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.

    235/276 (page 219)
    In obstinate cases sulphuric acid (twenty to fifty per cent.) may be used. When everything else has failed, the writer has often had happy results with nitrate of silver (full strength)—but this may cause disagreeable discoloration of the teeth. When a fistulous openmg exists, the remedy should if pos- sible be so forced through the apex of the root that it exudes from the opening in the gum. This can generally be readily accompHshed, particularly if the canal is filled with the remedy, the cavity of decay tightly filled with unvulcanised rubber, and pressure made on the rubber. Should a fistulous opening remain unclosed for some time after the roots are filled, the remedy may be applied to the diseased part through this opening, enlarging it if necessary. Fusing nitrate of silver into a httle ball at the end of a platinum probe or fine wire is a convenient means of applying this remedy in these cases. In cases of blind abscess, an opening may be made to the end of the root by cutting or drilling through the outer alveolar plate. This is often a ready and efficacious method of treatment in these cases, but is too heroic a proceeding to • be recommended as a general practice, owing to its usually causing great pain unless gas or ether is administered. In some cases the amputation of the ends of roots is recommended, and in others a good