The Battle of the Tooth Worm

I come across a lot of strange objects in my research: books bound in human skin , prosthetic noses made of silver , iron coffins with safety devices to prevent premature burial. But perhaps one of the strangest objects I’ve seen is the one pictured on the left. This is a depiction of the infamous tooth worm believed by many people in the past to bore holes in human teeth and cause toothaches.  But before I tell you about this fascinating piece of art, let me give you a quick lesson in dental folklore. Tooth worms have a long history, first appearing in a Sumerian text around 5,000 BC. References to tooth worms can be found in China, Egypt and India long before the belief finally takes root (pun intended) into Western Europe in the 8th century. [1] Treatment of tooth worms varied depending on the severity of the patient’s pain. Often, practitioners would try to ‘smoke’ the worm out by heating a mixture of beeswax and henbane seed on a piece of iron and directing the fumes into the cavity with a funnel. Afterwards, the hole was filled with powered henbane seed and gum mastic.  This may have provided temporary relief given the fact that henbane is a mild narcotic. Many times, though, the achy tooth had to be removed altogether. Some tooth-pullers mistook nerves for tooth worms, and extracted both the tooth and the nerve in what was certainly an extremely painful procedure in a period before anaesthetics. [2] The tooth worm came under attack in the 18 th century when Pierre Fauchard—known today as the father of modern dentistry—posited that tooth decay was linked to sugar consumption and not little creatures burrowing inside the tooth. In the 1890s, W.D. Miller took this idea a step further, and discovered through a series of experiments that bacteria living inside the mouth produced acids that dissolved tooth enamel when in the presence of fermentable carbohydrates. Despite these discoveries, many people continued to believe in the existence of tooth worms even into the 20 th century. The piece of art at the top of the article is titled ‘The Tooth Worm as Hell’s Demon.’ It was created in the 18 th century by an unknown artist, and is carved from ivory. It is an incredibly intricate piece when you consider it only stands a little over 4 inches tall. The two halves open up to reveal a scene about the infernal torments of a toothache depicted as a battle with the tooth worm, complete with mini skulls, hellfire, and naked humans wielding clubs. It is, without a doubt, one of the strangest objects I’ve come across in my research; and today, I pass this random bit of trivia on to you in the hopes that you may use it someday to revive a dying conversation at a cocktail party. 1. W. E. Gerabek, ‘The Tooth-Worm: Historical Apsects of a Popular Belief,’ Clinical Oral Investigations (April 1999): pp. 1-6. 2. Leo Kanner, Folklore of the Teeth (1928).

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The Battle of the Tooth Worm

Remembering the Dead: The Bone House in Hallstatt, Austria

The other night, my friend’s mother lost her battle against cancer. He is a funeral director and owner of Elemental Cremation & Burial  in Seattle, and has dedicated his career to helping families during some of the darkest moments of their lives. He challenges the status quo in the American funeral industry, and looks for innovative and dynamic ways to memorialize the dead.  This post is for Jeff Jorgenson, in memory of his mother, Judy Burnett. For those who donate to MEDICINE’S DARK SECRETS in the next 48 hours, I will give 10% of the proceeds to the AMERICAN CANCER SOCIETY .   Grief. It’s something that affects us all. And yet, we are so unprepared when it comes knocking on our own door. I have often said that as a historian of medicine, I am comforted in the knowledge that we are united with the past in our struggle against disease and suffering. The same can be said of our capacity to grieve, to mourn and to remember those whom we’ve loved and lost. There are countless examples around the world of places where the dead are immortalised in strange and unique ways. One of my favourites is the Beinhaus [Bone House] in Hallstatt, Austria. The Beinhaus came into existence in the 12 th century due to the lack of space in the small village’s cemetery. Graves were reopened after 10-15 years and the skeletal remains were moved to a charnel house to make room for the burial of the newly deceased. Beginning in 1720, villagers began bleaching the disinterred skulls of their predecessors by placing the heads outside in the sun for weeks at a time. In addition to the names of the departed, townspeople would paint elaborate floral patterns on the skulls in the way that one might decorate a grave with flowers today. Beside the cross in the center of the Beinhaus is a skull with a gold tooth. It belongs to a woman who died in 1983. Her last request was for her body to be disinterred and her skull to be placed in the charnel house. She was the last to enter the ossuary in 1995. For me, the Beinhaus symbolises our desire as human beings to remember those who passed before us—to hold on, in some way, to the lives that were lived—for those who were buried in Hallstatt, Austria, did not remain so forever. Far from being creepy, I believe it is a place of beauty; a place of peace; a place of reflection. And in a world where grieving is often marginalized, minimalized, even medicalized, it is no small wonder that so many people  visit the Beinhaus each year and feel in awe of the way this tiny village has encapsulated so perfectly the phrase: ‘dead but not forgotten.’

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Remembering the Dead: The Bone House in Hallstatt, Austria