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. GILLETT:—A pulp will sometimes stand much irritation without
showing evidence of inflammation. An inflamed pulp is not always
painful. My experience with decalcified dentine under fillings has
been gained chiefly from removing fillings which other dentists have
inserted over such decalcified dentine, and I have seen many cases
where the results were anything but satisfactory.
DR. NILES:—I have had some experience in that line myself during the
last thirty years, and I have generally found decalcified dentine under
good fillings to be in as good condition as when it was left there.
In most cases it was left there, not with any idea of conservative
treatment, but because the dentist was too lazy to take it out. I do
not believe that decalcified dentine, thoroughly cleansed and dried,
and hermetically sealed, can do any harm whatever to a nerve, or create
any irritating effect. I would not leave a sloppy piece of dentine in
the bottom of a cavity, which could not be well dried; neither would I
leave the cavity half-full of decay, because in that case I could not
reasonably expect that there would be no irritation.
DR. EDDY:—If my memory serves me right, Dr. Niles once read a paper
before the American Academy of Dental Science, in which he stated that
in those cases of decalcified dentine in the bottom of the cavity he
invariably used arsenious acid, and treated them the same as he would
an exposed pulp, and it went on record. Now, to-night, he seems to be
advocating an entirely different method.
DR. NILES:—I should like to see that statement. I have written a
paper on the subject—you will find it probably in the _Independent
Practitioner_—but I don't think you will find the statement there that
I always destroy the nerve in cases where there is decalcified dentine
at the bottom of the cavity. Of course, where I have inflammation in
the pulp and the tooth is sore, I should destroy the pulp.
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