The Journal of the British Dental Association, Vol. 10

The Journal of the British Dental Association, Vol. 10 : A Monthly Review of Dental Surgery; January to December, 1889 (Classic Reprint)

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Excerpt from The Journal of the British Dental Association, Vol. 10: A Monthly Review of Dental Surgery; January to December, 1889
Gutta percha, I suppose, we regard more as a temporary stopping at the best it cannot make a perfect stopping, but it is useful in some cases where there is no abrasion, such as a large cavity where oxyphosphate would be affected by the secretions from the gum and it is not advisable to use amalgam, or where for some reason we cannot have the cavity properly shaped or the decay thoroughly removed. It may be said Why stop a tooth at all, if we are not to do it thoroughly and properly But I saw a short time ago a gutta percha stopping still doing good service, which was put in over three years previously under the following conditions S - A valuable upper molar which supports a case of artificial teeth, was being lost by decay in a distal cavity the patient, a lady in delicate health, declared she would rather lose the tooth than have it stopped. I simply cleared out a little food, dried the cavity, warmed a piece of gutta percha and pressed it in. I am sure that any other kind of stopping, so put in, would have dropped out long ago.
Gutta percha as a lining I have found to be unsatisfactory; something more resistant and inflexible is required.
Amalgam, although not the best, is perhaps the most useful stopping we have. It is simple and easy of manipulation, but to make a good amalgam stopping requires some skill and experience. From the Old method of making a very plastic mass and putting it in the cavity in one piece like a piece Of putty, we went to the other extreme and made it not plastic enough, and packed it in small pieces. Both of these methods are wrong the first piece inserted should be plastic enough to be easily pressed into every crevice and corner, and the remaining pieces should have very little mercury and be pressed in with considerable force.
The old copper amalgam, known as Sullivan's cement from its paste-like consistency, has the advantage that it goes easily into every crevice in the cavity, but it is not to be commended, especially as other amalgams are now so much improved.
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Product details

  • Paperback | 852 pages
  • 152 x 229 x 43mm | 1,116g
  • Forgotten Books
  • English
  • 157 Illustrations; Illustrations, black and white
  • 0243063393
  • 9780243063390