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. BIGELOW:—Suppose there was an absence of all the other symptoms,
how are going to get at the heat?
DR. SMITH:—Well, I don't know of any thermometer that has been made
to register the amount of heat in a pulp. The only way you can get at
it is by the symptoms which the patient gives you. Of course we can
suppose lots of things, but we must act on the actual facts presented.
DR. CLAPP:—The gentleman has answered Dr. Bigelow. I would like to
have him give his opinion on my question.
DR. SMITH:—Mr. President, it is hardly fair to consider me the
encyclopedia of the Society, especially when we have the professor of
materia medica of the school here. He ought to be able to answer all
these questions.
I don't speak as an authority, but if decalcified dentine is soft and
punky, I don't believe in leaving it. I believe you had better take it
out and destroy the pulp at once, but if by decalcified dentine you
refer to dentine that can be easily removed with an excavator, and yet
has a certain amount of hardness about it, I should leave it rather
than expose the pulp. I had a case—the patient was a child—where this
soft dentine was left in the cavity. It was treated by a dentist whom
I knew, and at first I was surprised that he should have left it, but
when I found what a subject he had to deal with, I did not blame him;
in fact I think I can compliment him for getting out as much as he did.
I took occasion to speak to him about it, and he said he could not do
much with the patient, so he left this punky condition, treated it
with antiseptics and put in an oxyphosphate filling over the surface;
but yet it set up an irritation, and it would have been better if the
tooth, a six-year molar, had been extracted at the time. As the better
way out of it, I had the tooth extracted, and the twelve-year molar
came right into place. So if you mean decalcified dentine of that
nature, I believe in removing it and destroying the pulp.
DR. CLAPP:—The gentleman has answered my question completely; I did
mean just this leatherly condition that we often find in the deep
portions of the cavities, and it is just this soaked condition of
the dentine that I wanted his opinion concerning the advisability of
removing it, but I referred more particularly to the teeth of adults
than of children.
DR. SMITH:—Now that I have given the gentleman my views on the
subject, I would like to have his.
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