If a pulp ever does die under tin, perhaps it will not decompose as rapidly as it otherwise would, owing to its being charged with tin-salts. The Herbst method of filling consists in introducing and condensing tin in cavities by means of smooth, highly tempered steel engine or hand burnishers. In the engine set of instruments there is one oval end inverted cone-shaped, one pear-shaped, and one bud-shaped. The revolving burnisher is held firmly against the tin, a few seconds in a place, and moved around, especially along the margins, not running the engine too fast. Complicated cavities are converted into simple ones by using a matrix, and proximal cavities in bicuspids and molars are entered from the occlusal surface. The tin foil is cut into strips, and then made into ropes, which are cut into pieces of different lengths; the first piece must be large enough so that when it is condensed it will lie firmly in the cavity without being held; thus a piece at a time is added until the cavity is full. The hand set of burnishers has four which are pear-shaped and vary in size, and one which is rather small and roof-shaped. In filling and condensing they are rotated in the hand one-half or three-quarters of a turn. Dr. Herbst claims a better adaptation to the walls of the cavity than by any other method. Proximal cavities in bicuspids and molars can easily be filled; the tin can be perfectly adapted against thin walls of enamel without fracturing them; less annoyance to the patient and less work for the dentist; can be done in half the time required for other methods. Fees should be reasonably large, certainly more than for amalgam, for we can save many teeth for a longer time than they could have been preserved with cohesive gold. Many are not able to pay for gold, but they want their teeth filled and _saved_, and it is expected that we will do it properly and with the right kind of material; thus it is our duty in such cases to use more tin and less amalgam. We should always take into consideration the amount of good accomplished for the patient,--the salvation of the tooth,--and if we are sure, from experience and observation, that the tin filling will last as long as a gold one in the same cavity, or longer, then the fee should be as much as for gold, with the cost of the gold deducted. The amount of the fee ought to be based upon the degree of intelligence, learning, and skill required; upon the amount of nervous energy expended; upon the draft made on the dentist's vitality; upon what benefit has been given the patient; upon the perfection of the result; and, everything else being equal, upon the time occupied; the value of this last factor being estimated in proportion to the shortness of it. CHAPTER VIII.