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
In grinding surface cavities, where the enamel leading thereto is
funnel-shaped, we often introduce too much amalgam, extending it
beyond the margins of the cavity, and finishing to a fine edge. This
material, when hard and bit upon, will fracture perpendicularly around
the margins, giving the finishing a bulged appearance, and exposing a
V-shaped crack, which will invite decay. Consequently, we should remove
all surplus material, and finish at the very margin of the cavity. When
gold is used, this precaution is not so necessary, as the edges of a
gold filling will not fracture. Since we do not have to mallet amalgam,
it is natural to suppose we don't require firm margins, but this is
a mistake; and as much, or even more care should be exercised in the
preparation of a cavity for amalgam than gold, as tooth-structure seems
to waste away more rapidly from the former.
Let our motto be, "Whatever is worth doing at all is worth doing well."
If applying arsenic or a disinfectant, cover it with gutta-percha,
for the patient may be delayed a few days longer than we anticipate;
and what is worse than removing a foul piece of cotton, and finding
the tooth in a poorer condition than we left it? If we introduce a
temporary stopping on account of exposure or frailty, let it be done
thoroughly; and after relating its importance to the patient, caution
her to return at a certain time for its removal and permanent filling.
We must be teachers at our chairs, if we wish the public to appreciate
us, and we should instruct patients in the proper care of their teeth
by an intelligent and thorough use of the brush, pick, etc.
Such is the importance of thoroughness in dental operations. This paper
does not half express it, but for fear of trespassing too much on your
valuable time, I commend these ideas to your criticism.--_Southern
Dental Journal._
ARTICLE VI.
WHAT FILLINGS SHOULD WE USE?
DR. W. G. A. BONWILL, PHILADELPHIA.
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