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. REILLY:—I think I was cautious about that statement. I said,
to all appearances, it had not decayed. Of course, I could not tell
absolutely, only from my experience in excavating I judged it was about
the same as when I first saw it, perhaps a little harder. If we were
not able to judge something of the depth of decayed dentine, we would
be in constant danger of exposing the pulp. If you cannot tell by the
feeling of your excavator when you are near the pulp, I would like to
know what you are going to do in those cases where you cannot see the
bottom of the cavity?
DR. SMITH:—Yes; but you say you did not use your excavator in this
case.
DR. REILLY:—I reached my conclusions while wiping out the cavity with
the forceps and cotton, and I thought then, and it is my feelings
now, that decay had not gone on in that cavity at all. I think it is
possible for such a condition of affairs to exist; I think that things
stand still in such a condition. I had a case the day before yesterday
which was treated some ten years ago, and on removing the filling
I found the pulp canals filled with cotton. There was no odor at
all—perhaps the cotton was slightly discolored, but the cavity was in
apparently the same condition in which it had been left; and it seems
to me that if a tooth would remain in that condition with cotton, why
wouldn't it be preserved under gutta-percha in just the same condition?
I don't know why the gentleman should conclude that it would decay?
What leads him to think that it would decay?
DR. SMITH:—I don't know that it is so, but I have read somewhere that
in decayed dentine there exists "pesky little bugs," and if a cavity is
stopped up and these micrococci, or bacteria, cannot get at the oxygen
which comes to a cavity from the outside, they will work in to the
dentine and decalcify the tooth substance in the search for that food
which they live on. It is not my theory, but I read it somewhere, and
in my practice I either kill the bugs or take them out.
DR. REILLY:—That theory may be all right, but it does not work out in
my practice. The experience that I had with this young man has been
repeated over and over. I do not excavate carious dentine as far as it
can be, and I don't think that theory will work out in all cases. If
bacteria are there after the cavity has been thoroughly cleansed and
tightly stopped, they must find an early death in some way.
Public-domain text, read in full here on John Shaqi.
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