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
Chapter VI is dedicated to the stopping of decayed teeth. The sole
materials used by the author for stopping were lead, tin, and gold.
“Fine tin,” he says, “is preferable to lead, for lead turns black much
more easily and is much less durable; both are preferable to gold,
because lighter and adapting themselves better to the unevenness of
the carious cavities. Besides, gold being dear, not everyone can or
will make the corresponding outlay.” The author here adds that those
who, from vanity or because possessed by the opinion that gold has
special virtues, will not have their tooth stopped except with it, not
unfrequently find dentists who, as the saying, goes, content them and
cozen them by using leaf tin or lead colored yellow, and making them
pay for it as gold stopping!
[Illustration: FIG. 80
Some of the dental files used by Fauchard. The little
square figure represents a small grooved wedge destined
to be inserted in large interdental spaces, in order to
give more firmness to the teeth to be filed.]
The leaf metals were introduced and compressed into the carious
cavities by means of three kinds of pluggers, which would nowadays be
considered altogether insufficient and unfit for the purpose, but which
then, nevertheless, served to produce excellent stoppings. The author
speaks[450] of a lead stopping which had lasted in perfect condition
for forty years.
Before stopping the tooth the cavity was scraped and its opening
widened, if necessary, but no special form was given to the cavity
itself, as is done at the present day.
[Illustration: FIG. 81
Instruments for scraping the carious cavities (Fauchard).]
As at that time the state of the dental pulp was not taken into
consideration before stopping a tooth, it often occurred that the
stopping caused violent pain, which rendered its removal necessary.[451]
Fauchard says that “if the sensibility of the carious cavity be too
great, the lead ought only to be pressed in very lightly at first,
then after one or two days a little more, continuing thus until it is
properly compressed and fitted in, always provided, of course, that the
pain does not increase. The sensitive parts of the tooth become thus
more easily used to the pressure of the lead, and the pain is in this
manner avoided or moderated.”[452]
[Illustration: FIG. 82
Three instruments for plugging teeth. The two small figures represent
silver plates for straightening teeth (Fauchard).]
The author also makes the remark[453] that sometimes, in scraping a
carious cavity, “it is not possible to avoid uncovering and touching
the nerve with the instruments; one becomes aware of this by the pain
caused, and better still by a little blood issuing from the dental
vessels.” In such cases, Fauchard advises stopping of the tooth
immediately, for if it be carried out with delay, it is sure to be
followed by inflammation and great pain, rendering necessary the
removal of the lead or even the extraction of the tooth.
[Illustration: FIG. 83
Public-domain text, read in full here on John Shaqi.
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