The American Journal of Dental Science, Vol. XIX. No. 6. Oct. 1885 — John Shaqi
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
As regards the preparation and filling of cavities, there are so many
conflicting conditions, that we must be governed entirely by the case
before us; but to be thorough in our preparation, we must so shape the
cavity as to have the walls nearly plumb, uniform margin, slightly
undercut. In proximal cavities there may be a groove or pit at cervical
wall, but do not have it too near the margin, on account of its
liability to produce fracture, and consequent failure at that point.
On grinding surfaces, cut out all fissures leading into cavity, and be
careful to have no angles.
The margin, after all, is the most important point; for just here
failure begins, especially at the cervical wall, and care should be
taken to thoroughly remove all softened structure, and aim to reach
a solid foundation. These margins should be carefully trimmed and
burnished, and thus our cavity is ready for the filling.
We often hear practitioners decry the rubber-dam, and boast of their
skillful use of the napkin; but, gentlemen, many are the failures
consequent! For in deep proximal cavities, the dam is invaluable in
keeping guard against oozing moisture from the gums, which, without
this precaution, will flow upon the filling without our knowledge.
The dam adjusted, we proceed to form a mass of non-cohesive gold, and
where the walls are strong enough, we can continue with this material
throughout. But where cohesive gold is necessary, we should cover our
borders, as far as possible, with soft foil; for this is more adaptable
to the walls. Another advantage to be found in non-cohesive gold, is
its pliability, ease of starting, and rapidity in finishing. We should
thoroughly condense from beginning to end, whatever may be the kind of
foil used.
Filing and finishing is too often hurried through, leaving a surplus
of material at the cervical wall, or lapping the edges--another sure
cause of failure; and every care should be directed to finish in such
way that an instrument passing over the line of demarkation cannot
detect it. After filing, we would use pumice, either on a strip of
orange-wood, or by some other convenient means, and then polish. The
same general rule holds good in amalgam work, and the main cause of
failure in these cases is that lack of thoroughness in finishing.
Public-domain text, read in full here on John Shaqi.
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