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
DR. TAFT:—I must say that I do not have a great many cases of
congested pulp, but where I do have one which has been exposed for some
length of time, and has given pain, I first apply local treatment,
using something of the nature of oil of cloves, then fill the cavity
with cotton and let it go for a few days. I had a case about three
weeks ago of a tooth that I had filled, a year ago, with gutta-percha.
At the time the tooth was filled I was unable to decide whether there
was an exposure or not. The tooth had been previously filled by a
well-known Boston dentist with gutta-percha, and was very sensitive to
excavating. The cavity extended far up under the gum, and I refilled
it with gutta-percha and it kept quiet for about a year. Three weeks
ago the lady came to me, complaining of great pain. I took the
gutta-percha out, and upon re-excavating I exposed the pulp and found
it alive. It had been troubling her then for about a week. I thought
at first I would try to save it, and began treatment by putting a
pledget of cotton, dipped in oil of cloves, into the cavity, sealing
it up temporarily with gutta-percha, and applying the little capsicum
plasters to the gum, hoping to reduce the inflammation in that way, but
after working over it a week I destroyed it. I think congestion of the
pulp can be reduced by internal treatment much better than by any local
treatment, and if we were physicians and had the knowledge of materia
medica that we should have under those conditions, I think we would
find it possible to easily and quickly get rid of the inflammation and
bring the pulp around to a healthy condition, so that it could then be
successfully capped, provided there had been no suppuration. When it
has reached that stage, the only thing to be done, in my opinion, is to
apply arsenious acid and destroy it.
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