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 possibilities of chlorine were early understood in connection
with the bleaching of teeth, but the result was not satisfactory for
the reason named, and also from the fact that no practical mode had
been devised for its use. To present free chlorine to a tooth was an
impossibility, owing to its irritating character and necessarily
superficial action; and no plan had been originated to free it from its
compounds, hence, all teeth suitable for bleaching were condemned to
remain a perpetual disfigurement. The first attempt to present chlorine
free to a tooth was made by Dr. James Truman, in 1862.
Chlorine is liberated from chlorinated lime by all the acids, but more
rapidly by some than by others.
It was found that, as rapid action was not desirable, those acids that
affected this were not satisfactory. Tartaric acid was one of these.
The conclusion arrived at was that a 50 per cent. acetic acid was the
best, although later investigation seems to indicate to the contrary.
The difficulty attending the use of chlorinated lime is due to the fact
that a good article is rarely to be found.
Good chlorinated lime is in the form of a dry powder; when moist, it
is worthless. It should have a strong odor of chlorine. A rough test
can be made by adding to a solution of indigo, in a test tube, a small
quantity of chlorinated lime; to this, add strong acid, and note the
rapidity of change in color. If this is very slow, or not accomplished
at all, the chlorinated lime is unfit for use, and should be discarded.
INSTRUMENTS.—These, though very simple, require special notice, for
neglect in this particular will involve total failure. _No iron or
steel instruments should be used in any connection with the agent
employed in bleaching._ This must be impressed on the mind of every
operator. The reason for this is, that the salts of iron formed
discolor the teeth very rapidly. It would be preferable not to use any
steel instruments at any stage of the operation, but this is difficult
to avoid in the excavation of the cavity. Instruments can be made of
hard wood that will serve the purpose, but ivory, platinum or gold
can be used in place of this—either of the latter materials making
efficient instruments.
Extreme care must be used not to produce any unnecessary irritation.
The removal of all remains of decomposed pulp from the canal is
of vital importance, but this must not be done in a rough, rapid,
careless manner. It is of great importance that no inflammation of
the periosteum should supervene, as that not only complicates the
operation, but renders it more doubtful of success. The removal of the
pulp should be followed by the usual treatment given to a tooth, and
no attempt should be made to change the color of the tooth until all
evidences of putrefaction have been removed, which will be manifested
in the absence of the odor of decomposition.
Public-domain text, read in full here on John Shaqi.
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