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
Fabricius Hildanus relates, besides, many cases of dental fistula,
cured by him through the extraction of roots or of decayed teeth. In
one such case the fistula dated from fourteen years back. Fabricius
Hildanus, contrary to the opinion of many other doctors, extracted a
decayed tooth, and by this operation obtained, in a brief period of
time, the complete recovery of the patient.
Among the many very important clinical cases cited by Fabricius
Hildanus, the following deserves to be recorded: In the year 1590 a
woman presented herself to him who had a hard tumor in the space behind
the last molar on the right side. The author, after having prepared
the patient for the operation by the methods then in use (that is, by
aperient medicine, by bleeding, and appropriate diet), destroyed the
tumor by the application of escharotic substances. The remaining wound,
however, defying all the cicatrizing remedies which the author had
recourse to, one after the other, by reason of its being continually
disturbed by the movements of the jaws, he then thought of maintaining
the dental arches in a determined position, and this he obtained by
means of two pieces of wood somewhat hollowed out above and below,
which he placed on the right and on the left between the upper and the
lower teeth, fixing them to the teeth themselves by brass wires passing
through two openings made expressly in each of the two pieces of wood.
In this way he succeeded in obtaining the absolute immobility of the
jaws and the complete cure of the wound in a few days, during which
time the patient was nourished with liquid food.[339]
A very interesting case, inasmuch as it demonstrated the damage and
peril which may result from certain absurd means of cure, was reported
to this author by Claudio Deodato, physician to the Prince-Bishop of
Basle. The case was that of a patient who, after having tried in vain a
great number of remedies for a stubborn toothache, finally had recourse
to the use of aqua fortis; but this substance, which in those days was
in frequent use for dental caries and for toothache, produced most
deleterious effects in the patient, that is to say, the loss of almost
all his teeth, necrosis of the inferior jaw, with fistulous sinuses and
ulceration of the neck, abundant sanious discharge, fever, a cachectic
condition, incipient necrosis of the upper jaw, etc.[340] Fabricius
Hildanus, consulted by Claudio Deodato about this most serious case,
proposed both a local and a general treatment, the result of which is,
however, not mentioned in his book.
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