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
All who have attempted the third class have made many failures. When
there is a fracture extending from the centre of the root, running down
to the process border in a slant, no crown can with any satisfaction
be properly adjusted, owing to this movable portion of the root. Were
this portion removed, the root would be placed in a position impossible
to crown. Then again, in case the crown is successfully placed, how
long will it last? Probably not more than a year. There is bound to be
a decaying of the root at the site of the fracture. From decay, that
fractured piece will soon become loosened, and the chances are that it
will in some way work its way out, and as a result, there is a cup to
accumulate food, which will cause, later on, a very offensive odor.
A case of this kind cannot be ferrelled without the results already
mentioned. Should the root be split down through its centre, then a
crown could be used without fear of any bad results, by bracing the
root with a strong ferrell made of platinum, letting it extend down to
the process border, thus avoiding the possibility of any secretions
getting in between the fractured parts. The difference between the
two cases can very readily be seen. In one case, there is a loose,
disconnected piece of tooth structure only held in place by the
membrane surrounding it. In the other case, there are two firm parts
which are firmly held in place by their bony socket.
These three classes of roots are being crowned day after day by men who
are considered competent practitioners, and their only success is the
satisfaction of knowing that they retained the root, or roots, for six
months or a year's time.
These are only some of the abuses of crown work, to say naught of teeth
which could be properly filled, that are sacrificed for crowns which
can never take the place of teeth properly filled.
Bridge work has taken the place of gold plates to a certain extent.
Still, however good a thing it may be, it also is greatly abused. In
my mind, a bridge is not a practical dentiture when it has to span
the entire arch supported only by three or four roots, or, say teeth.
It has no superiority over a gold plate in such a case, because the
latter can be kept clean, while the former can not, and the best of
bridges must be removed at times to be reset. The chief objection to a
full case of bridge is its becoming loose, which is no doubt caused by
the unbalanced movement of the roots, as pressure or weight cannot be
brought to bear upon three spans surmounting four pieces at the same
time; one piece will surely give way to the undue strain.
Public-domain text, read in full here on John Shaqi.
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