Page 878 - My FlipBook
P. 878
:
DISEASES OF THE DENTAL PULP, AND
THEIR TREATMENT.
By JAMES TRUMAN, D. D. S.
The diseases of the dental pulp, while not numerous, are an import-
ant part of tlie pathological conditions coming under the care of the
dentist. It has been the aim of the writer to present the subject in the
clearest manner possible, without undue overloading with quotations.
As the minute anatomy of the dental pulp is fully treated elsewhere in
this volume, no allusion has been made to it. Considerable space has
been given to the consideration of thermal influence, as that important
factor in pulp-irritation has measurably been neglected and its influence
underrated in the production of pulpitis, etc.
The subjects treated are embraced under the following headings
Thermal Influences.
1st. Simple Exposure.
2d. Superficial Pulpitis.
3d. Deep-seated Pulpitis.
Changes from Normal. <
4th. Devitalization.
5th. Gangrene.
6th. (So-called) Dry Gangrene.
Nodular Deposits.
Polypus of the Pulp.
Thermal Influences.
The pathological condition of the pulp cannot be properly understood
without devoting some consideration to the primary causes of inflamma-
tion in that organ, originating in external influences which bear more
or less directly upon the diseases subsequently manifested.
The prolongations of the odontoblastic layer through the tubuli
practically extend the pulp to the remotest ramifications of these passages,
and, as they occujw the largest proportion of the dentine, it follows that
the pulp cannot l)e considered simplv as a central organ of the tootli-
body, but nuist hohl important relations to all parts of the tooth, and
in return nuist receive all impressions made at the peri])heral ter-
minations ; and in proportion to the extent of these will the effect be
tem])orary or destructive. When it is understood, therefore, that in all
exposed dentine surfaces we are dealing directly with the central organ
DISEASES OF THE DENTAL PULP, AND
THEIR TREATMENT.
By JAMES TRUMAN, D. D. S.
The diseases of the dental pulp, while not numerous, are an import-
ant part of tlie pathological conditions coming under the care of the
dentist. It has been the aim of the writer to present the subject in the
clearest manner possible, without undue overloading with quotations.
As the minute anatomy of the dental pulp is fully treated elsewhere in
this volume, no allusion has been made to it. Considerable space has
been given to the consideration of thermal influence, as that important
factor in pulp-irritation has measurably been neglected and its influence
underrated in the production of pulpitis, etc.
The subjects treated are embraced under the following headings
Thermal Influences.
1st. Simple Exposure.
2d. Superficial Pulpitis.
3d. Deep-seated Pulpitis.
Changes from Normal. <
4th. Devitalization.
5th. Gangrene.
6th. (So-called) Dry Gangrene.
Nodular Deposits.
Polypus of the Pulp.
Thermal Influences.
The pathological condition of the pulp cannot be properly understood
without devoting some consideration to the primary causes of inflamma-
tion in that organ, originating in external influences which bear more
or less directly upon the diseases subsequently manifested.
The prolongations of the odontoblastic layer through the tubuli
practically extend the pulp to the remotest ramifications of these passages,
and, as they occujw the largest proportion of the dentine, it follows that
the pulp cannot l)e considered simplv as a central organ of the tootli-
body, but nuist hohl important relations to all parts of the tooth, and
in return nuist receive all impressions made at the peri])heral ter-
minations ; and in proportion to the extent of these will the effect be
tem])orary or destructive. When it is understood, therefore, that in all
exposed dentine surfaces we are dealing directly with the central organ
