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. J. R. CALLAHAN:—A sort of hypnotism is produced when obtunding is
suggested by the use of alcohol or hot chloroform. For the worst cases,
a little nitrous oxide is effective.
DR. OTTO ARNOLD:—If you will impress the patients that everything is
being done to ease the pain, you will succeed. The Niles apparatus,
which throws a jet of vaporing alcohol upon the dentine, is very
effective. A few inhalations of chloroform have a good effect.
DR. C. R. BUTLER:—Small amounts of chloroform are very dangerous. It
would be as safe as nitrous oxide if the people had as much confidence
in it.
DR. H. A. SMITH:—Doctors disagree as to that. Dr. Hamilton says "ether
may be used to the 'ether glow' without a particle of danger." Quacks
are often successful, because they give a full dose. The use of such
anæsthetics is dangerous, but quacks, like fools, rush in where wise
men fear to tread.
DR. P. S. BOLLINGER:—I have tried nearly all obtundents, but have
been most successful in working upon the imagination of the patient.
Purchase a firm hold on the instrument.
DR. C. R. BUTLER:—The fountain-pen answers beautifully as an
instrument for using volatile agents.
DR. J. TAFT:—The rubber cloth must be used. There should be
dehydration and reduction of temperature. Cold is so successful as an
obtundent, because it does not vary like other agents. A combination of
therapeutic agents might be used in the Niles atomizer.
Dr. C. R. Butler, Cleveland, O., Paper, "A Means of Holding the Rubber
Dam, While Operating Upon Labial Surface Cavities."
Many appliances for this purpose have been devised, but when applied
are often very painful and difficult to carry the rubber over.
In these very low cavities a hole is drilled below the margin of the
cavity far enough to allow it to be excavated and still leave enough
for strength, and into this hole a platina-iridinum or gold wire is
screwed, first dipping in phosphate cream. The cud is cut off within
an eighth of an inch of the cementum and the rubber carried over the
projecting point, by which it is afterwards held. Sometimes two such
pins will be found necessary.
In performing this part of the work never cut a thread in the cementum.
If the shouldered spear-pointed drill is nicely gauged to the wire,
like the S. S. White retaining screw-set, the wire will cut its own way
in.
When the filling proper is completed, dress off the wire pins as though
they were fillings.
_Discussion_—DR. J. T. TAFT:—The Palmer clamps have been a source
of pleasure in my hands. They fit each tooth so nicely that great
stiffness is not required.
DR. H. A. SMITH:—If a chisel is rested against the cementum and
lightly tapped, the assistant can easily hold it. Bleeding gums cause
much time to be lost.
DR. F. SAGE:—Sharpen the large end of a steel pen and drive it in the
cementum. This has the general form of the festoon of the gum.
Public-domain text, read in full here on John Shaqi.
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