Page 272 - My FlipBook

268 OPERATIVE DENTISTRY

sole leather will prove effective. The scrapings are made by the den-
tist from a piece of sole leather by scraping shreds from the edge.
These should be previously prepared and ready for an emergency.
They should be placed in a large-mouthed bottle and sterilized by
dry heat and securely corked.
Method of Applying. When case presents, there should be three
pellets made, small, medium and large about the size of the al-
veolus. These should be introduced quickly one after the other and
pressed to position and held there for some minutes with the ball
of the finger.
The leather scrapings will swell and effectually plug the alveolus.
Also the tannin in the leather liberates the fibrinogen and an im-
pervious clot is formed. Within twenty-four hours the last applied
pellet of scrapings will have been raised out of the socket and the
next two will soon follow.
This is recommended as a method that has never failed in a long
list of desperate cases but should not be resorted to except as an ex-
treme measure as great soreness frequently follows the treatment
due to the interference with the circulation for some considerable
distance about the bleeding alveolus.
Hypodermic Injections of Adrenalin Chloride for hemorrhage
folloAving extraction is good practice. Load the syringe part full
with Ringer's solution to which has been added five drops of ad-
renalin chloride. Introduce the needle, which should be long and
large, into the apical space and inject a few drops. Eepeat two or
three times if necessary.
Capillary Hemorrhage. If the hemorrhage is capillary, inject
into the tissues from which the blood is coming.