George Washington’s Troublesome Teeth

It’s probably the myth that is more enduring and widespread than any other about George Washington.  At some point from someone, you have heard that George Washington’s false teeth were made of wood.  It is not true.  In reality, his dentures and dental tribulations were more complex than the familiar myth says.  The true story, even when it is uncertain, reveals much more about his life and about life in general in the 18th century.

George Washington by Gilbert Stuart (1798)

George Washington by Gilbert Stuart (1798). Washington’s dental troubles are even apparent on his face. As the result of his dentures, he kept his mouth closed tightly and the false teeth caused the area around his lips, his lower jaw, and his chin to protrude slightly. Credit: Clark Art Institute

George Washington had a tooth pulled for the first time in 1756 at the age of 24.  Four years later, George Mercer described Washington’s appearance in a letter, saying “His mouth is large and generally firmly closed, but which from time to time discloses some defective teeth.”   By the time of his first inauguration as president in 1789, George had only one tooth left.

John Adams by Gilbert Stuart (1821)

John Adams by Gilbert Stuart (1821) Credit: National Gallery of Art

The causes of George’s dental problems will never be known with certainty.  According to John Adams, Washington himself “attributed his misfortune to cracking of Walnuts in his Youth.”  Furthermore, Adams hints at one additional potential factor: the common use of mercury in medicine during the 18th century.  Adams described how his doctors gave him sizable quantities of mercury when he was inoculated for smallpox.  The result was, he said, “that every tooth in my head became so loose that I believe I could have pulled them all with my Thumb and finger.”  Adams complained that his doctors “rendered me incapable  …of speaking or eating in my old Age, in short they brought me into the same Situation with my Friend Washington.”

Washington House, Barbados

Home of Captain Croftan where Washington lived during the several months he visited Barbados in 1751. Credit: Wikipedia / Jerry E. and Roy Klotz

For what it’s worth, nineteen-year-old Washington contracted smallpox in November 1751 during a stay in Barbados.  Constantly attended by Dr. John Lanahan, he was sick for 25 days before finally fighting off the deadly disease.  We have no records to tell us precisely how Lanahan treated Washington.  If we consult pages 28-29 of A Rational and Mechanical Essay on the Small Pox published in 1735 by Dr. William Hillary, we find a three-phase course of treatment for pox sufferers. “The first, by bleeding in the first Stations of the Disease; when the Fever is violent: The second by introducing the Practice of Purging, (and Bleeding) in the most dangerous Circumstances attending the second Fever.”  The third phase was employing all known methods to reduce inflammation.  All phases were typical medical practice at the time.

The purging phase of smallpox treatment is when mercury may have become involved.  The most popular concoction to induce purging in the 18th century was called calomel.  It “was a white tasteless powder which consisted of mercury chloride. When taken in small doses calomel led to the evacuation of the bowels.  If taken over time or in heavier doses, calomel induced heavy salivation, bleeding gums, mouth sores, tooth loss.”  Again, in describing his own brush with smallpox, John Adams noted that his doctors “salivated me to such a degree” with “Milk and Mercury” that all his teeth became terribly loose.

Young Washington survived his smallpox attack but literally carried the scars of the illness for life.  Back at Ferry Farm in January 1752, Mary Washington twice purchased some ointment from Dr. Sunderland (Sutherland?) to deal with George’s pox-caused facial scars.  The same bill also included a “mercurial purging” for someone. [1]  We should not definitively conclude that medicinal mercury caused George’s life-long dental troubles.  Like most things in history, his difficulties probably had a mix of causes common to the 1700s, including diseases and  “ poorly balanced diet . . . as well as genetics.”

Regardless of the reasons for George’s defective teeth, Washington ultimately proved “very wise about the message an image can send, and knew that . . . he had to look the part of a leader… which meant at least having teeth.”

George Washington - Full Dentures, Now Incomplete Set

A set of Washington’s dentures as once owned by the Baltimore College of Dental Surgery, Dental School, University of Maryland. This older image shows both the lower and upper portions. Only the lower portion of these dentures is now present and on display at Baltimore’s Dr. Samuel D. Harris National Museum of Dentistry. Credit: National Museum of Dentistry

Baker's Ad in the VA Gazette

John Baker advertised his services as a Surgeon Dentist in the January 2, 1772 edition of the Virginia Gazette.

Accordingly, as he lost more teeth, George replaced them with partial dentures and then eventually full dentures.  Surgeon Dentist John Baker, who we first wrote about here, became George’s regular dentist in 1772.  Baker stayed at Mount Vernon in October 1773 and received two substantial payments of £8 total from Washington that same month.  Baker was the first to make false teeth for George, creating a partial denture of ivory for wiring to his natural teeth.

The tooth loss continued, however.  In 1783,Washington asked Baker “for some of the Plaister of Paris, or that white powder with which you take (in wax) the Model of the Mouth for your false teeth—and directions how to mix, & make use of it—When you have done this, I can then give you such a Model as will enable you to furnish me with what I want.”  It seems it was time for another new set of dentures.

A month later, though, Washington took on a new dentist: Jean-Pierre Le Mayuer, who probably made him another partial denture.  Additionally, Le Mayuer practiced the relatively common 18th century dental technique of transplanting, in his words, “good living teeth in the Room of those which were broken or otherwise decayed.”  At first, Washington seemed skeptical about the practice.  He needed to replace his teeth but “(not by transplantation, for of this I have no idea, even with young people, and sure I am it cannot succeed with old).”  Eventually, his mind seemed to be changed somewhat by Richard Varick’s testimony of Le Mayuer’s skills.  That said, there’s little recorded describing the care Le Mayuer provided Washington.

Despite George’s skepticism, Le Mayeur’s use of human teeth in his practice was not unusual for the time. A patient’s own pulled teeth might be used in their dentures.  Teeth from other people, especially the poor and enslaved, were bought and even harvested from the dead for use in dentures or transplanting.  In fact, “Wherever Dr. Le Mayuer practiced, he sought out through newspaper ads ‘Persons who are willing to dispose of their Front Teeth.’  While in New York, he advertised that he would pay two guineas each for good front teeth; in Richmond, he stipulated ‘slaves excepted.’”  Did this mean Le Mayeur would not pay for teeth from slaves or is it a Frenchman’s corruption of the word “accepted”?  It seems, in fact, he was willing to pay for the teeth of enslaved people for, in May 1784, Lund Washington, who was managing Mount Vernon while George commanded the Continental Army, recorded just over £6 “cash pd Negroes for 9 Teeth on Acct of Dr. Lemoire.”

Washington definitely used human teeth in his dentures but we do not know if they were teeth from slaves.  He probably did use his own in some dentures.  Back in 1782, when John Baker was still his dentist, George wrote to Lund Washington instructing him that “In a drawer, in the Locker of the Desk which stands in my Study, you will find two small (fore) teeth; which I beg of you to wrap up carefully, & send inclosed in your next Letter to me. I am positive I left them there, or in the secret drawer in the locker of the same desk.”  It is believed “Washington hoped that these original teeth could be used within new dentures that were being fitted for his use.”

George Washington - Full Dentures, Complete Set

Washington dentures made by John Greenwood. Courtesy of Mount Vernon Ladies’ Association.

John Greenwood

Engraving of John Greenwood by Roy Peintre. Credit: Library of Congress

“The only complete set of Washington’s dentures that still survives . . . is made of animal and human teeth, lead, and ivory.”  John Greenwood, who served as Washington’s dentist throughout the 1790s, made them out of hippopotamus ivory, horse or donkey teeth, human teeth, gold wire springs, brass screws, and lead.  Greenwood left a gap in this set for the one remaining tooth Washington had left.  Inevitably, that tooth finally had to be pulled and Washington presented Greenwood with this tooth as a gift, which hung on his watch chain inside a glass locket.

 

George Washington suffered a lifetime of dental troubles.  The causes of those troubles and the attempted solutions were typical of the 18th century and teach us much about both Washington’s life and the lives of his fellow early Americans. The real story of Washington’s false teeth, even when uncertain, reveals more about his life and his times than any stale wooden myth.

Zac Cunningham
Manager of Educational Programs

[1] Paula Felder, Fielding Lewis and the Washington Family: A Chronicle of 18th Century Fredericksburg, The American History Company, 1998: 103.

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Dental Care in Early America

Editor’s Note: Looking back in time, people’s personal hygiene, fashion choices, medical treatments, and more sometimes look, at the very least, bizarre, if not outright disgusting.  When confronted with these weird or gross practices, our first reaction can be to dismiss our ancestors as primitive, ignorant, or just silly.  Before such judgments, however, we should try to understand the reasons behind these practices and recognize that our own descendants will judge some of what we do as strange or gross.  Here at George Washington’s Ferry Farm and Historic Kenmore, we’ve come to describe our efforts to understand the historically bizarre or disgusting as “Colonial Grossology.”  The following is the latest installment in Lives & Legacies’ “Colonial Grossology” series.

The 100th rule of the famed Rules of Civility and Decent Behavior  copied by George Washington as a school boy advised people to “Cleanse not your teeth with the Table Cloth Napkin Fork or Knife but if Others do it let it be done wt. a Pick Tooth.”  This advice proved necessary two centuries ago because “the most common means of cleaning teeth was by rubbing them with a cloth dipped in a little salt and water.”[1]  As long as this happened away from the dinner table, all would be well regarding propriety.

Dental care has improved greatly in 200 years but the seeds of modern tooth care can certainly be seen when looking back to colonial days.

Bristle toothbrushes are an age-old invention of the Chinese.  Today’s brushes are remarkably similar in shape and design to ones used in centuries past.  The pig bristle is now nylon and the animal bone is now plastic.  Archaeologists have found bone toothbrush heads — two of which date from the 1820s — during excavations at Ferry Farm.  Even without their handles, they look quite familiar even to the modern eye.

FF Toothbrush Heads

Bone toothbrush heads excavated by archaeologists at Ferry Farm.

Instead of toothpaste, early Americans brushed with tooth powders. To clean teeth, these powders contained abrasives like alum, ground seashells, bone, eggshells, brimstone, baking soda, and even gunpowder. To freshen breath, powders included cinnamon, musk, or dragon’s blood.[2]  If dragon’s blood sounds strange, tobacco merchant William Hugh Grove claimed tobacco ashes were “excellent to clean teeth!”  These powders were not hard to make yourself and were even available for purchase in cities.

On January 2, 1772, ‘surgeon dentist’ John Baker took an ad in the Virginia Gazette “to inform the Gentry that he is now at Mr. Maupin’s, in Williamsburg, and will wait on them.”  His ad is worth examining at length for its fascinating glimpse into dental procedures of the time.

VaGazette

Page 3 of the January 2, 1772 edition of The Virginia Gazette. Baker’s ad is near the top of the far right column.

Baker Dentist Ad

Ostensibly, Baker could cure “the SCURVY in the GUMS, be it ever so bad.”  He did so by scrapping from the teeth “that corrosive, tartarous, gritty Substance which hinders the Gums from growing, infects the Breath, and is one of the principal Causes of the Scurvy, which, if not timely prevented, eats away the Gums, so that many Peoples Teeth fall out fresh.” We each have essentially this same procedure performed every six months when we visit the dentist for a cleaning.

Furthermore, Baker said he “prevents Teeth from growing rotten, keeps such as are decayed from becoming worse, even to old Age, makes the Gums grow up firm to the Teeth, and renders them white and beautiful.”

In a passage familiar to any modern cavity suffers, the ad notes that Baker “fills up, with Lead or Gold, those that are hollow, so as to render them useful; it prevents the Air from getting into them, which aggravates the Pain.”

Baker even transplanted “natural Teeth from one Person to another.”  The use of human teeth as replacements for extracted teeth as well as in dentures was quite common in the 1700s.  Indeed, teeth collected from thousands of the dead after the Battle of Waterloo were used in dentures for years.  Before Waterloo, “teeth were frequently acquired from executed criminals, exhumed bodies, dentists’ patients and even animals and were consequently often rotten, worn down or loaded with syphilis. The prospect of an overabundance of young, healthy teeth to be readily pillaged from the battlefield must have been a dentist’s dream.” 

Surgeon Dentist Baker extracted whole or partial teeth, even if they were “ever so deep sunk into the Socket of the Gums.”  Once extracted, the tooth was cleaned of infection and, if necessary, filled.  Then, it might be placed back in the same person, into another person, or in a set of dentures.  Some teeth even ended up in the archaeological record.  An extracted human tooth was uncovered during excavations at Ferry Farm.  From the upper jaw, the tooth belonged to a person of European descent and featured an incredibly large cavity. That said, the nerve was likely dead by the time this tooth was pulled. We know it was pulled because of a broken root. There is no decay from the top of the tooth and it has little wear, indicating it belonged to a younger person.  The tooth was discovered in the plow zone[3], meaning that it could not be dated historically.

FF Tooth 1

Human tooth excavated at Ferry Farm shows an incredible cavity.

FF Tooth 2

Human tooth excavated at Ferry Farm.

Using toothbrushes for preventative care, treating gum disease through cleaning, and filling cavities with lead or gold all represent some commonalities between past and present dental care.  While seeds of modern dentistry can be traced to the 18th century, significant advances have been made in replacing single teeth and in using dentures.  Even if past dentists had some of today’s treatments, however, it seems safe to bet that they still would have been unable to stop the terrible tooth trouble suffered by George Washington throughout his life.  We now have picture of 18th century dentistry.  In a future post, we’ll examine George’s famously troublesome teeth.

Zac Cunningham
Manager of Educational Programs

[1] Dorothy A. Mays, Women in Early America: Struggle, Survival, and Freedom in a New World, Santa Barbara, CA: ABC-CLIO, Inc., 2004: 191.

[2] Dragon’s blood was a red powder obtain from any of several different plants and used as a folk medicine.

[3] The plow zone is the area of soil that is churned up during plowing.  This churning destroys soil stratification or layering, which is the first method archaeologists use to date objects.  This dating is based on the principle that the deeper an artifact is found in the soil, the older the artifact is.   Plowing mixes up the artifacts and makes dating challenging.