Synopsis
This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1909 Excerpt: ... the remaining tissue can be anesthetized or devitalized in the usual manner. If the devitalization method is employed the arsenical preparation can be placed over the mouth of the canal with safety; but it is never advisable to place the preparation down in the canal. Arsenical Poisoning.--Before closing this chapter it may be well to consider the treatment of local poisoning by arsenic trioxid. However, when such treatment is necessary it is due to carelessness on the part of the dentist or the patient, or both. It is never necessary to tell the patient what drug or remedy has been used in the treatment of teeth, many times it is advisable not to do so; but whenever an agent as destructive as arsenic trioxid is sealed within a tooth, the patient should be thoroughly impressed with the importance of keeping an appointment, and of returning before the appointed time should any untoward symptoms develop. The patient should also be informed that the teeth thus treated might ache for a few hours, as they sometimes do, even when cocain is a constituent of the arsenical preparation; but that the aching will be of short duration. In case, however, the tooth or gum becomes sore, they should be instructed to return at once. In those cases where the arsenical preparation is not hermetically sealed within the tooth and some of it gets on the gum tissue, remaining only long enough to cause devitalization, all that is necessary is to first wash the part with an antiseptic solution, and then mechanically pick off the dead or sloughed tissue with sterile pliers until bleeding is produced, if this is possible, after which the part should be disinfected and the tissue stimulated. To disinfect the part, any good disinfectant can be used. Nothing is better here than the offi...
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