The essentials of bandaging: $b including the management of fractures and dislocations, with directions for using other surgical apparatusHill, Berkeley
Science
The essentials of bandaging: $b including the management of fractures and dislocations, with directions for using other surgical apparatus
Hill, Berkeley
Bandages and bandaging; Dislocations -- Treatment; Fractures -- Treatment; Surgery, Minor
The cannula is passed along the nares till the end reaches the
pharynx, then the stylet is protruded and arches forward till it
reaches the teeth, when a thread is passed through the hole, and
the stylet being withdrawn, the thread is carried with it into the
pharynx and through the nostril, where it can be used to draw the
plug into its place at the posterior nares.
=Tooth Drawing.=—A surgeon is frequently required to draw a tooth on
emergency, and should be provided with instruments (see fig. 75).
Seven pairs of forceps and an elevator are sufficient for all he is
likely to deal with. They are differently shaped for the different
teeth, which vary much at the neck, the part grasped in the forceps.
[Illustration: Fig. 75.—Tooth Forceps.]
For the operation the patient should be seated in a high-backed
chair; the surgeon stands at his right side, holds the jaw with his
left hand, while with the right he thrusts the beaks of the forceps
between the gum and the tooth on its lingual and buccal aspects;
having reached the neck, he holds the tooth firmly, pushing it
inwards and outwards with a rotary motion of the wrist (except for
the molar teeth). Sudden tugs break the tooth and leave the fang
behind; when loosened by rotation and lateral motion, the forceps
readily lift the tooth out of its socket.
For the _upper incisors_ the beaks of the forceps are straight,
slightly hollowed inside, to give them hold of the teeth, and have
crescentic edges (see fig. 76).
The _upper incisors_ and _canines_ can be drawn by the same pair, as
the shape of these teeth at the neck varies to a small extent.
For the _lower incisors_ a very narrow forceps is necessary. The
beaks (fig. 77) should be curved at the joint sufficiently to form
an angle of 25° with the handles, that the latter may clear the
upper jaw. The edge of the beaks is crescentic, similar to that of
the upper incisors. These forceps are also very useful for removing
roots, as their fineness enables them to sink between the stump and
the alveolus with ease.
[Illustration: Fig. 76.—Upper incisor tooth and forceps.]
[Illustration: Fig. 77.—Lower central incisor and forceps.]
[Illustration: Fig. 78.—External aspect of upper bicuspid tooth, and
bicuspid forceps.]
For the _bicuspids_, beaks with crescentic edges also are used, but
the inside of the beak is more hollowed to fit the round neck of
these teeth (see fig. 78). All the bicuspids can be drawn with the
same pair, but it is convenient to have forceps bent at the joint to
clear the upper jaw when extracting a lower bicuspid (see fig. 79).
[Illustration: Fig. 79.—Lower bicuspid forceps.]
For the _upper molars_ two forceps are required, one for each side of
the jaw; the beaks of these are well hollowed to admit the crown of
the tooth. The inner beak terminates in a crescentic border to fit
the large internal fang (see figs. 80 & 81); the outer beak has two
smaller grooves separated by a point, that passes between the two
external fangs.
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