The Brooklyn Medical Journal. Vol. II. No. 2. Aug., 1888 — John Shaqi
The Brooklyn Medical Journal. Vol. II. No. 2. Aug., 1888Various
Science
The Brooklyn Medical Journal. Vol. II. No. 2. Aug., 1888
Various
Medicine -- Periodicals
An application of this medicament would be more effective, I believe, in
relieving the pain of an exposed or inflamed pulp than those remedies
now in use. I can testify from personal experience of the frequent
inefficacy of the local application of oil of cloves and chloroform,
while the use of the stronger remedies, as ninety-five per cent.
carbolic acid or pure creosote, can only be efficacious by more or less
coagulating and therefore in so far destroying the nerve tissue and the
pulp. And this I take it is always to be avoided when practicable. I
hope therefore, that some of you will give this remedy a trial, and
verify practically my suggestion.
Having relieved the pain by one way or another, what means do you adopt
to stop the progress of the caries and restore the tooth as a useful
member of the economy?
Now if our considerations as to the origin of caries were true, that it
is a disease due to the agency of septic micro-organisms, the logical
consequence is that successful treatment must be in the line of
antiseptic treatment. I presume this will cause a smile at the
presumption of an outsider venturing to enter on so practical a subject,
and perhaps some one will mentally quote the line about “fools” rushing
in where angels fear to tread. But it is possible that much of your
practice may have been truly antiseptic, just as the wise surgeon’s has
been, long before we knew the why and wherefore of what experience has
now taught us to be true. We are all more or less like the hero of
Moliére’s comedy, who was astonished to find when he arrived at middle
age that he had been talking prose all his life without knowing it.
Now if we analyze your proceedings in the treatment of caries, and thus
relieving the painful or inflamed pulp, let us see if they are not based
on antiseptic principles, even though unconsciously employed.
First of all I take it you aim to remove all the carious material by
means of your instruments, and the success of the operation is dependent
on the thoroughness with which that is done. Does not that seem as if
you were removing a true infective centre, and thus obviating the first
condition favorable to the development of caries—the presence of
micro-organisms.
Now let us see how you combat the second favoring condition, and that is
the presence of a suitable pabulum; is not that done by the simple
mechanical interposition of your filling between the diseased surface
and the fluids in the mouth?
Again we found a certain degree of moisture needed, do you not
scrupulously dry as well as clean out your cavity, and is not your
filler non-absorbent as far as possible?
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