JAMA. 1883;I(22):637-638. doi:10.1001/jama.1883.02390220005001a.
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[Read to Section on Oral Surgery, June, 1883.]

Mrs. L., aged 34 years, of nervo-bilious temperament, and fairly good health, called, in May, 1879, for an examination of her mouth. Found the left first superior biscupid tooth decayed upon the distal surface, but not so extensively as to expose the pulp, or sufficiently near to it to require, in my judgment, special protection. The cavity was filled with gold and the case discharged. In April, 1881, one Sabbath, I was called in great haste to see the patient at her home. The tooth which I had filled had become suddenly very sore, with great pain in the left eye. The patient then explained to me as the reason she had not visited me for a regular examination, as had been her custom every three or four months, a serious difficulty with the left eye, involving partial loss of sight, profuse


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