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Johann Gottfried Conradi: Sr. koenigliche majest. zu Daennemark, Norwegen [et]c. Hof-Mund und Zahn-Arztes Johann Gottfried Conradi, KurzeAbhandlung von den Krankheiten der Zaehne und deren Kur (1755)*


Johann Gottfried Conradi: His Majesty, the King of Denmark, Norway, etc. Court Dentist Johann Gottfried Conradi, A Short Treatise on the Diseases of the Teeth and Their Cure (1755)

His majesty the King of Denmark, Norway &c. Court Dentist JOHANN GOTTFRIED CONRADI, short treatise of the diseases of the teeth and their cure, including a short instruction, to keep the teeth beautiful and white. Brought to light not only for the benefit of young beginners in the art of dentistry, but also for each and everybody, who wishes to keep their teeth clean and healthy.

Copenhagen, printed by Ludolph Henrich Lillie, who is residing in the great Violen Strasse, at the Gilded Ox.


This treatise is so much more useful to the audience, because it illuminates clearly the great difference between a righteous and honest dentist and thoseCharlatans, windmakers, and even impostors. And because this treatise can create various benefits, it is deemed equitable and fit that it is made public through printing. Copenhagen, Nov.25, 1755. B. J. v. Buchwald, D.


To the high and mighty king and lord, Friedrich the fifth, king of Denmark and Norway, of Wenden and Goths, Duke of Schleswig, Holstein, Stormarn and Ditmarschen, Count of Oldenburg and Delmenhorst.

To my most gracious king and lord.


His highness and most gracious king and lord!

This year, his royal majesty has condescended to appoint me court dentist and tooth surgeon.

In as much as nobody before has been graced in such a way by his majesty, nobody, as far as I know, has written anything lengthy in these royal countries about the art of dentistry before.

His majesty's ancestral and great love for all useful sciences and the highest grace shown to me are th reasons why I dare to put this small work at his majesty's feet in the most humble manner.

Most gracious king and lord! it is only a small token of my utter gratitude and a small sample of my utter respect.

The many and high characteristics, which distinguish my mighty royal highness, promise a favourable acceptance. When this happens, I will be completely satisfied and die in utter submission His royal highness Copenhagen, Nov. 25. 1755. Your most humble and faithful servant and subject Johann Gottfried Conradi.


Preface.

Gentle reader!

As much as it is superior and useful to keep the teeth, which were given to us by the almighty lord, clean, white and unblemished till old age, it is only to a small degree that the honest care and craft, which teach us those ablities most comfortably, are used and applied these days.

We who live in a country where scurvy and stomatitis are caused by it, broken or even lost teeth and the like are more prevalent than with other people,if I may say so, don't we have more reason than others to prevent diseases of the teeth through proper cleaning of the teeth and adequate medicine? I don't think I act wrongly, if I agree to his.

If somebody asks why such a useful matter has been neglected, I truly have to admit, that I don't know the reasons.

The objections that are made daily when one reminds people wellmeaning, are without substance. I will list a few of them for enlightment.

Those, who do not have or have not had any sense of toothaches, use to respond in general, when reminded to clean their teeth, that their teeth are fine, thanks goodness, I never have had a toothache all my life, God wil protect me from it in the future; should I ever need anything, I want to have some toothache first; those aches wil fall upon these very paople all of a sudden.

It can't be anything else but unbeknowst to these people, that tartar or calculus (lat. tartarus) is a creature that collects on the surface of the teeth, and similar to other stones per adpositionem partium sive cohaerentiam externam, or, it will grow through fresh layers on the outside.

This is not the place to touch upon where tartar comes from and how it can be removed,


but I want to remind you, once the first layer of tartar is formed, each day new layers adhere to it, such increasing the tartar build up, this happens without notice and many don't know, that is something harmful; however, if this tartar would be removed from the teeth in a timely manner, one would not hear so many complaints about toothaches and rotten teeth.

During my thirty years of travelling, I have seen enough people in their thirties, let alone in older age, who can take a bite of the crust of soft baked bread only with great effort due to their dull teeth.

I have seen people, who like small children, can eat nothing else but thins soups, milk and similar fluids just because of their corroded teeth.


People, at their prime, have to be dismissed from their posts or call in a substitute, becuase they can not speak clearly in public any more; just because of a lack of teeth.

Not to mention that the beauty of both sexes will be diminished because of bad breath and black, corroded teeth.

Should I have my teeth cleaned; that is another objection, I do know such dentists and also know what they use for cleaning, namely nothing else but acidic and sharp things , like for example Tartaric Salt (Cremor Tartar), Vitriolic Oil (Oleum Vitrioli), Sulphuric Oil (Oleum sulphuris), Hydrochloric Acid (Spiritus salis), even Nitric Acid (Aqva fortis).

I cannot deny that this happens often and is done by many, the result shows even more often that this is the irrevocable truth; but therefore one cannot deny that a practised hand with subtle instruments can remove the tartar without damage, and that a skilled dentist with other medicines will know how to clean and keept the teeth without such caustic means.


If finally 3,4,or 5 teeth of a person are eroded, if he may have had a sense of toothaches, if he may have had to have pulled two or three teeth as well, the third and most ridiculous interjection is born: My teeth, he says, are already so rotten, that there is no help for them, if I had started early enough, I would have acted wisely, at this point I will leave it with God, it can't get any worse than it already is.

Yet I answer: A landlord would be ill advised, should the house of his neighbor be burning, not to seek help from other people and to employ good sense to spray a lot of water and such, in order to safe his home. I have been told of the stupid bear which when wounded will not despair, but will put together a cone of moos from wherever he can get it and


will stuff the wound, so that the blood will not run out of it, do you wonder that people will surrender their theeth just because a few are eroded which are as necessary to them for chewing and speaking etc as the blood is necessary for the bear if it shall live? In short, there is no question that, if there are a few teeth damaged or even lost, one should help the dammaged ones and keep the undammaged ones to be employed. I promise also I will touch upon this issue in the treatise and I hope , it will not be without use.

Each does as it pleases him, is an old and well known proverb. Yet, because in France, where, if I am not mistaken, dentistry has been practiced the longest, and was separated from other aspects of practical surgery, it is without doubt that dentistry as a science, pursued on its own, can be brought to greater perfection and greater usefulness than mixed in with some others.

I for my part can only say, that I have never dealt with any other parts of practical surgery or let alone of medicine than that what suits a dentist. My father and grandfather, may god rest their souls, who have dedicated themselves to the same sciences, did likewise.

During my thirty years of travelling, I have visited, and I do not want to boast here, most of the courts and big cities in Europe, where I had the chance due to lengthy sojourns, to acquaint


myself with the most noble and famous court dentists, of whom I learned partly something useful for this art, and partly I could tell them some things I acquired in my own practise and through the truthful teachings of my father and grandfather.

Yet I never got sofar, to have the opportunity to encounter writings of the world until I found my place here in Denmark, where it was made possible four years ago due to the utmost grace and provision oof his royal majesty.

Currently, I have resolved to write concisely and as much as my circumstances will allow, about the nature and condition


of the teeth, their cleaning, mainteneance, diseases and the respective cures in this little treatise.

The willing reader will forgive me graciously, if due to coniseness I do not ramble or digress about who was the first to invent denistry or what were the names of the first dentist in France or Italy, since I have never had the opportunity to read the old histories.

I left out the instruments due to conciseness and will for now refer the willing reader to Mr.Pierre Fauchard, a French dentist


who decorated his beautifully and well written work with forty copperplate engravings including many instruments, until, so God may give me a long life, I will bring to light a complete and detailed treatise in which I will describe properly the structure of the teeth, their looks, number and such, how to keep them, their diseases and respective cures, how to pull them without danger, if necissitated by an emergency, as well as the implantation of artificial teeth and their mainteneance.

For the benefit of beginners in the art of dentistry, I will talk in length about the diseases of the gums and their surgery using cutting edge methods. But I will also describe clearly and no less the bevavior in all circumstances of a cautious and diligent dentist; how he can gain a good reputation and how he can avoid making unhappy sick people less happy; likewise, I will talk about which instruments to use according to the latest discoveries, in addition to describing the best and most comfortable manipulations, I have encountered in many situations.

I ask your pardon, if I did not follow the due order and rules of scientific method, since I have studied little logic and mathematics, and I hope, the willing reader will nevertheless look upon my simple thoughts


as they are written down here with kind eyes and a kind heart.

Whereupon I wish deep from my heart that this work may suffice to honor God and to be useful to human kind.

The Author.


J.J. First Chapter. Of the nature, number and form, as well as of the usefulness and growth of the teeth.

$. 1. {Description of the teeth.}
Every expert in anatomy agrees that the teeth in their natural state are the whitest, hardest and most solid bones of the human


body.

{Origin of their white color.}
The peculiar constitution of the tissue of which teeth are made contributes quite a bit to their white color;

{Origin of their hardness and solidity.}
And because they enclose a lot of bony matter in a small space, is the reason that they are hard and solid.

$. 2. {Description of the teeth.}
The tooth sockets or compartments which contain the teeth (Alveoli) are small hollow spaces of various shapes situated in the two jawbones (ossa maxillaria) and separated from each other by bony partitions. {Their spongy nature and plate.} Teeth have a spongy nature which is covered by a plate, that is porous or perforated, very thin, flexible and able to yield more or less.

$. 3 {The teeth have a body and a root.}
With each tooth ($. 1.) one notices two parts, a body (Corpus) or nucleus and roots (radix). Everything that is not enclosed in the jawbone ($. 2.) is called the body, the root however, is what lies hidden in the bone.

$. 4. {Each part of the tooth is made of two substances.}
Each body of the tooth ($. 3.) is made of two substances in turn. The interior, created by nature as the root, {$. ead.} and the exterior, which is very hard and white. Th latter is also called the glace or enamel (french: email).

$. 5. {Peristeum (Periostium) of the tooth.}
The jawbone {$. 2.} and the inner substance of the tooth {$. 4.} are covered by a very sensitive peristeum (Periostium) which originates in the Tuna Schneideri, that covers the gums and lines all of the mouth &c.

$. 6. {Description of the gum.}
The fleshy system, that covers the jawbone from the outside,


is called the gums. It is made of fleshy parts and is a continuation of the peristeim {$. 5.} as well as of the matter that lines the inside of the mouth. The gums stretch along both jawbones and create two binders in form of a half circle, whose ends rest on the bottom of the mouth.

$.7. {How the teeth are attached.}
All teeth {$. 1.} are quasi framed and nailed into their pockets or compartments, a combination that is called Gomphosis, which retains the teeth together with the gums and the bony edge of the jaws.

$. 8. {Hollowness of the root.}
One can notice a hollowness with each root of a tooth {$. 3.}, which starts at the body and ends at the tip of the root. With young people


the hollowness is very noticeable and disappears with age.

$. 9. {Is lined with skin.}
The hollowness {$. 8.} is lined with a skin, which holds very likely all the small blood vessels and the nerves, that spread out to the interior of the tooth.

Note. Before I touch upon the blood vessels and the nerves of the teeth, I have wanted to the describe the classification and number of the very same, because the former is different in view of the latter; but because I am afraid I will go into to much detail, and since I planned to talk just about the nature of the teeth, I will continue with the nerves and blood vessels.


$. 10. {The blood vessels of a tooth.}
There is no doubt that all teeth have their arteries in the same way as all other bones and parts of the human body, as long as they grow and are nourished. The arteries (Arteriae) are branches of the exterior (rami arteriae carotidis externae)and these vessels carry the blood back to the exterior (Venae jugulares externae)

$. 11. {Where the nerves originate.}
The same as in $.10 can be said about the nerves which accompany the arteries at any time and originate from this branch of the fifth pair that is called the upper jaw nerve? (nervus maxillaris superior). This nerve has branches that run to the teeth since it goes through the sinus underneath the eyze sockets and spreads through the face.

$. 12. {The gums also have blood vessels and nerves and their origin.}
The gums ($. 6.) are also permeated and moistened by many and various kinds of vessels, in particular they have a large number of blood vessels which cause their redish color. The branches of the exterior carotid artery give their blood to the gums and one branch of the most exterior (Lat.name Venae jugulares externae) carries it back. The nerves of the gums originate mostly from the fifth pair.

Note.This following is said briefly and for the benefit of beginners about the nature of the teeth in general.


$. 13. {Number of teeth.}
It is well known that the teeth like all other parts of the human body are contained in the nucleus, but that every person should have a certain number of teeth, as some wish, seems to be contradictory to experience. For one can find with men, that they do not have fewer than twenty eight and not more than thirty two teeth; if there is somebody with under twenty eight teeth, which is very rare and a mistake of nature, and if there is somebody with more than thirty two teeth which is equally rare, it is called anomalous teeth (Dentes supranumerarii). I have found mostly thirty two, namely sixteen on each jaw; this pertains to adults who have healthy teeth.

$. 14. {The teeth are classified in three categories or species.}
These thirty two teeth ($. 13.) are classified in three categories or species. The first category are the incisors (lat. Incisores) based on the Latin word for incisor (to cut). The other category contains the canine teeth (canini), likewise based on the latin word canis (dog) and called such because they are similar to a dog's teeth. The third category is called the molars (molares) from mola (the mill).

$. 15. {First category.}
The incisors ($. 14.) are the four teeth that sit on the front jaw. Their total count is eight. The outstanding end a little wider and thinner in the front than in the back and they are elongated towards the root, flat on the side; fornt and back are thin, but pointy at the tip; commonly there are only four.


They are categorized in big ones, medium ones and small ones, something anybody can notice with oneself.

$. 16. {Second category.}
The canines (also called eye-teeth due to the shared nerves (consensus nervorum) sit next to the aft incisors ($. $. 14. 15.), two on each jaw. In total there are only four of them. Their body is rounder and thicker than the incisors', likewise the root, of which there are one, two or sometimes three; the tip of their body is pointy but dull.

$. 17. {Third category.}
The molars, five of them on each side, follow right after the canines ($. $. 14. 16.). Their number is the largest, since in total there are twenty. Their body is generally almost square,


and their roots, one to five in number, have various bents and shapes. The molars are classified as large and small. The wisdom teeth (Dentes Sapientiae) fall in this group, named such because they usually do not break through until adulthood, and they are the last teeth at the end of each side of the two jaws. Sometime the wisdom teeth appear late or not at all.

$. 18. {Usefulness of the teeth in particular.}
When talking about the usefulness of the teeth, one finds that greatest advantage is that the incisors($. $. 14. 15.) cut through food and help with speech: The canines ($. $. 14. 16.) hold on to food, pierce it and gnaw it, as well as keep the other teeth somewhat in order and place: But the molars ($. $. 14. 17.) are comfortable


to grind, crunch and squelch the hardest and most solid food.

$. 19. {Usefulness in general.}
Generally, the teeth ($. $. 14. 15. 16. 17.) contribute a lot to health maintenance, because they accomplish the first and most elegant part for the sigestion of food by cutting and grinding, and they are an ornament for the face, they improve the pleasantness of the voice and are absolutely necessary to breath mildly and pronounce words clearly.

Note.Now that I have talked anout the number, the shape and the usefulness of the teeth, there is nothing left to say in this chapter but discuss their growth. p>$. 20. {Choroid (chorion) of the teeth.}
One notices in each jaw($. 2.) (I am talking of newborn babies)


a bubbly and porous membrane aside of the periteum, which is full of arteries ($. 10.). By some, these membranes are called skin of the artery knowledgeable of partitioning (chorion).

$. 21. {Germination of a tooth.}
The inside of the artery skin($. 20.) contains a lot of soft and sticky matter, almsot shaped like a tooth, and the collection of this matter in its skin, where it is quasi enfolded and moistended by arteries, is called the germinal, the nucleus or the roe of the tooth; some call it the casing.

$. 22. {Hardening at last.}
The arteries($. 10.) moisten this material ($. 21.) and exude a juice, by which the fibrils (Fibrillae) of the germinal receive nourishment and growth, until the tooth sockets


slowly press together and harden, which is when the teeth break through the gums and grow, as we all know.

Note.It is beyond the scope of this treatise to describe at this point how the above mentioned matter turns hard and bony as well as if the plates are formed first inside or outside. I will save this topic together with others for another opportunity, also because it has little relevance for practical purposes.

$. 23. {The teeth appear.}
Once the teeth ($. $. 20. 21. 22.) are stiff and hard enough, they constantly push away the gums ($. 6.) which enclose the jaw; the fibers of the gums tear and get pulled apart. It is in this manner, that the tooth slowly appears.

$. 24. {Which one comes first, which last.}
The length of time varies during which this pushing through of the teeth ($. 23.) happens. First the incisors ($. $. 14. 15.) come through, usually in the lower jaw. After that the canines ($. $. 14. 16.) appear. Followed first by the small and long. Then by the large molars.($. $. 14. 17.) Finally the wisdom teeth arrive ($. 17.).

$. 25. {At which time.}
The pushing through of the teeth ($. 24.) at various times is called teething. Usually the first signs of teething start between two and six months of age and ends at age two or three. The second teething is noticed at age six and seven as well as at age eight. The third teething happens fromt ten to 14 years; and finally,


the fourth one expresses itself around age twenty up to age twenty four.

Note. This general rule is not always true when teeth push through. In the north of the Empire as well as in Russia, I have seen some children who brought their teeth with them when they were born, and I believe, one will find that occasionally when dealing with the art of midwifery (ars obstetricaria). In Hamburg, I have seen a four year old child who was almost four years hold, did not have a tooth in its mouth and could only sputter a few words. The child did not lack anything but teeth and speech, it was not rickety or among those with the English disease nor did it carry any other weakness, but was of a healthy nature like its parents. When I returned


after two years, all the teeth had appeared, where in their right order, did not lack anything and the child could speak clearly.

At this point it will be necessary to mention the loss of milk teeth as well as how they can render the successive teeth crooked, twisted and black, if they are not taken out in time. But I am afraid, that I start rambling against my will and will spare you until my future work will see the light of the day; hence I will conclude this first chapter, having described briefly the nature, number, form, usefulness and growth of the teeth.

Second Chapter. About the diseases (maladies)of the teeth as well as the gums and their cure

It would make for a treatise well beyond the planned scope of this one to describe all maladies which can occur with teeth and gums in addition to their internal and external causes and what has happened during my pracitcal experiences. For the benefit of beginners I will describe only those very briefly which occur the most often.

$. 1. {Teething (Dentitio .)}
The teething (Dentitio) is the time when the teeth start to break through with young children. It is not a sickness, although the children are exposed to several attacks and great pain,


which is why teething deserves all attention.

$. 2. {The children suffer great pain when teething.}
The gums are the continuation of the periosteum as well as of the skin that covers the inside of the mouth (Chap.I$.6.) Well, this skin is full of neural fibers and has to be ruptured when the teeth break through. Since everyhting that causes nerves to be stretched in such a way that their tearing has to be feared, will cause pain, as Boerhaven talks about in his Aprhorismis, it comes as no surprise that small children feel great pain when the teeth break through.

$. 3. {Prognosis(Prognosis.)}
The greater and flatter a tooth's surface (Cap.I $. $. 15. 16. 17.), the greater is the pain ($. 2.) cuased when it is about to come through; that is why children feel always greater


pain when a molar appears than when a canine breaks through, the latter causing more pain than an incisor. Likewise, the more teeth show at the same time and the later the molars show the greater is the danger; since the gums, by getting harder all the time, create a stronger and more persistent resistance, and cause the teeth much anguish before they can separate the gums.

$. 4. {Diagnosis. (Diagnosis.)}
When the teeth come through, the gums show a puffiness (tumor) as well as an itching sensation or some minor biting at the spot where the tooth wants to break through; Shortly thereafter, the gums become tense and inflamed and the salivation (Salvatio) increases. The parts, that are close to the tooth rise. Small sores appear (Aphtae), the tonsills and the parotid glands(Parotides) clog and this occlusion may often end in large ulcers. (Apostemata)

$. 5. {Symptoms. (Symptomata.)}
The symptoms (Symptomata), which children will show while teething, are in general as follwos: they may suffer from diarrhia, (Diarrhaea, vomiting, (vomitus), fever, (Febris), insomnia, (Pervigilium) lethargy, (Lethargus) twitching of the limbs, or convulsions, maybe even an epileptic attack. In the same way as these symptoms increase or decrease or show more or less intensity, one has to fear more or less the death of those children.

$. 6. {Explanation of the Symptoms. (Explicatio Symptomatum.)}
The nerve of the upper jaw (Nervus maxillaris superior


branches off to the teeth, (cap. I. $. 11.) and is part of the fifth pair, which also branches to the gums. (Cap. eod. $ 12.) Since this nerve is partnered with the eighth pair (Par vagum oder Nervus sympatheticus) as well with nerves of the ribs, (intercostales) is is easily understandable, hwo the symptoms ($.5.) can form. Therefore, attention has to be paid to the symptoms as well as the to the thrust of the teeth.

Note., Now, that I start to describe the cure, the reader may expect to encounter a lot of prespcriptions, which he can use as it pleases him and without any difficulties for himself and others; alone, he is quite mistaken. It would be preferable to satisfy the reader's desire to learn in this case; but since every disease is linked with certain


and sometimes changing incidences, each incidence requires a certain evaluation and cure; those who do not know how to adjust to the different circumstances of a disease, cannot cure it appropriately. Many botched cases, which are caused by books filled with prescriptions, are well known these days; and I believe, that no other sciences than medicine and sugery suffer from it so much, partly thanks to the many printed prescriptions. In order to fullfill my promise, I will only report:

$. 7. {Internal Cure. (Cura interna.)}
As soon as the symptoms show ($. 4) and one is convinced that the teeth want to pass, it is necessary


to cleanse and open the first passageways (primae viae, which are stomach and intestines, using mild and loosening laxatives. For this I use the following:
  • Rx. Olei Amylgdalorum recentisime & frigide expressis 3p
  • Syrupi de Manna
  • Cichoreo cum Rheo a a 3 j.M.
  • Or:
  • Take sweet almond oil, fresh and cold pressed. 1 Loth (14.6g).
  • Manna=Syrup
  • Syrup of chicory spiked with rhubarb, 2 Loth (29.2g) each .
  • Mix and give a to the children a couple teaspoons every two hours until they have had a sufficient bowel movement.

$. 8. {Continuation ( continuatio curae internae.)}
I also often use the yellow children powder (Pulvis puerorum citrinus) which is known at the apothecaries, and give a pinch of it here and there mixed with destilled fennel water (Aqva Stillatit. Foe[ ?]niculi) if this is not available, one can also use the camphor syrup described in ($. 7) or the following:

  • Rx. Aqvae Stillatit. Foeniculi 3iij.
  • Cinnamon f.v. 3j.
  • Tincturae rhei Compositae 3iij.
  • Syrupi Domestici 3j.
  • M. f. Julapium laxativum.

Or:

  • Take decanted fennel water 6 Loth
  • Cinnamon = Water without wine 2 Loth (29.2g)
  • Rhubarb = Tincture 3 Qventgen (10.95g)
  • Black Alder (Rhamnus) = Syrup 2 Loth (29.2g).

Mix it all together. You may give the children 1-2 tablespoons, depending on the circumstances and their age, each morning and evening. By the way, a famous doctor in Saxon told me about a powder, which I use under the name of Pulvis aperiens infantum and which I find shows better results than any of the medcines I have described. The recipe for this powder can be obtain from me upon request.

$.9. {In addition.}
If children suffer from constipation (obstructio alvi), it is very necessary to open the child's body with gentle, softening enemas. There are more than enough herbs to be found in the dispensaries. In emergency situations, I often use boiled and steeped oats, diluted, and make the following mixture:

  • Rx. Jusculi Avenacei 3iv.
  • Olei olivarum recent. epressi 3p.
  • Mellis optimi 3vj.
  • M.f. Enema calide applicandum.

Or:

  • Take boiled and steeped oats 8 Loth (116.8g)
  • freshlly pressed tree oil 1 Loth (7.3g)
  • White honey 1 1/2 Loth (21.9g).
  • purified salpetre I Qventgen.

Mix it all together and apply with appropriate heat.

$. 10. {External Cure (Cura externa.)}
Externally, it is very necessary, to soften the gums by means of a cooling water or syrup or similar. I often use the following salve and have experienced a special benefit from it:


Rx. Axungiae leporis non rancidae Melis Rosacei aa 3ij.

M.

Or:

Take rabbit fat, not too old, rose honey, 1/2 Loth (7.3g)of each.

Mix together. Take a little bit and apply on and off to the gums with a feather or the index finder.

$. 11. {Continuation of the external cure. (Continuatio curae externae)}
By the way, I respect marshmallow (Rad. altheae), clover (Melilotus) and liquorice root (liquiritia), which many have been written about and recommended and I do not wish to discard them. I, however, use mostly the roots of various hollyhocks (Malva vulgaris. Malva sylvestris folio finuato Bauh. pin. 314. Malva caule erecto, foliis fere palmatis obsolete ferratis Linn. Cliff. 349.) which I boil a little bit and cut several times at one end, I beat them until they are soft and moisten them with the following concoction:

  • Hordei mundati 3iv.
  • Pingvedinis Caricarum.
  • Prunorum damascenorum aa 3vj.
  • Coque in s.q.aquae communis per spatium in horae dimidiae, remanentiae colatae Pij
  • Mellis Rosarum 3j.
  • M.

Or:

  • Take purified barley 8 Loth (= 116.8 g).
  • Figs.
  • Prunes, 1 1/2 Loth (21.9.g) of each.
  • boil it for half an hour in as much clean water as necessary, until there is only left a 3/4 measure of a Danish pot; strain it and add
  • Rose honey 2 Loth (29,2g),

mix it all together and sprinkle


the pre-treated root with it, and put it in the children's mouth, so that they can chew on it. Otherwise, I often use a balm like syrup, which I call Electuarium balsamicum & dentitionem promovens, by which one can elicit the teeth easily and without pain with small children. That means that the teeth can also grow straight and even. The recipe for this syrup can be obtained from me upon request. Regarding the wolfstooth and similar things that are put in children's mouths, I will not make any comments, but I will write about my thoughts in other, future treatises.

$. 12. {Put one's shoulder to the wheel or cutting the gums (Operatio Gingivatum. )} When all these remedies ($.$.7.8.9.10.11.) fail, and the gums are too hard and thick, one has to decide to put one's shoulder to the wheel and operate.


One has to pay close attention to the timing of the operation and not delay it too much, otherwise the children are completely weakened by all the symtpoms ($.5.); they may succumb to the pains; the time should be chosen when the teeth use the most force to push through; one can determine the right moment by the whiteness and the ridge on the gums. Thereupon one performs a cross cut on the tooth, the same size as the tooth; after that, the wound has to be washed three to four times a day with a mixture of lukewarm water, vinegar and honey or warm wine. I often use an aromatic tincture made of wine for rinsing, which I have always ready.

NoteBecause I have already mentioned the symptoms for teething in section 5, the reader may demand some remedies for them. Alone, I will not meddle at all with it, but I will refer everybody who needs those remedies to a careful and gentle doctor, of which we show no lack, thank god, who may evaluate and cure these internal symptoms much better than me. In the preface, I have already touched upon the fact that I do not want to discuss anything else but teeth.

$. 13. {Toothpain (Odontalgia.)}
If the periosteum, which covers the jaw as well as the inner, hollow (Cap.eod. $.$.8.9.) part of the tooth (Cap.I $.5.) suffers from inflammation (Inflammatio), severe pain arises, which is called toothpain (Odontalgia).


This pain in the tooth can be felt often in the neighboring parts of the teeth even in the head, it does not spare any age group and attacks young as well as old people.

$. 14. {Causes (Causae.)}
Toothpain ($. 14.) is caused by an inflammation of the periosteum ($. ead.) and these pains are called pulling pains; but if the periosteum is moistened with sharp or pungent salt water, it causes piercing and intense sharp pain, which is all together different.

$. 15. {Diagnosis (Diagnosis.)}
A toothache can be very painful and often so intense, that those inflicted think they will loose their mind; these people do not know what to do, because of the pain


and start thinking of this and that. There are even examples of individuals who wanted to drown themselves because of the pain; other wanted to cut themselves, etc. All of this is caused by the cooperation of the nerves.

$. 16. {Prognosis and cure in general. (Prognosis & cura generalis.)}
The consequences of the already described pains($.$. 14. 14. 15.) are to be feared, that is why they should not be treated lightly or neglected, but a proper diet should be started immediately, a bleeding should be done, in particular to the foot, if the pains are very severe, as well as medicines should be used like various external, releasing or loosening drugs (Topica resolventia) and painkillers, (Anodyna) and at last mucous-removing drugs (apioghlegmatizantia) and snuff powder (Errhina) in addition to remedies against blisters (Vesicatoria); those last three are in particular recommended, if the pains are (bp)caused by reasons talked about in ($.15.).

$. 17. {Examples for the remedies mentioned in the previous section.}
One can find these remedies ($.16.) in sufficient quantities in apothecaries, for example camphor, (campher) fat from castoreum, (Axungia Casterei) solanum, (Solanum) the egyptian sap of the moon (Opium) and its preperation; pellitory of Spain (radix pyrethri) root of white turmeric, (Zedoariae radix), orris roots, (Iris florentina) lily of the valley, (lilium convallium) Spanish flies, (Cantharides) and many more. These remedies are often enough to wipe out the pain, if the aches will not go away despite the medicines, the teeth have to be pulled immediately.

Note.If I were wealthy, I could supply and describe several thousand remedies which can be used for


toothaches and which are recommended by various people; for example oil from box, (Oleum buxi) essence of Guaiacum (tree of life), (Essentia ligni guajaci) henbane sap (Semen hyosciami) mixed with tobacco and smoked; elder flowers, (Flores sambuci) cooked with milk and many more. I do not want to dismiss or deny these remedies, since they help often and sucessfully, although they are weak remedies; I remember that the late Mr. Hoffmann praised elder juice in his Medicina rationali systematica for this disease as follwos: Roob Sambuci, he writes, interius ad 3j jusculo ad Diaphoresin proritandan assumtum, & exterius in cerevisia solutum qua cum os subinde colluitur, specificam certe & praesentaneam opem vexatis confert. I have been a faithful follower of this small advice, not without great gains, yet, I also have noticed at the same time,
that Mr. Hoffmann says: Odontalgia est spasmodica constristio ligamentorum nervosorum dentium and I seized the opportunity. Hence, it is necessary to use those things carefully, under certain circumstances and at the right time, which I strongly believe can be better determined by nobody else but a person with good sense for medicines and a good dentist. Why is it then, that people trust tramps, old wifes and the like, who offer their special compounds and secrets (Arcana), with these issues. Nothing seems more ludicrous to me than write "away toothache", or poke the gums with a rusted nail until they start bleeding and then drive this nail into some place with a lot of ceremony, prayers and crossing oneself. The old charms
have been dismissed and Abracadabra does not heal the cold fever any more; why do people put their trust in such unbelievable things until they have a dental fistula or a cavity. Unfortunately, every day there are too many sad examples of this kind of behavior. It would be a simple task for me to provide the reader with a great number of recipes, but because I do not see any benefit without also providing a lenthy description of each recipe, I will postpone it to the future. In previous sections I have expressed my opinions about the cures, please let it suffice.

$. 18. {Caries. (Caries or Cavities.}
If the core of a tooth (Chp.1.$.4.) gets corroded either internally by pungent juices or externally by left over salts and acid foods which mix with the saliva, a diseases develops that is called caries (Caries).

$.19.{Classification in internal and external cavities.}
A number of authors chose to classify cavities ($.18.) in rottening, dry, complicated and so on. Others decided to allow for only one class, eventhough they know of several causes; I like the following classification best: If cavities are caused by the first reason (($.cit.), I call them internal; if they are caused by the latter, I assign them the name external caries.

$.20.{Diagnosis (Diagnosis.)}
The internal caries ($.19) can be diagnosed through painful sensations which the sick notice, in particular if there is no tumor; often the tumor cannot be detected


very well with a probe. The external caries, however, ($.cit.) catches one's eye through black dots, which slowly get larger.

$.21.{Prognosis. (Prognosis.)}
Cavities ($.$.18.19.) are the same as caries on other bones or the cold gangrene (Sphacelus) on fleshy parts which destroys everything: Thus, one has to try immediately to prevent cavities with proper means, so that they do not spread; because if that happens, all teeth will be ruined, it causes ulcers and purulent abcesses and the like. As such, it is one of the most devastating diseases of the teeth.

$.22.{Cure.(Cura.)}
When cavities have just started, one can try to remove them with a rasp; but because caries cannot always be reached and spreads often very quickly,


one has to keep in mind other measn as well. I use, when required by circumstances, the following tincture:
  • Rx O[/]ns Alcohol 3 sp
  • Distilled oil of Origanum vj
  • Camphor gt. x.
  • Cloves gt. iv
  • M.

Or:

  • Take strong alcohol 14.6 g.
  • Distilled oil of wild majoram 6 drops.
  • Camphor oil 10 drops.
  • Cloves oil 4 drops.

Mix it all together and moisten a cotton ball. Put it in the cavity and change four to five times a day, for fourteen days in a row.

$. 23. {Continuation.}
However, I change this tincture ever so often ($.22.), using different medicines


and adjust them according to the circumstances; in such a way, that when the pains are quite intense, I occasionally add analgesic things (Anodyna), as for example
  • Rx O[/]ns Vini Camphorati bene saturati 3 sp.
  • Salis armoniaci vinosi.
  • Tincturae opii àa b>3 ij.
  • Olei stillatitii cinnamomi gt. vj.
  • M.

Or:

  • Take spirits strong with camphor 14.6 g.
  • Liquid ammonium with wine.
  • Moon-sap-tincture, 7.3 g each.
  • Distilled cinnamom oil, 6 drops.

Mix together. As before, moisten a cotton ball and put it into the cavity; apply a little bit to the temple and pour some onto a sponge


so that the sick can inhale some of it.

$.24. Occasionally, one can use a few drops of just destilled water and cinnamom oil on a cotton ball and stuff it into the cavity, which then works as a caustic agent (causticum potentiale) without fire, or, if the nerv is exposed, it can be used as an actual caustic agent (causticum actuale) to burn the surface of the nerv. If the pain does not diminsh despite these remedies, or if the nerves cannot be hit and the symptoms of which I gave an example ($.21.) grow stronger, the tooth has to be pulled without delay.

Note.It is easier to demonstrate and talk about than to write about the proper manipulations which will achieve a comfortable and complete pulling of a tooth in such a way that all the heavy


and dangerous teeth as well as the broken stumps will easily be removed without endangering the patient: however, at another occasion (right now it would be against my intentions), I will take great care to share my thoughts on the topic and indicate the best instruments, which I found safest based on many years of experience and which I had have made according to my design: and on how to fill cavities with gold or lead. It is none of my business how much damage is done when using lead and eating acid or lead disolving foods.

$. 25. {Tartar (Tartarus Tophus.)
The external coating of the teeth (Cap. I. $.4.) as well as the gums (Cap


eod. $.6.) are often covered by a material caked hard by mucous and layered which eventually will form a crust or rind. It is called tartar (Lat. Tartarus, Tophus) by the medical people. Most people categorize it into the yellowish one, which is there first and is quite soft, and the gruesome and blackish one, the latter being harder than the former.

$. 26. {Causes.}
Tartar ($.25.) developes commonly, because the teeth are not kept clean or don't get brushed; additionally, food that finds its way in to the space between the teeth and the gums as well as just between the teeth, stays there and is turned into a doughy sire (slime) when moistened and dissolved by saliva. This slime gets dry and harder and harder through the air that comes in and out when breathing.

$. 27. {Diagnosis.}
Everybody who pays a little attention to his teeth can easily recognize tartar; it is so common with people who don't brush their teeth or don't have them brushed, that it will catch their eye and everybody else's when standing in front of a mirror and sometimes several layers can be found on a toothpick. Yet, tartar can be more common with some people thatn with others.

$. 28. {Prognosis.}
Nobody will doubt that tartar is something quite damaging to the teeth and the gums, regardless if it shows its nasty consequences more on the gums or more on the teeth;


for, by distending the former, making it swell up and consuming it, tartar does not spare the latter, since tartar lays tightly on the enamel, consumes it and often causes cavities. ($.18.) Tartar also heats up the mouth and causes bad breath.

$. 29. {Protective cure.}
No better means to get rid of tartar has ever seen the light of day than to get used from early age on to rinse the mouth daily and to keep the teeth clean. Nothing is suited better than pure water, lukewarm, mixed with a little bit of wine or surgical spirit (spirit vinus gallici) or also with some Spirit of Rosemary (Aqua reginae[?] hungariae) or Eau d'arquebusade (a vulneray for gunshot wounds). Use it to rinse the mouth and with the index finger or a soft sponge rub it slightly on the teeth and the gums.


If it is necessary to strengthen the gums, add some red wine (I mean one that is astringent, like Pontac) instead of white as well as a little bit of Tinctura gummi Laccae and the like. The leansing of the intestines using a mild laxative starting at a young age can help to prevent tartar on the teeth and the gums; the pungent evaporations of the stomach contribute quite a bit to the creation of tartar; parents who have children should really observe that.

$. 30. {External cure.}
Once the tartar is hard and quite attached to the teeth and the gums, one has to try to remove it using comfortable and proper tools; I usually use three different instruments,


which I have had made after my own design and would like to propagate in copper. In short, if tartar is to be removed, one has to make use of a few strengthening and astringent things, for example the following water:
  • Rx. Aqvae Stillatit. ex Rosis rubris Salviae àa ziij.
  • Succi Citri, recentis.
  • Tincturae Gummi Laccae àa 3 sp.
  • M.

Or.

  • Take rose-water.
  • Sage water,87.6g (6 Loth) of each.
  • Fresh lemon juice.
  • Tincur of Stik-lac 14.6g (1 Loth) of each.

$. 31. {Continuation.}
If together with the tartar, there is also a strong heat of the mouth, one can uase the following cooling water before removing the tartar:

  • Rx. Aqvae destillat, è corticibus citri 3iij.
  • Succi Sempervivi.
  • Citri recentis àa 3j.
  • M.

Or.

  • Lemon Zest 87.6g (6 Loth).
  • Juice of the common houseleek.
  • Fresh lemon juice, 29.2 g of each (2 Loth).

Put it all together and take some of it in the mouth, several times a day.


Note.The waters I have talked about ($.$.30.31.), can bring about quite a few changes given the circumstances. In the first case, however, I use most of the time a composition, which I have always handy, add a little cinnamom (Cinamomum acutum) and it is at everybody's command, if desired.

$. 32. {Loose teeth. (Dentium mobilitas.)}
Teeth which are not anchored solidly in their boxes but which can be moved backward and forward as well as to the sides, are called loose, (Lat. dentium mobilitas) and this has internal and external causes.

$. 33. {Internal causes. (External causes.)}
The internal cause is generally a foul condition of the blood, (cacochymia) the external causes, however, are intense violence, blows and beatings as well as


and especially tartar ($.25.) which consumes the gums, ($.28.) such that the teeth are blare.

$. 34. {Diagnosis.}
To discover loose teeth, one does not ahve to go far. Since it shows quite soon, when touching the teeth; thus, the dignosis of this malady is very simple. P>$. 35. {Prognosis.}
Nevertheless, this disease should not be taken lightly; because the sick cannot eat without great pains; they run the danger to loose their teeth and all the reasons for this disease are accompanied by grave and non-trivial consequences.

$. 36. {Cure for the internal causes.}
When there is an internal cause,


special attention needs to be paid to the cure using remedies cleansing the blood, at the same time with external astringend water, of which I gave an example ($.30.) or one can use the following strong tooth balm:
  • Rx. Terrae Catechu.
  • Sigillatae rubrae àa 3j.
  • Sangvinis Draconis optimi àa 3ij.
  • Corallorum rubrorum pptorum3s.
  • Florum Balaustiorum Eij.
  • Aluminis usti.
  • Pulveris Caryophyllorum àa Ej.
  • Cinnamom. gt. iij
  • Mellis Rosacei q.S. ut fiar Electuarium constantiae tenuioris cui demum adde O us Vitrioli gt. iv
  • M.

Or:

  • Take Catechu,
  • Red soil 3.65 g (1 Qventgen) of each
  • Dragon's Blood (Resina sanguinis draconis, Dracaena cinnabari Balf.) 7.3 g (1/2 Loth).

  • Red corals 14.6 g (1 Loth).
  • Pomegranate Blossoms 2.434 g (2 Scrupel).
  • Alum.
  • Ground cloves, 1.217g (1 Scrupel) of each.
  • Cinnamom oil 3 drops.
  • Rose honey, as much as necessary to make it a nice syrup;
  • Add 4 drops of aqua cuperosa

Mix it all together in a glass container which is several times bigger than the mass of ingredients; fermentation will make it rise in the beginning. Spread it over the gums and the teeth, two to three times a day. P>$. 37. {Continuation.}
Likewise, one could use various alcoholic mixtures, for example:

  • Rx. Spiritu florum sambuci cochlear àa 3j.
  • Tincturae Gummi Laccae.
  • Syrupi è Corticibus Granatorum 3sp.
  • M.

Or.

  • Take some elderblossom wine.
  • An alcoholic extract of scurvy grass 292.g (2 Loth) of each.
  • Tincture of Stik-lac.
  • Syrup of pommegranate peel 14.6g (1 Loth) of each.

Mixed together. Gargle a few times a day.

$. 38. {Cure for the external causes.}
If, however, the external causes are present ($.33.), the above mentioned remedies ($.$.37.38.) may still be used to the benefit of the patient; but, it is often necessary to tie down the loose teeth with a fine golden wire until they are stable again. By the way, if this situation is caused by tartar, one has to follow what I have described in ($.30.).

Note.Without boasting, I may make honorable mention of a few very good remedies to stabilize loose teeth, regardless if caused by internal or external reasons, which I possess, partly because I was lucky enough to obtain them from famous men, partly because of my own experience and which I plan to present to the gentle reader in the future. Yet, I repeat what I have said several times before that one needs to observe the circumstances at all times and look at and examine the teeth carefully beforehand.

$. 39. {The teeth are falling out.}
A non-trivial consequence of loose teeth, ($.32.) is their falling out; ($.35.) yet it just happens with old people quite often that their teeth fall out the same way as their hair due to a lack of nutrients; likewise, a paralysis of the nervous fibres (Cap.1. $.11.) which cover the root of the tooth (Cap. eod. $.3.), may give reason for teeth to fall out. P>$. 40. {Prognosis.}
Although the falling out of teeth ($.39.) indicates more of an ailment than a danger, their benefit (Cap.1.$.$.18.19) disappears as well when the teeth fall out. Therefore, it needs to be regarded as a huge calamity and deserves not little but great attention, so that the reason ($.39) can be determined and eleviated.

$. 41. {Can hardly be replaced.}
For once the teeth of a grown up person are gone, they will not be replaced by nature


and the skill can replace such lack only minor; unless, particularly lucky circumstances are present.

Note Since chattering or grinding teeth (Brygmus) is an arthritic or spasmodic movement, caused either just by external cold air or by coldness, but also by a fever that comes and goes or by strong feelings like anger or fear, it can easily disappear by itself as soon as the reasons for it vanish; so that I rather have the medical gentlemen treat this malady and continue with dull teeth.

$. 42. {Dull teeth.}
A miserable sensation of the nerves (Cap.1.$.11.) which can be felt either by touching the teeth or, when chewing or when sucking in air and which everybody knows better from personal experiences than can be describe with words, is called dull teeth. (French Agacement.) For this there are two reasons, internal and external ones.

$. 43. {Internal & external causes.}
The internal cause is thick and pungent blood, the external cause evolves, when the juices of certain stone fruits like plums, tart cherries get between the fibers of the skin that covers the root (Cap.1.$.8.). P>$. 44. {Prognosis.}
Dull teeth ($.42.), when caused internally ($.43.), can be very persistent and long lasting and can give cause to nasty symptoms. If dull teeth are caused externally ($.eod.),


it is not dangerous and will pass soon.

$. 45. {External cure.}
Causes that are internal, those good doctors know how to cure by using appropriate remedies which thin the blood and take away its sting; but the external cause can be mitigated by waters that wash off and cleanse, as for example:

  • Rx. Aquae Plantaginis
  • Prunillae àa 3j.
  • O usRorismarini 3 ij.
  • Olei Myrrhae per deliquium 3iij.
  • Mellis optimi 3 .
  • M. f. gargarisma.

Or.

  • Take water of plantain and prunella 175.2g (12 Loth) of each.
  • Spirits of rosemary 58.4 g (4 Loth).

  • Oil of Myrrh 10.95g (3 Qventgen).
  • Honey of high quality 43.8g (3 Loth).

Mix it all together and rinse the mouth several times.

Note. In the previous chapter I touched some on the construction or structure of the gums; Now I would like to end this chapter, since I have briefly mentioned the diseases of the gums before, which I, as most authors, divide into for species, namely: tumors, open tumors, fistulas and growth of the flesh.

$. 46. {Description of a tumor.}
In general, any abnormal growth of a part, be it in width, depth and height, is called a tumor. Tumors can be distinguished by their form, external characteristics, effected part of the body and the causes for them. Hence, they can be watery, (oedematosi) bloody, (sangvinei) hard uand painless, (schirrhosi) and so forth.

$ .47. {Inflammation of the gums (Parulis.)}
The blood which flows through the capillary vessels (vas capillaria), often gets stuck, due to the narrowness of the vessel or to the thickness of the blood. It cannot be absorde by the arteries; the forward pushing blood widens the vessels, which press against the neighboring ones, so that those can suffer from getting clogged as well. As a result, a swelling or tumor occurs, and in combination which an inflammation this is called gingivitis.

$. 48. {External and internal causes.}
Thus, the causes can be internal as well as external. The internal cause is a matter of thick blood ($.47.) or of pungency of the blood, which stimulates the vessels and creates a goutlike contraction.


The external causes are, aside from strikes or falls, raw and cold air, in particular at straits or in cold and watery countries. Quite often, opportunity is presented by cavities, a fragment or the root of a tooth as well as a decayed jaw.

$. 49. {Diagnosis.}
Gingivitis ($.47.) can be recognized as such, as do other types of inflammations, by the following four main signs: heat, (Calor) pain, (Dolor) redness, (Rubor), and throbbing. (Pulsatio) If the heat and the redness of a swelling decrease but the hardness increases, a sclerosis is not far fetched in general.

$. 50. {Prognosis.}
In this respect, if one wants the prognosis of gingivitis not to fail, one has to always watch for the causes;


since the causes make the consequences more or less dangerous. Such as, that if the swelling is minor and the blood is still kept in the vessels, the inflammation can be diverted. Often, the inflammed swelling will spread to the cheeks, ears, eyes, nose and lips.

$. 51. {Cure.}
Bleeding is the most comfortable means to dissipate an inflammation of the gums, ($.47.) whatever the causes are, internal or external ($.48.); this is because not only is the quantity of blood diminished but it is also dispelled. Additionally, one can dilate the small vessels by applying warm milk or water, in which softening herbs have been boiled, simultaneously to reducing the thickness and pungency of the blood.


But if a carious tooth is the reason, it has to be removed, if possible, before starting the treatment.

$. 52. {Ulcer. (Ulcus)}
If the blood, that has left the vessels, has collected in the small interstices and has torn the vessels, dissipation is not likely ($.51.), but an ulcer may develop.

$. 53. {Causes.}
The causes for a swelling ($.48.), may, if they are persistent, also cause an ulcer ($.51.); both can even be caused by the mucus of the mouth and rotten saliva.

$. 54. {Diagnosis.}
If the swelling ($.$.46.47.) is very elevated and bright red and accompanied by great heat, it is an indication that blood has leaked out; pain, shivers and fever as well as a pointed shape and oscillating of the swelling indicate that blood has changed into pus.

$. 55. {Prognosis.}
The puriform ulcers, of which I talked at the end of the 52nd paragraph, don't mean much. By the way, my own experience, in accordance with most of the authorities, has taught me that the ulcers of the gums occuring on the upper jaw are to be feared less because of the sepage of pus.

Note.A few years ago, I was called to a young noble lady in the country, who complained about severe toothpain on the right side. Her cheek was completely swollen, in particular


her upper lip, such as that she did not look like herself anymore and this misery had lasted for more than 2 weeks. I had some trouble to look at the damaged tooth, but soon after I was aware that a puriform ulcer of noticeable size had formed on the gums close to the tooth that had the cavity. Without delay, I removed the carious tooth and with it came four to five spoonfuls of fetid puriform matter. After that the pain was stilled and the swellingreduced. A couple days ago, following the advice of her young doctor, this young noble lady, who was 30 years of age already and had suffered from very intense headaches (Cephalae[?]) almost every day since she was a youth, had put a strip of red or Russian leather on her head. This was before the tooth pain started and after she had cut her hair. I leave it undecided, if this had anything to do with the swelling; yet, that much I know, the headaches had stopped for a full year.

$. 56. {Cure.}
All the time, one attempts to soften the puriform ulcers of the gums ($.51.) by using the appropriate remedies and get them to open. The former can be achieved by rinsing the mouth diligently with softening herbs and roots, which have been boiled in milk or water; likewise with things that resist rot (decay), like for example oil of myrrh (Oleum Myrrhae per deliquium), put on a piece of linen and applied to the ulcer and more of the same. But the latter, if it does not happen on its own, has to be achieved through a little opening


created by a small lancet at a spot where the swelling is the softest and the pus can drain the most easily. Then one presses on the swelling; extrudes the pus; cleans and heals the wound.

$. 57. {Fistula (Fistula.)}
If the entrance of an ulcer ($.51.) is narrow and the base is wide, it is called a fistula (lat. Fistula) because of the similarity of its entrance and base with the entrance and being hollowness of a flute.

$. 58. {Causes.}
The most common causes for a fistula ($.57.) are caries, ($.18.) tartar, ($.25.) a puriform ulcer, ($.51.) and neglected growths that produce a caustic juice, which I will describe immediately.


$. 59. {Diagnosis.}
A dental fistula is recognised by its hard and swollen edges; bad smelling pus is oozing conintuously and, by the way, its condition can be determined with a probe.

$. 60. {Prognosis.}
A fistula of the gums, like fistula on other parts of the body, can sometimes be heald only barely and very slowly; in particular, if there are deep hollows and a hardness paried with some other circumstances.

$. 61. {Cure.}
Caries as well as tartar are the common causes for a dental fistula. {$.58.} Whenever that happens, the carious tooth has to be removed; tartar has to be taken away; the entrance has to be widened, if necessary; the matter has to be coax out with compresses or, if one cannot get to it, it has to be rinsed out with injections; after that, the cure needs to be completed using cleansing and healing remedies.

$. 62. {Cure continued.}
To achieve the latter, I use the following among many other remedies:

  • Rx. Aloes Epaticae 3j.
  • Myrrhae rubrae 3ij.
  • Superaffunde
  • Vini hispanici tbj.
  • Olei Tartari per deliqvium 3 .
  • Coqvantur in vicem in vase vitreo aut terreo ad consistentiam pultis.

Or.

  • Take powdered Aloe 29.2 g (2 Loth).
  • Myrrh 58.4 g (4 Loth).
  • Pour some Spanish Wine, a little bit less than half a pot.
  • Oil of potash 14.6 g (1 Loth).

Boil all ingredients in a glass or earthen pot until it thickens like grits. Put some of it on the fistula several times a day, using a little bit of cotton or linen.

$. 63. {Overgrowth of the gums. (Epulis.)}
A fleshy rising of the gums, which extends beyond the surface of the gums, is called overgrowth (Epulis); there are two kinds. One of them is soft and whitish, the otherone is hard and reddish.

$. 64. {Causes.}
The first type of these growths, ($.63.) has at its base blood mixed with thick and viscous lymph. The other type is caused, when the blood lacks the fine water. Sometimes one can find small growths, which are caused by a


leftover splinter.

$. 65. {Diagnosis.}
The overgrowth is easily recognized; sometimes it is as big as an egg, in general it sits on a necklike or sticklike structure; the overgrowth is dense and hard and gradually reaches its size.

$. 66. {Prognosis.}
Indeed, the overgrowths of the gums is not dangerous initially; but if they are not wiped out in time, they spread and have serious consequences; they can turn into a hard cyst or cancerous; prevent chewing and speaking. The growth ($.64.) does not have consequences, in particular if cut out immediately.

$. 67. {External cure.}
As for a cure, aside from extirpation, only little or nothing can be achieved with external remedies. Such eradication is done with a suitable instrument. Some people use a ligature or band, but that is not quite safe. Once the operation is completed, the patient should rinse the mouth several times with warm wine, to which sugar and a little cinnnamom as well as myrhh and the like have been added. Sometimes it happens that new growth shows, which can be eradicated with burnt alumn, (Alumen ustum) or vitriol, (Vitriolum Cyprinum) or also with the infernal stone (Lapis infernalis), although one needs to be quite careful with these remedies, in particular with the last one, so not to cause any harm in the mouth.


$. 68. {Internal cure.}
By the way, when there is a growth of the gums, after distinguishing the circumstances, it is quite necessary to bleed the patient once or several times; to cleanse the vessels with suitable medicines. But because I have found most of the time a medeicament which does all of the above, I will pass that issue quietly.


Third Chapter. About things which are harmful to the teeth, at the same time, how one should keep them white.

$. 1. {A number of foods are harmful to the teeth.}
All foods that create bad chyle (Chylus), when used too frequently, contribute to the extinction of the teeth quite a bit, as for example pork, salted fish and meat, cheese, beets, peas, onions, cabbage, garlic and many more. For the nutritive juice has the same composition then the blood. Thus, when the blood is pungent or has a propensity for inflammation, it soon may settle in the hollows of the teeth or their neighborhood and cause infections there.

$. 2. {Thus, preserved things too.}
Along the same line, foods that were made with sugar, sugar covered seeds like anis, fennel, cubeb etc. are of disadvantage to the teeth. Preserved foods, like lemon and bitter orange peel, walnuts, cherries and the like. Because the sticky juice, that develops, covers the teeth, gets between the gums, causes shifts and so forth.

$. 3. {Excessive drinking of various fiery liquids.}
Excessive use of various fiery drinks, such as wine, spirits and strong beer, heat the blood, make it pungent and ruin the stomach and the lung, thus, it too is very harmful and detrimental to the teeth.

$. 4. {Too much of being awake, sleeping and sitting still.}
Too much of being awaake, sleeping and sitting still turns the blood pungent and thick, thus, these behaviors contribute quite a bit to the fact, that teeth get cavities


and start to wiggle; even fall out before their time and are lost. P>$. 5. {All strong emotions.}
Such a thing can be caused also by all strong emotions or affects, such as fright, rage, great sadness etc; because they disturb digestion; prevent the secretions and discharges, (Se- & Excretiones) and provide the base for constipation, which shows its harmful consequences quite often with the teeth.

$. 6. {The food should not be too hot.}
Foods, for those who enjoy them, should not be too hot, if they shall not cause a stagnation of one or the other type of moisture in the teeth themselves or the gums; in particular, if there is cold air touching the teeth directly. Because the effect of those two contradicting


affairs can easily cause that.

$. 7. {Likewise what one wants to drink.}
The same thing happens, if tea, coffee or the like are drunk too hot, and what is more fashionable these days among women than to have very hot drinks; keep them in the mouth for a long time and let it swirl around the teeth. Some even drink ice cold water immediately afterwards. The caries which is caused by such behavior is also quite in fashion nowadays.

$. 8. {Tobacco turns the teeth black.}
The same happens when tobacco is smoked extensively; additionally, the tobacco smoke makes the teeth black and ugly. Pipes, which are usually made from clay or soil, wear the teeth gradually out and one can observe most of the time


that strong tobacco smokers have black, worn out teeth.

$. 9. {Acidic matters are harmful.}
All acidic matters like cream of tartar, (Cremor tartari) sugar of lead, (Saccharum Saturni) burnt alum (Alumen ustum) and others must not come close to the teeth; since they make the teeth yellow and brittle. Botchers and quacks know quite well how to make many of these fraudulent compositions, by which these people do more damage than good.

$. 10. {Likewise acidic juices.}
Acidic juices and spirits, like lemon juice, (Succus citri), juice of garden sorrel, (Succus acestosae), marin acid (Spiritus Salis) and so forth, about which I talked in the preface, should be brought close to the teeth either not at all or only with great caution; because they turn the teeth


yellow, they wear down the enamel, and when used often over a longer period of time, they even destroy the enamel, so that is looks worm-eaten. The gums have to suffer a lot during these processes. Yet, this is a special secret of the wandering and quacking dentists, of which everyone should be aware.

$. 11. {Quicksilver does harm to the teeth.}
Mercury (Mercurius) shows its mean effects sufficiently on the teeth as well and in particular on the gums: it makes the gums swell up, it corrodes and destroys; and it does exactly the same to the skins which cover the root of the teeths.

$. 12. {Gnawing and corroding things.}
Toothbalms and powders, which are made in a certain way of pumice, (Lapis Pumicis) porcelain and other


materials should not be used at all; the same is true for red corals (corallia rubra), red crabstone (Lapides Cancrorum), even if they are real pearls, if they are nor prepared properly and disolved prior to using them. Since, because of their gnawing and corroding particles, these materials wear down the enamel of the teeth, they are very detrimental for the gums.

$. 13. {Brushes are disadvantageous for the teeth.)
All coarse and hard things, like brushes, pieces of fabric or canvas, if they are used to clean the teeth frequently and without consideration, cause quite a bit of harm; by often chafing the gums and the teeth. I have noticed with many people that they use those things several times a day and not without disadvantage to the teeth.


$. 14. {Harmful toothpicks.}
One should not apply a toothpick, if it is made of gold, silver, steel or iron, to remove the meat that is stuck between the teeth; even less so pins or the point of knives; because the cool sensation which one notices, is not beneficial for the teeth, and the hardness of these materials causes fissures in the teeth, and once those are present, it is questionable if nature can heal these wounds.

$. 15. {Any forceful efforts make the teeth crooked.}
All forceful efforts, which are performed with the teeth to chew foods that are too hard or crunch any other hard things, like cracking nuts or bite off threads etc. shake lose the teeth and their roots. If a forceful effort is too strong, the teeth can become crooked or even break.


$. 16. {One should select foods that are good for the blood.}
If one wishes to keep the teeth white and healthy, one should select such foods that provide a healthy and smooth blood, use the talked about foods and preserved foods, ($.$.1.2.) only in small amounts or not at all; the same is true for drinks, ($.3.) which should not be consumed too often and unnecessarily; go to bed in time and rise in time; exercise once in a while, ($.4.) and by doing so one can keep the teeth in good health.

$. 17. {Be aware of all strong emotions.}
One should be aware of all strong emotions; let the food, that is about to be enjoyed, have the right or lukewarm temperature; ($.6.) likewise tea, coffee, hot chocolate or other things, one wants to drink; ($.7.) do not smoke tobacco at all or only moderately, ($.8.) and always put a small mouthpiece


made of horn or feathers on the pipe, by doing so the teeth will stay healthy and white.

$. 18. {Acidic things should not touch the teeth, do not trust a quack who uses such things, but ask a reasonable man for advice.}
Moreover, do not use at all acidic things, juices and spirits ($.$.9.10.); it is better to let the liars and quacks who use those things, get away; instead of doing more damage to oneself, ask a reasonable and knowldgeable man for advise, somebody who knows to use different and better things, or who can at least decide when it is the right time to use those things and when they are indispensable. This is the best way to get the teeth clean comfortably and for sure.

$. 19. {Quicksilver has to be avoided.}
The use of mercury has to avoided as much as possible. If it is absolutely necessary to use it, one should stay nice and warm


and try to eliminate the quicksilver from the body in a timely manner and with the proper means. Doing so prevents many diseases of the gums.

$. 20. {A tooth-powder that can be used without harm.}
Instead of using the toothbalms or powders which I mentioned in ($.12.), one should rather employ the kind of balms of which I gave an example (Cap.II.$.36.), or the following toothpowder:

  • Rx. Offis Sepiae ppti.
  • Sangvinis Draconis optimi
  • Cornu Cervi usti ppti àa 3ij.
  • Radicis iridis florentinae 3iij.
  • Florum Balaustiorum 3j.
  • Caryophyllorum.
  • Cinnamomi acuti àa 3p.
  • Laccae florentinae q.S. ad gratum colorem.
  • M.f.Pollen subtilissimum.

Or:

  • Take white fishbone, or black fishbone, dragonblood.
  • Burnt and prepared hartshorn 7.3g (1/2 Loth) of each.
  • Fragant violet roots 10.95g (3 Qventgen).
  • Pomegranate blossoms 3.65 g (1 Qventgen).
  • Clover.
  • Cinnamom 1,825 g 1(/2 Qventgen).
  • Florentine Milk, as much as is necesssary to give it a nice color.

All ingredients are ground into a very fine powder.

$. 21. {Other means.}
I use many variations of these powders and cannot list them all for short; some need the crust of rye bread, burnt to coals, (crusta


panis secalini ad nigredinem tosta) mixed with burnt ivory (Ebur ustum), and so forth which is not to be turned down.

$. 22. {What can be used instead of brushes.}
If the teeth need cleaning, one should use, instead of small brushes or other coarse and sharp instruments, ($.13.) the index finger or a soft, gentle sponge or the very tip of the root marsh-mallows or mallards which have been prepared accordingly beforehand. Great gains will be noticed from such behavior, because the teeth remain undamaged.

$. 23. {Things that can be used as toothpicks.}
Along the same lines, one should try and get rid of toothpicks ($.14.), and employ instead thin feathers as well as thinly cut wood


of sassafras and in particular of the root of cinquefoil (Pentaphyllum officin. seu Pontentilla foliis digitatis longitudinaliter patenti ferratis, caule repente Linn. Cliff.194), which I prepare beforehand and which can be used by everybody without great gains, since the teeth will be cleaned without any danger at all and without any harmful fissures.

$. 24. {Avoid forced efforts.}
Finally, be aware of all forced efforts regarding the teeth ($.15.), in particular, since they can be dispensed with quite well and easily. Thus, if one would like to crack hard nuts, one should use another tool than the teeth. A thread can be cut rather with a scissor and more comfortably for that matter than to tear or bite it off with the teeth. At other occasions, when something hard needs to


be bitten off, it is much better to not do so than to show off, since the teeth will not loosen, they will not be crooked or fall out, but one can keep them, by taking good care, often undamaged until old age,

maybe even to the

END.

Errata

Pag. 25. lin. 11. l. Laxir-Saft

    "     29. lin. 12.l ij.


PLEASE NOTE: The English language translation provided here is a rough draft version created by Barbara Hegenbart, rough proofed by P. F. Anderson. A final proofed and edited version will be made available at a later date. The original fulltext and page images are available from the Humanities Text Initiative of the University of Michigan at http://www.hti.umich.edu/c/conraditc/.

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