Diseases and injuries of the teeth : including pathology and treatment / by Morton Smale and J.F. Colyer.

  • Smale, Morton.
Date:
1901
Catalogue details

Licence: In copyright

Credit: Diseases and injuries of the teeth : including pathology and treatment / by Morton Smale and J.F. Colyer. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    approximal teeth are standing, is to wedge a piece of wood between them. Excellent as this plan is, however, if the haemorrhage is at all sharp it is better to use the four-tailed bandage to make more certain of retaining the plug in position. The number of pledgets of wool inserted in the socket should be counted. In addition to plugging the socket, haemostatics should be administered. The general directions to be given to the patient though apparently trivial are most important and should never be omitted. The patient should be advised to go home very quietly, to avoid all forms of excitement, to assume the sitting position usual during the day, and to use a high pillow at night. The patient should be fed through a beat tube and all fluids should be given cold. In cases where there is a thin watery blood and no tendency to coagulate it may be fairly assumed that the cause of the haemor- rhage lies in the blood, and such drugs as gallic acid^ and per- chloride of iron^ are indicated, but when the blood shows a marked tendency to coagulate in the mouth, as often happens, and the bleeding still continues, such drugs as ergot are indicated ; in this latter condition it may be assumed that the cause of haemorrhage lies in want of contractility of the vessel wall, and ergot causes contraction of unstriped muscular tissue. At the time of plugging the socket a dose of gallic acid, perchloride of iron or ergot should be given, and its administration continued at intervals until the bleeding ceases. Mr. Morton Smale prefers a hypodermic injection of ergo tine.* The patient should be seen within twenty-four hours after 'R Acidi gallici .. .. .. .. 5ij. Ft. pulv. viij. One powder every two hours until the haemorrhage ceases. ^ 11 Liq. ferri perchloridi .. .. ,. iiixxv. Aqute chloroformi .. .. .. 5ij, Aquam ad 3]. Mitte 5viij. JI. Two tablespoonfuls every three hours until the hsemorrhage ceases. ' R Ext. crgotae liquidi itixx. Acidi sulphurici diluti .. .. 111.x. Aquam rosas .. .. .. .. ad. §]. Mitte 3viij. M. Two tablespoonfuls every three hours until the hasmorrhage ceases. < Injectio crgotini hypodermica B.P.: 1 of ergotine to 2 of camphor water. Dose 3 to 10 minims, made as required.