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 above quotations will show about the status of the professional
opinion as expounded by the authors of the then works on dentistry.
Most of these were written by practitioners who claimed special skill,
and were in a measure separated from each other and the profession.
With the exception of Hudson, Maynard and, possibly, one or two others,
the practice of removing the pulps and filling the canals was not known
or attempted. Harris, in 1840, speaks of their operations, but had
attempted it only in a few cases, and with indifferent success.
The necessity for, at least, claiming to succeed in operations of this
kind—saving pulps—was almost imperative.
In 1850, Dr. J. D. White, in the _News Letter_, says: "The treatment
of the exposed pulp has given rise to great difference of sentiment
among well educated dentists, but mainly about the means which should
be employed for that purpose, agreeing pretty generally that it is bad
practice to destroy it entirely. But as well might we expect to procure
a healthy function of the reto-mucosum when denuded of the epidermis by
substituting one of our own invention, as to procure a healthy function
of the pulp when deprived of its natural protection, the bone."
From about this time until within a comparative recent date, in all
methods of capping the ultimate design has been to secure a production
of secondary dentine at the exposed point of the pulp. The methods and
materials made use of are almost numberless, and the successes claimed
are also equally as numerous. For applications in the treatment we have
recommended to us in our text-books, pure nitric acid, pure carbolic
acid, pure creosote, iodoform, dilute chloride of zinc, iodine,
bichloride of mercury, and in fact everything from stimulating it with
the electric cautery, to feeding it upon lacto-phosphate of lime and
powdered dentine. For capping: the different cements, stoppings, gums,
minerals, etc.; and the cases run from the capping of the remaining
third of the pulp in the root of a lower incisor upon which a pivot
tooth was to be placed, an exposure in the distal surface of a third
upper molar, and this suppurating, to a simple exposure from excavating
a cavity for filling.
Our dental societies in their reports show that some are very
successful in their endeavors to save exposed pulps: that others don't
kill babies for the sake of having a funeral, and attempt to save
everything: while others, whose experiences are just as extensive,
whose observations and opinions are just as much to be respected, claim
that an exposed pulp that has ached or been inflamed, can never become
healthy by any treatment whatsoever.
Public-domain text, read in full here on John Shaqi.
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