The Archives of Dentistry, Vol. VII, No. 12, December 1890Various
Science
The Archives of Dentistry, Vol. VII, No. 12, December 1890
Various
Dentistry -- Periodicals
The edges of such a filling are better, and remain better
than those of the ordinary filling, for the reason, I believe, that the
cement controls, or at any rate lessens, the spheroidal tendency in
the amalgam. In very deep cavities it is well to work into the cement
a piece of hardened amalgam before inserting the fresh, as it lessens
the amount of cement necessary, and also of the amalgam, and again
prevents the tendency to spheroid. Proximal cavities in children's
teeth are very easily filled with amalgam by this method, and without
causing pain in cutting tooth structure.
We now come to the use of cements as anchorage for gold. With this
material it has a smaller field of application, and in my hands does
not yield as good results as in the use of amalgam. I believe that
Dr. F. D. Nellis, of Syracuse, New York, was the first to conceive
the idea and use the cement as an anchorage for gold. It is useful in
teeth having very shallow cavities, and in those cases where, while it
is desirable to use gold, the edges chip or shale off at every attempt
to make the cavity retentive. The method of use is as follows: The
rubber dam, of course, is used. The cavity being ready, a small amount
of cement is mixed and placed in it. On the cement put a cylinder of
gold large enough to cover the floor of the cavity. Work the gold
into the cement, at the same time working the latter all over the
cavity. Trim cement from edges and proceed with the filling, making a
mechanical anchorage of the gold with that anchored by the cement. Foil
or pellet may be used in place of cylinder, and it may be cohesive or
not, and the filling finished with soft or cohesive gold, but I think
the best results are obtained by using soft cylinder over the cement,
continuing with the same and finishing with a few strips of annealed
foil. A very good way is to proceed to fill the cavity with gold the
same as if cement were not to be used for anchorage, holding the gold
in place with another instrument, and when sufficient has been inserted
to nicely take the form of the cavity, to take out, place a little
cement in the cavity, then force the gold back to place, and after
waiting a minute or two for the setting, go on and finish the filling.
It is not necessary in this work to confine oneself to the use of the
phosphate of zinc cement. In restoring color to very dark pulpless
teeth, and wherever extra whiteness is desired, the oxychloride may
be used with advantage, but must not be relied upon for strength like
the oxyphosphate. In shading, I get the best general results from the
yellow shade of the latter. Pulpless teeth generally have a bluish
tinge, and yellow seems to neutralize it very effectually. In regard
to the effect of oxyphosphate in deep cavities in teeth with living
pulps, it does not seem necessary for me to say much here, since the
subject has long been worn threadbare by the profession. However, it
must be borne in mind that here is a difference. The cement in use I
Public-domain text, read in full here on John Shaqi.
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