Page 176 - My FlipBook

174 DENTAL MEDICINE.

of continued irritation, assuming the form of a small vascular
tumor or granular mass, attached by means of a pedicle, and
which, in some cases, completely fills the cavity of decay in the
crown of the tooth, and is often extremely sensitive and prone
to hemorrhage.
Treatment.—When a tendency to fungous growth is discov-
ered, the free application of carbolic acid or tincture of aconite
followed by the use of chromic acid, will obtund the sensibility,
when the entire tumor should be excised, and its reproduction
prevented by application of nitric acid on a disc of cardboard.
Putrescent Pulps.—Dr. Callahan's treatment with sulphuric acid,
which agent destroys all animal tissues by dehydration on account
of its strong affinity for water, has proven very effectual. The
immediate application of bicarbonate of soda will neutralize its
action on the tooth-structure. Peroxide of sodium, hydronaphthol,
oil of gaultheria, Black's i, 2, 3 mixture, iodoform, iodol, hydro-
chloric acid with pepsin, permanganate of potash, pyrozone,
thymol, peroxide of hydrogen, peroxide of sodium, papaine,
eugenol, eucalyptol, formalin, oil of cloves, bichloride of mercury,
iodine and aconite, cataphoric current with a solution or agent
which possesses conductivity, iodoform vapor or fumes, dehydra-
tion, etc., have all been employed with success.
Ossification {^Calcification^ of the Dental Pulp is indicated by pain of
a neuralgic character, which commences in an uneasy feeling, and
changes to what has been described as a gnawing sensation, similar
to that which attends the knitting together of the fractured parts
of a bone. It may be continuous, but not constantly severe, and
frequently amounts to no more than an uneasy sensation ; at
other times it may be sharp and darting, affecting the side of the
head, and all the branches of the superior maxillary division of
the fifth pair of nerves. The affected tooth is free from sore-
ness and discoloration.
Treatment.—Apply anodynes, such as lead water, and those
indicated in " acute inflammation of pulp " to relieve the pain.
Open the pulp chamber, and completely extirpate the pulp.
Hypersensitiveness or Abnormal Sensibility of Dentine is indicated
by pain resulting from irritation of dentinal structure, being of