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
In cases of hemorrhage ensuing on the extraction of teeth, the best
hemostatic, according to Pfaff, is essence of turpentine, a remedy
which in these cases he had always found efficient. He introduced a
little ball of lint bathed in this essence as deeply as possible into
the alveolus, applying upon it some blotting paper reduced to pulp or
some dry lint that the patient compressed tightly by closing his teeth.
Gingival abscesses as well as fistulæ of the maxillary region almost
always owe their origin, says Pfaff, to decayed teeth, and can,
therefore, in general, not be cured except by the extraction of these
teeth.
The prosthetic methods described by this author are, for the most
part, identical with those of Fauchard and the other French dentists
already mentioned. As to the materials used for prosthesis at different
periods, Pfaff mentions, besides ivory, bone, hippopotamus tusk, teeth
of sea cow, and human teeth, also teeth made of silver, of mother of
pearl, and even of copper enamelled.
The chief merit one must concede to Philip Pfaff is that of having
been the first to make use of plaster models. It is, therefore, to
two Germans—Pfaff and Purmann, the latter who, as we have already
seen, used wax models—that one of the greatest progressive movements
in dental prosthesis is indebted, that is, the method of taking casts
and making models, of which method one finds no trace whatever in the
authors of antiquity, and which, it would appear, was not known even to
Fauchard himself. The wax casts of an entire jaw were taken by Pfaff
in two pieces, one of the right half of the jaw, and the other of the
left; which were then reunited, and one thus avoided spoiling the cast
in removing it from the mouth.
Another great merit of Philip Pfaff is that of having first carried out
the capping of an exposed dental pulp, previous to stopping a tooth.
Notwithstanding this, Pfaff is not the first who, as Geist-Jacobi is
inclined to believe,[482] _had dared to apply a filling over an exposed
dental pulp without first cauterizing it_. As we have already seen,
Fauchard did not hesitate in the least to fill a tooth when the dental
pulp had become exposed in scraping the carious cavity. But the French
dentist carried out, with much delicacy, a simple filling, whilst Pfaff
first capped the dental nerve.
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