Varnell closes his series of papers " On Some of the Diseases Affecting the Facial Region of the Horse's Head" ("Veterinarian," 1867), by giving an account of a case of *osteo-sarcoma,' the disease, in his opinion, being caused by carious teeth. The case illustrates the importance of veterinary dentistry ad- mirably. He says: "Further to illustrate varieties of the diseases of the sinuses, I will relate.a case of osteo-sarcoma which came under my care in Jul}^ 18G2. I found the horse had an offensive discharge from tlie left nostril. The face below the orbit was enlarged, and the eye slightly displaced in its cavity. I also found that the three last grinder teeth in the upper jaw of the affected side WT,re quite loose in their sockets, from which a dis- charge of a highly fetid character issued. Percussion on the side of the face indicated extensive disease, and the enlargement readily yielded to pressure. As there was not the slightest prospect of a cure, I suggested that the animal be killed. '^Post-morterii Examination. — The outer walls of the sinuses, which were very thin, were first removed, dis- closing a mass of disease the seat of which was oppo- site the roots of the fourth grinder tooth, which was carious. This abnormal growth occupied the maxil- lary, malar, lachrymal, and a portion of the frontal sinuses, and had also encroached upon the orbit to SWALLOWIN^G A DISEASED TOOTH. 187 such an extent as to displace the e3'e'oall. The outer surface of the diseased mass was soft in texture. It had a gelatinous appearance, and when pressed w^ith the blade of the scalpel, a thin, watery fluid oozed from its surface. A SL'Ction of it i)resented a grayish-red appearance, with lightish streaks of iioro-osseoas mat- ter diverging from its roots and extending irregularly through its entire substance. The facial bones them- selves, in the region of the disease, had in some parts disappeared altogether, while in others the cancelli were much enlarged, their osseous partitions partially absorbed, and their interstices filled with a deposition of a fibro-cellular strncture. " Such is a brief outline of this malignant and in- curable disease, which I have no doubt primarily arose from caries of the roots of the grinder teeth." Prof. Renault, of Alfort, France, is the author of an interesting account of a very unusual case, namely, the swallowing of a diseased tooth by a horse, which appeared originally in the '* Recueil de Medicine Vete- rinaire'' for 1830. It is an argument against casting horses for the purpose of extracting their teeth, for had the horse been in a standing position the accident would not have occurred. When a horse's head rests upon ^he occiput, the muzzle pointing upward, it is as natural — the tooth being free of the forceps as well as the socket — for it to drop into the throat as it is for water to run down hill. The full history of the case is as follows : " A post-horse, seven years old, had not fed well, and had been losing flesh during about three weeks. On the 2Gth of November, 1835, I saw him for the first time. Tlie postilion told me that within the last two 188 THE DENTISTRY OF THE TEETH. days he had eaten with more difficulty and pain than before, and dropped ahnost the whole of the hay and corn from his month before it was perfectly masticated. Hs had also observed that during the mastication of his food the horse always inclined his head to the left side. " On examining the mouth, I easily recognized the cause of this difficulty of mastication. The gum, at the second grinder of the right lower jaw, was swollen and ulcerated, both within and without. The least pressure on the gum at this spot inflicted great pain, and the animal also suffered when tlie crown of the tooth was touched. On that portion of the jawbone contiguous to the diseased tooth, was a considerable swelling, hot and painful, which the postilion told me had existed for about twelve days. It was increasing in size every day. The breath was only slightly fetid, and there was nothing to indicate caries of the tooth. I expressed the opinion that the caries, if it existed, was confined chiefly to the root of the tooth, and that the ulceration of the alveolar septa beneath, of wdiich there was no doubt, rendered its extraction necessary. " On the following day the horse was cast, and his mouth being kept open by the proper instrument, the key was applied to the tooth. It resisted my first effort to draw it, but, on the second trial, gave way with a peculiar sound, which made me suspect that it was broken. The instrument (gag) was then taken out of the mouth, in order that the tooth might escape, but, to my great surprise, no tooth could be seen, notwithstanding I carefully searched for it. It was now plain that the tooth had been swallowed. I then assured myself that the tooth had been entirely extracted, and as, during the operation, the fr^enulum OPENING THE JUGULAR. 189 of the tongue had been wounded, I deferred tlie cau- terization of the alveolus till the following day. *-As to the swallowing of the tooth, I gave myself very little concern. I did not think that so small a body was likely to form any serious obstruction in the intestinid canal, or that its temporary sojourn in the large intestine could become at all dangerous; so I merely directed that the mouth be frequently washed with warm water, and forbade the use of hard food. "29th. I again saw the horse, and no serious con- sequence had yet followed the operation. He ate bar- leymeal mash with appetite, and a small quantity of hay. Two hours afterward he was brought to the School. He was very uneasy, and his belly was enor- mously distended, the swelling being principally on the right side, where the resonance was considerable on percussion. The horse was continually endeavor- ing to expel something from the anus, and the strain- ing was so great that I feared the rectum would pro- trude. The efforts were follovred by small mucous dejections, mixed with portions of food. The mucous membrane was of a subdued red color. These symp- toms had been preceded by swelling at the flanks; colicky pains had followed, but they had ceased, and nothing now remained except the enlargement of the belly and the incessant effort to expel the freces. The artery was full, but the pulse was almost imper- ceptible; the extremities were cold and the mucous membranes of a red violet color. The nostrils were convulsively dilated, respiration difficult and acceler- ated, and the walk staggering; the skin was covered with sweat, and, in a word, the animal presented every symptom of immediate suffocation. On this account I immediately opened the jugular and abstracted about 190 THE DENTISTRY OF THE TEETH. twelve pounds of blood. The patient was very con- siderably relieved. I then ordered all four legs to be well rubbed with essential oil of turpentine. "There now appeared to me a connection between these symptoms and the swallowing of the tooth. But where was this tooth ? Entangled in the pyloric ori- fice of the stomach ? I could not perceive any symp- tom of gastric disease. Was it in the convolutions or the ca3cal portions of the small intestines? How then could I explain the distention of the large intestines and the expulsive efforts, so violent and continued? It was more likely that the tooth was lodged either in the colon or the caecum, or in the irregularities of the floating colon, and partially or entirely prevented the passage of the faeces. It was hard to believe that in the lapse of two days the tooth could have reached the further part of the intestines. " Having determined on the nature of the disease, I was somewhat embarrassed to ascertain its precise seat. I attempted to introduce my hand into the rectum, but the circumvolutions of the bowels w^re so much distended with gas, and so completely fiilled the pelvis, and the mere introduction of my finger caused such violent efforts to expel the contents of the rectum, that I was forced to desist. " In the meantime the swelling rapidly increased, and again threatened suffocation. I then determined to use the only means in my power to prevent this, namely, to puncture the caecum. This was effected with the trocar used for hoove in sheep, and in an in- stant the swelling subsided, and the symptoms of suf- focation disappeared. I was then enabled to introduce my hand into the rectum, but I could not discover the situation of the tooth. While exploring the rectum, THE TOOTPI IX THE C^CUM. IGl however, the 'canula' escaped from the caecum. The swelling now began again, and increased with extraor- dinary rapidity. I was about to plunge the trocar into the intestines once more, when I perceived that all treatment was useless. The animal was ia the agonies of death, and in a few moments it expired. "The post-mortem examination took place immedi- ately after death. I found in tl>e heart and lungs all the lesions which usually accompany death by suffoca- tion. The digestive canal was distended by gas. The stomach was half filled with barleymeal, but not a par- ticle of it was found throughout the whole extent of the small intestines, nor was there the slightest trace of inflammation of the mucous coat. The caecum con- tained a great quantity of blood- tinted fluid, but there was no lesion or redness on any part of its internal face to indicate the source of the blood. Probably it came from the wound made by the trocar. " In the cavity of the caecum, toward its point, we found the tooth ; but, I repeat it, there was no inflam- mation of its mucous membrane. There was, how- ever, a slight discoloration of the membrane toward the end of the colon ; it was of a slate color, and was probably caused by the sulphuretted hydrogeti gas. "Are we to conclude that the death of the horse was caused by the tooth? However extraordinary such a conclusion may at first appear, I am very much inclined to believe that it affords the best explanation of the mystery. The horse had scarcely eaten for fifteen days. Tliis long fast had produced a compara- tively empty condition of the digestive canal and an augmentation of its irritability up to the moment of the operation. The quietness of the horse and his appetite and apparent health during the two days pre- 102 THE DENTISTIIY OF THE TEETH. ceding his death, proved that the tooth passed without obstacle through the first part of the intestinal canal. Having arrived at the caecum, however, which was almost empty, and lying for a greater or less time at the inferior part of its mucous coat, its hard and irreg- ular surface produced irritation ; and as the contrac- tions of this intestine were not effectual to seize the tooth and return it to the beginning of the colon, the prolongation of the irritation might suspend the diges- tive function of this viscus, augment its secretions, and cause the continaal effort to expel the faeces. Hence also arose the gaseous distention of the abdo- men. As to the death of the horse, the tooth was only the indirect cause. The direct cause was suffocation, which was produced by the distention of the bowels." Prof. Bouley and Surgeon Ferguson report two fatal cases of swallowing teeth that came under their own observation. " In the first," they say, '^ the horse succumbed in a tympanitic affection, accompanied by extreme pain, and death was produced by asphyxia." The second case, judging by the short description of it in '-The Veterinarian" for 1844, is the identical case just described by Prof. Bouley's fellow-townsman, Prof. Renault. Messrs. Bouley and Perguson further say: *^Such, however, is happily not always the result of swallowing a tooth or the fragment of a tooth ; but even the possibility of such a result ought to make the surgeon cautious. Moreover, the swallowing of a tooth may cause serious consequences at some future time. We refer to the formation of those productions called intestinal calculi.' The tooth, on account of its being indige.itiblo, acts as the nucleus for the future SWALLOWING A SOUXD TOOTH. 193 calculus, as indeed may any similar body, which fact has been demonstrated by Prof. Morton, of the Lojidon Veterinary Collei^e, in an excellent paper on 'The For- mation of Calculus Concretions in the Horse.'"* Surgeon W. A. Cartwnght reports that he extracted three grinders from a 'quidding' mare, one of which she swallowed ("Veterinarian," vol. iii, second series, p. 277). The tooth was sound, which may account for the favorable result of the case. * TJie Enterprise, published in Virginia, Nevada, in its issue for December 12, 1878, contains an article entitled " A Stone found in a Horse's Jaw," which is in substance as follows : " For a lonj? time a lump has been noticed in the side of the jaw of a horse belono;ing to Superintendent Osbiston, of the Gould and Carry and Best and Belcher mines. It was near the jawbone, and no liniment had power to soften or drive it away. Yester- day a veterinary surgeon made an incision, and to his astonish- ment removed a stone about two inches long and one inch in diameter. It is yellowish-white in color, and apparently as hard as marble. Mr. M. M. Frederick, the jeweler, divided it longi- tudinally, and in its center was what appeared to be a petrified grain of barley, which was also divided longitudinally. Around tiiis nucleus the stone had formed in regular layers, the rings of ■which could be distinctly traced. The material of which the stone was composed appeared to be the same as that of the in- cnistations on the tubes of boilers. It is conjectured that the grain of barley pierced the gum and imbedded itself in the flesh, and that the saliva, flowing in, deposited limy matter similar to that which is sometimes found on the teeth of horses as well as men. A small concretion having thus been formed, it gradually grew, the channel by which the grain of barley entered no doubt remaining open and allowing an inflow of saliva." Tiie above case is another proof that Dr. Dunglison was right when he said that calculi " may form in every part of the animal body." CHAPTER X. FKACTURED JAWS How Caused, and how to Distinguish an Abrasion of the Gums from a Fracture of the Bone. — Replacing an Eye, Amputa- ting part of a Lower Jaw, taking a Fractured Tooth and Bones out through the Nostril, &c. Fkactures of the jaws of the horse are of common occurrence. They may exist independently, but they are often complicated with and the cause of diseases of the teeth. Caries of the jawbone proper, and even some of the facial bones, is often communicated to the alveoli, and when necrosis ensues the destruction of the teeth is inevitable. This is as true in the case of the horse as in tha-t of man. The rami (branches) of the lower jaw are common seats of fracture, a frequent cause of which is the use of sharp curved bits; but rough usage by the rider or driver will now and then cause fractures even with a smooth bit. As a rule, at first, the gums only are affected; but in a short time the periosteum and bone are reached. Prof. Varnell says: "If the matter that escapes be of a grayish-brown color and fetid, it will indicate disease of the bone ; but if it is from a sub- cutaneous abscess, the discharge will be simply of a purulent nature, and a speedy cure may be effected by the application of very r-in-.ple remedies." SURGEON FLEMING'S DISCOVERY. 195 When a fracture has been proclnced, inflammation and fetor will follow, and the horse loses his appetite. If the bone is removed and the horse is allowed to rest for a few days, tne wound "will heal; otherwise the most serious consequences may follow. The removal of the bone may be effected sometimes soon after the fracture; but if, after cutting into the gum, it be found too lirmly attached to the surrounding parts, it is bet- ter to wait a week or two that nature may loosen it. Bones an inch or more in length are often removed. Thus that Avhich at first appears to be "only a sore mouth," may, if neglected, prove the ruin of a valuable horse. Fractures are often caused by external violence. A severe blow, accidental or otherwise, in the region of the roots of the teeth may cause a fracture that will necessitate the removal of both the bone and the teeth. *' The lower jaw," says Prof. Youatt, " is more sub- ject to fracture than the upper, particularly at the point between the tushes and the incisor teeth, and at the symphysis (of the chin) between the two branches of the jaw. Its position, length, and the small quan- tity of muscle covering it, especially anteriorly, render it liable to fracture. The same circumstances, how- ever, comliine to render a reunion of the parts easy." The following extraordinary case of accidental frac- ture is reported by Surgeon George Fleming ("Veteri- narian," 187-1:, p. 094) : "In 1805, while stationed near Aldershot, I wv.s driving one day in the neighborhood of Farnborough, when, in a narrow lane, our progress was somewhat checked by a farmers wagon in front, which compelled us to travel at a walking pace for some distance. Dur- 196 FEACTURED JAWS. ing this delay my aitention was attracted to the shaft horse, which had an enormous tumor on the right side of its face. It had such a singukir appearance that I dismounted from the carriage and induced the driver of the wagon to halt, when I inquired into the history of the case, and made an inspection of the tumor. It was as large as half a good-sized cocoanut, occupied nearly the whole side of the face, and was literally a mass of what at first appeared to be fragments of bone, but which, on a closer examination, proved to be imperfectly developed grinder teeth. The tumor looked as if it were composed entirely of tliem. I was informed that, when two years old, the foal had taken fright and ran away, and in trying to get through a gate, a wooden stump ran into its face, making a large hole. The hole filled up, the tumor gradually formed on it, and since that time these 'bits of bone,' as the wagoner called them, were constantly shed from its surface. The growth vras so large that the collar wns passed over the head with great difficulty. I was so much interested in the case that I oiferod to keep the animal while the removal of the tumor was attempted; but the farmer could not spare it from work at the time, and I did not have another opportunity.'' The following accounts of cases of fractured jaws treated by various surgeons are from Prof. Youatt's work, "The Horse" (p. 445): '• Surgeon Cartwright had a mare in which the np- per jawbone was fractured by a kick at the point where it unites with the lachrymal and malar bones. He applied "the trephine, and removed many small bones. The wound was then covered by adhesive plaster, and in a month the parts v\^ere healed. MM. REVEL AND BOULEY'S SKILL. 197 " Surgeon Claywortb reports the case of a mare that fell while being ridden almost at full speed, and frac- tured the upper jaw three inches above the corner in- cisors. The teeth and jaw were turned, like a hook, completely within the lower teeth. The mare was cast, a balHng iron put into her mouth, and the teeth and jaw pulled back to their natural position; she was then tied so that she could not rub her muzzle against any- tliing, and was fed with bean-meal and linseed tea. Much inflammation ensued, but it gradually subsided, and at tiie expiration of the sixth week the mouth was healed, scarcely a vestige of the fracture remaining. '^ An account of a very extraordinary fracture of the superior maxillary bone is given in the records of the Ro3'al and Central Society of Agriculture in France. A horse was kicked by another horse, fracturing the upper part of the superior maxillary and zygomatic bones, and almost forcing the eye out of its socket. Few men would have dared to undertake a case like this, but Monsieur Kevel shrank not from his duty. He removed several small bones, replaced the larger ones, returned the eye to its socket, confined the parts with sutures, slung the horse, and in six weeks he was well. "Surgeon Blaine relates ihat in treating a fracture of the lower jaw he succeeded by incasing the entire jaw in a strong leather frame. I have myself effected the same object by similar means. '* Prof Bouley sa^^s {'' Recueil de Medicine Yeteri- naire," 1838) that he treated a horse whose" lower jaw had been completely broken off at the neck— that is, at the point l)ctween the tushes and the corner incisor teeth, the dojached bone being held by the membrane of the mouth. 198 FKACTURED JAWS. '' The horse was cast, the corner tooth on the left side extracted, the wound thoroughly cleansed, and the fractured bones brought in contact. Holes were drilled between the tushes and the second incisors of both jaws, through which brass wires were passed. A compress of tow and a ligature, the bearing-place of the latter being over the tushes, surrounded the whole. Thus the jaws were apparently fixed immovahly to- gether. The wires yielded somewhat to the struggles of the horse, but the bandage of tow was tightened so as to retain the fractured edges in apposition. "The wound now began to exhale an infectious odor, and gangrene was evidently approaching. M. Bouley determined to amputate the fractured portion of the jaw, its union to the main bone being apparently im- possible. The sphacelated portion of the jaw was en- tirely removed ; every fragment of bone that had an oblique direction was sawn away, and the rough por- tions which the saw could not reach w^re rasped ofi". "Before night the horse had recovered his natural spirits, and was reaching for something to eat. On the following day he ate oats, and no one looking at him would have suspected that he had been deprived of his lower incisor teeth. The next day he ate hay. In a fortnight the wound was nearly healed." C. D. House, veterinary dentist, performed an unu- sual operation on a seven-year-old horse, the property of Mr. J. T. Allen, of Hartford, Conn. In 1876 a surgeon (?) made an incision in the right cheek and hnocked out a large part of the fifth upper grinder. The violence of the operation fractured both the tooth and the jaw, imbedding a large fragment of the former in the bone above the socket. A year afterward, the SKILL VERSUS BRUTALITY. 199 horse still suffering and discharging matter from the nostril, Mr. House was reciuested by Mr. Allen to ex- amine and if possible cure him. He failed, however, to discover the cause of the dischurge, and it was not till the expiration of another year that he determined to probe the case to the bottom, the horse in the mean- time having suffered as usual. Making an instrument of the proper size and shape, he introduced it into the nostril, seized the tootli fragment and drew it forth, the horse at that instant making a deep expiration, which blew out several fragments of bone and a part of the root of the tooth. The animal made a good recovery.* " The Worcester, Mass., Spy for July 13, 1877, says: "C. D. House, veterinary dentist, was in the city yesterday, operating on the horses of the Hambletoaian "Breeding Stud. A case was found where the grinders had been worn rough, and were be- sides slightly displaced, so that the horse in eating lacerated the lining of the cheek. Another case was where a colt's temporary tooth, after being partially forced from its place by the perma- nent, had remained fastened by one root, and in such a position as to injure the gum while the animal was feeding ; and yet so nicjly had the d^'caying tooth been lodged, that its presence was only detected by the offensive odor. Several cases of inflamma- tion of the gums were found, which were accounted for by the presence of tartar. The tartar was removed. " Mr. House's mode of operating is unique. He uses no gag, and the animal stands free. He passes his hands over the teeth of the most vicious horses, and was never yet bitten. He has Note.— In a parasjraph of the above note that appeared in the first edi- tion of this work, Dr. House, who now holds a diploma, advertised the importance of dentistry by depreciating the importance of that great ecourge glanders, which Surgeon Fleming describes (1882) as a most repul- sive, highly contagious, and incurable malady, very communicable between the horse and a:^ species, less so between these and other species, man also being frequently infected. Dr. Fleming says the disease was very prevalent in London in the winter of 1882. 200 FRACTURED JAWS. Surgeon J. P. Heiitli thus describes a case of frac- tured jaw (" VeteriDariau/' 1878, p. 288) : " In May last I was called to see a horse that had been kicked by another horse. I found a transverse fracture of the left side of the lower jaw, between the first and second grinders, with lesiuu of the buccal membrane. The bone protruded inward, the, tongue hung out of the mouth, and a constant flow of saliva existed. The animal's appetite was good, but there was of course a total inability to masticate. The liorse was seventeen years old, but as tlie ftn-mer (Mr. Gale, of Exndnster, Devon,) could ill afford his loss, I agreed to try to cure him. "I procured a wedge-shaped piece of wood, six or seven inches long by half an inch thick, which, after fitting it between the branches of the jaw, I well be- smeared with warm pitch and pressed it tightly be- tween the fractured end of the bone. I then fixed another piece of wood of the same length, but two inches thick, which was also besmeared with pitch, outside the fracture, placing a bandage six inches wide over the whole, and tying it over the face below the eyes. operated on Edward Everett, Jud^e Fullerton, Emperor (owned by S. D. Houghton, of this city), and other notoriously vicious horses." The statement about Mr. House's mode of operating is strictly true. His control of a horse appears to be a gift. He never confines a horse, not even in performino: the operation of castra- tion. In an " interview" with a reporter of The New York Stin, printed in 1877, in reply to tlie question, " How do you know when a horse has the toothache ?" he said : " He tells me that he has it." So Mr. House must understand " horse-talk " as well as horse-dentistrv. SURGEOX HEATH'.S SKILL. 201 ''For the first fortnight I do not think the animal took more than a gallon of the thin mashes and gruel with which he was supplied ; but after that time the use of the muscles of the tongue began to return, and he was able to swallow a little. In about three weeks he could lick up oatmeal and oilcake gruel made thick, and in les6 than a mouth I removed the bandage (al- tliough tiie sphuts remained for six weeks), as by this time he could swallow a little pulped mangold grass, cut into chaff. For nine weeks he could only feed on cut fodder, when he was turned out to grass. At the present time he is in perfect health, feeding on ordi- nary diet and working constantly. The first and sec- ond grinders, which were loosened, appear now to be as firmly fixed as the others." The editor of The Veterinarian" reports the case of a pony that came near starving from having a stick fiistened in its mouth. l concerned, this fact (assertion) is of little prac- 214 THE TE2TH AS INDICATORS OF AGE. tical 1133. The facts that follow, however, are of more or les3 use, aad are worthy of perusal. Prof. Youatt says: '' The indications of age, independent of the teeth, are deepening of the hollows ovei^ the eyes ; wrinkles over the eyes and about the mouth ; gray hairs, par- ticularly over the eyes and about the muzzle; the countenance and general appearance; thinness and hanging down of the lips ; sharpness of the withers; sinking of the back; lengthening of the quarters, and the disappearance of windgalls, spavins, and tumors of every kind. * * * At nine or ten the 'bars' of the mouth become less prominent, and their regular diminution will indicate increasing age." Of another deception Prof. Youatt says: " We form some idea of the age of the horse by the depth of the pits above the eyes. There is at the back of the eye a quantity of fatty substance, on which it may revolve without friction. In aged horses, and in diseases attended with general loss of condition, much of this disappears. The e^^e becomes sunkeu, and the pit above it deepens. Dishonest dealers puncture the skin, and, with a tobacco-pipe or tube, blow into the orifice till the depression is almost filled. This, with the aid of 'bishoped' teeth, may deceive the unwary. The fraud may be easily detected, however, by press- ing on the part.'*^ "Frank Fores^-er" (William Henry Herbert), says (" The Horse of America," vol. i, p. 72) : " Much stress is laid by many persons on the depth of the supra-orbital cavities, and more yet on the length and extreme protrusion of the nippers beyond the Pliny did not compile Yarro (B. C. 116j and Columella (A. D. 42) carefully. Varro (Book IL, Cap. YII.) says : "It is by the teeth that they find out the age of a horse." He then describes the shedding of the teeth, concluding as follows : "Others grow in their place, which, hollow at first, fill up in the sixth year," etc. The error about the cavities filling up stands to this day. Unlike the pulp cavi- ties, they are not filled by nature with tooth ma- terial ; they are obliterated by wear. C: lumella (Book VI., Cap. XXIX.) not oidy describes the marks, but the shedding of the molars also. In Latin he says : " Intra sextum deinde annum, molares superiores cadunty So the error of Aristotle about the non-shedding of the mohirs did not stand till the sixteenth century. (See page 69.) Palladius (about A. D. 400) and Vegetius (about the same time) describe both the marks and the shedding of the molars. Vegetius speaks of the wrinkles in the upper lip, the numl)pr of wrinkles indicating the number of 3^ears, and also the black spots in the middle of the teeth about the twelfth year. In con- clusion he says : " Finally, the number of wrinkles, the sadness of the countenance, the stupor of the eyes, the baldness of the eyelids, the dejection of the neck, and the lassitude of the whole body indi- cate age." (Book IV., Cap. V.) I have never seen what could be called a description of the wrinkles in any other book, but my attention was called to them by Dr. Wm. Wilson, of Jersey City, N. J., in 1881. Vegetius Renatus, PuhUiis, is often confounded with Vegetius Renatus, Flavius, a military author. Ye- getius Avrote on veterinary science ; Varro, Columel- la and Palladius on agriculture. Fragments of the works of Apsyrtus (or Absyrtus), the Greek veter- inarian (about A. D. 830), are extant, but I have never seen anything of his on age. He described glanders, fevers, epizootic influenza, dental cysts, etc. (See Jouunal of Comparaiive Medicine and Surgery for January, 1881, page 19.) SPANISH HORSES AND MULES — ANCIENTS. 215 gums, as also on hollowness of back. I have seen colts — got hy aged stallions — having all tliese indications of age before they had a full mouth ; and with cavities and hollow backs before they had got colt's teeth." Surt^eon Brandt, who thinks shape indicates age aa well after the eiglith year as marks do before, says (" Age of Horses"): — *' Some breeds, the Spanish for instance, require a longer time to develop than others. The bones appear to be harder, the teeth chang-e somewhat later, and wear more slowly; some- times, after the fifth year, they appear one or two years younger than they are. The age of crib-biters can be told by the corner teeth, which are seldom injured. Should this be the case, how- ever, add as many lines as are needed to make them the natural length. The lioi-se is as many years younger as the teeth are lines too short. The front teeth are frequently worn away earlier when horses have been fed on unshelled corn. " The age of mules cannot be ascertained with the same ac- curacy as that of horses. After their eighth year they usually appear younger than they are," Wofte.—C. F. Hoeing. M.R.C V.S. (Jersey City, N.J.) says the fact that the marks indicate age was discovered by Prof. Pessina of Vienna in 1818-20. The ancients appear to have known nothing about the marks. Aristotle (His. Animals, Bohu's trans., pp. 170 1) says that before casting its teeth a horse has its mark, but not afterward. After casting them age is not easily told, but is usually ascertained by the canines, which in riding-horses are generally bit-worn ; these teeth are called the marking teeth. (That is they are marked by wear. They have no natural marks. Sec p. 09.) Xenophon, who finds use for tushes in bridling a horse— pressing the lip agiinst them— says that in buying a horse, " to avoid being cheated, lot it not escape notice what his age is ; if he has not the foal teeth, he can neither give pleasure with anticipated exertion nor be easily disposed of." (o. 719.) Pliny says age is indicated by the eniption and shedding of the incisors (giving accurate dates) ; then hy the projecting of i\\Q teeth, the giayness of the eyebrows, aid the depth of the pits around them. (Vol. iii. p. 60.) Pliny compiled from Varro, Columella, and many others. Would they an fail to mention the marks if they knew ans'thing about them ? Erroneous and Extraordinary S'atements by Pliny.— Tlav-^c?,'' teeth grow whiter with age. If a horse is gelded bt'fore it chani:^es its teeth it never Bhe.ls them. No animal sheds the molars. Men have more teeth than women. All men, except the Turdnli, have 32 teeth. Some persons have ,t continuous bone in place of teeth. Human te;'th contain venom ; they tar- nish a mirror and kill unfledged pigeons. Zodes had a set of teeth at 104. CHAPTER XII. THE TRIGEMINUS OR FIFTH PAIR OF XERVES. Its Nature and tlie Relation it bears to the Teeth. — Its Course in the Horse and in Man. The tb read-like nerves of the teeth are derived from the superior and inferior maxillary branches of the trigODiinns or fifch pair of nerves. In the horse these branches are four or five times as thick as a ribbon and about five-eighths of an inch wide. The ophthal- mic branch is smaller and shorter, its course extend- ing only from the brain to the eye, while that of the two former extends to the lips, running parallel to and about an inch from the roots of the grinder teeth,* The description of the trigeminus and its course is from a lecture by Prof, Youatt to veterinary students, and may be found in '-'The Veterinarian" for 1834 (p. 121). In the first part of the lecture the nature of the trigeminus — its double origin and function — is expatiated upon, a summary of which is that the sensi- tive and motor roots, are contained within the same sheath ; that the sensitive root is so mucli larger and its fibrils so much more numerous than tlie motor tliat * For the preparation of an anatomical specimen showing the jreneral course of the tripfominns, I am indebted to Prof. J. M. Heard, of the New York College of Veterinary Surgeons. THE TWO ROOTS. 217 it may still bs callod the sensitive nerve of the face; that the trigeminus is the only nerve of the brain that bestows sensiljilit y to the face, excfpt a few branches from the cervicals, which may be traced to the lower part of it; that there are some anatomical facts which incontestably prove that the motor nerve exists : that Sir Charles Bell laid the root of the trigeminus bare in an ass immediately after the animal's death, and that on irritating the nerve the muscles of the jaw acted and the jaw closed; that he divided the root of the nerve in a living animal, and the jaw fell;* that he * " Re-establisiiment of Sensibility after Resection OF Nerves. — A memoir by MM. Arloing and Tripier was read before the Frencli Academy, November 28tb, on the effect of re- section of certain nervous trunks. Clinical facts have several limes shown that after wouncls which have altered or destroyed a portion of a nerve, sensibility returns in the integuments to which the nerve is distributed. MM. Arloing and Tripier made nervous resections in dogs, and saw sensibility reappear after a certain time in the integuments to which the branches of the nerve were distributed, and in the peripheral end of the nerve itself." — Popular Science Recieic, 1SC7. " How Motor-Nerves End in Non-strtated Muscular Tissue. — A very valuable communication stating the results of M. Ilenocque's researches has been published in " I'Archives de Physiologie," and may be thus abstracted : 1. Tlie distribution of the nerves in smootli muscle is not only identical in man and otlier vertebrate animals in which it has been observed, but is essentially similar to all the organs containing smooth muscle. 2. Before terminating in the smooth muscle, the nerves form three distinct plexuses or networks— (a) a chief or fundamental plexus, containing numerous ganrrlia, and situated outside the smooth muscle ; (h) an intermediate plexus ; and (c) an intra- muscular plexus, situated mthin the fasciculi of smooth fibers. 3. The tern.inal fibrils are everywhere identical. They divide and subdi\ido dfVhotomoiisly. or anastomose, and terminate by a slight swelling or knob, or in a punctiform manner. The ter- 10 218 THE riFTil PAIR OF NERVES. divided the superior maxillary branch on both sides, the animal losing the power of using the lips; that Mr. Mayo divided the root of both the superior and inferior maxillary, the result being that the lips no longer remained in perfect apposition, and the animal ceased to use them in taking up his food; that the sensitive root, or a portion of it, after entering the cav- ernous sinus, swells out into or passes through a gan- gUon, and that the motor root can be traced beyond the ganglion, uniting afterward with its fellow and forming the perfect nerve; that the ganglion, being composed of sensitive fibrils only, resembles a brain. minal swellinor appears to occupy diflferent parts of the smooth muscular fiber, but most frequently to be in the neighborhood of the nucleus, or at the surface of the fibers, or, lastly, between them." — The Monthly Microscopical Journal, 1870. " Structure of Nerves. — M. Roudanoosky says that the primitive elements of nerves are tubes having a pentagonal or hexagonal configuration. As to their constitution, he says that every nerve has a substratum of brain-matter, and also of the spinal marrow, and probably of the ganglionic matter also. The gray matter, he says, is the fundamental nervous substance, and plays the principal part in the functions." — ''Veterinarian,'* 1865, p. 313. In a letter to his brother, G. J. Bell, written in 1807, Sir Charles says: "I consider the organs of the outward senses as forming a distinct class of nerves. I trace them to correspond- ing parts of the brain, totally distinct from the origin of the others. I take five tubercles within the brain as the internal senses. I trace the nerves of the nose, eye, ear, and tongue to these. Here I see established connection ; there, the great mass of the brain receives processes from the central tubercles. Again, the great masses of the cerebrum send down processes or crura, which give off all the common nerves of voluntary mo- tion. I establish thus a kind of circulation, as it were," — Medi- cal Gazette. THE COURSE OF THE is^ERVE. 219 Prof. Youatt's description of the course of the tri- geminus is as follows: "The trigeminus has been described as springing b}" a mnltitudo of filaments from the crura cerebelli, and fortliwitli running for safety into the cavernous sinuses, and there suddenly enlarging into or passing through a ganglion. The nerve, as its name implies, divides into three parts, the division taking place in the cavernous sinus, after the superior or sensitive root has been joined by the inferior or motor root. Each part, before it leaves the cranium, assumes a dis- tinct investment of dura mater. The branches are named, from the parts to which they are destined, the Ophthalmic, the Superior Maxillary, and the Inferior Maxilhny. "The ophfhalmic is the smallest of tlie three. It is formed witliin the sinus, where it is in conjunction with the superior maxillary, which it soon leaves, and, passing through the foramen lacerum into the orbH, subdivides and forms three distinct branches — the Supra-orbital (the frontal), the Laclirymal, and the Lateral Nasal (the nasal). The supra-orbital climbs behind the muscles of the eye, ginng filaments to the rectus superior and the superior oblique, and some also to the fatty matter of the eye. The main branch, escaping through the superciliary foramen, is soon lost in ramifications on the elevator of the superior eyelid, the integument of the forehead, and the periosteum. The lachrymal, as its name implies, is chiefly concerned with the lachrymal gland; a few ramifications, how- ever, are sent to the conjunctiva and also to the ciliary glands of the upper eyelid, while a distinct twig of it passes ont at the angle between the zygoma and the 220 THE FIFTH PAIR OF i^EKVES. frontal orbital process, where it anastomoses with the sapra-orbital and with ram ilications from the superior maxillary. It is also lost on the integument and muscles of the forehead. The lateral nasal is the largest of the three. Almost at its beginning we ob- serve the filaments that help to form the Ophthalmic Ganglion. They are more numerous and more easily traced in some of our domesticated animals than in others, and the ganglion itself is differently developed, but for what physiological purpose I know not. It is comparatively larger in the ox than in the horse, and sends more filaments to the iris. Four distinct fila- ments may be traced in the ox, but seldom more than two in the horse or the dog. To these fila- ments others of the ophthalmic, that have not passed through the ganglion, afterward join themselves; so that the ciliary are also minute compound nerves of motion and sensation.* * " The best account, however, of this is ^ven by Dr. Jonas Quain (' Quain's Anatomy,' p. 7fi8). He considers the ganglion as a center of nervous influence — a little brain, as it were — and the filaments which some anatomists describe as composing, he speaks of as branches given out from it. ' It lies,' says he, ' within the orbit, about midway between the optic foramen and the globe of the eye. and is inclosed between the external rectus muscle and the optic nerve. It is exceedingly small and, owing to its being imbedded in the soft adipose tissue which fills the interstices of the different parts within the orbit, difficult to find. Its branches are the following: From its anterior border from sixteen to twenty filaments issue, which proceed forward to the surface of the sclerotic, and pierce it through minute foramina. These are the ciliary nerves. In their course to the globe of the eye they are joined by one or two filaments derived from the nasal nerve, but they do not form a plexus fan interlacement). They become, however, dispersed or divided into two fasciculi, one above and the other below the optic nerve, the latter being THE OPHTHALMIC NERVE. 221 "The ophthalmic nerve, after running between the rectus superior and the retractor muscles, gives a the more numerous. They pass between the choroid membrane and the contiE-LiKE n:ojECTioxs. 243 M. Malar. Belonfrin^ to the clieek, as the malar bone. MAiiAR Process. Zygomatic process. (Cheek bone process.) Masseter. a muscle situate at the posterior part of the cheek, and lying u!)on the ramus ot t!ie lower jawbone. Its otfice is to raise the lower jaw and to act in mastication. Mas'todon. An extinct genus of quadrupeds. When alive it must have been twelve or thirteen feet lii Septum. A part intended to separate two cavities from each other, or to divide a principal cavity into several secondary cavities. Skrous. Thin, watery. Kelating to tbe most watery portion of animal tiuids, or to membranes that secrete them. Sol'iped. An animal whose hoof is not cloven ; one of a group of animals with nndivided hoofs; a solid nngnlate. Webster. The family ' Solipoda' consists of several species of horse, namely, the ass, the mule, and the quagga. Youatt. Sphenoid. Wedge-shaped. Sphenoid Bone. An azygous (single) bone, situate on the me- dian line, at the base of the cranium. It articulates with all the bones of that cavity, supporting them and strengthening their union. Its form is singular, resembling a bat witli its wings extended. Spina Vento'sa. See ' Osteo-sarcoma.' Styloid. (A style, a peg, a pin.) Shaped like a peg or pin. Sdbmax'illary (from suh, 'under,' maxilla, 'the jaw'). That which is seated beneath the jaw. Suppuka'tion. Formation or secretion of pus. It is a frequent termination of inflainmation, and may occur in almost any of the tissues. This termination is announced by slight chills, by remission of the pain, which, from being lancinating, be- comes heavy ; by a sense of weight in the part, and, when the collection of pus can be easily felt, by fluctuation. When pus is thus formed in the areolar membrane, and is collected in one or more cavities, it constitutes an 'abscess,' If it be formed from a surface exposed to the air, it is an ' ulcer.' and such ulcers we are in the habit of establishing artificially in certain cases of disease. Supra. A common Latin prefix, signifying 'above.' Suture. A kind of immovable articulation, in which the bones unite by means of serrated edges, which are, as it were, dove- tailed into each other. The articulations of the greater part of the bones of the skull are of this kind. Sym'physis. a union of bones. The bond of such union. The aggregate of means used for retaining bones in situ (natural situations) in the articulations. The name symphysis has, however, been more particularly appropriated to certain artic- ulations, as the ' symphysis pubis,' ' sacro-iliac symphysis,' &c. 254 A^OCABULARY. T. Teleosts (or Teleostei). The name of that sub-class of fishes which embraces the great majority of living species, and so designated (by Johannes Miiller) on account of the ossified condition of the skeleton in all the representatives of the group. Tlieodove Gill. Tekatol'ogY. a treatise on monsters. Ter'tiary. Third ; of the third formation. In geology, a series of s.'irata, more recent tiian the chalk, consisting of sandstones, clay beds, limestones, and frequently containing numerous fossils, a few of which are identical with existing species. It lias been divided into Eocene, Miocene, and Pli- ocene, which ses. Dana. Tinctd'ra Myrrhs. (Tincture of Myrrh.) Tonic, deobstruent (removing obstructions), antiseptic (opposed to putrefaction), and detergent. It is chiefly used in gargles, and is applied to foul ulcers, spongy gums, &c. Tissue. By this term, in anatomy, is meant the various parts which, by their union, form the organs, and are, as it were, their anatomical elements. ' Histological anatomy ' is the anatomy of the tissues, which are the seat of the investiga- tions of the pathological anatomist. The best division, in- deed, of diseases would be according to the tissues mainly implicated. Tox'ODON. 'A gigantic, pachydermatous quadruped, now ex- tinct, having teeth bent like a bow. Brande. Transuda'tion. (To sweat.) The passage of a fluid through the tissue of any organ, which may collect in small drops on the opposite surface, or evaporate from it. Trephine'. Tlie instrument which ha,s replaced the trepan in some countries. It consists of a simple, cylindrical saw, with a handle placed transversely, like that of a gimlet; from the center of the circle described by the saw a sharp little per- forator, called the center-pin, projects. The center-pin is capable of being removed, at the surgeon's option, by means of a key. It is used to fix the instrument until the teeth of the saw have made a groove sufficiently deep for it to work steadily. The pin must then be removed. Sometimes the pin is made to slide up and down, and to be fixed in any position, by means of a screw. MINUTE, ROD-SHAPED PARASITES. 255 Tro'car. An instrument used for evacuating fluids from cavi- ties, particularly in tiscites (serous fluid in the abdomen, or, more properly, dropsy of the peritoneum), hydrocele (watery tumors;, &c. A trocar consists of a perforator, or stylet, and a canula. The canula is so adapted to the, perforator that, when the puncture is made, both enter the woimd with facil- ity : the perforator being then withdrawn, the fluid cscaj^es throui?h the canula. Tubercle. MUiary tubercles are minute, bright, rounded, trans- lucent particles, called granula, granulations, &c. When they coalesce, forming larger bodies and undergo a change of color they are known as crude or yellow tubercles. As age advances, the center is apt to be occupied by a giant cell, a large multi-nucleated body, whose boundaries and processes are hard to define, because they shade off gradually into the surrounding tissue. They are the result of an inflammatory process, because they can be produced by the introduction of mechanical irritants. In some instances we have reason to believe miliary tubercles may become organized and a cure result. Tuberculosis is hereditary, and there is some good evidence to prove it is contagious ; it is also inoculable, and '* breeds true," always producing its kind, if it produces anything, but it has not been satisfactorily proved to have a specific virus. T. E. Sutterthwaite. (Dr. Koch of Berlin says (1882) tuberculosis is caused by minute, rod-shaped parasites (bacilli) ; that he has inoculated animals with them, producing tuberculosis; tliat he has dried the sputum of phthisical patients for two months and has bred the parasites artificially for several generations without their losing the power of inoculation ; that when the sputum is dried the air is infected ; that bovine and hu man tuberculosis are identical ; that tuberculosis can be given to man by the milk (perhaps flesh also) of tuberculous cows. The parasites are about _J-^th of an inch in length.) Tunic. An envelop ; as the tunic of the eye, stomach, bladder. TuRGZS'cENCE. Superabundance of humors in a part. ' Tur- gescence of bile " was formerly used to denote the passage of that flui^ into the stomach and its discharge by vomiting. Tympanites. A flatulent distention of the belly ; tympany. Also inflammation of the lining membrane of the middle ear. 256 VOCABULARY. V, Un'gulate, Shaped like a hoof. Having hoofs, as ungulate quadrupeds. Webster. U'vEA (from uvea, a grape). The choroid coat of the eye ; the posterior layer of the iris. U'vEOUS. Resembling a grape ; applied to tlie choroid coat of the eye. V. Vas'cular. That which belongs or relates to vessels — arterial, venous, lymphatic — but generally restricted to blood-vessels only. Fall of vessels. Velum Pala'ti. The soft palate. Vek'tebr^. The bones which form the spinal column. Vis'cus (plural, vis'cera). One of the organs contained in the great cavities of the body ; any one of the contents of the cranium, thorax, or abdomen ; in the plural, especially ap- plied to the contents of the abdomen, as the stomach, intes- tines, &c. Webster. Vit'reous. Of, pertaining to, or derived from glass. The vit- reous humor of the eye is so called because it resembles melted glass. Z. Zooi/OGY. That part of biology (science of life) which relates to animal life, and, as generally understood, the science which treats of the structure, classification, distribution, hab- its, and derivation of living animals. In its broadest sense, however, zoology includes the structure, relations, and his- tories of extinct as well as living forms ; but this branch of the science is generally considered by itself under the title of ' paleontology.' The derivation and life-histories of many groups of animals have been found written in the records of the past, and many mysteries, not only of relation but of structure, have been solved by going back to find dwarfed organs in full development and widely-separated forms linked together. The zoology of the future will therefore include the animal life of both the past and the present. J. S. Neicberry. Zygomat'ic. That which relates to the zygoma or cheek bone. APPENDIX. RECENT DISCOVERIES OF FOSSIL HORSES. BY J. L. WORTMAN. The contributions to the knowledge of the extinct Perisso- dactjla,* made during tlie last two or three years in this country, are of an important character, since they demonstrate the actual existimce of types heretofore hypotlietically assumed. The living representatives, the horse, tapir, and rhinoceros, constitute but a small fraction of this large order when com- pared with the fossil forms already known. One of these, however, the horse, displays the most specialized structure to be found within the limits of the order. Many years have elapsed since the first discovery in the Tertiary rocks of Europe of horse-like remains, which are regarded by paleontologists in the light of direct ancestry of existing etjuines. Since then the discovery of the remains of these animals in the same geological horizons in this country, by Drs. Hayden and Leidy, has strengthened tlie belief in the descent of the horse from very different ancestral types. Entire ekeletons, obtained from the " bone beds" of the West, display * Odd-toed. The Perissodactyla may be defined as mammals having both pair of limbs fully developed and adapted for walking- or running-, the toes having terminal phalanges, incased in strong corneous sheaths, developed as hoofs. These characters, however, apply to two other orders also, the Artiodactyla (cloven-hoofwl or even toed), and the Ambhpoda (short-footed), both of which, however, possess many anatomical differ- ences fi.-oia the P(erissodactyla, particularly in the structure of their hiud limbs. 258 . APPEKDIX. their osteological characters to sucli an extent as to leave no doubt as to the correct determination of their true affinities. It is much to be regretted, however, that many of these animals have received different names from diflPerent authors, a fact specially conducive to confusion in the nomenclature of the science. It appears that the only way to obviate this difficulty is by strict adherence to priority in the employment of a name, provided it is accompanied by a competent description, and the use of such characters as will distinguish the animal named from its nearest allies. If unaccompanied by these differential characters, it is a nomen nudum, and can have no claim what- ever to rank with those that have been properly defined. I mention these facts with the hope of establishing a criterion by which to judge which name it is proper to retain and which it is proper to discard ; and, to elucidate the subject, I will gives the names of a few animals that have been discovered during the past forty years. In 1841 Prof. Richard •Owen described the remains of a Lophiodon-like* animal, from the London clay of Eocene age, to w^hich he gave the name Hyracotherlnm.\ Subsequently he described a nearly allied genus, from the same deposit, under the name Pliolophus.X In Hijracothcrlum the molar and pre- molar teeth are different, both above and below. In Pliolophus the last, or fourth inferior premolar, is like the first true molar, a character which separates the two genera satisfactorily. The specimens described by Prof. Owen do not display clearly the number of digits either possessed, but he expresses the opinion that Pliolophus has three toes on the posterior limbs. * The Lophiodons were first described by Cuvier. They were allied to the tapir. They derive their name from the structure of the true molars, which have tl\eir crowns crossed transversely by two crests or ridges of dentine, covered with a layer of enamel. The last lower molar has also a small posterior lobe. The premolars are more simple in structure and compressed, resembling the first premolars of the tapir. The upper molars also resemble those of the tapir, but approach in some respects those^ of the rhinoceros. The diastema, or toothless interval between the canine and premolar teeth, was much shorter than in the tapir. Several species have been described from the Eocene of France and England, but little is known of the skull or skeleton. No true Lophiodon is yet certainly known in this country.— 0. C. Marsh. f Transactions London Geological Society, 1841, pp. 203-208. % Loc. Cit., pp. 54-72, 1858. CONFUSION IN NOMENCLATURE. 259 In 1872 Prof. 0. C. Marsh found the remains of an animal in this country in deposits of Eocene age to which he applied the name Orohippus.* This genus was originally founded on the molar teeth, which he compared with those of Anchitherium. He subsequently ascertained that it possessed four toes on the anterior and three on the posterior limbs. f He also proposed an- other genus under the name of Bohippus, j^. which he compared witli Orohippu-% stating that the last inferior premolar is like the first true molar, a character which at once distinguishes it from HyracMherium. As he assigns no other dental characters to this genus sufficient to separate it from Pliolophus, with which, according to his description, it otherwise agrees, and as the digital formula in the Lopliiodons generally is 4—3, the two names must be regarded as synonymous. This may like- wise be said of the genus Orotherium ,% which Prof. Marsh distinguishes by the bifid condition of the antero-iuternal lobe of the inferior molars. This character is also ascribed to a number of molai- teeth discovered by Dr. Joseph Leidy in the Bridger Eocme, which he referred to the genus LopJiiotheriiim, SinesxvdUy of Pliolophus. But as this is a character of very doubtful generic value in this group of animals, these names must be regarded as synonymous wiih Piidoplius. Assuming then that the most generalized form in the ancestry of the hors'3 hitherto known was Hyracotherium, with a digital formula of 4—3 and teeth of the Lophiodon pattern, we are now prepared to take a step backward to the primitive five-toed ancestor, Phenacodns. But before entering on a discussion of this interesting form, it is necessary to mention the discovery of another genus, from the Lower Eocene beds of Wyoming, which proves to be a near ally of Hyracotherium. This genus Prof. Cope calls Sys'.emodon,\ and assigns as his reasons for separating it from Eyracotherium the circumstance that it dis- * American Journal Science and Arts, 1872. t Loc. Cit., p. 247, 1874, * Loc. Cit., Nov., 1876. The genera Orohippup, Eohippus, Miohippus, and Pliohippus have not in my estimation been distinguished from genera previously described ; hence my reasons for adopting names more in accordance with the prevailing nomenclature of the Kcieuce. § Loc. Cit., 18?2. I! .-\mcricaii N-turali^t, 1831, p. 1018. 200 APPENDIX. plays no diastemata (spaces) behind the superior canines, wliile in the latter there are two. This fossil (from Xew Mexico) was first described by him under the name Ilyracotherium tapirl- num, but the discovery of better specimens demonstrates its claim to the rank of a new genus. PHENACODUS. Phenacodus, one of the most important of recent paleon- tological discoveries, was first made known by Prof. Cope in 1873,* from several molar teeth which he obtained from the New Mexican Wasatch. Its systematic position in the mam- malian class v^^as, however, involved in considerable uncertainty till the discovery of the greater part of the skeletons of two distinct species of this genus by the writer in the Wyoming Wasatch during the summer of 1881, which aflbrded Prof. Cope til e means of determining its true position and elucidat- ing the many important and interesting points its osteology teaches.f It possessc^s five well developed toes in functional * Paleontological Bulletin, No. 17, Oct. 1S73, p. 3. t I'rior to the discoverv of these skeletons no characters had been found among the Unj^ulata ^vhich indicate a group connecting the Perissodactyla with the elephants and hyrax.* But it is now necessary to create a new order, which Prof. Cope designates the ConGylarthra. (Paleontological Bulletin, No. ?A. Dec. 18S1, p. 177). The characters on which this division reposes are found in the carpus and the astragalus (hock or ankle bone) and their manner of articulation. The Perissodactyla are distinguished by the fact that the scaphoid articulates with two bones below, and the astra- galus articulates inferiorly by two nearly flat facets with the cuboid and navicular bones. They are divisible into ten families, including forty-eight genera, variously distributed throughout geologic lime ; but as only four of these families concern us for the present, I will spare the memory of the reader by not discussing the classification of the others. The first to which attention may be directed is the Lophiodontidx, embracing eight well de- * A gray-haired, rabbit-sized pachyderm, with 4 toes on the forefeet, 3 on the hind, a mere tubercle for a tail, molars resembling (in miniature) those of the rhinoceros, 2 large, triangular, curved, tusk-like incisors in the upper jaw, and 4 straight ones in the lower. Ciivier savs the upper jaw, in youth, has 2 small canines, but Marsh's dental formula is: Incisors. 1—2, 1—2: canines. 0—0, 0—0; premolars, 4—4. 4—4; molars. 3— .3, 3—3-34. There are several species, the African being able to climb a tree. The Cape hyrax is called the rock-baager or rock-rabbit. The hyi-ax was long classed among the r; dsnts, and was also called a miniature rhinoceros. There are various aftiniries between the elephant and some rodents— (1) in the size of the tusks ; (2) in the molars being often formed of parallel lam- inae ; (,3) in the form of several of their bones. RELATION 01- PUEXACODUS TO AMBLYPODA. 261 US3 on all the feet, of which the first is the smallest ; the median is the largest and is symmetrical within itself. The feet are considerably shortened and were probably semiplanti- grade ; in fact tlie feet of this animal constitute an approach to the Amblypoda.'" The dcntul formula is : Incisors, 3 — 3, fiued genera, which are not positivclj' known to have existed later than the upper Eocene epoch. It may be recognized ^1) by the possession of four toes on the anterior and three on the posterior limbs ; (2) by the raolar and premolar teeth being dilTerent ; (3) by the non-separation of the anterior and posterior esternal cusps of the superior molars by an external, rib-like pillar. The next family is the Chalicothenidce^ to which ten genera are referred. Tlu; digit:il formula is the same as in the LophioJontidcB. as is also the relation of the molar and premolar teeth. The only distinction is found in the separation of the anterior and posterior external lobes by a vertical ridge. The remains of this family range from the lower Eocene to the middle Miocene. The third family is the Paleotheriidce^ having three toes on each foot. The molars and premolars are alike, and the inferior molars possess perfect double crescents. The fourth family is the Equidce, in which the digital formula is reduced to one toe on each foot. The mo- lars and premolars arc alike and highly complex in structure. It is to this family that all the existing horses belong, and it has been traced as far back as the upper Miocene strata. The Condylartkra, on the other hand, are cilectually separated from the Perisodactyla by the non-alternating posi- tions of the carpals and by the possession of an astragalus whose distal ince is convex in every direction, as in the carnivora, and unites with the navic- ular alone. These families are the Phenacodontida and Meniscotherndte v.hosc remains have been fotmd so far only in the lower Eocene deposits of this country. It is interesting to note that they are the most generalized of -any known Porissodactyla and supply a link long sought in the evolu- tion of the later and more specialized forms of this order. * There has probably been no discovery among the ungulates since the finding of the Amblypoda that has proved equal in interest and importance to the discovery of this group (the Phenacodontida?). The descent of ail the ungulates from the Amblypoda has been held by Prof. Cope for some time, but that it took place from any known genera of this order the Com- paratively specialized condition of the teeth of the latter distinctly forbids. This moderate comi)lexity of the teeth among Eocene mammals is a strik- ing exception, especially when associated with such a low grade of organi- zation of other parts as we find in these animals. The explanation of this fact must, in my judgment, be sought for in their large size and in the pos- session of powerful canine teeth, which insure them greater immunity from the attacks of fierce camivorous contemporaries. With these means of defense, they could take up their abode wdierc food better ada{)ted to their wants was fiirni.shed. Hence we can with perfect consistency look for a rapid modificatio^i of these organs, accoini)aiiied by slight change in others. In order to make the connection complete between them and the Phenacodonts, there should yet be fouud an Amblypod with bunodont 262 APPE^sDIX. 3 — 3; cauin?s, 1 — 1, 1 — 1 ; premolars, 4 — 4,4 — 4; molars, 8 — 3, 3 — 3=: 44 ; that is 44 functioually developed teeth. The molars are of the simple four-lobed pattern, resembling in this respect the suilline Ariiodactyla or liovrs and peccaries; in fact on this account it is a matter of some sui'prise that the animal should molars, reduced canines and a more elongated foot. An approach to this condition, as far at least as the molars are concerned, is found in a new form recently described by Prof. Cope under the name Manteodon (pro- phecy tooth). The Amblypoda, says Prof. Cope in his Report on Capt. Wheeler's Survey (W. 100th Mer., Pt. ii, Vol. IV, p. 233), are as yet con- fined to the Eocene peiiod exclusively, and are found both in Europe and this country. In points of affinity to the hoofed orders generally they occupy an interesting and important position, being in all probability the oldest and affording the most generalized condition known among the ungulates. The brain capacity is exceedingly small in proportion to the size of the other parts of the skeleton, and from casts made from the brain case itself we are warranted in assigning these animals a position among the low- est mammalia; they are lower in brain development even than any of the Mar- svpials. The feet are very short, are provided with five fully developed toes, and have their entire plan- tar and palmar surfaces ap- plied to the ground, as in the modern bears. The as- traaralus is greatly flattened from above downward, and is primitive and character- istic. It displays on its in- ferior surface flattened ar- ticular facets for both na- vicular and cuboid bonca which share the articula- tion about equally. On the superior part, the surface articulating with the tibia is almost flat, a condition which must have rendered the ankle joint capable of very little movement, and giving to these animals a peculiarly awkward and shambling gait. It is not difficult to perceive that these small-brainod, five-toed, nnd plantigrade Amblypoda could easily have furnished a starting point for both the Artio- dactijla and Perisf^odactyla, and, as we have good reasons to believe, did give origin to the Proboscidea or elephants. f c '^ ''^-"■'''fllllillll'f 5te \js>»*' cS^ ^l?j RiKDt Iiind-foot off species of Corvphodo (Amlilypod), imlf HOUSES WITH TEETH SIMILAii TO REPTILES'. 2C3 turn out not to belong to the suillincs. But wlien the evi- dence of derivation drawn from other sources is considered, and the geological period is taken into account, the struciure of the teeth is preeminently in accordance with the expecta- tions of the evolutionist. It is jraportant to notice in this con- nection that Prof. Cope ventured the prediction in 1874* that the quadritubercular or four-lobed huuodont f molar was the primitive pattern in which the more complicated selenodont X molar of the later ungulates had its origin. That this predic- tion is now proved there can be no question, and the passage from this simple type of tooth to the highly complicated forms illustrated in this article has, I think, been close and consecu- tive and intimately associated with reduction in digits. The Phenacodontidge present considei-able variety as far as their family is at present known. Prof. Cope has described five genera, as follows: Pheuacodus, Anacodon, Protogonia, Periptyclius, and Anisonchus. The first two are from the Wasatch horizon, while the last three were derived from the underlying Purco beds. Periptychus shows a peculiar sculp- turing of the outside of the molar teeth, similar to that seen in many reptiles, and is the only mammal known to possess it. The molars of Anacodon lack distinct tubercles, a character which assigns it the lowest position in the family. Phenacodus approaches nearest to the Lophiodons in dental character and is taken for illustration. As all but Phenacodus and Peripty- chus are known from their teeth only, it may be necessary on the discovery of the character of their feet to refer them to new families. The definition of the family given by Prof. Cope is as follows : Molar testh tubercular ; molars and premolars different ; five toes on all the feet.g MENISCOTHERIUM. The Meniscotheriidae has been recently established for the reception of the single genus Meniscotherium, discovered by * Journal Academy of Natural Science?, Fliiladelphia. t Teeth of !^iml)le ytnicture. with short crowns and low, Wuut tubercles on then* f ice. * Teeth of coipplicatcd structure, with high and uniformly broadened crowns, the face presenting a complex folding of the enamel plates. § Paleontological Bulletin, No. 34, Dec, 1881, p. ITS, 2C4 APPEi^DIX. Prof. Cope in tlie Wasatcli beds of New Mexico, and described by liiiii in his report to Captain WlieeL?r, already cited. It was formerl/ arranged in the GhalicotheriidcB, near Challcothe- riain, with which it agrees in all essential dental characters. The recent discovery of the bon^ of the feet shows that they display the charactjristic peculiarities of the CondylarthTcty to which group it must be referred. Its digital formula is unknown, hence we must rely on the sj.ecialized crescentoid pattern of the molars for ths family deiinitiou. It is proper to remark here that reduction in digits in the Perissodactyla is usually accompanied by specialization of the molar teeth. In this case, therefore, I would venture the prediction that its digital formula will be found to be 4 — 3, with the outer toea somewhat reduced. Tiie value of the digital formula as a character in the definition of the families of the Perissodactyla i3 of hiiih standard. This may likewise ba said of the rela- tion of the molar and premolar teeth, but in a less degree. Tli3 tubercular or cresceiitoi:! structure of the molars, however, is capable of such intergradation, which increase of ourknowl- edge demonstrates, that it must be accepted as provisional only, and not entitled to rank equal in value to either of the other two characters in defining the family. The genealogy of the horse as now indicated is as follows : Equus, Equus, Protohippus, Hippotherium^ Auchippus, Paloplotherium, Ancliitherium, Mesohippus, Lambdotherium, Hyracotherium, Systemodon. Perissodactyla - - Amblypoda, Hyodonta (Cope). OoNDYLARTHRA - ■% Mcniscotherium, f Phenacodus. MATURE S METAMOKPIIOSES. 265 206 APPEl^DIX. a.e V acc- pe pee ail pi pe ae pi z ai 2 W9^^ pi acc ue TEETH rnOM PIIEXACODUS TO EC^UL'S. 2(i7 1.— Left upper molar of a species of Phenacodus, nat. size (Cope) ae is the antero-exionial, /;<;- the iwstero-extcnuil. ai tiie ajitero-iiiteru;il and pi the postero-iuteruai lobes respectively. They are low and obtuse and con- stitute the priiicii)al ciu^ps of the crown, ace and i)cc are the anterior and posterior cross crests , they are riulinientary and represented by isolated tubercles in this animal, but are developed into important structures in the more specialized genera, y (the lobe ii? drawn too large) is the rudimeutal external rib separating the antero and postero-external cueps. An antero- basal lobe arising as an outgrowth Ironi the cinguliim or ledge surrounding the base of the crown is strongly marked in some genera. • 2.— Left lower molar of same. uat. size, z represents a lovv, indistinct- ly marked ridge, passing from the postcro-external to the antero-internal cusps pe, ai. The antero-internal cusp ai is sometimes double, h is the heel, which is so strong in the last molar as to be called a fifth lobe. It ia connected by a faint ridge with the postero-external cusp pe. The four principal cHsps ae, pe^ ai, pi hold the same relation to the crown as in the upper molar. 3.— Right upper molar, of a species oi Lambdotherinm, in which the an- tero and postero-external cusps ae,p€ are separated by an external vertical ridge, y ; nat. size iCope). 4.— Last lower molar (left side), of same ; nat. size. The antero-in- ternal lobe is divided into two distinct tubercles, ai, ai'; the ridge k is strong and prominent. The breadth of the tooth is accounted for by the fact that it is the last molar, the first and last molars being about a third broader than the others. The teeth are of a more complicated pattern than those of Phenacodus. It is important to notice'that while the teeth of the lower Eocene genera of this family (Lambdolberiiim and Paleosyopous) re- semble very strongly the teeth of the lower forms of the Lophiodons in the shortness of their crowns and approach to the bunodont type, the latter possess longer cusps and simulate the seleuodont forms in the cresceutic section of some of them. 5.— Left upper molar of Atichitha-vim anreliaxionf^e, nat. siz-^ (Gaudry). The four principal cusps ae^ pe, ai. pi are considerably lengthened and con- nected by high ridges, ace. pec, which pass in an oblique direction across the crown. The elevation of the cusps and crests give increased depth to the valleys. The anterior basal lobe is reduced and the external rib y is strong. The crown is further complicated by the addition of the lobe /. 6. —Right upper molar of a species of IRppofherivm. The valleys, which are deepened by the lengthening of the cusi)s and ridcres, are filled by a thick deposit of cement, but the cement, as the cut shov>s. has been re- moved. The points of the cusps and ridges are unworn. The four princi- pal lobes ae, pe. ai, pi hold about the same relation to each other. The cross crests ace, pec have their obliquities increased, and the anterior bends around on the inner i)art of the face and becomes confluent with the pos- terior ridge 7>C(7. The lobe I, which is conic in Anchitherium, is elongated in a transverse direction to the crown, so as to close the posterior valley and join the posterior external cusppe with the posterior crest pee. Addi- tional vertical pillars are developed on the cross ridges. The teeth resem. 268 APPEXDI ble tliose of the horse very strongly, the crov.ns of the incisors showing the i)eculiar invagination t^een in the inciisors of the horse. 7.— Left lower molar of HippoUierivm gracile. three-fourths natural size (Gaudry). The lobe ai' is now completely separated and the ridge k rises to a level with the other cusps. The heel h is also elevated and connected by a strong ridge. The filling up of the valleys by a deposit of cementum and the consequent attrition in mastication produce' a maVked change in appearance from that seen in Anchitherium, but by close observation the strictest homology is seen to exist. 8.— Left upper molar of a species of Eqnvs (modem horse) natural size. The internal lobes ai in are connected with the cross ridges ace, pec. The only difference of generic value between Equus and Hippidium (a near rela- tive of the horse) is seen in the relative size of the antero and postero-in- ternal lobes ai^pi ; in Equus ai is greatly enlarged and somewhat Ilaiteued; lu Hippidium the lobes are almo&t equal. What has caused these chanores? In regard to tooth struc- ture generally, Mr. J. A. Ryder has given us a most excellent treatise " On the Mechanical Genesis of Tooth Forms,"* in which he shows that the jb.w movements of animals are intimately related to the modification of the component lobes, crests, and ridges of the crowns of the molar teeth. He also points out that the restricted jaw movements, in which the mouth is simply opened and closed, are associated with the bunodont molar ; that the various kinds of excursive mandib- ular movements have been developed progressively; "tliatr.s these movements have increased in complexity there has been increase in the complexity of the enamel foldinp:s." If we attempt to apply these facts to the ancestry of the horse, it is by no means difficult to perceive that gradual change of habitat, causing a corresponding change in diet, would also compel greater and greater mobility of the mandibular articula- tion for proper trituration of the new food. The movements of the lower jaw in these animals have assumed a lateral direction, which affords, as T believe, a sufficient explanation for the broadenincT of the crowns and the lateral flattening of the cusps. The obvious effect of force continually applied in this direction would be to wrinkle the enamel covering of the cusps and ridges, thereby producing the accessory pillars seen in the higher types. By this method, I believe, a more and more complex grinding surface has been produced. * Proceedings Academy Natural Sciences, Philadelphia, 1S~8. CAUSE OF DIGITAL KEDLX'TION". '^60 The cause of digital reduction is another interestinfr inquiry. Bunodonts as a rule' are dwellers in s\vami>s and forests and live on nuts, berries, and roots. If they are compelled to for- sake their natural habitat and live in the open field, either modification or extinction will follow. Once in the o[)en field speed becomes a desideratum as a condition of safety, and the f(;ot with a reduced number of digits possesses many advan- tages over the polydactyle one. Prof. Cope has shown {American Naturalist, April, 1881) that in plantifjrade quadrupeds the extremities of the toes are arranged in a semicircle, when they are all applied to the ground. In the act of running the 1.-j1 and wrist are raised, throwing the weight of the body on the median digits. An infinite repetition of this posture in digitigrade animals unable to withstand the attacks of their enemies and whose only escape was in flight, the strengthening of the median digits. and th(^ consequent reduction of the outer ones, would follow according to the law of use and disuse of parts. This subtrac- tion of toes has progressed step by step until the modern one- toed horse has been reached. In summing up an article in the Kansas City Bevieic of Science and Industry, Mr. Wort man says : "I dare say that if all the intervening individuals between Phenacodus and Equus could be produced classification would be utterly impossible, so insensible would be the gradation." The forms already known appear to point to the inevitable conclusion that the modern horse is the product of the slow but iciprovJng processes of evolution, which are still in opera- tion, and are being aided by all the skill known to modern science. A discussion of the subject is almost superfluous, for the illustrations, like deeds, speak louder than words. iVote.— Pliny (B.C. 23) says Caesar had a 5-toecl horse (the forefeet), which was represented in his (Pliny'?) day by a statue ; also that Epi>,'enes eay? the Babylonians had a series of observations on the stars for a period of 720,000 years, inscribed on baked bricks. Bjrosns and Critodemus say 490,000. (Vol. ii. p;x 2-21-317.) Haked brieks have been found buried in tlie valley of the Nile at a depth to require the annual deposits of that river for 0,000 years (72 feet.) May they not some day be valuable aids to science as well as history ? Their stories can be better Jniagined than depcilbcd 270 APPENDIX. THE VIEWS OF AN EVOLUTIONIST. The following "review" of Horses' Teeth, written by Mr. R. M. Tuttle for Johnstons' Dental Miscellany, contains so mucli of interest on the subject of evolution that I think no apology necessary for inserting it here instead of putting it among the other press reviews at the conclusion of the volume : " The author of this work modestly suggests that it may be of value to the veterinary profession and also to horsemen and farmers. We have no hesitation in going further and affirm- ing that it contains much of an instructive and interesting character for dentists, and all scientific and thoughtful men. The day has gone by when humanity laughed or grew angry (according to its temper at the moment) at the mere suggestion that man has any relationship with the lower animals beyond their submission to his will and his right to lead them to the slaughterhouse. The movement of thought in the direction of Evolution is battled against by some eminent thinkers. The book before us does much to upset the arguments of these thinkers and to support the theory they denounce. But there is a middle position for those who neither agree with the theory of a separata creation for every genus nor with the develop- ment of animal life from one germ form. This position may be described in the words of Tennyson as a ' sunless gulf of doubt.' Doubt, however, is not always sunless ; and besides to admit a doubt is at least frank, and we prefer it to being dogmatic. Still even believers in a separate creation for every genus cannot but admit that, notwithstanding the . great diversity in the animal kingdom, there is a oneness of princi- ple, a common style of architecture, so to speak, pervading all animal life, which we see in the structure of teeth, arms, legs, wings, &c. "The construction of a horse's teeth points to the inevitable conclusion that he is a vegetarian, but the various changes in the dentition of a long line of fossil horses indicate that he was once probably carnivorous, or perhaps omnivorous. Teeth, like other parts of the body, are influenced by use ; the change is not so ob\dous, but it is no less certain. As the volume THE WEDGE OF EVOLUTION. 271 before us affirms, for example, the canine and remnant teeth have been much reduced in size, and, if Mr. Darwin's theory- is correct, are probably in the course of ulfiraate extinction. Now, the function of a canine tooth is to tear, not grind. If animals that now use their canines for tearing flesh were com- pelled to subsist on vegetable food, there would perhaps be no marked change in a generation, but there certainly would be in a series of generations. We therefore conclude that horse dentures have adapted themselves to a gradual but great change in the animal's mode of existence, a gradual departure from the original custom of subsisting on food wnicli demanded tearing teeth, and that it took to vegetarianism naturally. Fossil remains would force this conclusion on us, however much we might desire to doubt it. But why should we have such a desire ? To admit development, say some, is but the thin end of the wedge of Evolution. Be it so. It is the func- tion of scientific wedges to split old and false notions, and who ever heard of a man putting the thick end of a wedge in first? Whether development is the thin end of the wedge of Evolu- tion or not we do not care much to inquire. If a man studies horses' teeth of to-day as well as those of human boings, he will come to the conclusion that in both there are signs of great develnpment when com|-)ared w^ith the teeth of thousands of years ago. He will observe not change merely, but signs of a higher order of being — signs of an ev^olution of the superior from the inferior. " To some people Evolution is a bugbear, and the idea that human beings are capable of physical development is not much less. We advise such ]>eople not to read Mr. Clarke's book. It would trouble them. They might cast it into the fire and thus waste their money. But intelligent seekers after truth, those who find the 'gulf of doubt' in which they are floundering too sunbss for their light-loving souls ; those who are not afraid to meet the doctrines of scientific men face to face, may read this work with profit. Without desiring to disparage its author, we may say that its chief value lies in the fact that it is composed largely of selections from the works of men of special knowledge on the subject of the treatise and of various germain subjects. Much credit is due to him for collecting in so compact a form sucli a large quantity of valuable matter. 272 APPENDIX. which was scattered over cyclopedias, translations of learned secieties, and other costly books." Mr. Tuttle, in a letter to me (a few words of which have been interpolated in the foregoing article), in substance says : " At the close of the Eocene period there were three distinct types of animals descended from a common ancestor that are now represented by the horse, tapir, and rhinoceros.* Let us suppose that a pair of animals gave birth to the offspring which were to be the parents of these three types. What would be the process of development? These animals, with their mates, by some means get separated. The parent of the future tapir goes one way ; that of the rhinoceros stays at home, while he who is to beget the horse wanders away from the marshes and rivers to tha dryer land. Circumstances over which he lias no adequate control place him where alligators, crocodiles, and other animals that he has been accustomed to attack with his tushes are absent. His feet, which are many-toed, broad, and adapted to walking in the mud, now tread hard soil ; his canine teeth, which were used in tearing ii sh, now find little employ- ment ; his neck, from constant stretching as he crops the foliage of the bushes, lengthens ; a more rapid gait is acquired by a gradual contraction of tlie toer, and the lengthening of the legs, and eventually this modified animal becomes a horse. TIius is told in a few words what 1 believe has Icon g( ing on in the course of hundreds of thousands, perhaps millions cf years." It is noteworthy that a young man like Mr. Tuttle should entertain views similar to those of such an esperiencod evolu- tionist as Prof. Cope. It is not difiTicuU to believe that the bear-like Amblypoda, which Prof. Cope thinks were the com- mon progenitors of the hors3, tarir, rhinoceros, elephant, &c., were carnivorous, and there certainly is some analogy between the supposititious animal just described by Mr. Tuttle and the Amblypoda. Change of food was probably as instrumental in producing the great physical changes in early fossil animals as change of habitat and climate. And change of food does not * Compare with quotation from Prof. Huxley in third note, pp. 65-66; also with same from Prof. Owen, pp. 106-7. FOOD A FACTOR IN EVOLUTIOX PKOBLE^r. ^73 necessarily entail extinction, unless it be food directly opposed to the animal's nature ; and it raatters not if the change Is compulsory, for changes of taste may be either natural or cul- tivated. For example, children relish food they cannot eat when adult, and vice versa, which is natural ; and an appetite for SDnij foods may be cultivated at any age. Again, food probably causjs much of the change in tame bears and other animals that become wild, and vice versa. Still it is not strictly correct to say that the horse as such was ever carnivorous, for an animal that was the common ancestor of so many diverse animals was as much one as the otlier. In 1878, in a hastily written prospectus of a work that Dr. €. D. House designed to publish, in conformity with his (House's) views, I said the horse was probably once carnivor- ous. Thinking Dr. House to be mistaken, I wrote to Dr. Leidy of Philadelphia, asking his opinion on the subject. He agreed with me. THE ORIGINAL HOME OF THE HORSE. There is no doubt that the original home of the horse is not Europe, but Central Asia; for since the horse in its natural state depends on grass for its nourishment and fleetness for its weapon (safety), it could not in the beginning have thriven and multiplied in the thick forest-grown territory of Europe. Much rather should its place of propagation be sought in those steppes where it still roams about in a wild state. Here too arose the first nations of riders of which we have historic knowledge, the Mongolians and the Turks, whose existence, even at this day, is as it were combined with that of the horse. From these regions the horse spread in all directions, especially into the steppes of Southern and Southeastern Russia and into Thrace, until it finally found entrance into the other parts or Europe, but not until after the immigration of the people. This assumption is at least strongly favored by the fact that the further a district of Europe is from those Asiatic steppes, i.e., from the original home of the horse, the later does the tamed hdVse seem to have made its historic appearance in it. The supposition is further confirmed by the fact that horse- 27-4 APPEXDIS. raising among almost every tribe appears as an art derived from neigliboj-iug tribes in the East or Northea&t. Even in Homer tiie ox appears exclusively aa the draught-animal in land operations at home and in the field, while the horse was used for purposes of war only. Its employment in military operations was determined by swiftness alone. That the value of the horse must originally have depended on its fieetness, can easily be inferred from the name that is repeated in all the branches of the Indo-European language, and signifies nearly "hastening," "quick." T lie same fact is exemplified by the descriptions of the oldest poets, who, next to its courage, speak most of its swiftness.— y^/l<^ Popular Science Monthly for Jane, 18S2. ELEPHANT TOOTH-GERMS. MM. Pouc.iET AND Chabrit (Le Pr ogres Medical), having examined the germs of the teeth of a fetus of an elephant in the Jar din des PI antes, have concluded that the general opin- ions on this subject are not exact. Since the works of Robin and Kolliker, it has been assumed that there is produced on the surface of the gum a primary epithelial bud (bourgeon), that Poiichet calls the epithelial plate and Kolliker the adamantine organ or enamel, which sends out a prolongation destined to form a temporary tooth, and afterward a second prolongation for a permanent tooth. The more recent experiments seem to prove that the pern^anent teeth are not given forth from the neck of the temporary, and that there is no secondary adaman- tine organ. In the elephant, where there is no second set of teeth, the same plate or layer appears, together with the same prolongations. The two faces of the epithelial prolongation do not have the same structure ; the inner face is composed of cylindrical cells, while in the outer face there is a mingling of epithelial and tissue cells.— iV. Y. Med. Times, Feb. ISSl (trans- lated by Dr. T. 31. Strong). The deductions of MM. Pouchet and Chabrit may be correct in principle, but it is a mistake to say the elephant has only one set of teeth, for he has six or more, and may in fact be said THE ELEPHANT TEETH IX(; ALL THE TIME. 275 to be always teetliiug. The following facts arc partly based ou Cuvier, Oweu. and Wm. Jacobs: The crrinders, wliich are constantly in prog-ress of destruction and formation, are not deciduous in the ordinary sense, for they succeed each other horizontally instead of vertically, and not moro tlian one who'ly or two partially (one ou each side in each jaw) is in use at one time. As the fore part of tlie tooth in us3 is worn away by attrition and its roots diminished by absorp- tion, its successor pushes it forward (a movement that appears to b'j facilitated by the direct backward and forward action of the lower jaw), and a large part of the rei)lacing tooth is in use for some time before the first is entirely shed. Tims a grinding surface is ready all the time. The milk teeth are cut eight or ten days afrer birth, the upper preceding the lower, ancl it IS about two years before they are entirely displaced by thj second set. The second set is in use, but gradually dis- appearing, from the second year to the sixth, when the third is fully in position ; it in turn serves till the ninth year, when the fourth set is in position ; and thus it continues to the end of the animal's life-10) or even 150 years. Each succeeding tooth requires at least a year more than its predecessor to be completed. The grinders are remnrkable for their size and the complexity of theirstructure, the upper and lower teeth being muc'.i alike. They are composed of ivory (dentine), enamel, and a large quantitv of cement. The crown is short in proportion to the depth Jf the baso or root, only a small part appearing above the o-nm. In the Asiatic species the crown is composed of transverse, vertical, enamel-plated dentine ridges, about half an inch apart, and joined together by cement. Tiie ridges are nearly strai<'ht and are tooth-like in appearance. The ridges are good indicators of nge, the Brst set of tee'.h having 4, the second 8 or 9. the third 12 or 13, the fourth 15, and so on to the seve-..th or eighth, which have 22 or 23. In the African species the crown is studded by lozenge- shaped projections in- stead of rido-es. A tooth of the elephant Columbus, an excellent specimen, which may be sem in Worth's Museum (New York) weighs 12 iTOunds ; its breadth is 7 inches (the aggregate of the six back teeth of the horse); thickness, 2^ ; length, 11. 276 APPEi^DIX. It baa only 13 crown ridges, and is therefore little above a medium-sized toorh.-^ The crown resembles a small Belgian paving stone, while the taper of the root resembles that of a heart. The elephant is a vegetarian, and the construction of its grinders is a striking example of the adaptation of the teeth of an animal to its food. The tusks, two in number and belonging to the upper jaw, are shed but once. The deciduous tusks cut between the filth and seventh months and are shed about the end of the first year, their roots being considerably absorbed. , They rarely exceed 2 inches in length and h of an inch in diameter. About two months after the shedding of the temporary tusks, the permanent, which are situated to the inner side of and behind the former, emerge and continue to grow throughout life. They have an enamel coat, but are mostly composed of ivory , a remarkably fine and elastic form of dentine (differing somewhat from the dentine of other teeth), and are hollow for a consider- able part of their length. They are deeply imbedded in the skull. Sir Samuel Baker found one 8 feet long with 22 inches girth to be imbedded 31 inches. The tusks, which are formidable defensive and offensive weapons, and which correspond to the canine teeth of other animals, vary much in length, weight, and curvature. Gordon Gumming found a tusk in Africa that measured lOJ feet and weighed 173 jjounds. The average, however, is not over 7 feet and 109 pounds. They are generally smaller in the female than in the male, but according to Cuvier the African species are the same in this respect. In the Indian elephant some have a pronounced upward curve, some are nearly straight, while others resemble the letter S. They are sometimes used as levers in uprooting mimosa trees whose crown of foliage is beyond the reach of the trunk. In Ceylon, where the elephant lives chiefly on grass and herbage, the tusks are generally absent in both sexes. The bullets sometimes found in the ivory are probably first lodged in the pulp cavity and then carried to the solid part by growth. * Mr. L. G. Yates of Centerville, California, says fossil elephant molars weighing 25 pounds have been discovered in that State. HUMAN ^HUMAXE) DENTISTRY. 277 A large elephant weighs 7,000 pounds. The Indian elephant is 10 feet in hight, the African 13 ; a skeleton in the St. Peters- burg Museum is IGi. HUMAN TEETH. FILLING children's TEETH.* Filling the deciduous or first set of teeth prevents decay and consequent injuiy to the second set,f alleviates pain, facil- itates syeech4 mastication, and legularity in the growth of the second set, aids in keeping the breath pure, and is conducive to health at a very critical time of life. They should be filled as long as filling will preserve their usefulness, and at all times, for some are shed as early as the fifth or sixth year, others as late as the eleventh or twelfth. Any of the usual fillings will answer, the sole object being to arrest decay and "aid somatic development " (Odell). Children should be taught to use a brush and proper dentifrices. Defective teeth are often the result of improper diet during utro-gestation. Drs. J. Allen and G. M. Eddy say that mothers do not eat enough bone- producing food, such as oatmeal, bread made from unbolted flour, &c., but admit that such foods do not assimilate in every case. Dentists differ as to the advisability of the use of anaesthetics in treating children. The teething period is longer than is usually supposed. It begins about the seventh month before birth § and continues * The object of this brief article is merely to call attention to an impor- tant subject. My own attention was directed to it by Mr. E. A. Rockwell in an interesting article in the New York Sun. Eeader? who wish to stncly the subject arc referred to the elaborate worts of dentists. Besides the dentists mentioned above I have consulted Drs. G. H. Rich, F. Abbott, and C. E. and J. S. Latimer, all of New York. + Dr. T. P. Wa^joner (Knicrhtstown, Ind., Dental JSTeu's) approves the above, and in addition says the development of a permanent tooth may be retarded by a dead deciduous tooth. X Ilaller and other pbysioloofists j^ive minute accounts of the effects produced by teeth in articulating the various letters of the alphabet.— Bostock. , § For the development of human tooth-germs from the seventh -week till birth see page 46. 278 APPENDIX. till the age of 17 or 25 years. The annexed cut (Farrar) repre- sents (above the dotted line) an upper deciduous set of teeth. 1, 1, centra] incisors, erupt between the 5th and 6th months; 2, 2, lateral incisors, 7th and 10th months ; 3, 3, canines (eye teeth), 12th and 16th mouths ; 4, 4, 5,5, all molars, 14th and 36th mouths. Total, 20. The low- er teeth usually precede the upper by a few weeks, 6, 6 do not belong to the deciduous set, but, as they erupt between the fifth and sixth years, are usually classed with them, and frequently decay beyond remedy before the mistake is discovered. Dr. J. N. Farrar (New York), to whose works I am indebted for information, says {Missouri Dental Journal, April, 1880) : " The statistics in this country show that out of about 80 peo- ple of all classes only one has sound teeth. This is the result of a combination of causes — systemic disturbances from clinftite, food, crossino^ of races and types, and neglect. Most of the cavities are caused by anatomical imperfections or overcrowd- ing, nearly all of which develop before the thirty-fifth year, * * * The science of dentistry, however, has checked much of this suffering, and at this time (1879) there are 12,000 dentists annually ])acking into tooth-cavities about half a ton of gold — $500,000. The estimated gold coinage value in this country is about $150,000,000 ; this sum, at the rate gold is used for fill- ings, would be transferred to graveyards in 300 years. The value of the cheap fillings is about $100,000, and there are annually manufactured about 3,000,000 artificial (porcelain) teeth. * * * If $100 is put on interest (7 per cent.) at the birth of a child, it ought to pay all dental expenses till the age of 30 years ; but if the child's teeth are neglected, increased dental bills result, with poor teeth at best. The only question remaining is, is the baby worth $100 ? " INDEX. Ab^tor^taL DENTtTioN, human, 128 ; hor^e, U-2. Abnormal Teeth, 115-123. Abiioriual Tooth, descriijiion of, 123. Ab-ioi'ptioii of roots; of foals' teeth, 48, 70-1 ; do. e.ephaiit, 275-6 ; den- tal journal on, 288. Alfort Vetermary College, 14 >, 142. Amblvpodii, the, 257 ; des^cription of. 261-2. Americi.^, the. richness of fossil re- mains in, 105-113. AnacoJon, fossil lior.':-]71 ; treatment after treohniing sinuses for, 170 ; other dent il cases, 177-193 ; ccm- fonnded with glanders, 176, ISO, 185; definition of, 231. 280 IXDEX. Cartwright, W. A., report of, 193 ; : tractiue of jawboue, 19ti. Cauc;K-ian Races, teerli oi\ 99. ! Cement, the, 9 ; size of tubes of, 16; use of, 17 ; mistaken for tartar, 17 ; vascularity of. 17 ; tninuess of, 17 ; color of, 18 ; resemblance to bone, 23; germs of, 43; a proiecting varnisli, 53, GJ; microscopical cliar"- acter of, 133. Chabrit, M., tooth-germs, 274. Chalicoihcriidaj (fossil horses). 260. Chandler, C. F., on albumen, 227. C.iauvoau, A., harmony of teeth with genera! system, 11 ; development of tooth-germs, 41, 42 ; description of ircisors, 58. 59, 60 ; growth of teeth during life, 73. Cherry, W. A., shedding teeth, 59-1 ; judj;inz ago by shape of teeth, 204. Chcvfotain, 78 ; description of, 232. Claywortii, Surg., report of, 197. C )loman. Surgeon, discovery of, 116. ' Columbus ' (elephant), tooth of, 275. Coluber Scaber (serpent). 121. Comparalive Anatomy, "iS?. Coni-ad, T., discovery of, 113. Complex grinders, cause of, 208. Concomitant Variation, a factor in evolution problem, 98. Condylarthra, the. 2'iO-l, 264. Cope, E. D., editor American Natur- alist, 113; physiological homolo- gies, 233; discovers Phenaccdus (teeth) and other fossil horses, S59-2G9 ; opinion of the Amblypo- da, 261-2. Copybara, the, srriudcrs of, 10; de- scription of, 283. Couehing and Teething, treatment ' for, 92. Crib-biting, effect of on teeth, 212- 13 Cumming, G., elephant tu^k, ^/IG. Cuvier, F , 16; noie on, 6'j ; bones and teeth of recent and fossil horses, 106; ophthahnic ganclion, 221 ; elephant teeth, 275. Dana, Prof., geology, 940. Dandini, J., silver and golden hued I teoth, 25-6. D'Ai-boval. teething, 87. I Darwin, C. R., tushe ? of various ani- j mals, 77, 78, 79 ; changes in human i teeth, 99. Dawson, J. W., geologv, 243; mio- i cene period, 244 ; pliocene period, 250. Day, E. C. H., narwhal. 246. Deciduous teeth, retention of, 129. Delafond, M., on trephining, 161. Denenbourg, P.. report of,"l3;3. Dental Cysts, importance of study ; of, 115; microscopical character of teeth in, 118 ; reports and theories on, 115-126. Dental Canal, the, 31, 224, 234. Dental i.'vscs, l!5-l:ib. Dental Nerve, the, 224-226. Dentinal, origin and use of word, 8. Dentinal Pulp, network of looped capillaries of the, 33-4. Deiumal Star, 59 ; description of, 209. Dentinal Tubes, office and color of, 22, 23 ; their two curvature^, 23 ; dichotomously branched, 131, 133 ; diameter of, 132 ; length of curves, 133. Dentine, the, S, 14. Dentine Germ, 43, 59. Dentition Fever, 93. Dentition, permanent, 53-74. Dentition, temporary, 47-52. Dentition, third, cases of, 128. Digital reduction, cause of. 269. Dihoceras mirabilis (fossil), horns and canine teeth of, 236. Diverticula, use of, 22, 235. Doo- tooth-germs, grafting of, 27-8. Draper, J. W., obligation to, 4. Dugong, the, 79 ; description of, 235. Dunglison, R., development of teoth, 45 ; diseases of teeth, 137 ; calculi, 193 ; vocabulary, 227-256. Eddy, Dr., children's teeth, 277. E.iinburgh Veterinary College, re- port of, 179, 180. Editor Veterinarian, comments of, 184; report; of, 201, 202. Elasmothere, the, great size of, 107; enamel festoons of molars of, 107 ; co'inecting link between horse and rhinoceros, 107. Elephant, great qunntity of cement in grinders of, 10 ; unique mode of cutting and shedding several dentitions; size, structJirc, &c., 274-7; affinities with rodents, 260. Embrvo, human, transformations of, 81-2 ; definition of, 236. Embryolosy, 80-82. Enamel, the, 10; tubes of, 18, 19; color of, 19; membranous sheaths of, 59; plications of, 106. Enamel, the two rings of, 59. Enamel-Fibers, direction of, 20; curves of, 20; form and size of, 20; diameter of, 134. Eocene (period) fossils of. 236. Equid?e. the, teeth of, 261. Evolution, doctrine of 77-9. 98-9.237; 257-63 ; from inferior to superior, 271 ; a bugbear, 271. Exostoses, 17, 116. Faenkel, discoveries of. 15. Falconio, Surg., di^icovery of, 118. INDEX. 'ZSl Fersnii'on. P- ^ r development of i teeili. 45 j grinders. 6i ; ilie forma- tion of enamel, 04 ; giowlh of teetli during iile, IS; aiseaircs of teeth, lis ; Uis^ea.-es and dentisrtry of horses' leetii. Iyd-1G2; swallow- ing teeth, 1U2. 193. Filling children's teelh, 277. Fleming, G., dental cysts, 115-119; fractmed jaw, l'J5, li)G ; ou glan- ders, l".»y. Food, for foals, 5C; for tooth-cough, 92 ; for uuc-qual weai" of grinders, 143; alter trephining for caries, 15), 102 ; for defective teeth, im- proving skin, fever, convalescence, &c.. lO.J-4; sifting of, 171: changes caused by, 272; bone-producing, 277 ; sugar for horses, 3U. Forthonime. M., milk canines, 52. Fossil, cat-like animal, a. ZU. Fossil, definition of, 114. Fossil, hog-like elephant, v/ith tusks in both jaws. 241- Fossil Horses, cause of changes in teeth of. 268 ; do. reduction in toes of, 269. ^See Horses, fossil.) Fossil Horses, recent discoveries of, 257-269. Fossil Tooth, a diseased, 173. Fractured Jaws, 194-202. Fnngns Haematodes, 173 ; definition of, 239. Gamgee, J., rojwrt of, 120-2. G.mglinn, nature of, 220-1, 239. Gurengeot. M., dental kev, l."36. Generali, Piof.. deniiil cysts, 116-19. Geology, definition of, 24J. Gill, T., nature of teeth, 12 ; d?ntuT forinnla for horse, 101 ; fossil hii ds' teeth, 114; teeth from diverticula (marsupials), 235; morphology, 245; quadrumaua, 251, 252; lele- osts, 254. Girard, M., acre by marks and shape, 206-7 ; dentinal star, 209.. Glanders, resembles caries of last frinders. 152-3; odor of, 1.53; may e caused by c tries of teeth (ab- porption of pus), KJO : sometimes imaginary, 170, 180, 1S5 : danger from and prevalence of. 199. Gomphosis (tooth-nrticulaiijn). 72. Goodsir, I*i-of., on tooth uenns, 125. Gonbaux, Surg., discoveiy of, IIT. Gowing, T. W.. on teeth. 171-72. Grice. C. C, report of, 12:3. 124. Grinders, tl'.e 5t ; tables of. 61 ; fig- ures formcci by. 61 ; contra>*ts between, 61, 62; their own whet- stones, (,0 ; mots of ('8,70; shed- ding of, 79. 71 ^activity of growth and undivided i)ase of, 74. Grouille, Mage, dental cy.«ts, 116. Guanaco, 78 ; description of, 240. Gubernaculum Deniis, the, descrip- tion of. 42. Gums, shrinkage of the, 72, 74, 172, 181 ; atrect;'d l)y turgesceuce, 151 ; nerves of, 2'Za. Guilt, (Surg., ciisc'avery of, 117. Giitta-peicha as a lllling lor teeth and sinuses, 104, I7i; for children's teeth, 277. Haeckel, E. H., embryos. 81-2. Harris, Prof., 3d dentition, 129. Hartshorne, H.. evuluticm, 237. Ha^chischat ed dab, eflcct of on teeth, 25. Haw of the horse's eye (membraiia nictitans), description of, import- ance cf and evil caused by iguor- ar t grooms, 244. Hnyden, Lr., discoveries of, S57. Hayes, B.. tooth-pnlp, dentii.al tubes, cells and curves upon curves, cement, enamel, &c., 22-4 ; diseases of teeth. 137. Heard, J. M., obligation to, 216; letter fnmi, 292. Heath, J. P.. report of, 200. 201. Henoc(iue. M.. motor nerves, 217. Herbert, VV. 11.. age, 214, 215. He^^perornis (bhdT, teeth of, 114. Hespeiornis regalis, teeth of, 114. Hipparion. foss^il horse, 95, l;6. 111. Hippotherinm, fossil h( rj-e, 264-7. Hippotherium gracile. 2()8. Hippopotannis, canine teeth of, 63. Histoloirv, difiriticn of. 241. Hitchco\-k, C. H.. on fos^ls, 114. Hoeing, C. F., obligation to, 215 ; letter from, 292. H()6. 111, 112; Hippi- dium,268; Hippotherium^ 264r-7: 282 IKDEX. Hippotherium gracile, 268; Hyo- doaia, .-^iiii ; Hyoiiippa<, 11^; Hyra- cotlijriuiu, -^66, -ZM-); Lambdutiie- riuai, 'ii64:-i; Lopaiuaon aud Lo- phiodonddce, 2o8, 2M ; Meuisco- theriiun, Ji6J-4; Meryciiippus, 11:2 ; Mesohippus, J)?, 11;^, iio4; Orothe riuin, 2oJ ; Paleosyopous, 2'or, Fa- leotlieriidte, 261; raleoplotheiium, 254; PeriptychLis, 263; Pliolophus, 253-9; Protogonia, 26:3 ; Protohip- pius, 112, 2fil ; Systemodon, 259-64. (Sae confasioii ia nomenclature, pp. 253-9.) Hor.sei, fossil, 95-93, 106-13 ; extinc- tion of in SouTli America, 103 ; recent discoveries of, 25*7-263; early progenitors of (Amblypoda) possibly carnivorous, 272. Horse?, '•insane," 103. Horses without cars, 103. House, C. D., size of tooth-j?erms, 31 ; on teething, 47-8 ; grinders, 62; remnant teeth, 103, 104; re- moving a fractured tooth tbroup:h the nostril, 193, 199 ; operations in Worcester, Mass., 199; idle talk about glanders, 19 J; another prob- able mistake, 273 Hudson, E. D., Jr., mucous mem- braae, 245 ; ovaries, 2i3. Hunter, J., theories of, 21-27 ; enam- el of grinders, 03 ; attachment of teeth, 72; use of canines, 83; su- pernumerary teeth, 123 ; pro\ing the formation of new dentine, 239. Hughes, J., dimensions of teeth, 49; periosteum of teeth. 137. Huxley, T. 11., ta;)ir, rhinoceros, and horse, 65-6; fossil horses, 110-11. Hyohippus, fossil horse, 112. Hyracotlierium, fossil horse, 258-64. Hyrax, teeth of and affinities with rhinoceros and elephant, 2!33. Iguanodon, the, molars of, 63. Incisors, the permauoat, 53 ; length of, 57; curvatures of, 57; Chau- veau's description of, 53-60 ; mi- croscopic character of, 130-135. Incisors, temnorary, 47-52. Inferior Maxillary Nerve, the, 223-24. Jacobs, W., on elephant. 275. Jaw, djscription of lower, 62. Jaw Movements, changes in, 233. Jaws, fractures of the, 94-232. Jaws, hnman, c'lau'res in, 53, 90-100. Jennings, R , rem laat tooth-germs and remnant leeth, 104. Knowl^on, J. C, bisho-Ding, 211. Koch, Robert, di-^covery of, 255. KOlliker, Prof. Rudolf Albrecht. on tooth-germs, 33, 43, 43, 274. LvFossB, Prof., dental cyst?, 120. Lambdotherium. fossil horse, 234-7. Lampas, cause of, 88-91 ; lancing recommended lor, 87, 91 ; buruuig for disapproved, 90-1. Lancelet, tiie, comparison to, 81. Lanzillotti Buonsanii, Prof., on den- tal cysts, 115-18. Lecoq, Prof., canine follicles, 44 ; temporary canines, 52; descrip- tion of grinders, 69-71 ; do. ca- nines, 76-7 ; remnant teeth, 100. Leeuweuhoek, discoveries of, 13. Legros, C, experiments of, 2i'. LeJdy, J., letter from, 101 ; fossil teeth, 113; 257, 259; opinion of, 273. Lincoln, A., 211. Lion, the, canine teeth of, 83. Liquor Sanguinis, the. 22, 242. Lophiodon, teeth of, 258, 260. Lubin, R., discovery of, 127. Lyell, Mr., N. American fossil tooth corresponding to S. Amer., 110. Macrops, Surg., experiences of, 117. Madder, effect of on teeth, 24. Magitot, E., 27; development of tooth-germs, .human fetus, 46. Malpighi, discoveries of, 13. Mau, "canine leeth of, 82, 83. Man, early progenitors of, 80-3. Manteodon, prophecy tooth of, 262. Marks, dimensions of, 57. 53; two- fold use of, 204 ; too much cement in, 209, 210. Marsh, "O. C. evolution of horse, 95- 98; no 'mark' in teeth of early forms, 203; fossil birds' teetli, 114 ; description of mastodon and megatherium, 243; the Lophio- dons, 253 ; Orohippus, 259. Mastodon, the, 109, 114, 243. May C, report of. 178, 1V9. Mavhew, E, the comeut, 17, 18 ; judging age by teeth, 237-3. Mayo, Mr., experiments of, 218. Megatherium, the, teeth of, 107, 108 ; description of, 243. Melanian Races, teeth of. 99. Membraua Nictitans, in early pro- genitors of man (Darwin), C2 ; nerve for in horse, 222 ; descrip- tion of, 244. Meniscotherinm, fossil horse, 2G3-4. IMerj^chippu^, fossil horse, 112. Mesohippus, fossil horse, 97, 112. Miocene (period) fossils of, 244. Miohipuus. fo'^sil horse, 112. Molars' bunodont, 263. Mol irs. seleno-lont, 263. Molars, the, 54 ; ineliuation of, 54 ; description of, 09-71 ; microscop. ical character of. 130-35. MoonBliiidncss, cause of, 105. IXDEX. 283 Mooro, T., a mountain herb, 23, Morpliologv. definition of, 24;5. Morion, Prof., treatis^eby, 193. JMules' Toeili, tt'Uiug age by, 215. Miiller, Prof., discovery of,' lJ-5. Munljac-Deer. 78, 240. Mutfk-Doer, TS, 24.-). Mylodon, tUe, 1U8, 246. Narwhal, the, tushes of, 79 ; de- t^cripiion of, 240. Natuiv biin-icaJiug disease, 139, 209. Newberry, J. S., zoOlogy, 256. Niebuhr, opinion of, 25. JSippers, the, use of word, 47. Nomenclature, confusion in, 2^-9. Odontoblasts, the, 31. O Inntolithos, tlie. 17, 217. Odanturnithes (binls), teeth of, 114. Odoutonecrosis, 138. Olontryuv, operation of, 13S. Ohlinger, O. P.. discovcrv of. 113. Ophthahnic Nerve, the, 219-22. Ornithorhynchus, the, 80, 247. Operating, rules for, 154-lGO. Oreste, Surg., discovery of, 118. Orohippu^, fossil horse, teeth of, 96, large tushes of, 97; toes of, 97; size of animal, 112; name of, 259. Osteo-sarcoma, case of, 186. Owen, R., dental sciencL\ 8, 10, 13- 22; tooth-gerins. 32-37; breadth and thickness, 49 ; temporary ca- nines, 51 ; teething, 55 ; descrip- tion of grinders, 64-GS ; teeth of anoplothcre. 65 ; do. ruminants, 05 ; do. tapir. 65 ; do. rhinoceros, 6 ; do. mc-gat'-ierium, 107; rem- nant teeth, 102 ; fossil horses' teeth, 103-10 1 ; microscopical ap- pearance of horses' teeth, 130-135; diseases of teeth, 131'; diseased fossil tooth, 173, 174; the fifth pair of nerves, 225, 221 ; discovers Hyracotherium, 2.58 : teeth of ele- phant, 275, tooth-va'^eularity, 20; probable circulation and proionsra- I tiou of nerves in dentinal tubes, 30. Paleoxtologt. definition of, 248. Paleosyopous, fossil horse, 267. Paleothere, teeth of. GS. Paleotheriidse, fossil horses, 261. Parker, Willavd, on caric-, 2"1. Parnell, C, remnant teeth, 102. Parrot-Month, 1'57. 1C8. Patholo','y of the Teeth, 130-174. Perciva'l, W.. teething, 83-81 ; lam- pa^, 8^-90 ; di>^ea«es of teeth, 1.08, 135: onhtbalmip ganglion. ?21. Perio-teu'.n. ela'^ticity of, 7i ,74 ; def- inition of, 240-.5*. PeriptvchuP, a fossil horse with teeth resembling a serpent's, 263. Perisf-odactyla (odd-toed mammals), 2.;7-(i4. Pessina, Prof,, discovery of. 215. Phenacodus (earliest lossil horse), description of, 200-;i-!j, 28S. Teeth, cat'ine (horses'), description and probable extinction of, 75-77. Teeth, canine, use of in difterent an- imals, 77-83 ; made to tear flesh, 271. Teeth, constant in the same type, and generally appreciably modified according to famil.y, 12. Teeth, continuous growth of, 73, 143 ; extraction on account of. 178. Teeth, deciduous, retention of, 129. Teeth, elephant, uaiqne mode of cutting and shedding several den- titions, 274-5 ; size, structure, &c., 274-6 ; great quantity cement in. 10. Teeth, elephant (Indian), indications of age by, 275. Teetli emanating from osseous sys- tem, 131. Teeth, foals', absorption of roots of, non-continuous growth of, scarci- ty of cement on crowns of, 43 ; crowns worn off by attrition rath- er than shed, 50 ; breadth of, 49. Teeth, fossil birds', 114. Teeth, fossil elephant, weight of, 276. Teeth, f)ssil horses' (see '• Horses, fossil," p. 281"). . Teeth, fossil horses' (South and N. American), 103-10. Teeth, goa's', gold and silver hues produced iu. 25-6. Teeth, growintr. effect of madder on, white red and whit", 25. Teeth, horses', anomalous condition of, 142, Teeth, horses', dimensions of, 71. Teeth, horses', discovery that they indicate age. 215. Teech, horses', fillings for, 164. Teeth, horses', signs of improve- ment in, 266, 271. Teeth, horses (.Spanish), peculiari- ties of, 215. Teeth, hoises', temporary, 47-52 ; permanent, .53-74; canines, 75-63; remnant, 94-114 : abnormal. 115- 127 ; supernumerary, 139 ; under the microscope, 1S6-1E5 ; pathol- ogy of. 136-174 ; dentistry of, 175- 193 ; indicators of age. £.03-215. Teeth, human, changes in, 99. Teeth, in harmony with general sys- tem, 11. Teeth, nudes', telling age by (differ- ing somewhat from lunse), 215. Teeth, readily preserved in a fossil state, 12. Teeth, remnant, 94; regarded as phenomcnons, 94, 101 ; line of de- scent, 94; not to be conlouuded with su'^ernumeiaiy teclh, 94 ; the name. 94 ; easily lo.'-t. 99-iOO. Teeth, rudimentary, 99; why good teachers, 99. Teeth, uipt rnumerary. 127-8, 139. Teeth, three sets of, 128. Teeth, transplanting of. 26-29. Teeth, tubes (hollow columns) of, 12. Teeth, value of to the ai.atomist, 11. Teeth, variety and use of, 10. 11. Teeth, various animals', Boar, 77, 84; Cachalot, 79; Camel, 6C. 78; Cattle, 91-2 ; Chcvrotain. 78. 232 ; Coluber Scaber, 121 ; Copyhara (or Ca-ybara). 10, i:.33; Dinoceras mirabilis (fossil) 236 : Diigong, 19, 235 ; Elephant, 77, 274 ; do. fossjl, 244 ; Hippopotamus. 63 ; Hog, 63 ; Hyrax, 200; Igranodon, 63 ; Lion, 83 ; Mast(-don. 109, £43 ; -JMegathe- rium, 107. 243; Muntjac deer, 78, 245 ; Musk-deer, 78, 245 ; Karw hal, 79, 246 ; Ornithorhynchns, SO, 247 ; Bhinoceros, 67 ; JRuminants, C5, 252 ; Shark (fossil), 236 ; Tapir, 65; Toxodon, 109, 254; Walrus, 77 ; Zebra, 52. Teeth, vascidarity of, 22-30; nerves and circulating vessels of, 26. I'eeth, wolf, why called remnant, 94. Tenon, verities Ruini's discovery, 69. Tennyson's " gulf cf doubt," 270. Toes, 97, 112, 265 ; cause of reduction in number. 269 ; form a semicircle when applied to Ihe ground, ;v69. Tomes, C. S., tooth-germs, 37-41 ; temporary canines, £2 ; dentine, enamel, and cement, 63; attadi- ment of teet";, 72 ; tushes < f boars, 84-5 ; evolution, 98-9 : no • mark ' in teeth of early fossil horses, 203. INDEX. 285 Tomes, J., a tooth barricading dis- ea.-e, 139. Tooili, abnormal, description of, 123. ToOlIi. a disv-asei lossii, r.3-4. •loom, a trac.ured, 19S-y. Tooth, a propuccy. -^o-i. Tootii. a whalef, (lc^^cription of, 79. Tooth, t'lepbaut, m W onli's Aluseum (New York), ::iT5. Tooili ill upper jaw of a bull, 127. Toolh, iiaiui-e ol, 7, 8 ; iridescence of. 12, IG; no inherent power of reparation in, 137. Tooth i^ulp. description of, 31. Tooth, roiunaut, vicious inclination cf a, 104. T(y)th, swallowing a diseased (fatal), Tooth, ewa'ilowing a healthy, 193. Tooth-Cough, treatment for. 9:1. Tooth-Germs, developuient of, 31-46. Tootli-Ger.-is, ( Ois'. graltiug whole term's, Reparaic enamel organs, entine cays, &c.. in dogs and guinea-pi^?, tho.-c in the latter anim'il failing, 27-S. Tootii-Germs, elephant, Z7i. Tooth Germs, human, transforma- tions of cjiithelial and enamel geriiis, dentine bulbs, caps, &c., in, fro!!i 7th to 39th week, 46. Tooth-Tumor, nnusnal ca^e of, 196. Tooth and Bnne. analogy of, 23. Toxodon, remains of, 109 ; descrip- tion of, 2.j4. Trepiiino, the. 254. Trephining Sinuses, 157-161. Trigeminus Nerve (in the horse), de- scription of, 21(^226. Tripier, M.. resection of nerves, 217. Trucar, the, 25.5. Tushes, fighting with, in various animals,'77-85. Tu-he^ horses', practically useless, 75; difForent from other teeth. 75: distances from incisors and grind- ers, 75, 71 ; shape and dimensions of, 76; curvature of roots, 76. Tushes, removal of, 1.55. Tushes, size of in Orohippus, 97. Tusks, elephant fighting with, 77 ; varying curvatures, weight, length, &c., of. 276. Tuttie, R. M., on evolution, 270-2. Vabnbll, G., opinion of, 102 ; dis- eases of teeth, 1.3S. 13^; ; the sinuses, 15.J. loJ. llil ; canes, 164-10(3; uit- cases of aivcoiar processes, luu; parrot-mouth, 16T; osteo-sarcoma, 186-7; Iractui-ed jaws, 194. Views of an cvoiuiumist, 270-2. Wallace- A. R., cause of destruc- tion of ungalaia. Ill; fossil horses, 112 ; theology, 2-10. Walrus', tlie, mode of fighting of, 77. Walsh. J. II., age by teelii, :to8. \\ edges, scientific, use of. 271. West, bone-beds of the, 257. Wheeler, Capt., report on survey of, 261-2. Williams, Prof. W., teething, 91 ; remnant teeth, 104, 105 ; dental cysts, 125-127 ; caries. 1(.9-171. WiiliauiS. W., nccrosit:. 2J6. Winter, J. H.. use of tushes, 85. Wolf-tcelh, why a good generic name, 91. Woodward, J. J., tooth pulp, 31 ; histology. 241. Woolly Rhinoceros, (fossil), 251. Wor4:s, general, 4. Works, special, 4, 290. Wort man. J. L.. on fossil horses, 2,57-i69; discovery of. 260. Wyman, Prof, discovery of, 81. Yates, L. G., fossil elephant teeth, 276. Youatt, W.. susrar as food. 30 ; tooth-germs. 44, 45 ; infundibula of grinders. 58; description of lower jaw, 62 : use of tushes, 84 ; teething, 85, 86 ; lampas, 90, 91 ; cropping horses' ears. 103; rem- nant teeth, 105; food, 1C2-1G4 ; disease's of teeth. 172, 173 ; frac- tured jaws. 196-198; 'mark' of central nippers, 205; difficulties of judging age, 20'?: bishoping, 210"; tnd- tricks. 212, 214 ; crib- biting. 212, 213 ; indications of a?e inr'ependent of teeth. 214 ; fifth ])air of nerves, 216-225; cneoum, 2.30; colon. 2.32; mcrnbrana nicti- tans. 244 : solipeds 253. Youmans, E. L., evolution, 237. Zebra, temporary canine teeth of, .52. Zoology, definition of. 256. PUBLIC OPINION. Horses' Teeth. — Such is the title of a work we have just read with considerable interest, because it embraces much that is instructive and useful. Designed as the publication is to give a synopsis of the fundamental principles of dental science, it has a defect attributable to the author's lack of practical experiencs in the specialty of which he treats. * * * The chapter on canine teeth contains much of interest, and fully sustains the theory that horses sutFer from febrile irritations, as the result of interrupted dentition, and that the free use of the lance is as serviceable as when used on an obstructed eye- tooth of a child. The disease known as lampas, which is often accompained by a distressing coucrh, and which so seriously interferes with feeding, is shown to be due to the same cause and to require the same remedy. To state that caries most frequently proceeds from inflammation beginning in the pulp- cavity, or that caries of the roots is the result of inflammation of the alveolo-dental periosteum, is certainly far from the ex- perience of the practical dentist; but, notwithstanding- these defects, there is much of value in this (the eighth chapter) as well as the succeeding chapters on the dentistry of the teeth, their indications of age, their nerves, &c. * ^ *, — C. N. Pierce in "Dental Cosmos." "Horses' Teeth," by Wm. H. Clarke of New York, is a neat and handsomely bound volume, containing selections from the very best authors, with appropriate additions by the author, making' a book that is invaluable to veterinary sur- geons, and of great practical benefit to dentists, and should be 288 PUBLIC OPIis^IOX. studied by every parson wlio treats the tectli. The nuthor treats of the teeth from the time of the formation of the germ to their full development, and gives their pathology and den- tistry also. A vocabulary of the technical terms used forms a valuable addition. — Dental News. This work is undoubtedly in advance of anything hereto- fore published on the subject in this country. " * * When the author says that " probably the temporary teeth are absorbed by the permanent," he displays the folly of attemi^t- iiig to write on a subject that one does not understand.* Still the work is useful and will probably aid in the elevation of veterinary surgery. — Missouri Dzntal Journal. This book is in a great measure a compilation from works on dentistry, anatomy, physiology, microscopy and veterinary surgery, as they relate to the davelopment, structure and care of the teeth of horses. As we are a believer in horse dentistry, we have looked over the work with much pleasure and no inconsiderable profit. — Dsmal Advertiser. This book is a venture in the field of veterinary science which we hope to see more frequently imitated. It is mainly a compilation, admirably arranged, and prepared with great thoroughness of detail. The compiled matter is well selected and condensed, much of it being rewritten. It contains much besides the matter pertaining to horses' teeth, the teeth of many other animals being described and compared with those of the horse ; in fact, the work might be entitled " Teeth " instead of •' Horses' Teeth." It gives a history of the evolu- tion of the horse from early geological periods, the wolf-teeth, which the author has named " Remnant Teeth," being traced back to the Eocene period, when they were functionally developed. This fact throws light on what has been a mys- tery, and the author appears to have made a discovery. The work, as a whole, is very commendable, and we feel * See pages 43 and 50. A few changes have been made and some fresh matter addeti. But I will venture to ask the editor of the Journal what becomes of the roots of a temporary tooth when the shell of its crown when shed is sometimes not more than the sixteenth of an inch in thickness? What becomes of the roots of elephant teeth ? (See pages 274-5-G.) PUBLIC OPINION. 289 sure it will find a place in tlie library of all interested in a thoroughly practical as well as scientific knowledge of liorscs' teeth, and will be found especially valuable both to the student and practitioner of comparative medicine and surgery. — Jour- nal of Comparative Medicine and Surgery. The work consists mainly of quotations from standard writers. It is very interesting and instructive reading, and is fully worth the small sum it costs. The author deserves credit for his labor in collecting information from so many separate sources, and presenting it in so small a compass and so readable a form. However, there are errors in the vocabulary that ought to be corrected. — Veterinary Oazette. It possesses the merit of presenting in a condensed form, for the study of the veterinary surgeon, the anatomy, pathology, and reparative surgery of horses' teeth, and to him it will save much labor and furnish a ready reference, and hence be an eflScient aid. * * * — Medical Gazette. * * * The work contains an immense amount of useful information, and as it fills an unoccupied field, ought to be successful. — Medical Record. We understand this book is having a rapid sale among horsemen. Hereafter we suppose the title H. D. D. will be- come common. How nicely Mr. Clarke tells us of the cutting and shedding of the temporary and permanent dentitions. In the future we expect that greater attention will be given to the iQeih..— North American Journal of Homeopathy. Horses' Teeth. — Owners of all classes of horses should be in possession of a remarkably useful work entitled " Horses' Teeth," by Wm. H. Clarke. The w^ork is based on the best authorities on odontology and veterinary science, and arranged in an easy, comprehensive form. With a view of rendering technical tenns readily understood, a vocabulary of the medical and technical terms is attached. Dental science, as hitherto expounded, has never afforded horse owners the instruction it professes to aim fit. The trouble has been the use of technical phrases. Mr. Clarke, alive to the necessity of giving to the public a popular treatise, has presented a work which must 290 PUBLIC opi:n"iok. find its way in all circles, and, above all, reach the understand- ing of the average reader. — Turf, Field and Farm. This work deals with horses' teeth in a very complete man- ner, and will doubtless be found of great value by students of veterinary science. It is a compilation, but Mr. Clarke has done his work in a careful manner. * * * A study of this work cannot fail to be of value to all who are interested in the horse. — London {Eng.) Live Stock Journal. The book is compiled from the best authorities. — Rural New Yorker. Horses' Teeth. — We have received from Mr. W. H. Clarke a duodecimo volume containing a compilation of everything valuable thiit has been written by the best known odontologists. * -H- * The so-called " wolf-teeth " are traced to the horse which existed previous to the pliocene period. Mr. Clarke calls them "remnant " teeth. * * * The work is a valuable addition to veterinary science.— T/ie Country Gentleman. It is a venture in the field of veterinary science, and, though in general a CDmpilation, will be found of great practical service, and in its present form a new thing. It will be of use especially to horsemen and fanners. — Massachusetts Ploughman. This work is mainly compiled, but the selections evince care, judgment, research, and discrimination. It will prove valuable to the veterinary student and practitioner. — Pen and Plow. Had this work been issued prior to Huxley's " Crayfish " or Comte's '' Sight " it would have been deemed too special. The subject is scientifically treated, with a decided tendency toward the practical. * * *. — Syracuse Standard. Horses' Teeth. — * * * Mr. Clarke devotes considerable space to descriptions of the different classes of teeth. * « * Although there is a ^reat deal of technical language in the work the copious vocabulary at its close renders it practical for those who wish to learn about the structure and diseases of the teeth, and the method of treating them under various circum- stances. Many instances are quoted from good authorities in which horses have been treated for diseases of the jaw, and the PUBLIC OPINIOX. 291 metliods by means of wliich they were cured are carefully set forth. We present some extracts from the chapter on the teeth as indicators of age. (See pp. 204-5.) The treatment of this subject is only an example of the fullness and accuracy of the entire work.— Utica Herald, Mr. W. H. Clarke's " Horses' Teeth " is a complete and interesting treatise which may be accepted at once as both a useful manual of equine dentistry and an agreeable study of certain aspects of comparative zoology. Every possible de- formity or peculiarity observable in the teeth of the horse, as well as every roguery practiced on them by dishonest dealers is fully handled, and a succinct account is given of all the maladies of the teeth themselves, and of other organs with which the teeth have a functional relation. — New York Herald. The treatise on horses' teeth by William H. Clarke, a metro- politan journalist, has already attracted wide attention, and is an invaluable work in its way. Great care and much labor have b3en bestowed in its preparation, and the book supplies a want that has long been felt by horsemen, farmers and the student and practitioner of comparative medicine and surgery. — New York Graphic. The title so fully describes the scope of the volume that little need be added except criticism. The author is frank enough to admit professional inexperience, but has made the topic of the work a matter of careful investigation for a year. He has wisely deferred to the opinions of naturalists and veter- inary surgeons, and quotes liberally from their works in every chapter, thus supplying a cyclopedic stock of information bear- ing directly on horses' teeth in health and disease, which is very convenient for those who keep or raise horses, and the average veterinary surgeon. — Phrenological Joicrtial. The thoroughness of detail with which every point relating to the subject of this work is treated will im[)ress every one with its reliability and value. It is undoubtedly true that much suflfering, disease and death have resulted from ignor- ance of what Ts herein given, and that much unintentional cruelty to horses may be prevented by studying this volwne. 292 PUBLIC opiKiON^. Thoagli the title implies tliat the work is confined exclusively to the teeth of horses, it is not so ; the teeth of other animals claim nearly as much attention as those of the horse. The theoiy of evolution is introduced, the history of the horse being traced from the Eocene period, when the wolf or "remnant" teeth were functionally developed. The hook will be prized by all who seek the welfare and happiness not only of the human race, but of all sentient beings. — Banner of Light. We all know that horses suifer with their teeth, and the work gives full instructions as to their care. * * * The author is an evolutionist, and has devoted much study to fossil horses. — New Orleans Times. Practical Books. — " Horses' Teeth," is a valuable treatise that ought to be in the possession of horsemen, farmers, and veterinarians. * * *. — Pittsburg Commercial Gazette. Dr. C. F. Hoeing (Jersey City Hights, N. J.) says : " After a careful reading of yoar book, * Horses' Teeth,' I wish to say that it appears to me to be an able compilation of scientific fa:;ts, and a basis for further investigation of horse dentistry by the profession; at the same time containing valuable in- formation for intelligent horsemen and farmers, as well as naturalists generally. I miss only very valuable information to be found in numerous German books." Dr. J. M. Heard, 205 Lexington Ave., New York, says : " The book is full of valuable information ; in fact, one would search a single library in vain to obtain it. None bat those who have performed similar work can appreciate the immense amount of labor expended in its j)reparation. No student or practitioner can afford to be without it." Dr. B S. Brewster of Norwich, Conn., says : " I have been an advocate of horse dentistry for thirty years, even arguing against veterinary surgeons. Thank God, light has come at last." l-Year-Old, Lower Jaw {Brandt). 2- Year-Old, Lower Jaw ; drawn from Nature. 3 Year-Old. Lower Jaw; drawn from Nature. II 11 4- Year-Old, Lower Jaw ; drawn from Nature. 5-Year-Old, Lower Jaw ; drawn from Nature. liifc 6-Year-Old, Lower Jaw ; di-awn from Nature. 7-Year-Old, Lower Jaw (Brandt). 8-Year-Old, Upper Jaw (Walsh). About H nat. size. 9-Tear-Old, Upper Jaw (Walsh). About % nat. size. 10- Year-Old, Upper Jaw (Wal^h). About % nat. size. 11 years, Upper Jaw. The marks have disappeared. The Mark, dissected as it were. (See page 58.) c, The Dentinal star, some* times mistaken for the mark. (See page 209.) li« 12 years. Lower Jaw. Change in shape is now clearly defined. The respective pairs (centrals, dividers, corners) assume in turn (from 12 years till old age) various shapes— semi-square, rounded, triangular, wedge-shaped, etc. 13 years, Lower Jaw. 14 years, Lower Jaw. 15 years, Upper Jaw. 16 years, Upper Jaw, ■» >.vC\vCvv»>'>"^^ 17 years, Upper Jaw. 18 years, Lower Jaw. 19 years, Lower Jaw 20 years, Lower Jaw. 21 years, Upper Jaw. 22 years, Upper Jaw. 23 years, Upper Jaw. 24 years, Lower Jaw. 25 years, Lower Jaw. 26 years, Lower Jaw. 28 years, Upper Jaw. 29 years, Upper Jaw, v:i I % f" w i'liiim A Parrot-Moath (lower jaw). The ten lines represent ten years' growth. The marks, having never been worn, represent a 6-Tear-old. The horse is therefore 16 years old. (This cut, as well a» many of the preceding, is from Brandt's "Age of Horses.") 5obn IRe^nbets a Ca, MANUFACTURERS AND IMPORTERS OF OF SUPERIOR QUALITY AND WORKMANSHIP. Slings for Suspcnbing Hntmals A SPEC I ALTY. mo. 303 ffourtb H\>enue, Hem IJorf. Price List of Veterinary Dental Instruments Illustrated in this book. Plate I. Fig. 1. Adjustable Tooth File ; in handle to unscrew, $4.00 " " 2. " " " in stiff handle 3.00 House's " " in handle to unscrew, 4.00* House's " " in stiff handle 3,00* " 3. Prof, Going's Tooth Chisel 17.50 " 4. FrcnchModel " " 14,00 •' •* 5. Tooth MaUet. lead filled, not rebounding 2.50 " " 6. French Model Tooth Saw 3.50 •* " 7. Narrow Tooth Chisel, length 5 inches 1.25 Plate I, rig. 8. Narrow Tooth Gouge, length 5 Inches $1.50 " " 9. Tooth Easp guarded ; in stiff handle 3.00* •* " " in handle to unsprew.... 3.75* " plain ; in stiff handle 1.75* " " plain ; in handle to unscrew 2.50* «' •' 10. Extra Blade for Adjustable Tooth File 0.40 Extra Blade for House's " " 0.40* Plate II. " 11. Heavy Tooth Forceps, length 15 inches 5.50 " " 12, Prof. Going's Tooth Forceps with closing screw and crank handle 25.00 • " 13. House's Tooth Cutting Forceps, -j •• 14. House's Tooth Pulling Forceps, j. 28.00 one set of removable handles to both j « " 15. Wolf Tooth Forceps, length 9 inches 3.50 •• 16. Wide Tooth Chisel, length 10 inches 2.00 *' 16 " 3.00 Plate III. " 17. Tooth Cutting Forceps. French model 25.00 "18. •« " " Holler's 32.00 "19. •• " " French model 20.50 " 20. House's Tooth Cutting Forceps 6.50 "21. " " " " 6.50 "22. " " " " 6.50 "23. " " " " 6.50 " " 24. Narrow Tooth Gouge, with steel head 2.00 Plate IV. '• 25. Bow Tooth Saw. with two blades 6.00 •• " 26. Tooth Key, with hooks of assorted sizes 35.00 " 27. Plain Tooth Saw 1.50 " " 28. Chain Tooth Saw 12.50 " 29. Fine ferruled Tooth Saw 1.75 •• " 30. Narrow Tooth Chisel, length G inches 1.25 " 31. Hurlburt's Gum Knife and Tooth Pick 2.00 Our Alphabetical Register of Veterinary In- stmments of 90 Pages and containing about 325 engravings, mailed free upon receipt of four Cents fDr Postage, to all who mention this book. COLUMBIA VETERINARY COLLEGE SCHOOL OF COMPAPwATIVE MEDICINE, 221 E. 34th St., N.Y. City. THE REGULAR TERMS OPEN IN OCTOBER. Has the largest and best corps of Instructors of any Veter- inary College in the country. All its graduates in successful practice. For catalogue and further information apply to E. S. BATES, M. D., V. S., Dean. WITHOUT A RIVAL! OUR STANDARD PUBLICATIONS ON THE HORSE: American Stud Book (Bruce), 3 Vols $25.00 The Horse in the Stable and Field (Stonehenge), 1 Vol 4.00 Racing Rules, 50 Cents; Trotting Rules, 25 Cents. TURF, FIELD AND FARM Has by far the largest circulation of any paper of its class pub- lished in tiie country. Its enterprise, acknoAvledged ability, independent and gentlemanly tone, have made it the leading Turf Journal of America. 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