The Archives of Dentistry, Vol. VII, No. 12, December 1890 — John Shaqi
The Archives of Dentistry, Vol. VII, No. 12, December 1890Various
Science
The Archives of Dentistry, Vol. VII, No. 12, December 1890
Various
Dentistry -- Periodicals
Another thing, Mr. President, when a pulp is destroyed by an
oxyphosphate filling it makes one of the dirtiest heaps of debris that
I have met. It goes all to pieces and makes a very bad mess. I have
used oxychloride for capping and had better results than with the
oxyphosphate.
DR. BLAISDELL:—I would like to ask if Dr. Eddy has ever used
oxysulphate?
DR. EDDY:—I have not.
DR. GILLETT:—I would like to hear more about this idea of oxyphosphate
destroying the pulp. As I understand the gentleman, he makes the
statement that he has ascribed the death of certain pulps to
oxyphosphate used either as a lining, or as a filling in cases where
there has been no exposure. Am I right?
DR. EDDY:—Yes, sir. I had one to-day, Mr. President, that I can
attribute to nothing but oxyphosphate. There was no exposure.
DR. NILES:—Mr. President, I used to cap pulps, but I seldom perform
that operation now. When I do, I feel that death will occur sooner or
later. I never cap with oxyphosphate unless I wish death to take place.
It has been said by one of the speakers to-night that the nerve has no
means of absorbing dead matter, as the pulp has no absorbents. Even if
it had, I should not want it to come in contact with the oxyphosphate.
Phosphoric acid is an escharotic, and I don't know why a creamy mixture
of it and the oxide should be flown over an exposed pulp, unless to
destroy it. If a pulp stands this treatment and lives, it is tough.
An acid that will etch glass, or dissolve silver, will destroy soft
tissue. It seems to me out of reason to use such things on exposed
pulps. Phosphates or chlorides mixed to the consistency of cream make
an unstable, strongly acid compound, that when hard very soon dissolves
in water, or to a large extent will become deteriorated in water or
moisture. In my opinion, the best treatment to save a pulp, provided
the patient is strong and robust enough to help out any treatment, is
to relieve it from all irritation, disinfect it, and let nature take
care of it. Any non-irritating mechanical means you can use to that end
will be more beneficial than stimulating, bleeding, etc. I would not
use strong carbolic acid or creosote to disinfect an exposed pulp, for
they also destroy its surface, and the dead matter remaining decomposes
and irritates the adjoining tissue. Sooner or later that pulp dies.
The most of the patients who come to us with exposed pulps have a
debilitated state of the system. It is not the best vitalized class
of people, but those who are sickly and delicate, and who have not
much reserve force for the body, to say nothing about the teeth. The
question of conservative treatment, in a large majority of cases, with
the hope of any lasting results, I shrink from. If I can painlessly
treat my patient and take him past the trouble by destroying the pulp
and filling the cavity and canal, I feel that I have done the best that
can be done for him.
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