Yellowish hue to the face. Alternating redness and paleness of the face (fourth day). Redness of the face. Face red and congested. Face very red. Face red and of an anxious expression.
Face greenish red (eight day). Face dark leaden-colored, not jaundiced (fifth and sixth days). In the morning the face was red, in the afternoon the turgescence had increased (second day); turgor of the face heightened, and in the afternoon it had assumed a remarkable bluish-red color, from which, however, the middle of the face was perfectly free; a colorless band of about an inch in breath, extended from the highest point of the forehead to the chin, and was sharply defined, giving the face a most peculiar appearance (third day); the bluish-red color of the face had changed into a perfectly cyanotic hue, the median line remaining free from all color (fourth day). Flushing of face during fever. Rush of blood to the face, with a feeling as if it were distended, in the open air, disappearing in the house. Face swollen an oedematous. Much swelling of the face. Puffiness of the face. Face somewhat puffy (second day). Face pale, puffy.
Puffiness of the side of the face upon which he has been lying.
Tension of the whole skin of the face. Subjective. Burning in the face, about the nose and upper lid, as from something acrid.
Warmth creeps over the upper portion of the face with increased redness, with obscuration of the eyes. Tearing pains in the face.
Tearing in the bones of the face and temples, as if everything would be torn out, constantly increasing till 8 P.M. Aching in the facial bones. Cheek and Upper Jaw. Frequent livid flush over left cheek. Excessive, almost bluish redness of the cheeks, without sensation of heat, at 8 A.M. Cheeks red (third day).
Swelling of the right cheek, corresponding to three carious upper teeth with expected necrosis of the jaw; after a few days, however, it had entirely disappeared. Swelling of the cheek (third day); became much larger, harder, and painful, and extended over the left side of the throat (fourth day). Swelling of the cheek and gum without pain. Twitching of the muscles of the cheeks. Twitching in the left malar bone, disappearing after rubbing. Pressive pain in the malar and maxillary bones and teeth, especially on chewing, swallowing food, and on going from a cold into a warm room. Tearing in the malar bone. Tension in the malar bones, as if they would be forcibly pressed towards each other, disappearing on rubbing. A stitch in the left cheek.
Necrosis of the left upper jaw, with hectic fever, sleeplessness, entire loss of appetite. On the upper jaw of the right side there is likewise partial necrosis, as the probe can be passed over a portion of bare bone. Considering the extent of the disease, and the consequent drain to the system, he enjoys tolerable health.
At the end of three years her face began to swell and she then left the business; the swelling gradually increased, and she entered the hospital; several teeth were extracted, with but little relief; she appears to have repeatedly left and returned to the hospital, with the swelling continuing, until at last an abscess formed in the superior maxillary bone, which left it carious. Violent pain in right upper jaw, which was soon succeeded by swelling and abscess of the gums; eight teeth in succession became rapidly carious and were removed; this has some effect on the swelling, but it soon increased again, extending to the cheek and part of the neck; according to the patient’s account, the suppuration at the commencement had a strong odor of Phosphorus. Pregnancy appeared to have proved a favorable to the disease, but on new examination, there was found to be a necrosis of the superior maxilla. About two years before her entrance into the hospital, she began to have severe pain in the second molar tooth of the left upper jaw. The tooth was carious and was removed, but the wound always remained open, though the pain ceased. Seven months before her entrance, there was swelling affecting the whole gum on that side, and extending inwards to a considerable extend over the roof of the mouth. Soon after this, there was a discharge of pus from the alveolus of the tooth, and also from the left nostril, and this state of things continued, the swelling not having diminished since the abscess first broke.
Soon after the tooth became affected, one of the others became loose and painful, and was extracted. Meantime the left cheek and become unnaturally full. Three months later the alveolar process was found to be diseased, and all the remaining teeth of that maxilla were extracted except the two incisors and the wisdom tooth. Several pieces of dead bone were removed, and the antrum was found to be in communication with the mouth. Two months later, the jaw became again the seat of pain, which in the course of a month became so great as to prevent sleep. On entrance, there was much swelling, soreness, and pain about the gum and roof of mouth. The middle incisor remained, but was quite loose.
The antrum was open, and there was a good deal of semi- purulent offensive discharge. Pain in the left upper jaw, with swelling of the upper lip; the pain afterwards disappeared for awhile, but the lip remained swollen; several abscesses formed in the mouth, discharged matter between the teeth, and the patient had some of the back teeth drawn and experienced relief from pain for a time, but afterwards it considerably increased and the gum became swollen, so that the mouth could scarcely be opened and the bone became denuded. Gums began to soften and swell, violent pains in the teeth of the upper jaw followed, with swelling extending over the whole cheek; the teeth becoming carious, fell out, and a fetid suppuration proceeded from the sockets; on examination, the bone was found largely diseased. Lips. Upper lip swollen, every morning. Eruption on the red of both lips, at times with stitches. Deep crack in the middle of the lower lip. Painful blisters as large as peas, filled with lymph, on the inner surface of the lower lip. Painful ulcer on the inner surface of the lower lip. Lips parched (fifth day). Lips and face pale. Lips very dark (eighth day). Dryness of the lips and palate, without thirst. Lips blue. Lips livid (seventh day) Lips dry all day.
Skin about both lips rough. Numbness of the right side of the upper lip and of the tip of the tongue (first day). Heat in the lips, that were denuded of epithelium (after seven hours).
Burning, like fire, of both lips. Burning pain on the red of the lower lip, with white blisters on its inner surface, with burning pain (after eleven days). Burning stitches on the margin of the upper lip, while sitting. China Gradually a red swelling appeared on the under part of the chin; at first it was the size of a four-penny piece, and quickly enlarged until it extended over the face as far as the eyes; except upon the chin, however, the swelling remained pale and doughy; upon the original swelling of the chin there was found a group of pustules of the size of hemp seed and larger, which, after discharging their thin turbid contents, formed an ulcer the size of a sixpence; at the same time the parts beneath became disorganized into a thin, slightly discolored offensive purulent mass. A disagreeable smell also emanated from the mouth; the gums and teeth, particularly the front teeth of both jaws, became loose from salivation, which set in at the same time; and the child, from the commencement of the affection, complained much of toothache and headache. Within eight days the ulcer had destroyed the soft parts, even to the bone; after the use of remedies for ten days, three thin pieces of bone, the size of a bean, detached themselves from the surface of the lower jaw at the chin, and on the following days other smell very thin fragments of bone were observed upon the lint; upon this the sanious discharge was arrested; the surface of the ulcer became clearer and began to discharge a thin pus, and to form granulations; three weeks after the exfoliation, the ulcer was cicatrized. Suffered much from violent toothache, accompanied with considerable swelling of the right side of the face; he had a double tooth extracted, but without relief; the affection progressed so quickly that in a short time he ceased to be able to follow his employment; one tooth after another dropped out; he became so weak that he was unable to work; a swelling of the size of an egg formed below the right orbit, which in a fortnight burst, discharging a large quantity of white pus; he continued to get worse, all the teeth having fallen out, the gums of the lower jaw retracted, and he now presents the following appearance; The right cheek is considerably swollen; at the right angle of the lower jaw exists an opening, discharging laudable pus, through which the probe can be passed a couple of inches along bare bone; two inches anterior to this there is another aperture likewise leading to dead bone; on opening the mouth, the whole of the lower jaw, as far as the ascending rami an down to the reflection of the mucus, membrane on the cheek, is quite dead, denuded, and of a leaden-grayish color. Closure of the jaws so that she could not separate the teeth. Trismus. Glandular swelling of the articulation of the lower jaw. Inferior maxillary bone completely denuded of soft parts, and its surface grayish, rough, rugous, and covered with a fetid suppuration. After remaining a month, she left the hospital, and died soon after. Out of eighty-eight cases reported, in thirty-two the upper jaw, in thirty-eight the lower jaw, and in ten both jaws were affected. Necrosis of the inferior jaw with all the ordinary symptoms, with removal of the jaw and recovery. Necrosis of the jaw, with oedematous swelling of the face and neck. Necrosis, preceded by great pains, in the lower jaw. Necrosis of the jaw, during the progress of which the patient was attacked with the most violent erysipelas, which threatened her life. Seized with toothache, and swelling on the right side of the lower jaw; to relieve it the gums were lanced, and, finally, the tooth extracted; after this the pain ceased, but the swelling gradually increased, until a spontaneous opening formed on the under side of the jaw, with a discharge of pus, which has continued since; she remained in the factory until one week previous to her admission into the hospital. Upon examination after her admission, the inferior maxilla was found necrosed on the right side, and partially on the left; the jaw was painful, and that side of the face swollen; the discharge was at times profuse, and a part of it took place through the buccal cavity rendering it very annoying; her appetite was good, but mastication difficult and painful; the necrosis gradually extended, but her general health continued good. Two years ago he began to be troubled with carious teeth; the three molars on the left side of the lower jaw became so painful that he was obliged to masticate on the right side exclusively. Afterwards the teeth on the right side pained him, and he was forced to employ the left ones again. Two months ago he took cold, and after a few days, he found a swelling about the left side of the lower jaw, accompanied with pains in the bone, extending to different parts of the head and face. He had teeth extracted, which were rotted away at their crowns, but their fangs were entire. At the time of his admission, the three remaining incisors were quite loose; entire gum on left side swollen and spongy; fetid pus escaping on the slightest pressure, from the previous site of the extracted teeth; a probe passed into these openings strikes on bare bone; over these parts there was considerable exterior swelling; pulse quick and feeble; general strength impaired; face puffy and very pallid; sleep disturbed by pain in the jaws and general articular pains. The pain and swelling increased on the right half of the face, speedily bringing it into the same condition as the half first affected. The ulceration of the gum over the diseased alveoli advanced; and as the several openings became confluent, the alveolar margin of the bone became exposed. The soft parts rapidly retracted from the surface of the bone, and the denudation became every day more complete, and its exposure was attended with a copious and most fetid suppuration. From then until now the only difference that has occurred has consisted in the gradually advancing isolation of the bone. Began to suffer with toothache in the right side of lower jaw; this lasted for some time, and was followed soon by a hard lump upon the outside of the jaw; the pain continued to increased and the swelling to enlarge until an abscess formed in the submaxillary region, an burst, and discharged a large quantity of purulent matter. Upon introducing a probe into the discharging orifice, I found that it led directly to the jaw, which was deprived of its periosteum and in a necrosed condition; there was, however, no indication that exfoliation had taken place from any part of the jaw, but, on the contrary, the whole bone was firm and solid. At this time the disease seemed to extend only from the right lower canine tooth to the angle of the same side of the jaw. Later he presented himself in a condition much worse than before; now from weakness and exhaustion he had been forced to give up his occupation. All the teeth upon the right side of the jaw have loosened and fallen out; besides several openings upon the outside of the face, that were freely discharging pus, there were two or three inside of the mouth, from which there issued a large quantity also, and which led directly to diseased bone. The disease now seemed to involve the whole of the right side of the lower jaw, without there being made the least attempt, seemingly, by the periosteum to replace the dead bone with a new casing of osseous deposit such as usually forms in ordinary cases of necrosis; nor was there any disposition to exfoliate or the form a sequestrum, but on the contrary the whole jaw was as from and solid as at the time when it was first examined. His constitution had now become seriously affected, as he was much emaciated and weakened by the great drain of pus that was constantly poured forth from the diseased parts. Later, in the mouth can be felt and easily seen the denuded jaw for an extent of two inches. His breath smells very offensively. The disease now extends from the right temporomaxillary articulation to the left lower canine tooth. He cannot eat solid food, though his appetite is tolerably good.
Born in 1837in Westminster, Vermont. . He was an orthodox doctor who converted to homeopathy
Dr. Allen compiled the Encyclopedia of Pure Materia Medica over the course of 10 years.
In 1881 Allen published A Critical Revision of the Encyclopedia of Pure Materia Medica.