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
When I look back at my commencement and reflect that my early practice
was founded on what the older men in authority had published and
taught, and how I feared to do other than they demanded, I shudder at
the many teeth I extracted I now know might have been saved, with even
the amalgam of that day. And I tremble at the advice _now_ given by the
authorities that _gold_ only should be used as a permanent filling.
Young men knew no better, but the older do. God forgive them, I cannot.
While I do not belong to the disciples of the new departure, _so far as
their theory is concerned_, I stand side by side with any person _who
can save teeth by plastic materials_, where gold cannot be used. Better
do this than persist with gold indiscriminately, and lose teeth, rather
than stoop to conquer with _any article_ that is _not gold_. The public
are demoralized on the subject of _gold_. "Are you not going to fill my
teeth with gold?" says nearly every new customer; "Dr. ---- would not
think of using anything else." A city operator must have more than the
usual quota of courage to stand before the societies and state "he has
been using _amalgam_ more freely of late." For the first eight years of
my practice I would not touch it, because Doctors Elisha Townsend and
J. D. White passed their anathemas on everything but gold and tin. I
worked myself nearly to death with tin to find it preserves from caries
but not from attrition. Since 1862, I have been feeling my way, and
while I think I have reared many beautiful and substantial monuments of
gold, and have perfected machinery with which to do it, yet I consume
more amalgam than ever before.
A gold filling _properly_ impacted, with cavity judiciously prepared,
and the walls shaped as to forbid future decay, _will save_,
irrespective of the frailty of their bony structure? But as thousands
of teeth _cannot be so prepared_, both of strong and of frail
organizations, and the circumstances _cannot_ be controlled, we should
resort to something that will enable us the more surely to meet the
issue.
To enumerate the many cases of peculiar character that forbid the use
of gold, would be too great a task. Physical impossibilities lie in the
way of every undertaking; and it is for the successful engineer, who
is well acquainted with his material, and their relative strength and
_adaptability_ for his purposes, to so use each, that his design will
be consummated, and which shall not by future wear, prove a failure.
There is a fitness in every material that experience has proven to
be specially adapted for a given work, and when this general law is
recognized and we become first-class engineers, we shall the better
see where we can adapt our materials to the work to be done, and we
can be the more certain of success, for it is founded on the logic of
mechanics and physical law.
Where is the dentist that first lays out his design and orders
materials best adapted for specific portions of it?
Public-domain text, read in full here on John Shaqi.
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