Surgical Instruments in Greek and Roman TimesMilne, John Stewart
History
Surgical Instruments in Greek and Roman Times
Milne, John Stewart
Surgery -- History; Surgical instruments and apparatus
The blacksmith's tongs is very frequently represented in ancient art. Pl.
XLII, fig. 2 shows a forceps from Roman London in the Guildhall Museum.
_Tooth and Stump Forceps._
Greek, ὀδοντάγρα, ῥιζάγρα.
The ancients regarded tooth extraction as an operation to be avoided
wherever possible. Caelius Aurelianus says death had followed in some
cases, and that in the temple of Apollo at Delos there hung a tooth
forceps of lead as a reminder for operators to exert little force in tooth
extraction (_Pass. Tard._ II. iv). Scribonius Largus (_Comp._ liii) is
equally pessimistic:
Ad dentium dolorem quamvis plurimi dicant forcipes remedium esse,
multa tamen citra hanc necessitatem scio profuisse.
Celsus (VII. xii) says extraction may result in injury to the temples and
eyes, and fracture or dislocation of the jaw may occur. He recommends
therefore to free the tooth all round down to the socket, then to shake it
repeatedly till it has been thoroughly loosened, and remove it with
fingers or forceps. If the tooth be hollow, it should be plugged with lint
or lead to prevent it breaking under the forceps. The tooth should be
pulled out straight, lest the alveolus be broken. Stumps are to be removed
with the forceps which the Greeks call ῥιζάγρα. Paulus Aegineta (VI.
xxvii) bids us scarify down to the socket and loosen the tooth gradually
by shaking with a tooth extractor (ὀδοντάγρα) and extract it.
Supernumerary teeth are, if fast, to be rasped down with a graving tool;
if loose, to be extracted with tooth forceps (διὰ τῆς ὀδοντάγρας). There
is no ancient forceps which can with certainty be set down as a tooth
forceps, although some have looked upon the Pompeian forceps (see p. 135)
as a tooth extractor. Although its shape is not otherwise unsuitable for
this purpose its jaws are not particularly well adapted for seizing a
tooth, as they are not hollowed inside. It may be noted that the tooth
forceps was evidently a 'universal', as no special variety is ever
mentioned beyond the two I have given--'tooth' and 'stump'. Whatever the
shape of the Graeco-Roman forceps was it seems to have been a handy
instrument for many different manipulations. Soranus (ii. 63) says that in
impaction of the foetal cranium we may open the head and remove the bones
with a bone forceps or a tooth forceps (ὀστάγρας ἢ ὀδοντάγρας). Paul (VI.
xc) says that in fracture of the skull the fragment is to be surrounded
with perforations by the drill and finally separated with chisels, the
chips being removed with the fingers or with tooth forceps, bone forceps,
&c. (ὀδοντάγρα ἢ ὀστάγρα). Again in ch. lxxxviii he says that if the shaft
of a weapon imbedded in the flesh be broken off, the weapon may be
extracted with a tooth forceps or a stump forceps (ὀδοντάγρας ἢ ῥιζάγρας).
_Tooth Elevator._
Public-domain text, read in full here on John Shaqi.
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