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
ANTON NUCK (1650 to 1692), a Dutch surgeon and anatomist, who taught
most ably in the University of Leyden, devoted great attention to
dental surgery and prosthesis. Relative to the extraction of teeth,
he says that, in order to be able to carry out this most important
operation, an exact anatomical knowledge of the alveoli and of the
teeth themselves is required. He insists on a principle of capital
importance that has only had its full application in the nineteenth
century, viz., that the instruments to be used for the extraction of
teeth ought to vary according to the tooth to be extracted. For the
removal of the incisors, he says, the “goat’s foot” should have the
preference; the canines ought to be extracted with the common dental
forceps, but sometimes, when they are decayed, they may be extracted
with greater security with the pelican; for the small molars the
straight-branched pelican is to be preferred, for the large molars the
curved pelican; as to the extraction of roots or of splinters of bone,
this ought to be carried out with the _rostrum corvinum_.
The author counsels never to extract teeth during pregnancy, except
under circumstances of the greatest urgency, and especially to avoid
the extracting of the upper canines (or eye teeth), this being capable
of producing pernicious effect on the visual organs of the fetus!
The best way of obtaining the cessation of a violent toothache
without having recourse to extraction is, according to the author,
cauterization of the antitragus, an operation which he carried out
with a special cauterizing instrument, made to pass through a small
tube, the better to localize and to limit the action of the red-hot
iron. With regard to this means of cure already recommended by other
authors, we may remark that, although it seems ridiculous at first
sight, and although no one could be so senseless as to make use of it
in our days, nevertheless, for the times of which we are writing, when
the curing of toothache was in a great measure effected by indirect
means, this remedy might well stand on a level with many others,
and was not perhaps altogether inefficacious. It is a sufficiently
well-known physiological fact that the application of a strong stimulus
in one part of the body may diminish or suppress a painful sensation in
another part of the organism. It is an equally well-known fact that it
is in no way a matter of indifference, in producing this phenomenon,
to what part the stimulus be applied, especially because of the great
difference existing in the relations of the several parts of the body
with the brain—the centre of sensation. It is, therefore, very possible
that the cauterization of the antitragus may really have the effect of
causing strong toothache to cease, at least temporarily.
Nuck used a variety of remedies to arrest dental hemorrhage, such as
tinder, burnt linen, vitriol, sulphuric acid and the cauterizing iron.
Public-domain text, read in full here on John Shaqi.
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