The American Journal of Dental Science, Vol. XIX. No. 6. Oct. 1885Various
Science
The American Journal of Dental Science, Vol. XIX. No. 6. Oct. 1885
Various
Dentistry -- Periodicals
Some one has said that to cap a badly exposed pulp is to create a
slumbering volcano, and he might well have added that such volcanoes
have but a limited time to slumber. Gentlemen, there are in our
own country ten thousand volcanoes belching forth--not pure molten
lava--but impure gases and putrescent matter of the most sickening
character. The craters to these volcanoes are not found on the mountain
top, but they are found in human mouths--in the antrum of Highmore, in
the nasal passages, and externally on the face, neck, or even on the
chest.
When the pulp of a tooth is dead and confined within its bony walls
an outlet is sought, and must be affected for the escape of impure
gases arising from the decomposing pulp and for the putrescent matter
associated with it. When thus confined its only way of escape is
through the dental foramen, and into tissues adjacent thereto. The
pressure thus brought to bear upon the bony walls surrounding the apex
of the root will in time perforate it at its weakest point, and the
poisonous matter is forced through the opening thus formed and into the
soft tissues, which soon yield to the pressure, and the imprisoned mass
of corruption is liberated. The pain and swelling now subsides, but a
dangerous nuisance has been created. The channel formed from the apex
of the root to an external opening will not close while it is used for
the passage of foul matter and gases that will flow unceasingly from
the pulp canal.
The remedy of course is to remove the cause, and assist nature in
affecting a cure, and to do this the pulp chamber must be opened, its
contents removed, the canals cleansed and disinfected, the abscess
healed, and the roots filled to the exclusion of all fluids and
purulent matter. But how often this is not done. How many thousands of
suffering mortals are to-day dragging out miserable lives because of
these drainage tubes emptying themselves into the oral cavity--into
the maxillary sinus or into the meatus of the nose. Such an abiding
nuisance in the mouth cannot long exist without ruining health. But how
few of the unfortunate sufferers realize the cause of their nervous
irritability, their loss of appetite, their feeling of lassitude,
their lack of energy, and their general prostration. And here let me
say, that but few, in comparison to the number of these unfortunate
sufferers seek relief at the hands of the dental practitioner. The
patient is neither sick nor well, but debilitated and "good for
nothing." The family physician is consulted, nervines and tonics are
administered, but to no avail. The septic matter is vitiating the air
that is breathed, and poisoning the food that is eaten. The saliva
that is poured into the mouth from the various glands must mingle with
this poisonous matter and carry it into the stomach.
Public-domain text, read in full here on John Shaqi.
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