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
Among the many disagreeable and annoying, not to say painful, things
that patients have to suffer at the hands of dentists, nothing,
perhaps, is received with greater dread and disgust than the
announcement that the teeth must be "wedged" before filling. Some,
a small minority among us, I think, always fill without previous
separation. In regard to the necessity for it, I will enter no argument
here, but only say that personally I am a firm believer in wide
spaces between the teeth at their necks, and labor to the best of my
ability to obtain this result. It is most likely that many of you are
using the same means that I am to get the desired room for filling,
but by presenting and discussing the subject, it is possible we may
obtain some help in doing what I fear the most of us find, at times,
difficult and perplexing. For a long time rubber was about the only
thing used for separating. It has some good qualities and many bad
ones. It probably causes more pain and annoyance to the patient than
any other wedge. Its liability to slide into contact with the gum,
causing great pain and soreness, and even suppuration, has caused me
to entirely abandon its use, I am willing to admit that it may be used
successfully sometimes. The best rubber to use, if it must be used
at all, is that of which the most inelastic tubing is made, or the
erasers sold by stationers, cut into suitable shape. Wedges of wood
are well adapted to cases where the sides of teeth to be wedged are
nearly parallel, or where there is less space at the gum than at the
points of the teeth. The wedge should be about as wide as the length
of the crown, that is, it should extend from the cutting edge to the
gum, nearly. It should be so shaped and trimmed as to not irritate the
tongue or cheek. One advantage of the wooden wedge is that it is more
cleanly than tape, cotton, or silk. This same class of teeth, those
with nearly parallel sides, can be separated as successfully, and I
think with less pain, with tape. Linen tape of various widths and well
waxed is the best. It should be folded so as to be of proper width and
thickness, and then drawn into place. A sharp knife is preferable to
scissors for cutting off the ends. The tape should be thoroughly waxed,
which assists materially in getting it between the teeth, and renders
it more cleanly when left in the mouth for several days. In teeth with
cavities so situated that cotton can be crowded in with sufficient
force, this is one of the best wedges that can be used, as regards both
effectiveness and comfort. It is necessary to so place the cotton that
the force of expansion will be exerted against adjoining teeth and not
expanded within the cavity. By once changing the cotton, space enough
can generally be obtained. It is difficult to adjust and keep wedges in
place between teeth having more or less space at the gum, and touching
only at a small point near the cutting ends. It is in these cases
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account