Notes on the treatment and filling of teeth / by Wm. Cass Grayston.

  • Grayston, William Cass.
Date:
1904
Catalogue details

Licence: In copyright

Credit: Notes on the treatment and filling of teeth / by Wm. Cass Grayston. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    that probably severe pain will ensue for some hours; or whether the tooth shall be extracted. The posi- tion of the cavity, the value of the tooth, and the temperament of the patient, are all factors in deter- mining the line of treatment. If, on removing the loose debris from the cavity, a portion of the pulp is seen to be exposed, it is well to remove as much of the softened dentine in the neighbourhood of the exposure as can be done without causing pain. An application of one or more of the above-mentioned remedies will usually stop the pain. Whatever application or dressing is used must always be care- fully sealed in the cavity before the patient is dis- missed ; and it is important to do this with as httle pressure as possible. Pressure not only causes pain in these cases, but may also force out the greater part of the medicament on which so much depends. Temporary gutta-percha, thinly mixed phosphate cement, Fletcher's artificial dentine, and cotton-wool saturated with fairly thick mastic or sandarach var- nish, are all efficient temporary fillings or dressing seals. Whichever is selected in any particular case will depend on the judgment of the operator. If there is an opening into the pulp chamber, and any doubt exists as to whether the pulp is alive, or par- tially or wholly dead, a very fine Donaldson bristle with a sharp point should be delicately inserted.