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August 7, 1909, Vol LIII, No. 6 >
ARTICLE | August 7, 1909

CONSERVATIVE SURGERY FOR THE TREATMENT OF DISEASES OF THE MANDIBLE

THOMAS L. GILMER, M.D.
JAMA. 1909;LIII(6):444-445. doi:10.1001/jama.1909.92550060002002d.
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ABSTRACT

Exsection and resection of the mandible are followed by greater mutilation and disfigurement than follow any other oral or facial surgery. When the continuity of the lower jaw is broken by the removal of considerable sections of the bone, facial deformity is at once and permanently made, and no means of restoration by prosthesis, or otherwise, has as yet been suggested or employed, which meets the demands either cosmetically or functionally in any degree satisfactorily, either to the surgeon or to the patient. This statement may be qualified in a slight degree by excluding a few cases in which only a small section of the mandible has been removed in the anterior part of the bone, and there are present in the two fragments of the jaw a number of good sound teeth firmly set to which a bridge may be secured; and even in such cases, owing to

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