When teeth become loose he advises that they be fastened to the healthy
ones with a gold chain. Guerini, in his "History of Dentistry"
(Philadelphia, 1907), suggests that he evidently means a gold wire. If the
teeth fall out Chauliac recommends that they be replaced by the teeth of
another person, or with artificial teeth made from ox-bone, which may be
fixed in place by a fine metal ligature. He says that such teeth may be
serviceable for a long while. This is a rather curt way of treating so
large a subject as dental prosthesis, but it contains a lot of suggestive
material. He was quoting mainly the Arabian authors, and especially
Abulcassis and Ali Abbas and Rhazes--and these of course, as we have said,
mentioned many methods of artificially replacing teeth, as also of
transplantation and of treatment of the deformities of the dental arches.
Guerini called particular attention to the fact that Chauliac recognized
the dentists as specialists. He observes that operations on the teeth are
in a class by themselves, and belong to the _dentatores_ to whom they had
been entrusted. He remarks, however, that the operations on the mouth
should be performed under the direction of a surgeon. It is in order to
give surgeons the general principles by means of which they may be able
to judge of the advisability or necessity for dental operations, that his
brief presentation of the subject is made. If their advice is to be of
value, physicians should know the various methods of treatment suitable
for dental diseases, including "mouth washes, gargles, masticatories and
ointments, rubbings, fumigations, cauterizations, fillings, filings," as
well as the various dental operations. He says that the _dentator_ must be
provided with appropriate instruments, among which he named scrapers,
rasps, straight and curved, spatumina, elevators, simple and with two
branches, toothed tenacula, and many different forms of probes and
cannulas. He should have also small scalpels, tooth trephines, and files.
After Guy de Chauliac, the most important contributor to dentistry is
Giovanni of Arcoli--or simply Arcolano, but sometimes better known by his
Latin name Johannes Arculanus--who was Professor of Medicine and Surgery
at Bologna just before and after the middle of the fifteenth century. He
is sometimes treated in history as belonging rather to the Renaissance,
but he owed his training to the Middle Ages and was teaching before they
closed, so he has a place in Medieval Medicine. Guerini, in his "History
of Dentistry," says that Arculanus treats the subject of dentistry rather
fully and with great accuracy. The Italian historian makes a summary of
Arculanus's rules for dental hygiene which shows how thoroughly he
appreciated the care of the teeth. The medieval surgeon arranged his rules
in ten distinct canons, creating in this way a kind of decalogue of dental
hygiene.
Public-domain text, read in full here on John Shaqi.
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