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
Returning to the indications for the extraction of teeth, Fauchard
says that when a tooth planted irregularly in the mouth cannot be
straightened by any of those means to which he afterward alludes, and
occasions damage or inconvenience or constitutes a deformity, the sole
remedy is its removal. As to decayed teeth and the pain that they
produce, when the evil cannot be remedied with oil of cinnamon or oil
of cloves, with the actual cautery, or by stopping, one must have
recourse to extraction, and this to satisfy four different indications,
that is, before all, to procure the cessation of violent pain; in the
second place, to prevent the caries from being communicated to the
neighboring teeth; thirdly, to remove the fetid smell deriving from
the substances that are retained within the carious cavity, and to
impede the teeth on the same side from becoming covered with tartar,
as inevitably happens when by reason of painfulness in eating they are
forced to be inactive; fourth and lastly, because the dental caries,
not infrequently gives rise to other diseases, which ordinarily cannot
be cured unless the cause from which it arises be recognized and
suppressed.
“Sometimes,” continues Fauchard, “such violent and obstinate pain
arises in a tooth that we are obliged to extract it, although not
decayed nor presenting deformity.”
The author combats the old prejudice, that it is not right to draw
teeth in cases of pregnant women or of nursing mothers, lest the
operation should prove dangerous to the patient or to the fetus, or
produce alteration or arrest of the milk secretion. Only the fear
arising from this prejudice can, according to the author, cause any
of the dreaded contingencies. The dentist ought, therefore, to seek
to dissipate the fears of these patients, by persuading them of the
innocuous nature of the operation as well as of its short duration,
and should represent to them, on the other hand (if the operation
be really necessary), the advantages of promptly deciding on it, to
avoid the harm and the peril that prolonged suffering and the tortures
of sleeplessness might occasion to themselves as well as to the
unborn child or to the suckling infant, such as abortion, premature
confinement, alteration of the milk, etc.
According to Fauchard, “one should always take the precaution of hiding
the instruments from the patient’s sight, especially in the case of
extracting a tooth, so as not to terrify him.”
Public-domain text, read in full here on John Shaqi.
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