The seven books of Paulus Ægineta, volume 2 (of 3) : $b translated from the Greek: with a commentary embracing a complete view of the knowledge possessed by the Greeks, Romans, and Arabians on all subjects connected with medicine and surgeryPaulus, Aegineta
History
The seven books of Paulus Ægineta, volume 2 (of 3) : $b translated from the Greek: with a commentary embracing a complete view of the knowledge possessed by the Greeks, Romans, and Arabians on all subjects connected with medicine and surgery
Paulus, Aegineta
Medicine; Medicine, Arab; Medicine, Greek and Roman
It appears to us that of all the ancient authorities Albucasis lays down
the best rules for treating the epulis. He directs us to cut it out with
a forceps and scalpel, and then to apply styptic powders to the part, or
if the tumour grow again, the actual cautery. For our own part, we have
generally found that no permanent cure could be effected without the
cautery. See Chirurg. (ii, 28, and i, 22.)
It is unnecessary to detail the treatment recommended by the other
authorities.
SECT. XXVIII.—ON THE EXTRACTION OF TEETH.
Having scarified around the tooth down to the socket, we must by degrees
shake the teeth with a tooth-extractor, and draw it out. But if it is
carious we must first plug up the hole with a small tent, that it may
not break when compressed by the instrument. After the extraction we may
consume the flesh that is left by sprinkling it with finely levigated
salts, and afterwards gargles of wine or oxycrate may be used until the
completion of the cure. And since sometimes supernumerary teeth are
formed, those that are fixed in the socket we must scrape down with a
graving-tool, but those that are not so fixed we must extract with a
tooth-extractor. If any tooth grow to an unnatural size, or is broken, we
may scrape away the projecting or redundant part of it with a file. The
laminæ which unite to them we may remove as may appear proper, with the
concave part of a specillum, a raspatory, or a file.
* * * * *
COMMENTARY. Cælius Aurelianus disapproves of extracting teeth, except in
cases of extreme necessity. Herophilus and Heraclides Ponticus, he says,
have related cases in which the operation had proved fatal; and in modern
times we hear sometimes of such occurrences. (Pass. Tard. ii, 4.)
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