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 second case is that of a right inferior second molar, a root
filled with gutta-percha being allowed to fill pulp chamber, on which
was placed a gold filling, February 20, 1878. In 1887 the gentleman
complained of discomfort, but it was sometime before the cause was
ascertained. The tooth had been split through its antero-posterior
length, the fracture terminating nine-sixteenths of an inch below
the point of the crown, on the lingual side. The fractured piece was
removed, and the gum pressed out by means of gutta-percha, to give a
better view of the remaining root. It was finally decided to attempt to
restore the tooth by means of a band and crown. The fragment removed
was used as a model from which dies were made, on which was struck a
piece representing the lost part, having extensions sufficiently long
to encircle the remains of the crown. This, when adjusted in position,
was partly filled up on the inside with gutta-percha. A porcelain cusp
crown was then arranged to antagonize the superior teeth. For a time
everything seemed to go well. A little inflammation about the margin
of the gum upon the lingual side instead of decreasing, suddenly grew
worse, and pus was formed at the point of division of the roots.
This finally yielded to treatment, and now the tooth is apparently
in perfect health. The cause of this fracture appears to have been
elasticity of the gutta-percha, under the pressure of the gold filling.
Case 3:—E. W., a boy of nineteen years of age, had broken a point
off the right superior central incisor, not quite exposing the nerve,
which subsequently died. The accident occurred some five years previous
to his visit to me. The canal was found large and funnel-shaped, and
was treated in the following manner: The lower portion was enlarged a
trifle more than the diameter at the apex. A piece of lead was then
introduced, and found to extend to the top by accurate measurement. In
order to produce an accurate adaptation of the lead to the surrounding
walls at the apex, the lead was reduced with fine sandpaper, the
scratches of the sand being parallel to the long axis of the tooth.
When the lead was forced into place, these fine ridges could be seen to
be flattened when examined with a magnifying glass, and an adjustment
continued in this manner, until the lead was found to close the apical
foramen completely. The filling was completed with gutta-percha, and
a porcelain crown was mounted upon the root. This has remained in a
favorable condition up to the present time, about a year and a half.
Public-domain text, read in full here on John Shaqi.
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