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RECENT METHODS OF TREATMENT 25
The method of apphcation, as advocated by Howe is as
follows
Under aseptic precautions, remove the contents of the
pulp chamber and apply the silver nitrate solution (bottle
number one), saturating the remaining pulp tissue in the
canals. Then, after waiting about three minutes, apply the
formalin (solution number two) and allow the mixture to
remain in position three minutes, when the canals may be
opened and their contents removed. Now apply on a smooth
broach, or absorbent point, a drop of solution number one,
manipulating the solution carefully with a smooth broach,
avoiding forcing through the foramen. Then carry in, after
an interval of three minutes, a drop of solution number two,
and thoroughly broach out the canals. After an interval
of another three minutes, dry the canals thoroughly and
apply another drop of the silver ammonium solution (number
one), to which is then added a drop of eugenol, and the broach-
ing process continued. After three minutes, dry the canals
and fill.
In cases of chronic alveolo-dental abscess, the same method
of treatment is applied to the canals and the routine treat-
ment for apical abscess is then instituted. During the abscess
treatments, Howe recommends the sealing into the canals of
Dakin's solution, during the intervals between the visits of
the patient. After healing of the abscess, again make three
or four applications of the silver ammonium formalin prepara-
tion in the canal, and then fill. If response to the treatment
is not effective, the Howe preparation may be forced directly
through the root end into the apical tissues. This latter
procedure is cautioned against in uncomplicated cases, on
account of the irritating effect produced on vital tissues.
Solution of Dichloramin-T :
This preparation is being advocated for the sterilization
RECENT METHODS OF TREATMENT 25
The method of apphcation, as advocated by Howe is as
follows
Under aseptic precautions, remove the contents of the
pulp chamber and apply the silver nitrate solution (bottle
number one), saturating the remaining pulp tissue in the
canals. Then, after waiting about three minutes, apply the
formalin (solution number two) and allow the mixture to
remain in position three minutes, when the canals may be
opened and their contents removed. Now apply on a smooth
broach, or absorbent point, a drop of solution number one,
manipulating the solution carefully with a smooth broach,
avoiding forcing through the foramen. Then carry in, after
an interval of three minutes, a drop of solution number two,
and thoroughly broach out the canals. After an interval
of another three minutes, dry the canals thoroughly and
apply another drop of the silver ammonium solution (number
one), to which is then added a drop of eugenol, and the broach-
ing process continued. After three minutes, dry the canals
and fill.
In cases of chronic alveolo-dental abscess, the same method
of treatment is applied to the canals and the routine treat-
ment for apical abscess is then instituted. During the abscess
treatments, Howe recommends the sealing into the canals of
Dakin's solution, during the intervals between the visits of
the patient. After healing of the abscess, again make three
or four applications of the silver ammonium formalin prepara-
tion in the canal, and then fill. If response to the treatment
is not effective, the Howe preparation may be forced directly
through the root end into the apical tissues. This latter
procedure is cautioned against in uncomplicated cases, on
account of the irritating effect produced on vital tissues.
Solution of Dichloramin-T :
This preparation is being advocated for the sterilization
