Page 46 - My FlipBook
P. 46
METHODS OF FILLING TEETH.
32
twist is all that is necessary. Before cutting off the ends, pass the
one on the buccal side down between the teeth, so that both protrude
The ends, when cut off, are out of the and
toward the palate. way,
cannot stand up in the line of vision, as often occurs when the knot is
made at the labial festoon. The ligature around the second bicuspid is
the knot between that tooth and the molar.
made similarly, occurring
While I advise placing the knot at the approximal side of a tooth,
it should be occasionally along the labial festoon. We find anterior
and lateral incisors, so at the
teeth, especially cuspids shaped palatal
festoon that it is very difficult to keep the dam from slipping down.
If a ligature be used, and pressed up around the neck with an instru-
ment, it is often found as soon as tied that it has passed above the dam,
and nothing has been accomplished. This may be overcome by tying
a good solid knot in the ligature first. When applied, this knot should
be in line with the palatal sulcus. It gives a point of resistance for the
instrument used to push it under the free margin of the gum, and
carries the edge of the dam with it. When using this method, it is
best to have the tying knot at the labial festoon, for being opposite
the other it makes the ligature more secure. If it be desirable to have
the loose ends out of sight, they may be carried between the teeth and
cut off on the palatal side.
I now come to a description of ligaturing which may seem dry
reading, because of the difficulty to describe knots in words. To him
who has heard that teeth may be firmly united with flax threads, and
has doubted it, I say, take a plaster cast and a piece of silk, then
follow my directions by doing on the model what I describe, and
the result will, I am sure, repay the trouble, and the reading will no
be Unless this be done, even the assistance of
longer unprofitable.
illustrations will not render the description perfectly intelligible.
By many it has been claimed that we cannot fasten teeth perma-
with it cannot be done with wire, which
nently ligatures. Certainly
or breaks, and silk or flax it is said will loosen after a time.
either slips
Again, the use of thread of any kind is considered uncleanly, because
the brush will not remove the debris which accumulates between the
ligature and the gum margin. This latter claim is due to the fact that
most men tie a near the neck of the tooth, if indeed it is not
ligature
so placed as to actually impinge upon the gum. If such a ligature be
worn for any considerable time, gingivitis will probably ensue. I will
describe how to tie together a whole set of teeth, if there be need, so
that they shall be held firmly, the ligatures being about the middle of
the teeth instead at the necks. I wish to touch on
of Before doing so,
the use of ligatures in connection with the filling of teeth which are
either loose or sore from
wedging.
condition.
I shall first consider the last specified Two teeth having
32
twist is all that is necessary. Before cutting off the ends, pass the
one on the buccal side down between the teeth, so that both protrude
The ends, when cut off, are out of the and
toward the palate. way,
cannot stand up in the line of vision, as often occurs when the knot is
made at the labial festoon. The ligature around the second bicuspid is
the knot between that tooth and the molar.
made similarly, occurring
While I advise placing the knot at the approximal side of a tooth,
it should be occasionally along the labial festoon. We find anterior
and lateral incisors, so at the
teeth, especially cuspids shaped palatal
festoon that it is very difficult to keep the dam from slipping down.
If a ligature be used, and pressed up around the neck with an instru-
ment, it is often found as soon as tied that it has passed above the dam,
and nothing has been accomplished. This may be overcome by tying
a good solid knot in the ligature first. When applied, this knot should
be in line with the palatal sulcus. It gives a point of resistance for the
instrument used to push it under the free margin of the gum, and
carries the edge of the dam with it. When using this method, it is
best to have the tying knot at the labial festoon, for being opposite
the other it makes the ligature more secure. If it be desirable to have
the loose ends out of sight, they may be carried between the teeth and
cut off on the palatal side.
I now come to a description of ligaturing which may seem dry
reading, because of the difficulty to describe knots in words. To him
who has heard that teeth may be firmly united with flax threads, and
has doubted it, I say, take a plaster cast and a piece of silk, then
follow my directions by doing on the model what I describe, and
the result will, I am sure, repay the trouble, and the reading will no
be Unless this be done, even the assistance of
longer unprofitable.
illustrations will not render the description perfectly intelligible.
By many it has been claimed that we cannot fasten teeth perma-
with it cannot be done with wire, which
nently ligatures. Certainly
or breaks, and silk or flax it is said will loosen after a time.
either slips
Again, the use of thread of any kind is considered uncleanly, because
the brush will not remove the debris which accumulates between the
ligature and the gum margin. This latter claim is due to the fact that
most men tie a near the neck of the tooth, if indeed it is not
ligature
so placed as to actually impinge upon the gum. If such a ligature be
worn for any considerable time, gingivitis will probably ensue. I will
describe how to tie together a whole set of teeth, if there be need, so
that they shall be held firmly, the ligatures being about the middle of
the teeth instead at the necks. I wish to touch on
of Before doing so,
the use of ligatures in connection with the filling of teeth which are
either loose or sore from
wedging.
condition.
I shall first consider the last specified Two teeth having
