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Filing the Teeth. 133
from the inner surfaces of the incisores by the gentleman men-
tioned in case II. This case is remarkable, for near one half
the substance of the crowns of some of the teeth were cut
away; notwithstanding, the disease was cured, and the teeth
are still sound though much disfigured.
CASE IV.
September, 1835, rendered professional aid to Col. C. Id
1817, his front incisorts of the upper jaw, were filed asunder
for the cure of decay. They remain perfectly sound to this
day.
"The operation of plugging decayed teeth is the principal
curative means in the hands of the dental surgeon. There are,
however, other remedies of equal efficacy, if judiciously ap-
plied. Such are filing, cutting, or the complete removal of
the diseased parts of the bony structure by the file, or other
suitable cutting instruments, so as to produce a regular and
sound surface of the touth, by which its health is preserved."
— Koecker, page 407.
" When the file is skillfully used, in the early stage of decay,
it is one of the most valuable instruments in the boutique of
the dentist, with which to arrest the further progress of the
disease." Snell, page 133.
" The application of the file to the teeth, is considered by
some persons, as one of the most injurious practices which
can be performed ; they think that the decay of the tooth will
certainly follow the removal of the least portion of the
enamel.
" The only plan that promises success in the cure of the
decay of the front teeth, is to remove the carious part from
that which is sound, with the expectation that the disease will
thereby be stopped. This theory is justified by the success
of the practice, whenever it is adopted, before the caries has
reached the internal cavity." Fox's Natural History of the
Teeth, part II, page 143.
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