. The Dental cosmos. d best to open this tooth to make anexploratory operation, since the patientscondition was serious, owing to loss ofsleep and continued severe suffering. Ni-trous oxid and oxygen were administereduntil access to the pulp was gained; theopening was packed tightly with cocainheld in with gutta-percha, and the patientwas allowed to become conscious. Allpain had entirely disappeared. Uponbeing opened farther, the tooth was foundto contain a large pulp-stone, pear-shapedand almost as large as the pulp has been no recurrence of the neu-ralgia since the removal of t
. The Dental cosmos. d best to open this tooth to make anexploratory operation, since the patientscondition was serious, owing to loss ofsleep and continued severe suffering. Ni-trous oxid and oxygen were administereduntil access to the pulp was gained; theopening was packed tightly with cocainheld in with gutta-percha, and the patientwas allowed to become conscious. Allpain had entirely disappeared. Uponbeing opened farther, the tooth was foundto contain a large pulp-stone, pear-shapedand almost as large as the pulp has been no recurrence of the neu-ralgia since the removal of this pulp-stone. DIAGNOSIS OF ABSCESSES OF PROLONGEDDURATION. When in cases of long standing abscessthe patient asks if the tooth must beextracted or whether there may be hopeof recovery, the radiograph is indispen-sable. Since abscesses are not a naturalcondition, there must be a definite causefor each one. Nature will correct thecondition, if the cause can be ascertainedand removed. Removing a cause without Fig. Puncture of floor of pulp chamber. knowing exactly what that cause is, is amatter of chance or experiment, and notscientific. For instance, a patient ap-plied recently for an opinion as to thepossibility of saving an only molar, alower one. It had two fistulas, one labi-ally the other lingually. These had beenvariously treated and irrigated for aperiod of six or eight months, and the 874 THE DEXTAL COSMOS. tooth had finally been given up as hope-less. The antiseptics, I was told, wouldgo through the tooth and out throughboth fistulas, but the abnormal condi-tion persisted. A radiograph (Fig. 15)showed the posterior root-filling in goodcondition, a puncture in the floor of thepulp chamber, through which a gutta-percha root-filling was projecting into thesurrounding tissue, and no filling at all inthe anterior root, which was set unusuallyfar forward. This anterior root was diffi-cult of access, and in some way the opera-tor had been led to fill a puncture. Whenthe
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectdentist, bookyear1912
