Plastics And Plastic Filling; As Pertaining to the Filling of All Cavities of Decay in Teeth Below Medium in Structure, And to Difficult And Inaccessible Cavities in Teeth of All Grades of Structure

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If the split tooth contains a vital pulp, the devitalization of this is the first thing to be done. The parts are gently drawn into apposition by means of book-binder's thread passed around the neck of the tooth, and an application is carefully punctured into the pulp. This application should be very small in quan- tity and should be largely acetate of morphia paste.
If possible, it should be only this, and especially for the bul- bous portion of the pulp, and if the arsenical application is fo
...und necessary, it should be made as intimately mixed with cotton wool as possible, instead of being introduced loosely in paste form. The " devitalizing fibre " is admirably adapted for this purpose, to be used in very minute pieces. It must be remembered that the split is a direct route to the peridentium, and that the least arsenical impress upon that membrane at so high a point will probably eventuate in death of the tooth, and will be naturally followed by exfoliation.
The pulp having been devitalized, the tooth is placed in the same category with all split pulpless teeth, for which the first indication is the accurate joining together of the parts.


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