Handbook for the Hospital Corps of the U.S. Army And State Military Forces

Cover Handbook for the Hospital Corps of the U.S. Army And State Military Forces
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Ulceration of a bone is called caries. The same term is applied to the decay by which cavities are formed in the dentine [218] of the teeth. Toothache is one of the symptoms of this decay. When the cavity is small and does not penetrate to the dental pulp, it should be carefully cleaned out with absorbent cotton on the end of a suitable instrument, and then plugged with cotton moistened with carbolic acid, to allay sensitiveness. Afterward, when the cavity has lost its 'tenderness, it should be... dried and filled with gutta-percha, softened by a heat which should not be greater than the skin of the wrist or back of the hand can bear without pain. When the cavity is large and the pulp exposed, as evidenced by the extreme sensitiveness of the bottom of the cavity, the relief of the toothache requires the extraction of the tooth or the killing of the nerve. To effect the latter purpose, a mixture of equal parts of laun- dry soap and arsenious acid is used. The cavity having been carefully dried, a small piece, about the size of a pin- head, of the arsenical soap is introduced into it and held in position for twenty-four hours by a filling of cotton-wool.

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