Page 23 - My FlipBook
P. 23
; ;
THE RELIEF OF PAIN 7
these cases, where the cavity of decay is very
accessible, and also in cases of obstinate pulp in-
flammation without exposure, is to administer gas
and freely open up the pulp-chamber with a large
clean bur in the dental engine. After opening into
a septic tooth and exposing the orifices of the root-
canals, it is advisable to postpone further manipula-
tion until the pain has subsided ; and in these cases
the cavity should be left open, merely filling it
loosely with cotton-wool to prevent it becoming
choked up with food. If a dead pulp is in a
sufficiently coherent state to be readily removed, it
should usually be taken out of the tooth at once.
In all cases of obstinate toothache, no matter what
may be the cause, the application of strong tincture
of iodine (iodine liniment) to the gum is useful.
Another valuable application is : Alcohol, 1 oz.
chloroform, 2 oz. ; ether, | oz. gum camphor, | oz.
;
laudanum, « oz. ; oil of cloves, i dr. To apply
this mixture, saturate a fairly large pellet of cotton-
wool, and hold it on the gum for a few minutes,
taking care to prevent the liquid running on to the
face, as it is apt to irritate and burn the skin.
The diagnosis of toothache is often difficult. Fre-
quently the pain is referred by the patient to a
tooth that is perfectly sound. An examination of
all the teeth in both jaws should be made, and if.
THE RELIEF OF PAIN 7
these cases, where the cavity of decay is very
accessible, and also in cases of obstinate pulp in-
flammation without exposure, is to administer gas
and freely open up the pulp-chamber with a large
clean bur in the dental engine. After opening into
a septic tooth and exposing the orifices of the root-
canals, it is advisable to postpone further manipula-
tion until the pain has subsided ; and in these cases
the cavity should be left open, merely filling it
loosely with cotton-wool to prevent it becoming
choked up with food. If a dead pulp is in a
sufficiently coherent state to be readily removed, it
should usually be taken out of the tooth at once.
In all cases of obstinate toothache, no matter what
may be the cause, the application of strong tincture
of iodine (iodine liniment) to the gum is useful.
Another valuable application is : Alcohol, 1 oz.
chloroform, 2 oz. ; ether, | oz. gum camphor, | oz.
;
laudanum, « oz. ; oil of cloves, i dr. To apply
this mixture, saturate a fairly large pellet of cotton-
wool, and hold it on the gum for a few minutes,
taking care to prevent the liquid running on to the
face, as it is apt to irritate and burn the skin.
The diagnosis of toothache is often difficult. Fre-
quently the pain is referred by the patient to a
tooth that is perfectly sound. An examination of
all the teeth in both jaws should be made, and if.
