Philadelphia
20 Jan. 1797

Dear Sir
I must again resort to you for assistance.- The teeth herewith enclosed have by degrees worked loose and, at length, two or three of them have given way altogether.  I send them to you to be repaired, if they are susceptible of it; if not, then for the purpose of substituting others. - I would thank you for returning them as soon as possible for although I now make use of another sett, they are both uneasy in my mouth and bulge my lips out in such a manner as to make them appear considerably swelled.-

You will perceive at the first view, that one cause of these teeth giving way is for want of a proper socket for the root part to rest in, as were for the purpose of keeping them firm and in place at bottom, as to preserve them against the effect of the saliva which softens the part that formerly was covered by the gums and afforded them nourishment, (continued.)