Page 199 - My FlipBook

but less sensitive than at first. This is the general rule in
these cases of local sensitiveness and it should be a guide
to us in excavating. Whenever I find that a case is par-
ticularly sensitive I cut my margins away as carefully as I
can, and then with the sharpest spoon excavator I can get
I run around the decayed area and tear the whole thing
out as nearly as possible at a stroke. This sensitiveness is
very acute. It is a thing that is hard for patients to bear.
A light, stroke is just about as painful as a heavy one in
these cases, and if you can remove the whole mass at one
or two strokes instead of taking twenty, you have relieved
the patient of just that much suffering.

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