The Archives of Dentistry, Vol. VII, No. 4, April 1890 — John Shaqi
The Archives of Dentistry, Vol. VII, No. 4, April 1890Various
Science
The Archives of Dentistry, Vol. VII, No. 4, April 1890
Various
Dentistry -- Periodicals
The necessity of making some effort to restore the color of teeth
changed by devitalization was apparent to dentists very early in
the present century. The constant destruction of pulps with the
imperfect methods of practice then prevailing, necessarily increased
this unpleasant complication to such a degree that treatment of the
anterior teeth became, so far as appearances were concerned, of no
value whatever. Under the defective modes of treating pulp canals then
prevailing, discoloration was sure to follow the filling of teeth.
Any attempt to change color is necessarily dependent for success upon
preliminary measures. Without thoroughness _here_, all subsequent
efforts will fail. The early attempts at bleaching, before the settled
practice of filling root canals was established, was not a success, and
it must ever remain a failure unless the minuter structure of dentine
be carefully considered.
It has been demonstrated by artificial injection, and still better by
sudden congestions of the pulp, that coloring matter may be carried
nearly to the final distribution of the minute ramifications of the
tubuli. This is an important point, for, without this vascularity,
bleaching would be impossible. With it, the possibility exists of
extending the whitening process to the peripheral border of the
dentine; or, in other words, to its union with the enamel on the crown,
or the cementum on the roots.
The diameter of the tubuli is so minute, always decreasing in size
until lost in final distribution, that any agent used must necessarily
require considerable time before it can penetrate to the minute tubes,
therefore you must not expect to bleach rapidly and meet with good
success. The change, if any change be made at all, is simply on the
walls of the canal, and cannot penetrate to any depth of tissue. If
the discoloration is superficial, this mode will be effected, but not
otherwise.
Color can be changed by several of the acids: notably, oxalic and
nitric. The former destroys the color, and the latter changes dark-blue
to a yellowish tinge; but as both of these are very destructive, they
should never be used except in connection with an ant-acid. The first
named will be found to give better results when used in connection with
chlorinated lime.
_Chlorine_, free, or in some of its combinations, has been and is
to-day the main reliance for bleaching, and that it is the most
effectual has been demonstrated.
Failures have _usually_ been the result of defective manipulation.
It has great penetrating power, is a thorough bleacher, is readily
applied, and if handled with care, will prove harmless.
Public-domain text, read in full here on John Shaqi.
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