Convulsions of Dentition are indicated by such premonitory symptoms as irritable temper, unusual brightness of eyes, indisposition to eat or sleep, slight involuntary movements of muscles of face, or extremities, grinding of teeth. The paroxysm is indicated by rigidity of body, utterance of a cry, face turning red or purple, veins of neck turgid, suspension of respiration, loss of consciousness, irregular and intermittent contractions of muscles, protrusion of tongue, frothing at lips, distortion of face, rolling of eyeballs, contracted and rapid pulse.

Treatment

For the relief of the premonitory symptoms of dentition, bromide of potassium in doses of gr. iij to v, according to age, every ten minutes. Demulcent and soothing lotions to the gums. An aperient if no diarrhoea is present. For more decided symptoms, scarification or lancing of the gums. An enema of soap and water to relieve the digestive canal of irritating substances, or the use of the following combination to abate the fever and allay the irritability of stomach and bowels: -

Treatment 315

Potass. bromidi pulv..........gr. xv

Potass. nit. pulv...........gr. xij

Zinci oxidi .............gr. ij ML

Divide in chart. No. vi. Sic - One powder every four hours, until bedtime.

For the diarrhoea: change the diet, adopt hygienic measures; mild purgatives in small doses. For acid dejections, calcined magnesia; or small doses of sulphate of magnesia and tincture of rhubarb; or of pulv. ipecac, pulv. rhubarb and bicarbonate of soda; or castor oil in doses of 5ss. For infancy diarrhoeas Dr. Thomas claims excellent results from the following mixtures in gastric or gastro-intestinal dyspepsia, characterized by nausea, vomiting, flatulence and diarrhoea with non-slimy, fetid, yellowish or greenish stools.

Treatment 316

Lactic acid,Treatment 317 simple syrup,water,iiiss. M. Sig. - ne drachm every quarter to half hour after meals. (See Dr. James W. White's recipes under opium, chloroform, aromatic sulphuric acid and bromide of potassium.)

For convulsions: the administration of an anaesthetic to abort or' control the spasmodic movements; hydrate of chloral, gr. v to x, according to age, dissolved in two or three drachms of water, and injected into the rectum; or the administration of bromide of potassium; use of hot foot bath, to which is added a small quantity of mustard; the warm bath; and when cerebral congestion is threatened, cold applications to the head.

According to Dr. A. Brothers: 1. Dentition is rarely, if ever, a direct cause of death.

2. Precocious or retarded dentition may occur in otherwise healthy children or in entire families.

3. The period of eruption of the first teeth occurs, in healthy, breast-fed children, at six and a half months in the vast majority of cases, and first dentition is usually complete at thirty months.

4. Dentition is distinctly retarded in the first as well as the later teeth in children brought up on a mixed or artificial diet.

5. Congenital diseases - tuberculosis, syphilis, endocarditis - seem to have a retarding influence on dentition.

6. Rachitis has a very pronounced retarding influence on the whole course of dentition.

7. Scrofulosis seems to hasten the eruption of the first teeth, but does not affect the later teeth.

8. In cases of undeveloped brain - idiocy - there is a marked retardation during the entire period of dentition.

9. Chronic diseases have a retarding power over the first teeth, but do not seem to influence the later teeth.

10. Children suffering from marasmus seem to be precocious with the first teeth, but delayed with the later teeth.

11. Cases of epilepsy, developing in early infancy, seem to have their first teeth appear early.