Page 265 - My FlipBook

EXPOSED PULPS. 261 ;

different results. A pulp that is highly diseased, is but
seldom, if ever, under any circumstances, susceptible
of restoration ; and in such case, of course, devitaliza-
tion and removal are indicated. This was formerly
supposed to be an impracticable operation, for two
first, because it was very difficult and painful;
reasons :
and second, because of the consequences likely to
ensue. Then, the operation was attempted only on
teeth having one root, and those of cylindrical form

but now, it is performed successfully on all classes of
teeth. When destruction of the pulp is decided upon,
such means should be employed as will effect the
object promptly and thoroughly. Every thing should
be entirely removed from the pulp-chamber and the
canal of the root ; for any remaining portion is liable
to induce inflammation and suppuration ; and alveolar

abscess, also, frequently ensues.
There are two methods of destroying the pulp : the
one, by an operation; the other, by the application of
some devitalizing agent. The choice of these methods
will be governed by circumstances ; such as the tem-
perament of the patient, the condition of the tooth
and parts about it, the class of the tooth to be
operated upon. For patients of a nervous, irritable
temperament, to whom a removal of the pulp by an
operation would occasion great pain and a severe

shock, it would be better to apply some agent to do-