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. CLAPP:—I have left this softened dentine in a great many cases,
and so far as my experience goes, I have not afterwards had very much
trouble. I think that, rather than expose a pulp in a patient of good
health, the surrounding conditions being favorable, I should prefer to
leave a small layer, disinfecting and drying as much as possible before
filling. It appears to me to be a great calamity whenever I expose the
pulp in this way or in any other way, and I do the best I can to avoid
doing so. It has been my practice, where I thought I should expose
the pulp, to leave this softened dentine, but I have seen a few cases
where decay has undoubtedly continued underneath the oxyphosphate or
oxychloride fillings. I think it is a matter of great importance, and
one where the best judgment will sometimes go astray.
DR. EDDY:—I would just like to mention that hydronapthol may be
fearlessly used in all cavities without causing any escharotic action.
With regard to the spongy condition that Dr. Clapp speaks of, it
must be thoroughly dried out with a hot air syringe. If it cannot be
thoroughly dried, it is better to remove it.
DR. WERNER:—In regard to the question asked by Dr. Clapp, I should
say that it would depend on the amount of sensibility yet left in the
partly decalcified leathery part of the dentine spoken of. If that
still has sensibility, I should believe in treating it not so much
escharotically as antiseptically. Again I wish to assert my opinion,
that after the foramen was closed and the tooth well developed, it
would not be a great calamity for a tooth if the pulp were devitalized
and the pulp cavity well filled. I am much of the opinion that a
tooth in a devitalized condition resists better than a live tooth the
attacks of caries. This is perhaps an extraordinary statement to make,
and I know is contrary to the teachings of good authority, yet the
many pulpless filled teeth I see free from decay, while their living
neighbors do decay, leads me to this opinion.
Public-domain text, read in full here on John Shaqi.
The Archives of Dentistry, Vol. VII, No. 12, December 1890 — John Shaqi
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