The Archives of Dentistry, Vol. VII, No. 4, April 1890Various
Science
The Archives of Dentistry, Vol. VII, No. 4, April 1890
Various
Dentistry -- Periodicals
Case 4, is that of a central incisor, pulp destroyed, canal filled, in
which a Howe screw-post was used as an anchor to secure a large contour
filling. Some time after, the tooth began to show a decidedly green
discoloration, near the neck, which gradually extended throughout the
crown. The filling was removed and replaced, however, using a screw
of silver and platinum instead. I have here two specimens of roots in
which the Howe post has been used, and have seen two other cases in the
mouth, the same green stain appearing in all.
When the Howe post was put upon the market by the White Manufacturing
Company, their agents refused to tell of what metal they were made, but
gave the impression that they were some form of platinum and iridium
alloy. They proved, however, to have been made of chrome steel. Besides
the disagreeable discoloration of all these roots, I am inclined to the
believe that the chrome salt formed, acts as a constant irritant to the
peridental or dental membrane, and will result ultimately in the loss
of the tooth.
Case 5:—In this case the left superior second bicuspid was devitalized
and became discolored. The gentleman who was the lady's dentist at
the time, desiring to improve the appearance of the tooth, removed
the dentine extensively on the labial surface, and proceeded to fill
with gold. When the tooth came into my hands for treatment, I found
the part of the filling against the lingual wall well condensed, but
that against the frail labial wall quite soft, and this portion of
the filling had leaked, and the tooth was again discolored, showing
that in order to avoid undue pressure on the thin enamel wall,
insufficient force had been applied to condense the gold. Would it not
have been better in this case, and in fact in all similar cases, to
have sacrificed somewhat the appearance of the tooth and made a more
permanent filling by the removal of all that portion of the enamel
which was liable to fracture.
Case 6, is one of those mistakes in diagnosis which are liable to occur
in almost any practice. Miss E. presented herself with every appearance
of an abscessed right superior second molar, a large sac protruding
into the mouth, opposite the palatine root. The tooth was so extremely
loose and so sore that the patient would not allow it to be opened.
The abscess sac was opened and syringed out, and two days later the
soreness of the tooth had sufficiently subsided to permit the removal
of the filling. Drilling toward the pulp chamber, a short distance,
developed the fact that the tooth contained a living nerve. The result
of this case showed that the abscess was caused by the lodgement of a
fragment of a wooden toothpick between the first and second molar.
Public-domain text, read in full here on John Shaqi.
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