Modern dental materia medica, pharmacology and therapeutics : including the practical application of drugs and remedies in the treatment of disease / by J.P. Buckley.
- Buckley, J. P. (John Peter), 1873-1942
- Date:
- [1911], ©1911
Licence: Public Domain Mark
Credit: Modern dental materia medica, pharmacology and therapeutics : including the practical application of drugs and remedies in the treatment of disease / by J.P. Buckley. Source: Wellcome Collection.
633/680 page 553
![not participate in the ulceration. The condition has been mistaken for syphilis.” Therapeutics.—The ordinary local remedies used for somewhat similar conditions are of little value here unless systemic treatment is simultaneously instituted. Calomel is the drug to give internally, a prescription for which follows: R—Hydrargyri chloridi mitis, gr. ij (0.13 Gm.) Sodii bicarbonatis, 3] (4.0 Gm.)—M. Fiat chartule No. xx. Sig.—Take one powder every two or three hours. The local treatment consists in cleansing the ulcer with such agents as hydrogen dioxid, drying the part and applying a 10 per cent. solution of silver nitrate or a 20 per cent. solution of argyrol. A 5 per cent. solution of dichloramin-T may also be used, observing the usual precautions in using this drug. If the ulceration is checked, complete restoration of the gum tissue by granulation follows. Mouth hygiene should, of course, be instituted and strenuously carried out. A form of ulcerous gingivitis, somewhat resembling the above condition, frequently occurs in the mouths of young people, espe- cially young men who are addicted to the habit of smoking. The gum in the interproximal space first is reddened, this being quickly followed by necrosis which extends around the teeth. The gingiva of all the teeth in the mouth may be simultaneously involved. The disease is exceedingly painful, is sometimes accompanied by fever and loss of flesh, and, by the dentist who called almost every disease of the mouth periodontoclasia, patients, thus afflicted, have fre- quently been informed that they were suffering from the latter dis- ease. Generally in these cases the teeth have been neglected, so far as prophylaxis is concerned, and an irritant of some character will be found about the necks of the teeth or under the free margin of the gums. ‘This is about the only symptom that the disease has in common with periodontoclasia. In these and all such similar cases the highly astringent pyorrheal remedies should not be employed. What is needed here is a thorough prophylactic treatment, the local application of mildly stimulating remedies, such as a 25 per cent. solution of argyrol, and the daily use of an antiseptic mouth wash. If necessary, a cathartic should be prescribed. With the above treatment these disagreeable cases yield nicely.](https://iiif.wellcomecollection.org/image/b32797345_0633.jp2/full/800%2C/0/default.jpg)
