A History of Dentistry from the most Ancient Times until the end of the Eighteenth CenturyGuerini, Vincenzo
History
A History of Dentistry from the most Ancient Times until the end of the Eighteenth Century
Guerini, Vincenzo
Dentistry -- History
Chapters XIX and XX are, comparatively speaking, of little importance.
In the former the author undertakes especially to examine the opinions
of Galen on dental bloodvessels and nerves, and discusses whether
it were known to him that these vessels and nerves penetrate into
the internal part of the teeth. In the latter, Eustachius speaks of
the great difficulties that are encountered in dissecting dental
bloodvessels and nerves, and reproves those who, by inaccurate
illustrative figures, convey the erroneous idea that these parts are
very clearly and easily observable.
In Chapter XXI the author goes on to speak of the best mode of
proceeding in order to make successful observation of the small nerves
and vessels going to the roots of the teeth. These researches are much
more easily made in large animals than in man; and therefore such
things as cannot be observed well in the latter must be studied in the
former.
In the first place, it is necessary to dissect the lower jaw; and
after having done so several times, with all the accuracy required in
making researches of this kind, one may proceed to study the dental
nerves and vessels of the upper jaw, which is much more difficult.
Having opened up the inside of the lower jaw, one observes a cavity
full of marrow, and within this a nerve enclosed entirely in its own
sheath. Having removed the marrow, and opened the sheath lengthwise,
one perceives that the nerve therein enclosed is constituted (analogous
to what may be observed in the large nerves of the limbs) by several
nervous strings, and that among these runs a comparatively large
artery, besides small vascular branches of minor importance. If one
then removes the sheath from the bone, together with the nerve and the
vessels contained in it, raising it very gently, one sees, issuing
therefrom, some very slender fibers, on the nature of which it is,
however, difficult to pronounce; and, considering their thinness, one
can hardly conceive that they are composed of three different elements,
that is, of small nervous, arterial, and venous twigs. At any rate,
the author admits that this may be so. On arriving at the lesser
teeth, the nerve and the artery that accompanies it divide into two
branches, one of which traverses the opening presented by the bone at
that point (_mental foramen_), and is destined to the lower lip; the
other directs its course toward the roots of the incisors. The small
twigs which penetrate into the roots of the incisor and canine teeth
are less slender than those which enter the roots of the molars, and
are easily to be seen not only in large animals, but also in man. If
the tooth of an ox or that of a ram be split through the middle, the
mucous substance contained in the interior is seen to be traversed
by small bloodvessels; and one perceives, besides, certain fibers,
which are probably nerves. All these things, says Eustachius, I have
observed many times in different animals, in some cases more, in others
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