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CAUSES AM) RELIEF OP DENTAL PAIN. 7
Treatment.— The application of local anaesthetics and
sedatives on cotton-wool as for irritation of dental pulp
;
opening the pulp chamber usually gives immediate relief
but is a procedure thai can only be carried out with special
dental instruments. General constitutional treatment
must therefore be used to supplement local palliative ap-
plications until skilled dental treatment can be obtained.
Polypus of the pulp.— Sprouting granulation of the
exposed surface of a chronically inflamed pulp may take
place, the granulations growing till the carious cavity is
completely filled by them, constituting what is known as
polypus of the pulp ; a polypus of this kind is not usually
very sensitive.
Treatment.—The polypus must be cut away and the
pulp destroyed by arsenions acid.
Dental periostitis (periodontitis, pericementitis).—In-
flammation of the fibrous and vascular membrane which
lines the socket of a tooth and covers and nourishes the
cementum is called variously "dental periostitis," "peri-
odontitis," and "pericementitis."
It may be general, involving the periosteum of all the
teeth, or local, being in that case confined to the socket
of one tooth only; like inflammation elsewhere, it may
be acute or chronic.
General inflammation of the dental periosteum is
dependent on some constitutional condition, such as
rheumatism, gont, tuberculosis, syphilis, or may he asso-
ciate 1 with one of the exanthematons fevers, the inhala-
tion of the fumes of phosphorus as in match-makers, the
administration of mercury.
Localised dental periostitis may be acute, frequently
running on to alveolar abscess, or chronic, in which
suppuration either does not occur at all or is restricted
to the periosteum near the margin of fhr socket.
CAUSES AM) RELIEF OP DENTAL PAIN. 7
Treatment.— The application of local anaesthetics and
sedatives on cotton-wool as for irritation of dental pulp
;
opening the pulp chamber usually gives immediate relief
but is a procedure thai can only be carried out with special
dental instruments. General constitutional treatment
must therefore be used to supplement local palliative ap-
plications until skilled dental treatment can be obtained.
Polypus of the pulp.— Sprouting granulation of the
exposed surface of a chronically inflamed pulp may take
place, the granulations growing till the carious cavity is
completely filled by them, constituting what is known as
polypus of the pulp ; a polypus of this kind is not usually
very sensitive.
Treatment.—The polypus must be cut away and the
pulp destroyed by arsenions acid.
Dental periostitis (periodontitis, pericementitis).—In-
flammation of the fibrous and vascular membrane which
lines the socket of a tooth and covers and nourishes the
cementum is called variously "dental periostitis," "peri-
odontitis," and "pericementitis."
It may be general, involving the periosteum of all the
teeth, or local, being in that case confined to the socket
of one tooth only; like inflammation elsewhere, it may
be acute or chronic.
General inflammation of the dental periosteum is
dependent on some constitutional condition, such as
rheumatism, gont, tuberculosis, syphilis, or may he asso-
ciate 1 with one of the exanthematons fevers, the inhala-
tion of the fumes of phosphorus as in match-makers, the
administration of mercury.
Localised dental periostitis may be acute, frequently
running on to alveolar abscess, or chronic, in which
suppuration either does not occur at all or is restricted
to the periosteum near the margin of fhr socket.
