Page 278 - My FlipBook

274 EXPOSED PULPS.

the part will require treatment; and the character
and duration of this will be determined by the cir-
cumstances—as, the vital energy of the system, and
the method employed for the pulp's destruction.
When this has been effected by an operation, the
wound produced by the excision is restored to sound-
ness much more readily than when by an application
of arsenious acid, and less topical treatment will ordi-
narily be required; indeed, in many such cases there
will be nothing else required, than to keep the canal

well cleansed, so as to obviate any irritation that other-
wise might be'induced by decomposition. When the
pulp has been destroyed by arsenious acid, more en-
ergetic treatment is usually demanded; for then there
is always a greater or less disposition to slough or dis-
charge through the tooth; which must of course be
entirely abated, before the operation of rilling is at
all admissible. In the treatment of this condition,
the canal should be kept perfectly clean by frequent
syringing; floss silk, moistened with creosote and tan-
nin, should be introduced to the extreme part of the
cavity or canal, and should be changed every twenty-
four hours, the cavity being thoroughly washed each
time. It will be necessary, in many cases, to continue

this treatment for several days. In order to determine
whether the condition is such as to admit of the fill-
ing, the floss silk should be removed after a sufficient
time is supposed to have elapsed, the cavity thoroughly