The Archives of Dentistry, Vol. VII, No. 12, December 1890Various
Science
The Archives of Dentistry, Vol. VII, No. 12, December 1890
Various
Dentistry -- Periodicals
DR. TAFT:—In my own practice I think I have been reasonably fortunate
in saving what exposed pulps I have had to deal with. I suppose I
have my proportionate share of them, and my practice has been almost
invariably to cap them. I think I am safe in saying that I have not
used arsenious acid half a dozen times for the purpose of destroying
pulps in the four years that I have been out of the school—I do not
think I have used it _four_ times. In those cases where I have used it,
the pulps have come to me in a highly inflamed condition, have been
aching a long time, and trying to save them by capping has seemed at
once to be out of the question, and in those cases—and in those cases
only—have I devitalized them at once. I do not believe in flowing
oxyphosphate directly over the pulp; neither do I believe it a good
plan to put carbolic acid over it. My method is either to mix oxide
of zinc with oil of cloves and apply it carefully, or to apply the
oil of cloves directly to the exposed portion, then dust the oxide of
zinc on that; afterwards flowing oxyphosphate in a creamy condition,
and waiting until it hardened, then fill the rest of the cavity with
oxyphosphate or amalgam.
I keep a record of all the pulps that come to me exposed, or that
I expose myself, and some I treat differently from others, but the
majority of them, when seen subsequently, are alive. Occasionally I
find one that comes back after a time, showing signs that the tooth
is dead, and of course the tooth is then opened and treated; but the
proportion of them is so very small that I believe in a conservative
treatment of them, and think the first thing to be done is to get rid
of whatever congestion there may be, if any, and I do not see why a
pulp should not then live as well under a careful and skillful capping
as it should against the hard, bony wall of the pulp cavity. I have had
such good success in the treatment of them that I do not believe in
destroying them at once.
DR. GILLETT:—Will Dr. Taft please to outline his treatment of
congested pulp, by which he brings it back to normal condition?
Public-domain text, read in full here on John Shaqi.
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