Old-Time Makers of Medicine: The Story of The Students And Teachers of the Sciences Related to Medicine During the Middle AgesWalsh, James J. (James Joseph)
History
Old-Time Makers of Medicine: The Story of The Students And Teachers of the Sciences Related to Medicine During the Middle Ages
Walsh, James J. (James Joseph)
Medicine, Medieval; Physicians
this particular color 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 we call tartar and what he called
hardened limosity or limyness (_limosite endurcie_). When that condition
is present he suggests the use of rasps and spatumina and other
instrumental means of removing the tartar.
Evidently he did not believe in the removal of the teeth unless this was
absolutely necessary and no other method of treatment would avail to
save the patient from continuous distress. He summarizes the authorities
with regard to the extraction of teeth and the removal of dental
fragments and roots. He evidently knew of the many methods suggested
before his time of removing teeth without recourse to instrumental
extraction. There were a number of applications to the gums that were
claimed by older authors to remove the teeth without the need of metal
instruments. We might expect that Chauliac would detect the fallacy with
regard to these and expose it. He says that while much is claimed for
these methods he has never seen them work in practice and he distrusts
them entirely.
The most interesting phase of what Guy de Chauliac has to say with
regard to dentistry is of course to be found in his paragraphs on the
artificial replacement of lost teeth and the subject of dental
prosthesis generally. When teeth become loose he advises that they be
fastened to the healthy ones with a gold chain. Guerini suggests that he
evidently means a gold wire. If the teeth fall out they may be replaced
by the teeth of another person or with artificial teeth made from
oxbone, 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 Abulcasis 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.
On the whole, however, it must be confessed that we have here in the
middle of the fourteenth century a rather surprising anticipation of the
knowledge of a special department of medicine which is usually
considered to be distinctly modern, and indeed as having only attracted
attention seriously in comparatively recent times.
After Guy de Chauliac the next important contributor to dentistry is
Giovanni of Arcoli, often better known by his Latin name, Johannes
Arculanus, who was a professor of medicine and surgery at Bologna and
afterwards at Padua, just before and after the middle of the fifteenth
century, and who died in 1484. He is famous principally for being the
first we know who mentions the filling of teeth with gold.
Public-domain text, read in full here on John Shaqi.
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