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
have described is sealed away from the fluids of the mouth and does not
have the same effect as when being disintegrated by those fluids. It
remains a perfectly inert substance so long as moisture is kept from
it, and has the same use in the floor of the cavity as the varnish so
often recommended for closing the tubuli of the dentine to prevent
ingress of moisture from that direction. In such cases it is a very
simple matter to touch the bottom of the cavity with liquid gutta
percha before using the cement. In cases of exposure where capping is
desired, cap according to your custom and then proceed as described.
When extirpation is resorted to, I fill root and pulp chamber with
gutta percha.
CAPPING EXPOSED PULPS.[3]
BY A. H. FULLER, M.D., D.D.S., ST. LOUIS, MO.
I will, in a brief manner, give something of a history of the practice
of capping the exposed pulps of teeth, with a view of rendering the
teeth comfortable and useful, and at the same time preserving the
vitality of the capped pulp.
In the early days of the profession, up to and including the time of
Hunter, Fox and Bell, the exposure of the pulp was almost equivalent to
the absolute loss of the tooth; not from the fact that dentists were
ignorant of the conditions necessary for its retention, but from the
want of instruments and appliances with which to perform operations for
its preservation.
We find them attempting in various ways to overcome the difficulties
with which they were surrounded. They attempted to shrink the pulp and
render it less sensitive, that they might fill over without wounding
or pressing upon it. To accomplish this, astringents and opiates were
resorted to; again, acids, alkalies, or the actual cautery were used to
destroy it. Any of the above operations were rarely possible, and when
possible, still more rarely successful. The extraction and replantation
of the aching tooth was resorted to, the pulp removed and the root
canals filled in cases where the means at hand would admit. Cleansing
the tooth by boiling before replanting, was _suggested_ by Hunter.
Following the above methods, the operation of excision had its day, its
advocates and its opponents. This consisted in removing the crown and
as much of the root and pulp as possible with cutting forceps, adapted
to the different teeth.
The following from "Waite" would lead us to infer that there were those
in his day, as well as at present, who would mount a hobby and attempt
to ride into prominence by so doing. In discussing this operation
of excision, he says: "At the present period, nothing is aimed at
but novelty; nor do many productions succeed that follow the regular
line of going on; and while men of science pursue honorable and just
means to bring themselves into notice, their reputation is frequently
surpassed by cotemporaries, brought forward by some lucky coincidence."
Public-domain text, read in full here on John Shaqi.
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