Manual of dental surgery and pathology / Thoroughly rev. and adapted to the use of American students and practitioners, by Thomas C. Stellwagen.
- Coleman, Alfred.
- Date:
- 1882
Licence: Public Domain Mark
Credit: Manual of dental surgery and pathology / Thoroughly rev. and adapted to the use of American students and practitioners, by Thomas C. Stellwagen. Source: Wellcome Collection.
Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.
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![fomentations, especially poppy with chlorate of potash (see p. 52), will be found the most efficacious. [It is well always to relieve the pain before extracting the tooth. For this purpose, in the case of exposed pulps, use morphia paste or toothache- drops, or chloral and camphor, or camphor dissolved in chloro- form. The toothache-drops are made by adding to a saturated solution of morphia in sweet spirits of nitre an equal measure of oil of cloves, and to every drachm of this mixture should be added ten drops of fluid extract of gelseminum,] A cold taken after extraction is often the explanation given, but we think that in many cases we see on the mucous membrane precisely what we should on an external surface describe as an erythe- matous inflammation, but of which cold may undoubtedly be the originator. The healing of a vacated alveolus, is chiefly, no doubt, effected by granulation ; still in many cases the overhang- ing mucous membrane so nearly meets, that it may be regarded as partially by first intention ; but all wounds on healthy mucous membranes heal more readily than on outer surfaces, as from their positions they partake more of the character of subcutaneous ones. In the above-mentioned cases, w^e find the mucous mem- brane surrounding the alveolus swollen, congested and everted, and the alveolus commonly occupied by a slough. [Compressing the alveolar Avails between the index finger and thumb will often be sufficient to arrest the bleeding, and assist in healing by replacing them to such a distance as will make the smallest amount of cicatricial tissue necessary for the healing.] A not uncommon complication occurring after extraction is abnormal ht^morrhage: this may be primary or secondary. There is always more or less bleeding immediately after the removal of a tooth, greater and prolonged if there has been long standing inflammation, the vessels under such conditions having less tendency to contract. Siiould it continue to any unusual extent, we may employ cold by iced water, exposure to the air, tannic acid, or even perchloride of iron, or plugging; but the last is seldom necessary witli the primary haemorrhage. The secondary haemorrhage is much more difficult of control, and generally occurs under the following or similar circum- stances. The patient who has undergone removal of a tooth in the day, and with no specially untoward circumstances, wakes up in the night with his mouth full of blood, and finds](https://iiif.wellcomecollection.org/image/b21225655_0324.jp2/full/800%2C/0/default.jpg)
