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 abusive use of open-face crowns must not be overlooked. These
classes of crowns for bridge work should never be used, as they are
simply not practical. We have yet to see one which will last any length
of time. They have no strength nor durability. One of their weak points
is the band around the labial surface of the tooth which in course of
time cracks. Another is the free access which the secretions have to do
their work upon the cement which holds the crown in place.
We are taught that a cement filling is not a permanent one, and
especially should not be used below the gum border; but we are advised
to use open-face crowns and to set them on with cement. If cement
will not last when put into a cavity of a tooth at the gum line, we
should hardly imagine that it would last very long when only protected
by a thin gold band placed below the gum line, where secretions have
continual play at it.
Another class of bridge work which should be done away with is what
is called pin bridges, where places are bridged over, getting the
necessary support by drilling cavities into sound teeth to insert the
pins necessary to support the bridge. This is a class of work which
simply will not last, owing to the lack of proper strength required to
support a dentiture of that sort. If a good tooth must be sacrificed,
why not crown the necessary teeth and get something from the start that
will be of lasting service?
In my mind it is far better to have a bridge rest fully upon the gum
instead of having a shelf-like projection over the ridge. It is said
that the advantage gained from this class is its cleanliness, as
there is no way for the food to become lodged during the process of
mastication, as is the case with the shelf-projecting bridge. One would
naturally imagine that food could find its way underneath, between the
gum and the teeth, but strange to say, there is very little that ever
finds its way to those places.
In closing, I will offer a suggestion which may, or may not, be new to
you. It is this:
For investing material, I recommend common moulding sand, in proportion
of one-half plaster and one-half sand. After allowing the mass to
set hard, trim it down to suit the case invested, and then with a
hair-brush paint the upper surface with a solution of borax water. The
advantage of the use of sand as an investing material is that from the
change of the color of the mass from a deep yellow to a lighter shade
you can perceive the exact moment at which your case is thoroughly
dried out. The borax has the property of preventing the mass from
splitting. Its greatest qualities are its strength and non-contractible
properties, it having an advantage in this respect to pumice, asbestos
and other materials generally used for this class of work.
* * * * *
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account