APRIL 1977 VOL. XXXVI NO. 4 50¢

36TH YEAR OF PUBLICATION

\"'. II I -- I I 6W."'~~ ttttt , IIG, one of the most readable, award-winning dental " '" Ildlltt!!'I' I j magazines in America, comes to you, doctor, as a professional courtesy of your l'iconium Laboratory. 111111;111111111111111111111;11111111111111111111111111IIIIIIIillllllllllllllllllllili rUHYARO l DENTISTRY SCORES WITH 5. Kanai, S. - Structure studies of amalgam, - II. Effect 10. Teixeira, L. C. - Dental amalgam: effect of burnishing of burnishing on the margins of occlusal amalgam fillings. on the hardness of the margins. Thesis for the doctor Acta Odont. Scand., 24:47-53,1966. degree, 1973.

6. Jorgensen, K. D. and Saito, T. - Structure studies of 11. Central Regional Meeting of Operative Dentistry, Creigh­ amalgam-V. The marginal structure of occlusal amal­ ton University, Omaha, Nebraska, February 6-7,1975. ATechnique for Improving the Amalgam Restoration gam fillings. Acta Odont. Scand., 25:235-45, 1967. 12. Kato, S.; Okuse, K. and Fusayama, T. - The effect of 7. Wilson, R.T.; Phillips, R. W. and Norman, R. D. -In­ burnishing of the marginal seal of amalgam restorations. J. Prosth, Dent., 19:393-8, 1968. fluence of certain condensation procedures upon the by Gerald E. Denehy, D.D.S., M.S. mercury content of amalgam restoration. J. Dent. Res., 13. Svare, C. W., and Chan, K. C. - Effect of surface treat­ 36:458-61,1957. ment on the corrodibility of dental amalgam. 1. Dent. and Luiz C. Teixeira, C.D., D.C. 8. Fusayama, T. et al. - Surface roughness of amalgam Res., 51:44-47,1972. fillings made by various technics. J. Dent. Res., 46:lO19- 14. Charbeneau, G. T. - A suggested technic for polishing 21, 1967. amalgam restorations. J. Mich. Dent. Ass., 47 :320-5, A malgam burnishing could be defined as the rub­ tion, where regardless of the method of condensation, bing of the surfaces of a freshly placed amalgam with the mercury concentration is higher. (7) 9. Nakai, H.; Ishizaki, N. and Nihei, I. - The mircrostruc­ 1965. ture and hardness of dental amalgam. J. Osaka Dent. LEGEND: Figure 4 and 5 - A-amalgam; E-enamel; arrow a metal instrument to produce a smooth shiny finish. Burnishing may also be considered a part of the Univ., 4:131-49,1970. -cavosurface margin orig. mag. 100x. For many years this procedure has been considered finishing procedure. The rough surface left by the detrimental to the finished amalgam restoration. (1·3) carving instrument is smoothed by the burnisher. (8) (Copyright by The Journal of the Indiana Dental Association. Reprinted by permission.) Current research studies have shown, however, that A shine is imparted to the restoration and later polish­ burnishing, rather than producing adverse effects, ing procedures are greatly simplified. definitely improves the physical properties of the I MISS MY FAVO FOUR-LETTER WORD amalgam restoration. (4·5·6·8·10) This has led to ac­ What Are the Benefits of ceptance of the technique to a degree that operative hy H. Marie Davis Burnishing an Amalgam? educators from the seven midwestern dental schools The major results of burnishing an amalgam are represented at a recent Central Regional Meeting of I'll probably never hear it again. He just doesn't say Why does it take only minutes for an anesthetic to best exhibited at the margins of the restoration. De­ Operative Dentistry unanimously agreed that amal­ it any more. My dentist, that is. And I miss it so­ deaden the jaw, and hours for it to wear off? It's al­ crease in residual mercury and gamma2 phase result that wonderful welcome four-letter word. most impossible, upon leaving the dentist's office, to gam burnishing was beneficial and should be included in harder margins. (9·10) Marginal seal has been shown But things have changed markedly in the more-than­ replenish your lipstick without jabbing it into your in the amalgam technique taught at the schools. (11) to improve with burnishing, reducing marginal leak­ twenty years that have passed since I started going to checkbone, orup your nose. age. (12) Corrodibility of amalgam surfaces has been him. Now his assistant puts that damnable miniature What used to take my dentist an hour to do, now What Changes Occur in the Amalgam significantly lowered in studies involving burnished sump pump in my mouth and leaves it there to hiss takes only half that time, because of his acquiring an Restoration during Burnishing? amalgams. (13) Also as previously stated, burnishing and gurgle away, on about five cylinders. assistant, and his updated dental equipment. And Amalgam burnishing may be considered a continua­ greatly reduces the need for extensive polishing pro­ Every few minutes, he pauses, at which point his probably for other reasons not generally known to the cedures. (14) tion of the condensation process. The unreacted gam­ assistant squirts a stream of water around, then swoops lay public. ma phase alloy particles ( Ag3Sn) arc brought closer it out with the tiniest vacuum cleaner ever seen. Slurp, Nevertheless, I sorely miss the satisfaction of lean­ How Should an Amalgam Be Burnished? squish, yuk, gag. Again, only about 75 percent satis­ ing forward every few minutes and enjoying a good, together, diminishing the amount of microporosity fying. No, I don't expect to ever hear my favorite four­ thorough, mouth-emptying SPIT! and the relative residual mercury content. (4,5) De­ Burnishing of an amalgam is accomplished by the letter word again-SPIT. 4215 N.E. 82 Street creasing the relative content of mercury in the amal­ rubbing with firm pressure of a smooth metal instru­ To compound the problem, from the patient's point Seattle, Washington 98115 gam results in a decrease of the matrix which is ment in a back and forth movement over the surface of view, he has tossed out his old, comfortable, composed of a mixture of gamma! (Ag2Hgg) and of the amalgam restoration. Although any smooth straight-backed dental chair, and replaced it with a gamma2 (Sn7.S Hg) phases. (6) As a result there is a metal instrument will accomplish this purpose, the modern, gorgeous, pastel reclining piece of furniture. decrease in the least desirable phase, gamma2. This ones which function most efficiently conform closely He declines it beyond the point of horizontal. The is particularly important at the margins of the restora- to the contour of the surface area to be burnished. head is actually lower than the feet so that the saliva This includes small ball burnishers for the occlusal tends to down my throat faster than his handy­ grooves (Fig. 1), larger ball burnishers for occlusal dandy little swooper·outer can cope with it. (And I About the authors cavosurface areas (Fig. 2), and football shaped or learned early to wear only pants suits, not dresses, to Dr. Teixeira is Visiting Professor at the Department of Oper­ pointed burnishers for the proximal, inclined planes my dental appointments.) ative Dentistry, University of Iowa, College of Dentistry. or embrasure areas (Fig. 3). The back and forth It's not all bad, though. These modern intrusions Received his undergraduate dental degree and his doctor de­ movements should be overlapping and should result in gree from the University of San Paulo School of Dentistry, into the field of dentistry, have permitted him to speed a smooth shiny appearing surface. up the process. I have been placed in one room, in­ Ribeirao Preto, SP, Brasil, where he is a part-time Assistant Professor at the Department of Restorative Dentistry, School jected with novacaine, and had the dentist fill another of Dentistry, USP, Ribeirao Preto, SP, Brasil. patient's tooth in an adjacent room, in the time it takes When Should Amalgams Be Burnished? Dr. Denehy received his undergraduate dental degree from Exact times for initiating the burnishing of an amal­ for my novacaine to take effect. Just sitting there, Lama Linda University, School of Dentistry and his M.S. knowing what is coming next, and hearing his piped-in from the University of Iowa. Dr. Denehy is an Associate gam have not been clearly defined in the literature and music system playing what might as well be "Nearer Professor at the Department of Operative Dentistry, Univer­ there is confusion in the minds of many operators. My God To Thee," only stimulates the saliva flow. sity of Iowa, College of Dentistry, Iowa City, Iowa. Research studies have used burnishing times ranging

10 ~IC APRil, 917 T 77 1 Fig. 1 Fig. 6 Fig. 4 Fig. 5

What Are the Precautions in 4. Upon completion of burnishing, the cavosurface Burnishing an Amalgam? margin areas should be examined for flash which should be removed. If the flash is extremely thin, Perhaps more important than the exact burnishing a damp cotton pellet may be used, otherwise a time, is the immediate effect of burnishing on the con­ carver will be necessary. After flash removal, the tour of the amalgam restoration. If firm burnishing area should again be burnished. The finished bur­ procedures are initiated too early while the amalgam nished restoration should exhibit a smooth shiny is still soft, it is extremely easy to break-down the con­ surface. (Fig. 6) tour of the amalgam restoration and end up with an undercontoured restoration. This results in ditching of 5. After rubber dam removal, the amalgam should be the cavosurface margins or acute amalgam margins checked for occlusal interferences and adjusted which are easily fractured. (Fig. 4) accordingly. Those areas carved for occlusal ad­ Undercarving of an amalgam with the concept that justment should be burnished again. (Fig. 7) burnishing will remove the excess often results in flash 6. Polishing of the restoration should be done in the of amalgam overlying the cavosurface margins. (Fig. Fig. 7 next appointment. (Fig. 8) 5) If this is not properly removed, the acute angle of amalgam formed as excess over the margins may also Summary easily fracture, resulting in a defective margin. Burnishing does not necessarily insure a long-lasting What Is the Exact Sequence in quality amalgam restoration. There are many other Burnishing an Amalgam? factors which are also very important and must be taken into consideration. It is essential for the dentist 1. The amalgam should be overcondensed to place to properly prepare the cavity to receive the restora­ the mercury rich surface in an area which will be tive material. He should also keep current his knowl­ removed during carving procedures. edge of the advances in amalgam materials, and select 2. The amalgam should be properly carved, defining the best alloy available. The amalgam must be prop­ all cavosurface margins, anatomy, contours, and Fig. 3 erly placed and carved to correct anatomic form and embrasures. function. By combining burnishing with the above 3. The dentist should delay burnishing until the amal­ factors, however, the physical properties can be im­ from immediately following condensation to six min­ gam has reached sufficient hardness to allow burn­ proved, and the dentist can be assured of providing Fig. 8 utes following condensation. (5,10, 12) ishing without contour deformation. The delay the best service possible to his patient. Clinical experience, however, has shown that the will depend upon the speed of the operator in carv­ ideal time for amalgam burnishing appears to be when ing and also the speed of set of the alloy used. This REFERENCES 3. Gilmore, H . W. - New concepts for the amalgam restor­ ation. Practical Dental Monographs, , Year the restoration is hard enough to resist contour de­ may require some clinical experience on the part 1. Phillips. R. W.; S artz, M . and Norman, R.D.-Material Book, 1964, p. 21. formation and produces a shiny surface upon burnish­ of the operator to determine the ideal time for him for the practicing dentist. St. Louis, Mosby, 1969, p. 91. ing. This may vary from five to ten minutes after con­ to burnish. All accessible areas of the amalgam 2. S\\ eeney, J. T. - Manipulation of amalgam to prevent 4. Teixeira, L. c.; Kammermeyer, K. and Johnson, W.W. - densation, depending upon the speed of set of the alloy restoration should be burnished. with special em­ excessive distoration and corrosion. J. Amer. Dent. Ass., Printing of mercury distribution on the surface of dental used. phasis on the cavosurface margin areas. 31:375-80,1944. amalgams. J. Amer. Dent. Ass., 81:1159-62, 1970.

8 TIC, AP~IL, 1977 ~ C APRIL, 1911 9 An award-winning magazine for Dentists, Dental Assistants, and ic Dental Hygienists (2) Acrylic resins faired worse than the other ma­ that are not directly related to the practice of dentistry terials under brushing but withstood grinding better but only serve as a showcase intended to gain patient Published monthly by TICONIUM COMPANY than many composites. acceptance and possibly promote practice growth. To Division of CMP Industries, Inc., Albany, New York Dentist.·.,T S~ol·es (3) Composites resisted caries most favorably. the well established practitioner, the showcase can Editor Joseph Strack • ( 4) Composites were found to be durable as inter­ more readily be eliminated. In any case, one must be Contribut ing Arthur S. Freese, D.D.S. proximal flllings but less favorable than amalgam for judicious in deciding what items to eliminate. In buy­ Editors Arthur H. Levine, D.D.S. Maurice J. Teitelbaum, D.D.S. \Vith Baseball Class 1 or Class 2 restorations in molars. ing a new lamp is it important to have a $300 lamp Cover Artist Edward Kasper HYGIENISTS CAN HELP IN CANCER DETECTION when a lamp for half the price will suffice? Is expen­ sive, fancy engraved stationery necessary when one It has been estimated that 85 percent of oral cancers APRIL 1977 VOL. XXXVI No.4 Dentistry is no stranger to the baseball diamond. In fact, their are directly visible in the mouth. Therefore, a careful is trying to keep down costs? Look around your office relationship is a friendship generations-old. and see where you can cut down on "glitter." examination by you or your hygienist can help in de­ CONTENTS April is the month the national pastime summons its fans from a tecting oral cancer. Examinations should include the (3) Staff control. If your staff is operating at top winter in the " leagues" to attention for big league games level efficiency then this is no place to money. following: TIS ~y S R S BA fB LL in 26 parks and Little League games in 10,000 cities, towns, and ( 1) Observation of the face and neck for asym­ However, if there are idle hands in the office and work villages across the globe. can be distributed so as to get the same amount of The season opens this month, and, metry, masses, moles, blemishes, etc. whether or not you are a fan, you will Certain to be on hand for each of these "opening games" and for (2) Palpation of the parotid and submaxilliary work done with less help, consider staff reduction. the season that is to follow through the October is the (4) Utility costs. If you're paying the gas and want to know what dentistry is doing gland areas for swelling or enlarged nodes. dental profession. for baseball. A lot! __ (3) Checking the oral cavity for unusual lumps, electric bills, you know that they have almost doubled Its biggest-and most visible role-will be in the oral care it will in the past few years. Unless you have a lot of shares sores, or irregularities. give to all these teams, from eight-year-olds starting a Little League in the public utility companies, you should see that (4) Examination of the hard and soft palate. career to the 80-year-old retirees whose baseball pension contracts the temperature in your office is maintained at a steady With epidemics and pandemics talk (5) Inspection of the surfaces of the tongue and assure them of dental treatment for all of their years. comfortable level. As to lights, why keep them on in palpation of the floor of the mouth. around the world, our book critic fea­ Every major league club requires its players to have complete rooms that are unoccupied? True, it makes the of­ tures a review of Plagues and People by physical examinations each year and these physicals include exami­ KEEPING THE LID ON EXPENSES fice look "alive" but is it worth the cost? And isn't it historian William H. McNeill 6 Despite a new administration in Washington, the nations by internists, ophthalmologists, and dentists. better to preserve that precious commodity, energy? At just about all of the 2,000 big league games which will be likelihood of a reduction in office overhead and prac­ (5) Miscellaneous. Dentistry is not a nickel-and­ FOU TEP played during the 1977 season, a dentist will be on call. Many times tice expenses seems to be very remote. In fact, it is dime business so it's foolish to be pennywise and More and more patients find some mod­ he will be on duty at the stadium, or at most a telephone call away. doubtful that even the current level of expenditures pound foolish. Yet, enough dollars wasted does mean A number of the 26 teams-this year there are 14 in the American can be maintained. Passing any extra costs on to pa­ ern dental office equipment more and your operational costs will rise and will cut into your Lea oue and 12 in the National-have a designated dentist. In one tients by higher fees should be considered only after more on the odd-ball side 10 profits. So here are a few more ideas to keep the lid case: the , they have a whole dental office designated a serious attempt is made to curtail expenses and keep on: (a) Shop around for the items you need. Compe­ as "team dentist." the lid on office costs. Mounting fees can only serve MA PIE D ST-IN THE oFfln tition is still acute among suppliers, particularly dur­ In the most prolific of baseball organizations, the Little League, to close the door to all but emergency treatment for Take a few minutes to read this. The ing periods of rising prices. (b) Watch that petty cash! dental care is a priority item, with its hundreds of leagues counseled that segment of the population who have the greatest author makes a case for his point of It has a way of disappearing on meaningless and un­ to the oral care of the youngsters. need for preventive and complete dentistry. view _ 13 necessary things. (c) Write letters when you can avoid Besides the professional role of tending to the oral needs of base­ How can we put the lid on rising costs? Each prac­ lengthy and expensive telephone bills. (d) See that all ball, dentistry has, especially in the pages of the past, played the tice is organized differently but here are some sug­ lES ~D ~p ES G of your equipment is maintained in good order by pe­ game so well that at least one of its own is among the game's im­ gestions that you might consider: riodic inspection, cleaning, and lubricating. Replace About expensive cities; a trumpeter re­ mortals enshrined in the Hall of Fame at Cooperstown, N.Y. ( 1 ) Quantity buying, though it necessitates a broken parts immediately, replacements are expen­ suming his career through dental help; All that has to be said about this gentleman of immeasurable base­ greater initial outlay of money, can prove to be a con­ sive. (e) If you can make an item last, have it fixed, Vitamin E; income levels and prosthetic ball greatness is to mention his name: Casey Stengel, a managerial siderable savings by the end of the year. Take advan­ for new equipment is much more costly. (f) Look over appliances; a new antimicrobial skin genius who would have won the game's greatest accolade on his tage of special buys, especially those items that are your charitable contributions and only give to those cleanser; 75 million bikes - and deaths playing ability alone. readily used up such as: sponges, cotton applicators, you feel are truly worthwhile and with whom you and injuries; evaluating restorative ma­ The dentist "cousin" to baseball's greatest performer, , alloy, anesthetics, needles, cups, towels, saliva eject­ can more easily identify. ors, x-ray film, impression materials, etc. Items such terials; keeping the lid on expenses, needs a translation from the baseball idiom to be understood and as cotton applicators arc cheaper when non-sterile. and more __ 15 appreciated. By placing them in an autoclave, sterilization is ac­ DR FRIENDLY UNFRIENDLY "Cousin" in the vernacular of the baseball field is a player who complished and costs are cut. Quantity purchasing can DENTIST COLLECTiON dominates an opponent, such as a that consistently strikes AG-~NCY I·aa IMEMBER PUBLICATION be even more profitable when the buying is a joint ae AMERICAN ASSOCIATION OF DENTAL EDITORS out a batter, or a batter who regularly clobbers a pitcher for base venture with a colleague. In this manner the outlay hits. Send editorial contributions and correspondence to Joseph Hub Pruett was a dentist and (in the most uncomplimentary lit­ of cash is less while the savings are the same. Another Strack, Box 407, North Chatham, N.Y . 12132; change-of­ address notices to Circulatio n , TIC, Box 350, Albany, eral connotation) was "cousin" to Babe Ruth, the prodigious home item that should be purchased in quantities are ap­ N.Y. 12201 pointment cards, stationery, and the like .. Unles~ you run hitter of the . TIC is microfilmed by University Microfilms, Inc., 300 N. Zeeb Road, Ruth's mere physical presence was suffice to shatter many , intend to move in the near future, statlOnery Items Ann Arbor, Michigan 48106. TIC's International Standard Serial should be purchased in the 5,000 lots. There is a con­ Number is: US ISSN 0040-6716 TIC. even before his bat did the job. Copyright, 1977, Ticonium Company, Division of CMP Industries, Inc., But not Hub Pruett of the St. Louis Browns. siderable savings and there is no waste. 413 North Pearl St., Albany, Ne", York 12207 (2) Cutting down on "glitter" can keep office ex­ Opinions expressed by contributors to TIC do not necessarily reflec t A public relations official of a major league club, when asked to penditures down. By "glitter" we mean those items DE III Ct-l LlCK the views of the publishers. remember dentists who had been outstanding as baseball players, Printed in U.S.A. by Jersey Printing Co., Inc., Bayonne, N.J. Annual Subscription, $5.00 said of Pruett: "He thrived on striking out Babe Ruth."

16 TIC, APRIL, 1977 ~ ~ A L, 9. I The feat becomes more noteworthy when you re­ St. Louis Cardinals, the , the Los An­ member that the Browns, dullest of the American geles Angels of the Pacific Coast League, and, in the League clubs of that era, never won a pennant until 1932 and 1933 seasons with the New York Yankees. the talent-starved years of World War II. The Browns After a year with the and one with the of Pruett's days have become today's Baltimore Newark Bears of the , he opened Orioles. a dental office in Newark and practiced there. In the A postscript to the report on Pruett proclaimed: winter years of his baseball years, Dr.. Farrell had pre­ "He was a dentist, and a good one." pared for his profession by doing postgraduate work. Zane Grey, who couldn't make a go of dentistry but Edward F. Lafitte, a former pitcher with the Tigers became one of this nation's greatest writers, used base­ and two Federal League teams-antecedents of to­ ball to finance his abortive effort to establish a career day's major leagues-practiced dentistry in the Phila­ as a dentist. delphia area for 42 years until his retirement in 1961. After graduation from the University of Pennsyl­ He died at 85 in 1971. vania in 1896, he did not open a dental office at once. Dentistry actually caused his departure from the by Maurice J. Teitelbaum, D.D.S. He had no money. While in college, he had been in­ Tigers in 1912. He had hurled for the Detroit club in THISA AND DATA The ADA Bureau of Economic Research and Sta­ terested in baseball and often thought of making it his 1909-11-12 and, during the latter season, he asked Some researchers working with sealants recommend tistics reports that in families whose annual income is career, getting into the major leagu~s. So, upon gradu­ manager Hugh Jennings if he could depart early to re­ under $6,000 almost 40 percent wear some type of ation, he signed up with Newark, N.J., in the Eastern sume his studies at a dental college in Atlanta. When that all sound occlusal surfaces of erupted permanent prosthetic appliance, with 26 percent wearing at least League. Later he played with Jackson in the Michigan Jennings told him that if he left the club, he could keep teeth should be sealed during the child's first visit. ... If you're thinking of retiring in a metropolitan area, one full denture. However, in families with incomes State League. going to Providence, Lafitte decided it was time to get over $10,000, 17 percent wear some prosthetic ap­ When his father, a Zanesville, Ohio, minister ob­ there are no inexpensive cities in the U.S. But if you out of baseball. pliance with only 5 percent wearing a full denture. It was only by accident that James T. (Doc) Protho, plan to go abroad, Manila, Milan, Istanbul, Madrid, jected to his son's baseball playing, Grey quit. He had Are poor people less educated to dental health care? saved enough money from baseball to open a dental a dentist entered baseball, a career that included many London, Rio de Janeiro, and Dublin are the best bets for stretching your dollar. The most expensive cities Are poor people less able to receive proper dental office and he did so in New York City. While still in years as a player and as a big league manager. treatment? Is today's dentist, with expensively run Protho was a graduate of the University of Tennes­ are: Tokyo, Oslo, Stockholm, Zurich, Copenhagen, dental school, he had married Tina Elise Ruth, a girl offices, catering more to the affluent patient? . . . from New York City, and that location looked good see Dental School. He was practicing dentistry in Tele Aviv, New York, and Paris .... Professional football boasts a practicing dentist: Bill Lenkatis, cen­ Touche: During last winter's heavy snows, when I to both of them. But in four years he met with indif­ Dyersburg, Tenn., and playing on the town complained to a patient about the snow coming down ferent professional success. He then decided to take team. , a Washington scout, umpired the ter for the New England Patriots combines dentistry and football. Not a bad combination when one real­ he replied: "Don't complain, Doc, it's the only thing up writing. The rest is literary history. games and was impressed by Protho. He shot off a coming down these days!" ... With the increase in im­ Stengel, an unquestioned baseball genius as a mana­ wire to Washington's owner, , singing izes how many potential patients Bill runs into .... Quote by Kafka: "Youth is happy because it has the plants, oral pathologists at the State University of ger and player of superb quality, first aspired to be a Protho's praises. New York at Buffalo are exploring the reaction of dentist and part of his early baseball earnings went to­ "The Senators offered me $500 a month and as­ ability to see beauty. Anyone who keeps the ability to see beauty never grows old." ... Thanks to two tissues to the new synthetic substances. . . . Stuart ward his tuition at Western Dental College (now the sured me that I'd be a free agent if I didn't like where Pharmaceuticals have come out with a new antimi­ University of Missouri at Kansas City School of Den­ they sent me." Protho said. That was in 1920. He Boston dentists, Buck Clayton, a top jazz trumpeter, was able to resume his career. Special adjustments crobial skin cleaner. The new compound, Hibiclens, tistry). Baseball finally won out, although Casey in­ played six games with the Senators that year and has been approved by the Food and Drug Administra­ sisted that the fact no dental units were desillned for batted .385. But he was sent to Reading the next sea­ were made UDon an anterior bridge to eliminate the painful cuts he suffered in his upper lip when he blew tion as a surgical scrub and hand wash. It is said to southpaws had much to do with his eventual ~election son and refused to report. He returned to Dyersburg be effective, safe, and gentle to the skin with rapid of professions. and resumed his dental practice - and played on the the trumpet. If you're finding it hard to collect fees you might bactericidal action and antimicrobial activity .... Although he did not stay to receive a degree, Casey town team. With the great increase of bicycling in the country has considered himself an alumnus of Missouri's dental The Senators eventually released him to Minneapo­ consider this old Chinese proverb: "The wise dentist collects his fee while the patient's tooth is still aching." come an increase in deaths and injuries. In 1975 it school. Actually, he is, for he was later to be presented lis and he played there and in Memphis, before the was estimated that 75 million bikes were on the road. with an honorary membership in the School of Den­ Washington team again acquired him. He went on to ... A scientist at the National Institute of Dental Re­ search is experimenting with a new method of taking And last year there were almost 1,000 deaths and tistry's Alumni Association. play with the Red Sox and the Reds before turning to anywhere from a half million to a million persons in­ Baseball has had a number of dentists who shared playing and managing in the minors. x-rays. Instead of placing the film on the inside of the mouth, the film is placed on the outside of the jaw jured .... Advice on proper diet, smoking, and ex­ their professional careers. From 1939 throullh 1941, he was manager of the ercising seems to be paying off in cardiovascular Here are a few: ~ of the National Leag'iIe. As a with a "lead shielded pencil-thin radiation source" used on the inside. With this method it is believed that disease. For the first time since 1967 deaths from Eddie Farrell earned a degree in dentistry and then minor league manager at Memphis and Little Rock major cardiovascular diseases have dipped below the played 11 years of , before before taking over the Phils, he had finished 1-2-3 in radiation will be cut down to as little as 2 percent of the present averages .... Although Vitamin E ap­ 1 million mark.... Before Premier Tojo of Japan switching from the bat to the drill. eight of his 11 years as manager. was hanged, his last request was that he be allowed to The late Dr. Edward Stephen Farrell, who practiced He died at the age of 78 in 1971. He was the father pears to be of no therapeutic benefit in periodontal disease, Vitamin E oil, applied to ulcerative herpetic wear his dentures and eyeglasses. His request was dentistry in Newark, N.J., was a utility infielder with of Tommy Protho, former of the Los Angeles denied. six major league teams and two minor league teams. Rams of the National Football League. lesions, is found effective in relieving pain and reduc­ He was one of those rare players who went directly Guy Harris (Doc) White pitched five straight shut­ ing the duration of the lesion .... You know you've EVALUATION OF DENTAL RESTORATIVE MATERIALS from college campus to the big leagues when he joined outs with the Chicallo White Sox in 1904 a feat that reached middle age when your dental gowns are too A detailed study of dental restorative materials at John J. McGraw's New York Giants in 1925-less stood as a major le;gue record until of tight and it's you who needs an alteration .... Of all Emory University revealed the following: than a week from his graduation from the University the Dodgers broke it in 1968. White earned a degree fruits and vegetables, bananas and peaches contain ( 1) Amalgam withstood chewing and grinding of Pennsylvania School of Dentistry. in dental surgery from Georgetown Uni ersity in the most sucrose and grapes and pineapples have the forces best but was poor in retaining margins under During his playing days, he was with the Giants, the 1902, a year after he had broken into professional most glucose. brushing.

TIC, AP~ll, 1971 TIC, APRI , 1977 15 An Expert's Findings People expect a movie star to dress like a movie star basebalL He practiced dentistry in the off season until John T. Molloy, after some 15 years of research and a banker to dress like a banker. They don't ex­ A Denial Office Hall of Fame pect a dentist to dress like a movie star or a banker. February, 1906, when he closed his office and cast his that included thousands of surveys of executives, pro­ lot entirely with basebalL fessional people, and laymen, has put his findings 174 E. Mt. Pleasant Avenue Livingston, New Jersey 07039 Others who combined a baseball career with den­ about clothes in a remarkable book called "Dress For ti~try included Louis Alfred (Doc) Legett, who played Success." His conclusions are based not upon new With the Red Sox, Cubs and Braves in the late 1920's style innovations, pressure from the manufacturer to ARE YOU SELLING TOOTH DECAY? and 1930's; and Dick Hoblitzell, with the Cardinals "sell," or the color of the walls in one's office. They and Red Sox before and after World War II. are based, for the most part, upon the way people­ That's the provocative title of a new pamphlet ad­ Th.e. mo.st recent was Dr. Steve Arlin, presently and in the case of dentists, patients-want to see you vocating the vending of nutritious foods in schools '" '" Top: Doc Medich and John "Boog" Powell. practlcmg III San Diego, Calif., scene of some of his dressed. For ex ample, Mr. Molloy has found that most published by the Bureau of Dental Health Education. Bottom: , Mel Stottlemyer, and coach Dave Garcia. baseball exploits. people "object to a doctor looking like a successful Are you Selling Tooth Decay? cites several im­ For Arlin, it was a story of two dedications-the businessman"; therefore, he feels that the shirt and tie portant reasons why schools should reconsider the dental profession and baseball. are out unless one wears a white shirt, solid light blue distribution and sale of sugary foods on their premi­ "At the time I saw him pitching for Ohio State in or faint yellow shirt, with a solid or single striped tie, ses: dangers to oral health, encouragement of life-long 1965 and 1966, he was the best collegiate pitcher I plus a white jacket. The white jacket, white lab coat faulty eating habits, spoiling a child's appetite for -, l had seen," relates Dee Fondy, the major league scout or white gown conveys the impression that the dentist regular meals. who spotted Arlin. The college crop in th~t era in­ is a member of an elite group, that he is indeed asso­ Additionally, the pamphlet offers schools a num­ cluded such hurl~rs a~ of the University ciated with a health service. ber of profitable non-sugar options for fund raising of Southern CalJforllla and Nelson Briles of Santa A dentist's attire out of the office can be guided schemes and distribution of non-nutritious foods in •••••••••••••••••••• Clara, both of whom went on to become major league more by one's personal taste. One can be as f1am­ school snack bars, vending machines and classroom stars. buoyant as one wishes. But here again, if one wants parties. .A~ter pitching Ohio State to the college champion­ to be judged by people in the community as a profes­ Distribution of the pamphlet is planned for the ship III 1966, he signed with the Philadelphia Phillies sional person, the attire should be more subdued and ADA exhibit at the National School Boards Asso­ for a bonus of $105,000. conservative. In one's own circle of friends the dentist ciation annual convention in March. ."Or~~inal1y: I had wanted to study medicine," he can dress like a rock-and-roll performer if he wishes, A free sample of Are You Selling Tooth Decay? said. I reabzed I couldn't combine medicine and but before the public the dentist who dresses in garish is available from the Bureau of Dental Health Educa­ baseball. But I still wanted some type of medical clothes may find that his professional image may be tion. Quantities of the pamphlet can be purchased career. ~y wife's father was a specialist in dentistry tarnished. Clothes don't make the man, but people's through the Association's Order Section beginning at Top: , Doug DeCinces, and Fritz Peterson. Bottom: , , and . so I enqUIred about that." He entered dental school opinions of us are based, in part, by the way we dress. $1.25 for 25 copies. and didn't want to give up his spring studies to play baseball. So annually, he'd finish school in June and then report to a ball club. He graduated in June, 1970, from Ohio State School of Dentistry. Meanwhile, San Diego had claimed him fron: Philadelphia in the expansion draft two years eat-Iter. Soon he worked himself into a starter's role. Dr. Arlin was an outstanding pitcher with the San • Diego Padres , and in one streak in 1972 flirted with •••••• •• • • •••••••••••• baseball immortality by missing a no- game with two out in the ninth inning against the Philadelphia Phillies. That night in July, 1972, was a night he will never forget. One-out away from the no-hitter, the Padres' was moved in by manager to protect against the possible bunt. Denny Doyle Top: Joe Lonnet, Ken Henderson, and Ed Herrmann. bounced one over ' head, and was on Bottom: , Stan Bahnson, and Billy Melton. with a hit-a smash that Roberts would have had no ~ifficulty han?ling had he remained in his regular posi­ tIon. The Phlls got a run, but Arlin was a 5-1 winner. Arlin had flirted with the no-hitter twice before that memorable night. He had pitched a one-hitter against the on June 23 and then a two­ hitter over the . He lost more than a no-hitter that night in JUly. He had been voted by the managers to a place on the All-Star (All photos from the bulletin board in the reception area of team, but All-Star manager Danny Murtagh opted for "I like Dr. Colby. He just asks 'uh-huh' and 'uh-uh' questions." Dr. Marvin Schermer's Cleveland, Ohio, office.) a hitter instead of a pitcher and skipped him.

I , TIc.. APRIL, 1977 TIC, APRIL, 1977 3 Clothes Mal{.e the Dentist

I .. in the Office '" _ ~, t't Dr. Carl F. Rainone, with patient·kibitzers Bill Ziegler, trainer of the Texas by Maurice Teitelbaum, D.D.S. Rangers, and , 1st baseman, consistent .300 hitter, and 1974 J. Rookie of the Year. The patient, Toby Harrah, 1975 Ameri- can League All Star Shortstop. (Photo courtesy of Dr. Rainone) A man works in his office, dressed in white pants, according to the way they dress. Admittedly though, we do not subscribe to the idea that "clothes make the Dr. Arlin practiced dentistry while pitching for San molar moments before game time. A New York endo­ a white shirt, and white jacket. Another wears a muted print sport shirt open at the collar. A third man"-that a man's skill, knowledge, or integrity can Diego, scheduling his appointments when his team dontist came to the rescue. Her treatment allowed Wil­ be accurately judged by the type of clothing he wears. was at home. He was later traded to Cleveland, de­ liams to play, a service he recalled when, as a manager, man wears a striped blue shirt and tie and still another wears a pink gown and checked brown pants. They However, we should bear in mind that the vast mao clined the transfer to the American League and re­ he decided to name a dentist to the team's medical jority of people are conditioned by one's outward ap­ tired from baseball. He returned to Ohio State Uni­ staff. are·all dressed differently, yet they all have something in common-they are all dentists. While the military pearance and we should dress accordingly-that is, if versity for advanced studies in endodontics and path­ Dr. Rainone, who signed a Brooklyn Dodger con­ we care at all about the patient's reaction toward us. ology. tract in 1945 and \\'on all-star recognition in the Air and police wear standard uniforms, there is no special attire for the dentist. In fact, there are as many dif­ And what dentist can honestly say, "I don't care if my He returned to San Diego to begin private practice. Force, accepted the position as Texas team dentist, but appearance makes my patient lose confidence in me"? He remains an avid baseball fan, at times pitches bat­ the duties were vaguely defined. ferent types of dress for dentists as there are different ting practice for the Padres, and maintains his base­ Gradually, following Williams' example of regular opinions as to what a dentist "should" wear in the of­ "Because It Looks More Professional" ball friendships. checkups, the young team members followed suit. fice. Are there any logical reasons why dentists dress Once a patient gets to know the dentist and has con­ Baseball's friendship with its team dentists has also During the first year, 1972, Dr. Rainone counted at as they do, or is the mode of dress simply based upon fidence in him because of his manner, treatment, and produced some special relationships. One that is least eight to lO emergencies prevented because of full one's personal whim or fancy? skill, even wearing a brown suit at the chair may make unique came about because had a tooth­ mouth radiography and prophylaxis. Many of the play­ Certainly, what a dentist wears in his office, as long little difference. However, in a random survey of some ache. By the time it was alleviated, Williams and his ers found it much better to have treatment in the as it is neat, clean, and within the borders of good 30 people, 28 said that they preferred the dentist to were on a friend and professional United States by the team dentist rather than rely on taste, is not going to have any shattering effect upon wear a white coat or gown. Why? "Because it looks basis with Dr. Carl F. Rainone of Arlington, Texas, the uncertain treatment available in South and Latin his practice-no more than the decor or furnishings. more professional." One of the objections to the shirt who, by the way, is also a nationally recognized auth­ America, where many played throughout the winter Howewr, the manner in which he dresses may have an and tie or sport shirt was that "It doesn't seem clean." ority and dealer in museum quality American paint­ season. A number used the opportunity to have miss­ effect upon some patients in tipping the scales for or No doubt this is based upon the fact that the dentist ings. ing teeth replaced with fixed bridge work. According against him, as to the confidence a patient has in his wears these clothes to and from work, perhaps driving Williams had arrived in Arlington to manage the to Dr. Rainone, almost all had routine treatment, long "professional" appearance. Think about that for a in the car or walking in the street. And besides, white Rangers. On the day of the first road trip, he fractured neglected, and now are involved in prevention pro­ moment. Suppose you went to see three physicians does give the appearance of cleanliness and sterility. a lower right second molar. Dr. Rainone rendered grams of regular dental care. for a general checkup and as you sit in the waiting Dentists who prefer colored gowns-blue, green, yel­ emergency treatment and finished with permanent In addition to regular treatment and maintenance to room the first doctor enters wearing a flowered sport low, pink, etc.-.cJaim that it "puts the patient at ease" restoration upon the team's return. team players, families, and staff of the Rangers, Dr. coat. The second is wearing a striped suit, striped and that white seems too austere and foreboding. Williams was extremely appreciative and named Rainone has been called on for emergency treatment shirt, and striped tie. The third is wearing a white There may be some credence to this, particularly Dr. Rainone as official dentist for the Rangers. In the of the other American League teams during games at shirt, solid tie, and white lab coat. All things being when working on children. However, our survey did ensuing friendship, Williams told Dr. Rainone that Arlington. equal, which one would you have the most confidence not show this to be true. If this were so, then nurses, on several occasions he had been forced to seek emer­ He keeps an emergency dental packet in the train­ in? who must calm and soothe patients, would not wear gency dental treatment under adverse conditions. ing room during the entire season. This consists of a the white they inevitably do. Perhaps the rage for Once during a crucial series with the Yankees in 1946 local anesthetic, suture material, and appropriate in­ Don't Say" I Don't Care" colors in recent years is due to a desire for change. - the year the Red Sox won the pennant - Ted was strumentation to temporarily replace lost fillings right Whether or not we agree with the concept. most But change, whether in dress, office decor, or treat­ frantically in need of dental care for an abscessed up until game time. people do have preconceived notions about individuals ment, does not necessarily add up to something better.

TIC, APRIL, 1977 TIC, APRIL, 1977 1:1 and prey as he seeks the killers in a deadly game of man Ben Safford is involved in the murder of an Another dentist, Dr. Marvin Schermer, is one of a recalled it this way: deception, betrayal, and political intrigue. Explosive Atomic Energy Commission inspector in a sleepy group of partners who own a share of the Cleveland '-Fritz Peterson, then of the Yankee pitching staff, adventure thriller! Ohio town over the issue of a proposed nuclear power Indians. was referred in for an emergency procedure. This in John Wainwright gives us another in Landscape With plant, and a cause celebre. Don't miss this. Although he is not officially the team dentist, he turn led to taking care of Mel Stottlemyer, Stan Bahn­ Violence (St. Martin's, $7.95). In a quiet, English, takes care of many of the players on the Cleveland son, and Doc Medich, among others. Subsequently, wealthy suburb, terrorists seize the entire community Night Cover by Michael Z. Lewin (Knopf, $7.95) team and also from other teams during their trips to Fritz was traded to Cleveland, Bahnson to Chicago, as hostage for release of a confederate from prison. is a realistic police procedural about Lt. Roy Powder play the Indians. and then to the West Coast, reSUlting in numerous Superintendent Harris and Lennox-one aggressive ("1 only got seven toes ...") of the Indianapolis Of baseball players, Dr. Schermer writes: others coming to the office for dental treatment, in­ and the other coolly cunning-have the problem to police. A school robbery and a disappearing student "These men are conscientious dental patients and cluding Billy Melton, Ken Henderson, Claude Osteen, solve in a fight against time. Engrossing mystery! begin the discovery of the murder of 17 women and for the most part have complete restoration of teeth Jim Kaat, Ed Herrmann, Joe Lonnett, and Tony the arrest of two policemen. It's all tough and fast and replacements of missing teeth." Muser. When Tony was traded to Baltimore, he re· Georges Simenon returns in The Hatter's Phantoms and makes for a page-turning mystery that surely is The bulletin board in Dr. Schermer's reception area ferred several other players. Since becoming a partner (Harcourt, Brace Jovanovich, $6.95). The greatest worth reading. is filled with pictures of his baseball patients. in the Cleveland organization, I have become very storyteller of our time, he has turned out a half· dozen "Most people enjoy talking baseball," he said, "es­ close with most of the team, including the coaches and books each year. In this one he tells the tale of a quiet DeveronHall (Dodd Mead, $7.95) by Velda Johnston pecially in season. When the players are here for trainer." man who stalks the back alleys of a French town, kill­ brings Marcia Deveron home to where her father was treatment, they are quite 'at home' and sign auto· And that's the way it has been for generations, and ing in a seemingly meaningless pattern. The foreigner stabbed to death in the Scottish Highlands, and her graphs and talk to other patients in the office." that is why we call this unique report "Dentistry who has guessed the murderer's bizarre secret dares mother found guilty of the murder and sent to a men­ It all began for Dr. Schermer many years ago. He Scores with Baseball." not speak as the tense novel winds down powerfully in tal hospital, is back home, newly released. Marcia's a psychological mystery. own life is threatened and saved only by discovering the real murderer. A page-turner. Agatha Christie is inimitable and her Mr. Parker Garland Publishing is here again with more of their Dentistry's Baseball Friends - Big and Little Leaguers Pyne, Detective (Dell, 95¢) is an almost unknown Fifty Classics of Crime Fiction ($12.00 each), which collection of short stories which are gems and now every mystery buff must welcome. Dorothy L. Sayers fortunately again available. A great classic! in Strong Poison proves how really good authors can write of a earlier dated period (the 1920's and 1930's No one need be told about Eric Ambler and in The here) with her Lord Peter Wimsey and make the story Levanter (Bantam, $1.50) he gives us an explosive live even in the very different world of today with its thriller about the Arab terrorist underground fought need for four-letter words and violent open sex. A by a Levantine mongrel business man. Chilling sus­ simple case of poisoning (you may want to avoid pense thriller! Turkish delight hereafter) in that there are no red herrings or diversions to distract from the crime and Emma Lathen is the pseudonym of two Boston busi· the sustained dramatic mood as it builds to its de­ nesswomen who, in A Stitch In Time (Pocket Books, nouement. One of the great cl assics! $1.25), have turned out another of the beautifully Another author in this Fifty Classics series is being done John Putnam Thatcher mys teries about this rediscovered today-Nicholas Blake was Poet Laur­ banking executive-urbane, civilized, charming-who eate of England (under his real name of Cecil Day­ in his inimitable fashion uses the world of big banks Lewis ) from 1967 until his death in 1972. But he to solve the mysteries that come there. Humorous, in­ also wrote this series of whodunits about his amateur triguing, calm whodunit! detective, Nigel Strangeways. In this volume, Minute for Murder, Strangeways is a writer for the wartime Margaret Yorke is getting ever better known and in Ministry of Morale when someone puts cyanide in a Dentistry's friends in baseball include pIa) ers from both the hig and Little League~. Carlton Fiske, all-star Boston Red Sox , poses with Dave Cast for Death (Walker, $6.95) her skill in creating lovely secretary's coffee cup. Working with Superin­ Yamin, a Tro), N.Y., Little Leaguer. characters and backgrounds give meaning to her being tendent Blount of Scotland Yard, we see the action •" hailed by some as the leading candidate for Agatha and then a discussion as the sensitive insightful The most extensive baseball program in the cup supporters, and correct gloves for the . Christie's mantle. In this new Patrick Grant story, Strangeways helps to peel away the problems until he world, the little leagues, offers dentists a wonder­ Considering the number of Little leagues in the the suave detective seeks the reason for the seeming arrives at the core and solution of the murder. Unusual ful chance to be of service to both their profession United States and the many thousands of boys suicide of his actor-friend only to go through another and another classic. and to the thousands of youngsters who partici­ and girls who participate, the service of dentists suicide, a series of art robberies, and a threat to his Unfortunately Nicolas Freeling killed off his fascin­ pate. All across the country where little league in this area is seen in better perspective-more own life until-all ends in a fine thriller! ating Dutch detective, Inspector Van der Valk, in a baseball is played, dentists monitor games, being than attention to a sport and its performers. "R. B. Dominic" is the pseudonym of two of our past mystery but in Dressing of Diamonds (Penguin, on hand to offer help in emergency situations Dentistry has thus contributed to the Little best whodunit writers (they've also done the Emma $1.95), he comes up with Henri Castang, French, very when accidents occur. More important, many den­ league program since it was inaugurated in 1939. Lathen bylined books) and in Murder Out of Com­ human, and unconventional. A female French judge's tists have developed preventive programs for And in some way plays a role today in the pro­ mission (Doubleday Crime Club, 1976) they've eight-year-old child is kidnapped and from here on little league use-setting up dental safety codes gram with 10,000 leagues in 31 countries around moved beyond the usual mystery murder. As always, you can't put this book down until Castang and the which teach the players basic preventive mea­ the world. It is the only sports program in the these authors combine unusual situations and solid book conclude with "Draw a veil over the whole sures, such as insistence on the proper equipment United States to hold federal sanction under Con­ realistic backgrounds with fine characterizations and thing." With this story you can't stop-intellectual, and its use-masks, chest protectors, shin guards, gressional Charter. carefully drawn suspenseful plots. Here Congress- unusual, top-notcher!

12 TIC, APRIL, 1977 TIC, APRil, 1977 5 are the patterns of killers and victims alike, methods BOOKS and places of death. The book should be widely read. (Continued from Page 6) this important text. With the growing use of drugs in The Gemini Contenders by Robert Ludlum, 402 pp., dentistry for pain control, it is increasingly important $8.95, New York, Dial Press, 1976. that the dental practitioner have a knowledge of these This is truly a page-turning novel which you won't rheumatic disorders and a volume at hand to check be able to set aside once you start reading it. It's the on what problems the patient presents. Obviously too, tale of ancient documents which could be destructive these diseases may affect the temporomandibular joint to man and religion, hidden in the. Ips during World as well. Written by a series of experts, almost every War II by Greek monks with the help of an Italian one of the nearly one hundred rheumatic disorders padrone whose son is the only one to survive of all is covered as well as a valuable chapter on "Psychia­ those connected with the actual hiding. Eventually, tric and Psychological Aspects of Rheumatic Dis­ when this son is in America with two sons of his own, eases" that you should read. An essential volume for the whole thing explodes as the two sons fight it out your bookshelf. for possession. Ludlum is at his finest here in this novel of outrage and compassion. Magnificent story­ A Complete Guide To Therapy: From Psychoanalysis telling! Plagues and People by William H. McNeill, 369 pp., during the 14th century killed one-quarter of the popu­ to Behavior Modification, by Joel Kovel, 284 pp., $10, $10.00, New York, Anchor Press/ Doubleday, 1976. lation in Europe alone, some 25 millions, and in some NewYork,Pantheon, 1976. Murder For Your Pleasure: The Whodunits . .. Leon­ The newspapers in recent days have been filled places death struck down two-thirds to three-fourths An ass ociate professor of psychiatry at New York's ard Sanders in his The Hamlet Warning (Scribner's with talk of epidemics and pandemics (worldwide of the inhabitants. Albert Einstein College of Medicine, Kovel's aim is $7.95) present a frightening doomsday thriller of in­ epidemics), of neurologic disorders and vaccinations Professor McNeill attempts in his stimulating book "To acquaint the reader with the principle therapeutic ternational terrorists who plan to detonate an atom and disease. Clearly plagues arc not a thing of the to "uncover a dimension of human history that his­ approaches to the various forms of emotional difficulty bomb in Santo Domingo. Here, the dictator's security past, for the fear of the last unconquered plague­ torians have not hitherto recognized: the hi story of . .. " and he does just that in a level, objective, and chief is a former American Cl.A. man who the C.I.A. influenza-still haunts us and the remnants-a bac­ humanity's encounters with infectious diseases, and restained fashion which makes no attempt at self-ag­ itself had tried to wipe out but must now turn to and terial time bomb if you will-of the terrible epidemics the far-reaching consequences that ensued whenever grandizement or selling some off-beat miracle cure, as convince of the danger, so he will then try to prevent of the past are here. There is the tendency to forget contacts across disease boundaries allowed a new in­ too many such books do today. Familiarity with this it. You won't put this one down. these devastations of yesterday-but as Santayana fection to invade a population that lacked any ac­ area of medical care is essential for both the intelligent warned, "Those who cannot remember the past are quired immunity to its rayages." Here is the tal e of the layman and the health professional. Here is a balanced In The Barboza Credentials (Lippincott, $8.95) condemned to repeat it." As an integral part of the demoralization of the Athenian Army during th e Pelo­ assessment of the many forms of psychotherapy now Peter Driscoll uses the bloody African guerrilla war medical and health professions, it is wise that the den­ ponnesian Wars, the ravaging of the Roman Empire available. Highly recommended for everyone. between the black nationalists and the Portuguese in tist too make himself familiar with these problems, just before it declined, and the story of what this his­ Mozambique as the backdrop for a su perb adventure for his own sake and for the public he scrves. And torian believes was Cortez's decisi\e weapon in his Sex After Sixty by Robert N. Butler and Myrna Lewis, thriller. With 50 black ciyilians cold-bloodedly mur­ now one of America's most respected historians and conquest of the entire Aztec Empire with only 600 165 pp., ilL , $6.95, New York, H arper & Row, 1976. dered, businessman Joe Hickey must be both hunter professor of history at the University of Chicago, Wil­ men-the epidemic of smallpox that decimated the Dr. Butler is a psychiatrist whose interest in geriat­ liam H. McNeill, has given us a pioneering new work. Aztecs but left th e Spaniards untouched. rics has led him to write a number of outstanding one with nO\el and challenging historical concepts of As he puts it , Professor McNeill has here a book books of which this is one. He is now head of the Na­ disease and infection and their impact on history. which "aims to bring the history of infectious disease tional Institute of Health section devoted to aging. To appreciate the background from which this vol­ into the realm of hi storical explanation by showing His work can be automatically recommended for its ume arises, one must look to the history of pestilence. how varying patterns of disease circulation have af­ reliability, it is an important book both for the aging Surely disease has always threatened man, and right fected human affairs in ancient as well as in modern and for those who anticipate living to that part of life. now, in 1977, bubonic pl ague has been more wide­ times." As he openly admits: "Many of my sugges­ It is an objective guide which offers all the psychiatric spread in the United States than at any time in the last tions and inferences remain tentative." He willingly and sociologic understanding today available about dozen years. (True we only had some 15 cases in concedes that there will be considerable argument the problems and promises of later sexual life. Wise 1976, but it's obviously still there). It is really the about his daring theses of the impact of di se ase upon and practical---everyone should read this. haunting shadow of the past that makes this book so every aspect of life-culture. wars, religious customs, timely, but even today, the so-called Legionnaire's development of empires and their do\'nfall. In fact, Crime of Passion: Murder and the Murderer by David disease is a mystery with its sharp, sudden attack on he urges debate and further research by other histor­ Lester and Gene Lester, 316 pp., $10., Chicago, Nel­ Philadelphia. Looking to the effects of plagues in the ians to refine, prove or even disprove much of what son Hall, 1975. past, one need only turn to 1918 and the flu pandemic he writes. A pioneering work in a new medico­ With 10,000 murders in the United States every during which 20 million lives were snuffed out around historical field that you should not miss. year, with killings continually on the front pages, this the world in a few months and more than a billion per­ book by two professors of psychology is an important sons were stricken. In India some 12.5 million people A 11 Introduction To Clillical Rheumatologv, 2nd Ed., work. This thoroughly researched study reveals that died in the autumn of 19 I 8 and more than a half mil­ edited by M. Mason and H.L.F. Currey, 379 pp .. 123 people do not usually kill for gain nor do they do so lion in the United States, where some 20 million Amer­ ill. . 7 tables. $ 17. 50. Philadc\phia. J. B. Lippincott, in cold blood-it's usually the result of a trivial inci­ icans were stricken. But, of the terrible bacterial time 1976. dent and is actually an impulsive response to an emo­ bombs of the past, the few victims today of the plague It is a pleasure to welcome the second edition of tional situation. The authors believe murder can be "Occupation? Well, if you promise to keep it under are reminders of the terrible bubonic plague which. (Colltinued 0 11 Page 11) prevented and suggest methods to prevent it. Here your hat. I'm the kingpin in an international spy ring."

6 riC AP~ll, 1977 TI APRil I II