Dental cosmos . says, makes the remnants of thepulp shrink and remain as dry antiseptic bodies, a far better filling-material for the roots than the purest gold. This treatment we may call simple and, at the same time, do not think it has many partisans in this country, and yet I believe,like Witzel, that these perfect gold or tin root-fillings of the Americansystems are most frequently done only in imagination or in thewriters papers, and happily so ; but even where they are done, Ibelieve they serve the purpose badly. The labor and almost impos-sibility of filling molar roots wi
Dental cosmos . says, makes the remnants of thepulp shrink and remain as dry antiseptic bodies, a far better filling-material for the roots than the purest gold. This treatment we may call simple and, at the same time, do not think it has many partisans in this country, and yet I believe,like Witzel, that these perfect gold or tin root-fillings of the Americansystems are most frequently done only in imagination or in thewriters papers, and happily so ; but even where they are done, Ibelieve they serve the purpose badly. The labor and almost impos-sibility of filling molar roots with gold or tin is known well enough,but even when the pulp is removed entirely and the root filled withany antiseptic material, I believe much after-trouble is unconsciouslycaused by introducing septic matter into the root-canals, breakingoff points of nerve-extractors, irritating the pericementum in oneway or another, or not filling the canals entirely, so that vacuolesremain filled with air, etc. Fig. 1. aba b. a, a, amalgam ; b, b, gutta-percha, I had a most illustrative case in my practice not long ago : A gen-tleman, twenty-six years of age, strong and healthy constitution,came to me with intense pain in the left lower jaw. He said a dentistin this city had, then five months ago, devitalized the pulps andfilled the cavities in the first and second left lower molars, of whichthe filling in the second molar had come out again. As the pain,however, was not caused by this tooth, but by the first molar, Iremoved the filling from that tooth also, and found that of these fourroot-canals only the one in the distal root of the first molar, which ofcourse was the easiest one to reach, had been drilled out and filledwith gutta-percha down to the apical foramen, and under this rootthere was now an acute inflammation. Fig. i shows the conditionspresent. Evidently the labor and trouble this dentist had given him-self and his patient had only been the cause of an abscess. The threeother
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Keywords: ., bookauthor, bookcentury1800, bookdecade1890, booksubjectdentistry
