Chauliac is particularly emphatic in his insistence on not permitting
alimentary materials to remain in the cavities, and suggests that if
cavities between the teeth tend to retain food material they should even
be filled in such a way as to prevent these accumulations. His directions
for cleansing the teeth were rather detailed. His favourite treatment for
wounds was wine, and he knew that he succeeded by means of it in securing
union by first intention. It is not surprising, then, to find that he
recommends rinsing of the mouth with wine as a precaution against dental
decay. A vinous decoction of wild mint and of pepper he considered
particularly beneficial, though he thought that dentifrices, either powder
or liquid, should also be used. He seems to recommend the powder
dentifrices as more efficacious. His favourite prescription for a
tooth-powder, while more elaborate, resembles to such an extent at least,
some, if not indeed most, of those that are used at the present time,
that it seems worth while giving his directions for it. He took equal
parts of cuttle-bones, small white seashells, pumice-stone, burnt stag's
horn, nitre, alum, rock salt, burnt roots of iris, aristolochia, and
reeds. All of these substances should be carefully reduced to powder and
then mixed.
His favourite liquid dentifrice contained the following ingredients: Half
a pound each of sal ammoniac and rock salt, and a quarter of a pound of
saccharin alum. All these were to be reduced to powder and placed in a
glass alembic and dissolved. The teeth should be rubbed with it, using a
little scarlet cloth for the purpose. Just why this particular colour of
cleansing cloth was recommended is not quite clear.
He recognized, however, that cleansing of the teeth properly often became
impossible by any scrubbing method, no matter what the dentifrice used,
because of the presence of what he called hardened limosity or limyness
(_limosité endurcie_). When that condition is present he suggests the use
of rasps and spatumina and other instrumental means very similar to those
we make use of for removing tartar.
Guy de Chauliac was also interested in mechanical dentistry and the
artificial replacement of lost teeth; and, indeed, dental prosthesis
represents, as treated by him, a distinct anticipation of dental
procedures usually thought quite modern.
Public-domain text, read in full here on John Shaqi.
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