The independent practitioner : a monthly journal, devoted to medicine, surgery, obstetrics, dentistry, pathology and popular science . and although this operation was seeminglya perfect success, the patient and his friends were dissatisfiedbecause of the large amount of gold displayed in the the tooth was again broken by an accidental patient now came under my care, and the case presented arather unfavorable appearance for the application of my the stump had been shorter, a single trephine without a centrepin, would have sufficed to cut a circular shoulde
The independent practitioner : a monthly journal, devoted to medicine, surgery, obstetrics, dentistry, pathology and popular science . and although this operation was seeminglya perfect success, the patient and his friends were dissatisfiedbecause of the large amount of gold displayed in the the tooth was again broken by an accidental patient now came under my care, and the case presented arather unfavorable appearance for the application of my the stump had been shorter, a single trephine without a centrepin, would have sufficed to cut a circular shoulder, which would have been sufficient to sustain a circular gold cap without a centralpin or pivot. But in this case the stump was too long, and anothercourse had to be pursued. I constructed an especial instrument,adhering strictly to my trephining system. It presented theappearance of two trephines, a small one inside of a larger one. The former was intended to turn a circular shoulder on the extremepart of the stump, about ^ of an inch deep. The latter turned acircular shoulder on the upper part of the stump, a little under the. gum. In this way I obtained a double shoulder, one above theother, without in the least endangering the vitality of the pulp. An 368 Original Comrmmications. impression was taken witli plaster of paris, and a model the latter showed the relation of prepared stump andother parts clearly, I found it necessary to use on the model, thesame instrument I had used for the preparation of the stump in themouth, that any roughness of plaster and slight imperfections ofthe cast might be removed. A gold cap had been prepared, com-posed of two sizes, a smaller and a larger. The former was intendedto encircle the lower part of the stump, the larger the upper had a depth of ^^^ of an inch, and were firmly united by sol-der. Both these caps were smaller in diameter than the preparedstump, in order to obtain a perfect joint without cement or oth
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectdentist, bookyear1883
