THE APPARATUS OF VISION
THE APPARATUS OF VISION

A cross-section diagram, showing eye and optic nerve, the bones forming the orbit or socket, and the front lobes of the brain.

The bones of the head, grown out in a ring in order to protect the eyes, are called the orbit or socket.

To protect the delicate glass (cornea) of the eye, there are two folds of skin, one above and one below, known as the eyelids. The eyelids carry a row of extra long hairs at their edges, called the eyelashes, and a number of little glands, somewhat like those of the stomach, to pour out a fluid, which makes the lids glide smoothly over the eyeball and keeps them from sticking together. Underneath the upper lid a number of these glands become gathered together and "grow in," after the fashion of the salivary glands, to form a larger gland about the size of a small almond, which pours out large amounts of this fluid as tears. It is called the tear gland (lachrymal gland).

Whenever a cinder or a grain of sand or a tiny insect or any other irritating thing gets into the eye, this gland pours out a flood of tears, which washes the intruder down into the inner corner of the eye where it can be wiped out; or, if it be small enough, carries it down through a little tube in the edge of each eyelid, through a little passage known as the nasal, or tear, duct, into the nose. So, if you get anything into your eye, much the best and safest thing to do is to hold the lids half shut, but as loose, or relaxed, as possible, and allow the tears to wash the speck of dust down into the inner corner of the eye. If you squeeze down too hard with the lids, and particularly if you rub the eye, you will be very likely to scratch the cornea with the speck of dust or sand, or, if the speck be sharp-edged, to drive it right into the cornea and give yourself a great deal of unnecessary pain and trouble, or even seriously damage the eye. If the cinder or dust doesn't wash down quickly, pull the upper lid gently away from the eyeball by the lashes and hold it there a minute or so, when often the cinder will drop or wash out.

As the light rays cannot be bent, or drawn into the eyes as smells can into the nostrils, it is necessary that the eyes should be able to roll about so as to turn in different directions; and so nature has made them round, or globular, attaching to their outer coat or shell (the sclerotic coat) little bands of muscle, each of which pulls the eyeball in its particular direction. There are four straight bands—one for each point of the compass: one fastened to the upper surface of the eye to roll it upward; another to the lower to roll it downward; another to the outer to roll it outward; and another to the inner side to roll it inward for near vision.[29]

There is another reason for the rounded shape of the eye—that it may act as a lens in condensing the rays of light. In order that we may see things clearly, the rays of light must be brought to a focus upon or close to the retina, at the back of the eye; and our eyes are so shaped that they form a lens of proper thickness, or strength, to do this.

You can see how this is done with an ordinary magnifying glass, or burning-glass. The little sharply lighted and heated point to which the light-rays can be brought is the focus of the lens, and the distance it lies behind the lens is called the focal distance. The thicker the lens, or burning-glass, is in the middle, the shorter its focal distance, and the more strongly it will magnify.

A healthy, or normal, eye is of just such shape and "bulge" that rays of light entering the eye are brought to a focus on, or close to, the retina at the back of the eyeball. Some people, however, are unfortunately born with eyes that are too small and flat, or do not "bulge" enough; and then the rays of light are focused behind the retina instead of upon it, and the image is blurred. This is known as "long sight" (hyperopia), and can be corrected by putting in front of the eyes lenses of glass, called spectacles, which bulge sufficiently to bring the rays to focus on the retina.

An eye that is too large and round and bulging brings the rays to a focus in front of the retina, and this also blurs the image. This form of poor sight is called "short sight" (myopia), and can be relieved by putting in front of the eye a glass that is concave, or thinnest in the middle and thickest at the edges, in the right proportions to focus the image where it belongs, right on the retina. This kind of glass is sometimes called a "minifying" glass, from the fact that it makes objects seen through it look smaller. It is also called a "minus" glass, while the magnifying glass is called a "plus" glass. The shape of the glasses or spectacles prescribed for an eye is just the opposite of that of the eye. If the eye is too flat (long-sighted), you put on a bulging, or convex, glass; and if the eye is too bulging (short-sighted), a hollow, or concave, glass. Other eyes are irregularly shaped in front and bulge more in one direction than another, like an orange. This defect is called astigmatism and is very troublesome, making it hard to fit the eye with glasses, as the glasses have to be ground irregular in shape.

A SCHOOL EYE-TEST
A SCHOOL EYE-TEST

A normal eye should be able to read the smaller type easily at a distance of twenty feet.

We have just seen how the eye deals with rays of light coming from a distance, which are practically parallel. When, however, books or other objects are brought near the eye, the rays of light coming from them do not remain parallel, but begin to spread apart, or diverge; and a stronger lens is required to bring them to a focus upon the retina. To provide for this, there is in the middle of the eyeball a firm, elastic, little globular body about the size and shape of a lemon-drop, called the crystalline lens. Around this is a ring of muscle, which is so arranged that when it contracts it causes the lens to change its shape and become more bulging, or thicker in the middle. This makes the eyeball a "stronger" lens so that the rays of light can be brought to a focus upon the retina.

This action is known as accommodation, or adjustment; and you can sometimes feel it going on in your own eye, as when you pick up a book or a piece of sewing and bring it up quickly, close to the eye, in order to see clearly.

If this little muscle is worked too hard, as when we try to read in a bad light, it becomes tired and we get what is called "eye-strain"; and if the strain be kept up too long, it will give us headache and may even make us sick at the stomach. The commonest cases of eye-strain are in eyes that are too flat (hyperopic) where this little muscle has to "bulge" the lens enough to make good the defect and bring the rays to a focus. This, however, of course keeps it on a constant strain; and the eye is continually giving out, and its owner suffering from headache, neuralgia, dyspepsia, sleeplessness, and other forms of nervous trouble, until the proper lens or spectacle is fitted.[30]

A surface as delicate and sensitive to light as the retina, would, of course, be damaged by too bright a glare; so in the front of the eye, just behind the cornea, a curtain has grown up, with an opening or "peep-hole" in its centre, which can be enlarged or made smaller by little muscles. This opening is the pupil; the curtain, which is colored so as to shut out the rays of light, is known as the iris, for the quaint, but rather picturesque, reason that Iris in Greek means "rainbow," and this part of the eye may be any one of its colors.

DISINFECTING A BABY'S EYES AT BIRTH DISINFECTING A BABY'S EYES AT BIRTH

It is the iris which, according to the amount of coloring matter (pigment) in it, makes the eye, as we say, blue, gray, green, brown, or black. Blue eyes have the least; black, the most.[31]

The Care of the Eyes. The most dangerous diseases of the eye are caused by infectious germs, which get into them either from the outside, as in dust, or by touching them with dirty fingers; or through the blood, as in measles, smallpox, tuberculosis, and rheumatism. The more completely we can prevent these diseases, the less blindness we shall have in the nation. About one-sixth of all cases of blindness in our asylums is caused by a germ that gets into babies' eyes at birth, but can be done away with by proper washing and cleansing of the eyes.

THE EAR

Structure of the Ear. Next after sight, hearing is our most important sense; without it, speaking, and consequently reading and writing, would be impossible. Man learned to speak by hearing the sounds made by other people and things, and then by listening to his own voice and practicing until he could imitate them. Children who are unfortunate enough to be born deaf also become dumb, not because there is anything the matter with their voice organs, but simply because, as they cannot hear the sounds they make, they do not form them by practice into words and sentences. By proper training, deaf mutes can now be taught to speak, though their voices sound flat and "tinny," like a phonograph.

As in the nose and the eye, the important part of the ear is the nerve spot that can "feel" the air waves that we call sound, just as the retina "feels" light. It is from this sensitive spot that the auditory nerve carries the sound to the brain. This spot has grown into quite an elaborate structure, buried, for safety, deeply in the bones of the skull, close to the base of the brain. It is made up of a long row of tiny little nerve rods, laid side by side like the keys of a piano, only there are about three thousand of them. Each one of these is supposed to respond, or vibrate, to a particular tone, or sound. This keyboard, from the fact that, to save space, it is coiled upon itself like a sea-shell, instead of running straight, is called the cochlea (Greek for "snail-shell"); it is also called, because it is the deepest, or innermost, part of the hearing apparatus, the internal ear.

Just as the retina has a lens and a vitreous humor in front of it to act upon the light, so the internal ear has an apparatus in front of it to act upon the sound waves. This is called the drum (tympanum). It consists of a fold of thin, delicate skin stretched tightly across the bottom of the outer ear canal, as parchment is stretched across the head of a drum. If you should take a hand-mirror—best a hollow, or concave, one—and throw a bright ray of light deep into some one's ear, you would be able, after a little trying, to see this drum-skin stretched across the bottom of it and about an inch and a quarter in from the surface of the head.

THE APPARATUS OF HEARING
THE APPARATUS OF HEARING

A cross-section diagram from the outer ear to the lobes of the brain.

When the sound waves go into the ear canal and strike upon this tiny drum, which is about two-thirds the size of a silver dime and really more like a tambourine or the disk of a telephone or phonograph than a drum, they start it thrilling, or vibrating, just as a guitar string vibrates when you thrum it. These little vibrations are carried across the hollow behind the drum by a chain of tiny bones, known as the ear-bones (called from their shapes, the hammer, the anvil, and the stirrup), and passed on to the keyboard of the cochlea.

Here comes in one of the most curious things about this ingenious hearing-apparatus. This little hollow behind the drum-skin has to be kept full of air in order to let the drum vibrate properly, and this is arranged for by a little tube (the Eustachian tube) which runs down from the bottom of it and opens into the back of the throat just behind the nasal passages, and above the soft palate. When you blow your nose very hard, you will sometimes feel one of your ears go "pop"; and that means that you have blown a bubble of air out through this tube into your drum cavity.

If your nose and throat become inflamed, then the mouth of this little tube may become blocked up; the drum can no longer thrill, or vibrate, properly; and, for the time being, you are deaf. This tube is of great importance, because nearly all the diseases that attack the ear start in at the throat and travel up the tube until they reach the drum cavity. This is why one so often has earache after an attack of the grip or after a bad cold. The drum cavity, with its chain of bones and its tube down to the throat, is called, from its position, the middle ear.

The outer, or external, ear, though far the largest of the three parts, and quite imposing in appearance, is really of little use or importance. It is simply a sort of receiving trumpet for catching sounds, with a very wide and curiously curved and crumpled mouth, or bell. The large, expanded mouth of the trumpet, called the concha ("conch shell"), was at one time capable of being "pricked up" and turned in the direction of sounds, just as horses' or dogs' ears are now; and in our own ears there are still for this purpose three pairs of tiny unused muscles running from them to the side of the head. But the concha is now motionless and almost useless, except for its beauty; and it is very troublesome to wash.

The Care of the Ear. The tube of the trumpet leading down from the surface of the ear to the drum is lined with skin; and this skin is supplied with glands, which pour out a sticky, yellowish fluid called ear wax, which catches the bits of dust or insects that get into the ear and, flowing slowly outward, carries them with it. If it is let alone, it will keep the ear canal clean and healthy; but some people imagine that, because it looks yellowish, it must be dirt; and consequently, from mistaken ideas of cleanliness, they work at it with the end of the finger, the corner of a towel, or even with a hairpin, an ear-spoon, or an ear-pick, and in this way stop the proper flow of the wax and make it dry and block up the ear.

Remember, you should not wash too deeply into your ears; (as the old German proverb puts it, "Never pick your ear with anything smaller than your elbow"). And if you don't, you will seldom have trouble with wax in the ear. Scarcely one case of deafness in a hundred is caused by wax. When your ear does become blocked up with wax, it is best to go to a doctor and let him syringe it out. Picking at it, or even syringing too hard, may do serious damage to the ear.

If an earache is neglected, the inflammation may spread into some air-cells in the bony lump behind the ear (the mastoid) and thus cause mastoid disease, which may spread to, and attack, the brain if not cured by a surgical operation.

OUR SPIRIT-LEVELS

The Sixth Sense. Though we usually speak of having five senses,—sight, smell, hearing, touch, and taste,—we really have also a sixth—the sense of direction, or of balance. The "machine" of this sense is comparatively simple, being made up of three tiny curved tubes, which, from their shape, are called the semi-circular canals. These are buried in the same bone of the skull as the internal ear, and so close to it that they were at one time described as part of it. These little canals are three in number, one for each of the dimensions—length, breadth, and thickness,—so that whichever way the head or body is moved,—backward and forward, up and down, or from side to side,—the fluid with which they are filled will change its level in one of them, just as the "bead" does in the carpenter's spirit-level that you can find in any tool shop. The delicate nerve twigs that run out into the fluid in these tiny canals are gathered together into a bundle, or nerve-cable, which runs back to the part of the brain known as the cerebellum or hind-brain, which has most to do with controlling the balance and movements of our bodies.

It is the disturbance set up in these spirit-level canals by the pitching and rolling of a ship, which makes us seasick. Neither the stomach, nor anything that we may have eaten, has anything to do with it. In the same way we sometimes become sick and dizzy from swinging too long or too high, or from riding on the cars.


CHAPTER XXIV

THE SPEECH ORGANS

The Voice, a Waste Product. It is one of the most curious things in this body of ours that what we regard as its most wonderful power and gift, the voice, is, in one sense, a waste product. So ingenious is nature that she has actually made that marvelous musical instrument—the human voice—with its range, its flexibility, and its powers of expression, out of spent breath, or used-up air, which has done its work in the lungs and is being driven off to get rid of it. It is like using the waste from a kitchen sink to turn a mill.

The organs that make the human voice were never built for that purpose in the first place. Unlike the eye and the ear, nature built no special organ for the voice alone, but simply utilized the windpipe and lung-bellows, the swallowing parts of the food passage (tongue, lips, and palate) and the nose, for that purpose, long after they had taken their own particular shapes for their own special ends.

The important point about this is that a good voice requires not merely a large and well-developed "music box" in the windpipe, but good lungs, a well-shaped healthy throat, properly arched jaws,—which mean good, sound teeth,—clear and healthy nasal passages, and a flexible elastic tongue. Of course, the blood and the nerves supplying all these structures must be in good condition, as well. So practically, a good voice requires that the whole body should be healthy; and whatever we do to improve the condition of our nose, our teeth, our throat, our lungs, our digestion, and our circulation will help to improve the possibilities of our voice. There are, of course, many exceptions; but you will generally find that great singers have not only splendid lungs and large vocal cords, but good hearts, vigorous constitutions, and bodies above the average in both stature and strength.

How the Voice is Produced. The chief parts of the breathing machine that nature has made over for talking purposes are the windpipe, or air tube, and the muscles in its walls. In the neck, about three inches above the collar bone, four or five of the rings of cartilage, or gristle,—which, you remember, give stiffening to the windpipe,—have grown together and enlarged to form a voice box, or larynx.

THE VOCAL CORDS
THE VOCAL CORDS

Looked at from above: position A, in quiet inspiration; B, in singing a low tone; C, in singing a high tone.

The upper edge of this voice box forms the projection in the front of the throat known by the rather absurd name of the "Adam's apple." This grows larger in proportion to the heaviness of the sounds to be made, and hence is larger in men than in women and boys. When the boy's voice box begins to grow to the man's in shape and size, his voice is likely to "break"; for it is changing from the high, clear boy's voice to the heavy, deep voice of the man.

Inside of this voice box, one of the rings of muscle that run around the windpipe has stretched into a pair of straight, elastic bands, or strings, one on each side of the air pipe, known as the vocal cords, or voice bands. These are so arranged that they can be stretched and relaxed by little muscles; and, when thrown into vibration by the air rushing through the voice box, they produce the sounds that we call talking or singing. The more tightly they are stretched, the higher and shriller are the tones they produce; and the more they are slackened, or relaxed, the deeper and more rumbling are the tones.

This is why, when you try to sing a high note, you can feel something tightening and straining in your throat, until finally you can stretch it no tighter, and your voice "breaks," as you say, into a scream or cry.

All musical instruments that have strings, are played, or produce their sounds, upon this same principle. The thinner and shorter the string, or the more tightly it is stretched, the higher the note; the heavier and longer the string, the lower the note. But no musical instrument ever yet invented can equal the human voice in the music of its tones, in its range, in the different variety and quality of tones it can produce, and in its wonderful power of expression. The human voice is a combination of reed organ, pipe organ, trumpet, and violin; and can produce in its tiny music box—only about two inches long by one inch wide—all the tones and qualities of tones that can be produced on all these instruments, except that it cannot go quite so high or so low.

All the musical instruments in the world, from the penny whistle to the grand piano, are but poor imitations of the human music box. The bellows, of course, of the human pipe organ are the lungs; while the tongue furnishes the stops; and the throat, mouth, and nose, the resonance, or sounding, chambers.

Just as a violin, or guitar, has two main parts,—a string, which vibrates and makes the sound; and a box, or hollow body, which catches that sound and enlarges it and gives it sweetness and vibration and quality,—so the human voice has two similar parts—the vocal bands, which make the sound; and a sound box, or rather series of three resonance boxes,—the throat, the mouth, and the nasal passages,—which enlarge and soften it and improve its quality.

You would naturally think that the strings, or cords, were the most important part both of the voice and of a musical instrument; and in one sense they are, as it could make no noise at all without them. But in another sense, far more important are the sounding boxes, or resonance chambers. The whole quality and value, for instance, of a Stradivarius[32] violin, which will make it readily bring ten thousand dollars in the open market, are due to the skill with which the body, or sound box, was made; the quality of the wood used; and, odd as it may seem, even the varnish used on it—the strings are the same as on any five-dollar fiddle. This is almost equally true of the human voice. While its size, or volume, is determined by the voice box and vocal bands, and its power largely by the lungs and chest, its musical quality, its color, and its expression are given almost entirely by the throat, mouth (including the lips), and nose. The proper management of these parts is two-thirds of voice training, and all these are largely under our control.

How a Good Voice may be Developed. If the nasal passages, for instance, are blocked by a bad cold or a catarrh or adenoids, then nearly half the body of your violin is blocked up and deadened; half your resonance chamber is destroyed, and the voice sounds flat and dead and nasal. If, on the other hand, your throat be swollen, or blocked, as by enlarged tonsils or chronic sore throat, then this part of the resonance chamber is muffled and spoiled, and your voice will be either entirely gone or hoarse; though perhaps by driving it very hard you may be able to make a clear tone.

If you have an attack of inflammation or cold further down, and the vocal bands swell, or the mucous membrane lining the voice box becomes inflamed and thickened, then the voice is lost entirely, just as the tone of a violin would be if a wet cloth were thrown across the strings. But disturbances in the voice box, or larynx, cause only a very small percentage of husky, poor, or unmusical voices.

A far commoner cause, indeed probably the commonest single cause of a poor, squeaky, or drawling, unmusical voice is careless and improper management of the mouth and lips. In the first place, you can easily show that such marked differences in sound as those of the different vowels are all produced by the mouth and lips. If you will prepare to say the vowels—a, e, i, o, u—aloud, and begin with a, and then hold your mouth and lips firmly in the same position, you will find that all the other vowels also come out as a. If, on the other hand, you begin with your mouth and lips in the rounded and somewhat thrust-out position necessary to say o, and try to repeat the rest of the vowels, you will find that you cannot say them at all, but only different forms of o. When you have convinced yourself of this, repeat the vowels loudly and clearly without stopping to think about the position of the mouth, and notice how your lips, the tip and base of your tongue, and your soft palate and throat all change their positions for each successive vowel.

If you will try to sing the scale, beginning with a comfortable note about the middle of your voice range, and letting your mouth take the shape for that note unconsciously, you will find that, as you sing up the scale, you change the shape of your mouth, lips, and tongue at every note, thrusting the lips and mouth further forward as if to whistle, narrowing the opening and closing up the back of your throat for the high notes.

On the other hand, as you sing down, you tend to open the mouth and lips more widely, to drop the bottom of your mouth—that is, the base of your tongue—toward your throat, and your chin down toward your chest. Again you will find, just as in the case of the different vowels, that you can sing any tone clearly and musically after putting the mouth in precisely the shape that best fits that tone; and learning how to do this is a most important part of vocal training.

What we call words are simply breath sounds and voice-box sounds chopped into convenient lengths by the movements of the tongue and lips and throat. So when we come to the question of clear and pleasant speaking, or, as we term it, articulation, the lips and tongue have almost everything to do with making the difference between a clear, musical, and refined enunciation, which is so easy to understand that it is a pleasure to listen to it, and a slurred, drawling, squeaky, nasal kind of speech, which is as hard to understand as it is unpleasant to listen to.

Few of us can ever hope to develop a really great singing voice; but anyone who will take the pains can acquire a clear, distinct, and pleasing speaking voice; and perhaps half of us can learn to sing fairly well. But to do this, we must first have good, healthy, well-developed lungs and elastic chest walls, which can come only from plenty of vigorous exercise in the open air, combined with good food and well-ventilated rooms. We must have a healthy stomach, which will not fill up with gas and keep our diaphragms from going down and enlarging our chests properly; we must have clear nasal passages, good teeth, well-shaped mouths and flexible lips, which we are willing to use vigorously in articulating, or cutting up our voice sounds; and we must have good hearing and a well-trained ear. In short, the best way to get a clear, strong, pleasant voice is to have a vigorous, well-grown, healthy body.


CHAPTER XXV

THE TEETH, THE IVORY KEEPERS OF THE GATE

Why the Teeth are Important. The teeth are a very important part of our body and deserve far more attention and better care than they usually get. They are the first and most active part of our digestive system, cutting up and grinding foods that the stomach would be unable to melt without their help. In all animals except those that have horns or fists, the teeth are their most important weapons of attack and defense. So important are they in all animals, including ourselves, and so closely do they fit their different methods of food-getting and of attack and defense, that when scientists wish to decide what class, or group, a particular animal belongs to, they look first and longest at its teeth.

The shape and position of the teeth literally make the lower half of the face and give it half its expression. A properly grown and developed set of teeth not only is necessary to health and comfort, but helps greatly to make the face and expression attractive or unattractive. Few faces with bright eyes, clear skin, and white, regular, well-kept teeth are unpleasing to look at. Beauty and health are closely related, and we ought to try to have both. In fact, nine times out of ten, what we call beauty is the outward and visible sign of inward health. The healthier you are, the handsomer you'll be.

It is particularly important to understand the natural growth and proper care of the teeth because there are few organs in the body for which we are able to do so much by direct personal attention. Our stomachs, our livers, and our kidneys, for instance, are entirely out of sight, and more or less out of reach; but our teeth are both easily got at and in full view; and, to a large degree, upon the care that we give them while they are young, will depend not only their regularity and whiteness, but also the length of their life and the vigor and comfort of our digestion all our lives.

TEETH—A QUESTION OF CARE TEETH—A QUESTION OF CARE

The first thing to be remembered about the teeth is that, hard and shiny and different from almost everything else in the body as they look, they are simply a part of the skin lining the mouth, hardened and shaped for their special work of biting and chewing. Much of the care needed to prevent decay should be given, not to the teeth themselves directly, but to the gums and the mucous membrane of the whole mouth. The gums and the mouth literally grew the teeth in the first place; and when they become diseased, they secrete acids which slowly eat away the crowns and roots of the teeth. Their diseases come chiefly from irritation by decaying scraps of food, or from the blocking of the nose so that air is breathed in through the mouth, drying and cracking the soft mucous membrane. After the acids from the diseased gums have attacked the teeth, the poisons of the germs that breed in the warmth and moisture of the mouth cause the teeth to decay. Eight times out of ten, if you take care of the gums the teeth will take care of themselves.

Structure of the Teeth. The upper half of the tooth, which pushes through and stands up above the jaw and the gum, we call the crown; and this is the portion that is covered with enamel, or "living glass." The body of the tooth under the enamel is formed of a hard kind of bone called dentine. The lower half of the tooth, which still is buried in the jaw, we call the root. Wrenching the lower or root part of the tooth loose from its socket in the jaw is what hurts so when a tooth is pulled. The crown of the tooth is hollow, and this hollow is filled with a soft, sensitive pulp, in which we feel toothache. Tiny blood vessels and nerve-twigs run up from the jaw to supply this pulp through canals in the roots of the tooth.

A TOOTH
A TOOTH

(Lengthwise section.)

E, enamel; D, dentine; P, pulp cavity; C, cement; B, blood vessels; N, nerve.

Kinds of Teeth. If you look at your own teeth in a mirror, the first thing that strikes you is your broad, white, shiny front teeth, four above and four below, shaped like the blade of a rather blunt chisel. Their shape tells what they are used for. Like chisels, they cut, or bite, the food into appropriate sizes and lengths for chewing between the back teeth; and from this use they are called the incisors, or "cutters." From having been used for so many generations upon the kind of food we live on, they have grown broader than the canines, the teeth next to them, and almost as long.

The canines are of a cone-like shape, although it is a pretty blunt cone, or peg. Those in the upper jaw lie almost directly under the centre of each eye, and are called the "eye-teeth"; though their proper name, from the fact that they are the most prominent teeth in the dog, is the canine teeth. These are our oldest and least changed teeth; and as you might guess from their shape, like a heavy, blunt spear-head, were originally the fighting and tearing teeth, and still have the longest and heaviest roots of any teeth in our jaws. If you slip your finger up under your upper lip, you can feel the great ridge of this root, standing out from the surface of the gum.

Lastly, looking farther back into our mouths, we see behind our canines a long row of broad, flat-topped, square-looking teeth, which fill up the largest part of our jaws. Again their shape tells what they are used for. They are not sharp enough to cut with, or pointed enough to tear with, but are just suited for crushing and grinding into a pulp, between their broad, flat tops, any food that may be placed between them; and from this grinding they are called the molars, or "mill" teeth. If you will look closely at the back ones, you will see that each of them has four corners, or cusps, with a cross-shaped, sunken furrow in the centre, where they come together. After they have been used in grinding food for some years and rubbing against each other, these little corner projections become worn away, and their tops become almost flat. Those in the upper jaw have three roots, and those in the lower jaw have two, so that they are solidly anchored for their heavy, grinding work. The first two molars in each jaw, behind the canines, are smaller than the others and made up of only two pieces instead of four, and hence are called the bicuspids, or "two-cusped" teeth.

As we are what the scientists call an omnivorous, or "all-devouring," animal, able to eat and live upon practically every kind of food that any animal on earth can deal with,—animal and vegetable, soft and hard, wet and dry; fruits, nuts, crabs, roots, seaweeds, insects, anything that we can get our teeth into,—we have kept in working condition some of every kind of teeth possessed by any living animal; and the most important rule for keeping our teeth in health is to give all these kinds something to do.

Just as in other animals the teeth appear when needed, and grow into the shape required, so they grow in our own mouths when they are wanted, and of the size and shape required at the time. We are born without any teeth at all; and it is only when we begin to need a little solid food added to our milk diet,—when we are about seven months old,—that our first teeth appear; and these are incisors, first of all in the lower jaw. Then, at average intervals of about three months, the other incisors and the canines appear and, last of all, the molars, so that at about two years of age we have a complete set of twenty teeth. These are called the milk teeth.

Most animals (mammals) have formed the habit of growing two sets of teeth—a smaller, slighter set for use during the first few months or years of life, and a larger, heavier set to come in and take their place after the jaws have grown to somewhat more nearly their permanent size. In our mouths, at about seven years of age, a larger, heavier tooth pushes up behind the last milk tooth,—called the "seventh year molar,"—the milk teeth begin to loosen and fall out, and their places are taken by other new teeth budding up out of the jaw just as the first set did. These take a still longer time to grow, so that the last four of the full set of thirty-two do not come through the gums until somewhere between our eighteenth and twentieth years. These last four teeth, for the rather absurd reason that they do not appear until we are old enough to be wise, are known as the "wisdom teeth." Instead of being, as one might expect, the hardest and longest-lived of all our teeth, they are the smallest and worst built of our molars and among the first of our permanent teeth to break down and disappear. Not only so, but our jaws are so much shorter than they were in the days when man fought with his teeth and knew nothing about cooking and had no tools or utensils with which to grind and prepare his food, that there is scarcely room in them for these last teeth to come through. They often cause a great deal of pain in the process, and may even break through at the side of the jaw and cause abscesses and other troubles.

THE REPLACING OF THE MILK TEETH
THE REPLACING OF THE MILK TEETH

The "second teeth" are shown fully formed in the gums, ready to push out the milk teeth. The wisdom teeth, which appear later, cannot be shown at this stage.—After Gray.

Care of the Teeth. The most important thing for the health of any organ in the body is to give it plenty of exercise, and this is especially true of our teeth. This exercise can be secured by thoroughly chewing, or masticating, all our food, of whatever sort, especially breads, biscuits, and cereals. Thorough chewing not only gives valuable exercise to the teeth, but, by grinding up these foods thoroughly, makes them easier for the stomach to digest; and, by mixing them well with the saliva, enables it to change the starch into sugar. Meats, fish, eggs, cheese, etc., do not need to be mixed with the saliva, nor to be ground so fine for easy digestion in the stomach, and hence do not require such thorough chewing, though it is better to make a rule of chewing all food well. We can exercise our teeth also by eating plenty of foods that require a good deal of chewing, especially the crusts of bread, and vegetables such as corn, celery, lettuce, nuts, parched grains, and popcorn.

It is most important to keep the nasal passages clear and free, and the teeth sound and regular by proper dental attention, so that the jaws will grow properly, and each tooth will strike squarely against its fellow in the opposite jaw, and both jaws fit snugly and closely to each other, making the bite firm and clean, and the grinding close and vigorous. If we are mouth-breathers, our jaws will grow out of shape, so that our teeth are crowded and irregular and do not meet each other properly in chewing. Pressure upon the roots of the teeth, from meeting their fellows of the opposite jaw in firm, vigorous mastication, is one of the most important means of keeping them sound and healthy. Whenever a tooth becomes idle and useless, from failing to meet its fellow tooth in the jaw above or below properly, or from having no fellow tooth to meet, it is very likely to begin to decay.

The next important thing in keeping the teeth healthy is to keep them thoroughly clean. The greatest enemies of our teeth are the acids that form in the scraps of food that are left between them after eating. Meats are not so dangerous in this regard as starches and sugars, because the fluids resulting from their decay are alkaline instead of acid; but it is best to keep the teeth clear of scraps of all kinds. This can best be done by the moderate and gentle use of a quill, or rolled wooden tooth-pick, followed by a thorough brushing after each meal with a rather stiff, firm brush. Then use floss-silk, or linen or rubber threads to "saw" out such pieces as have lodged between the teeth.

This brushing should be given, not merely to the teeth, but to the entire surface of the gums as well; for, as we have seen, it is the gums that make or spoil the health of the teeth, and they, like all other parts of the body, require plenty of exercise and pressure in order to keep them healthy. In the early days of man, when he had no knives and gnawed his meat directly off the bones, and when he cracked nuts and ground all his grain with his teeth, the gums got an abundance of pressure and friction and were kept firm and healthy and red; but now that we take out the bones of the meat and stew or hash it, have all our grain ground, and strip off all the husks of our vegetables and skins of our fruits, though we have made our food much more digestible, we have robbed our gums of a great deal of valuable friction and exercise. The most practical way to make up for this is by vigorous massage and scrubbing with a tooth-brush for five minutes at least three times a day. It will hurt and even make the gums bleed at first; but you will be surprised how quickly they will get used to it, so that it will become positively enjoyable.

A TOOTH-BRUSH DRILL
A TOOTH-BRUSH DRILL

A school in which the children are taught the importance of using the tooth brush, are supplied with brushes at cost, and required to report both on their care of their teeth and on the condition of the brushes.

It is good to use some cleansing alkaline powder upon the brush. The old-fashioned precipitated chalk, which makes the bulk of most tooth powders, is very good; but an equally good and much cheaper and simpler one is ordinary baking soda, or saleratus, though this will make the gums smart a little at first. Any powder that contains pumice-stone, cuttle-fish bone, charcoal, or gritty substances of any sort, as many unfortunately do, is injurious, because these scratch the enamel of the teeth and give the acids in the mouth a chink through which they may begin to attack the softer dentine underneath the "glaze" of enamel.

Antiseptic powders and washes, while widely advertised, are not of much practical value, except for temporary use when you have an abscess in your gums, or your teeth are in very bad condition. It is almost impossible to get them strong enough to have any real effect in checking putrefaction of the food or diseases of the gums, without making them too irritating or poisonous. If you keep the gums and teeth well brushed and healthy, you will need no antiseptics.

Not only should the teeth be kept thoroughly clean and sweet for their own sake, but also for the sake of the stomach and the health of the blood and the whole body. The mouth, being continually moist and warm and full of chinks and pockets, furnishes an ideal breeding ground for all kinds of germs; and the average, uncleansed human mouth will be found to contain regularly more than thirty different species of germs, each numbering its millions! Among them may sometimes be found the germs of serious diseases such as pneumonia, diphtheria, and blood-poisoning, just waiting, as it were, their opportunity to attack the body. In fact, a dirty, neglected mouth is one of the commonest causes of disease.


CHAPTER XXVI

INFECTIONS, AND HOW TO AVOID THEM

What Causes Disease. The commonest and most dangerous accident that is likely to happen to you is to catch some disease. Fortunately, however, this is an accident that is as preventable as it is common. Indeed, if everybody would help the Board of Health in its fight against the spread of the common "catchable" diseases, these diseases could soon be wiped out of existence. Every one of them is due to dirt of some sort; and absolute cleanness would do away with them altogether.

Diseases that are "catching," or will spread from one person to another, are called infections; and all of them, as might be supposed from their power of spreading, are due to tiny living particles, called germs—so tiny that they cannot be seen except under a powerful microscope. Nine-tenths of these disease germs are little plants of the same class as the moulds that grow upon cheese or stale bread, and are called bacteria, or bacilli. The different kinds of bacteria, or bacilli, are usually named after the diseases they produce, or else after the scientists who discovered them. For instance, the germ that causes typhoid fever is called the bacillus typhosus; that which causes tuberculosis is called the bacillus tuberculosis; while the germ of diphtheria known as the Klebs-Loeffler bacillus, after the two men who discovered it.

A few kinds of disease germs belong to the animal kingdom, though all germs are so tiny that you would have to have a very powerful microscope to tell the difference between the animal germs and the bacilli, or little plants. Most of these animal germs are called protozoa and cause diseases found in, or near, the tropics, like malaria and the terrible "sleeping sickness" of Africa. Smallpox, yellow fever, and hydrophobia—the disease that results from the bite of a mad dog—are also probably due to animal germs.

So far as prevention is concerned, however, it makes practically little difference whether infectious diseases are due to an animal or a vegetable germ, or to one bacillus or another. They all have two things in common: they can be spread only by the touch of an infected person, and "touch" includes breath,—indeed "by touch" is the meaning of both infectious and contagious; and they can all be prevented by the strictest cleanness, or killed by various poisons known as germicides ("germ-killers"), or disinfectants. Most of these germicides are, unfortunately, poisonous to us as well; for, as you will remember, our bodies are made up of masses of tiny animal cells, not unlike the animal germs. Most of the germicides, therefore, have to be used against germs while they are outside of our bodies.

Scripture says that "a man's foes shall be they of his own household," and this is true of disease germs. They grow and flourish—and, so far as history tells us, the diseases they cause seem to have started—only where people are crowded together in huts or houses, breathing one another's breaths and one another's perspiration, and drinking one another's waste substances in the well water. This fact has, however, its encouraging side; for, since this habit of crowding together, which we call civilization, or "citification," has caused and keeps causing these diseases, it can also cure them and prevent their spread if all the people will fight them in dead earnest. No amount of money, or of time, that a town or a county can spend in stamping out these infectious diseases would be wasted. Indeed, every penny of it would be a good investment; for, taken together, they cause at least half, and probably nearly two-thirds, of all deaths. Not only so, but most of the so-called chronic diseases of the heart, kidneys, lungs, bones, and brain are due to the after-effects of their toxins, or poisons.

How Disease Germs Grow and Spread. But perhaps you will ask, "If these bacteria and protozoa are so tiny that we have to use a microscope, and one of the most powerful made, in order even to see them, how is it that they can overrun our whole body and produce such dangerous fevers and so many deaths?" The answer is simply, "Because there are so many millions of them; and because they breed, or multiply, at such a tremendously rapid rate." When one of these little bacilli breeds, it doesn't take time to form buds and flowers and seeds, like other plants, or even the trouble to lay eggs like an insect or a bird, but simply stretches itself out a little longer, pinches itself in two, and makes of each half a new bacillus.

This is known as fission or "splitting," and is of interest because this is the way in which the little cells that make up our own bodies increase in number; as, for instance, when a muscle is growing and enlarging under exercise, or when more of the white blood cells are needed to fight some disease. Remember that we and the disease germs are both cells; and that, if they are numbered by millions, we are by billions; and that we are made up of far the older and the tougher cells of the two. Except in a few of the most virulent and deadly of fevers, like the famous "Black Death," or bubonic plague, and lock-jaw, or tetanus, ninety-five times out of a hundred when disease germs get into our bodies, it is our bodies that eat up the germs instead of the germs our bodies. Keep away from disease germs all that you reasonably and possibly can; but don't forget that the best protection against infectious diseases, in the long run, is a strong, vigorous, healthy body that can literally "eat them alive."

Grow that kind of body, keep it perfectly clean inside and out, and you have little need to fear fevers, or indeed any other kind of disease; for you will live until you are old enough to die—and then you'll want to, just as you want to go to sleep when you are tired. Remember that this fight against the fevers is a winning fight, this study of disease germs a cheering and encouraging one, because it will end in our conquering them, not merely nine times out of ten, but ninety-nine times out of a hundred.

We are not making this fight just to escape death; what we are fighting for is to live out a full, useful, and happy life. And we already have five chances to one of gaining this, and the chances are improving every year; for science has already raised the average length of life from barely twenty years to over forty. Broadly speaking, if you will keep away from every one whom you know to have an infectious disease; wash your hands always before you eat, or put anything into your mouth; keep your fingers, pencils, pennies, and pins out of your mouth,—where they don't belong; live and play in the open air as much as possible and keep your windows well open day and night, you will avoid nine-tenths of the risks from germs and the dangers that they bring in their wake.

Children's Diseases. We have already studied two of the greatest and most dangerous diseases, and the way to conquer them—tuberculosis, or consumption, in the chapter on the lungs; and typhoid fever, in the chapter on our drink. One of the next most important groups of "catching" diseases—important because, though very mild, they are so exceedingly common,—is that known as the "diseases of childhood," or "diseases of infancy" because they are most likely to occur in childhood. So common are they that you know their names almost as well as you know your own—measles, mumps, whooping cough, scarlet fever, and chicken-pox. Though they are in no way related to one another, so far as we know (indeed, the precise germs that cause two of them—measles and scarlet fever—have not yet positively been determined), yet they can be practically taken together, because they are all spread in much the same way, they all begin with much the same sort of sneezing and inflammation of the nose and throat, they can all be prevented by the same means, and, if properly taken care of, they result in complete recovery ninety-five times out of a hundred.