Daily Yellowstone journal., 1886-12-28
IMPLANTING TEETH.
sDeecRlPTIoN or A REMARKABLE
eopeRATIoN IN DENTAL SURGERY.

sDeecRlPTioN or A REMARKABLE
toPeRATIoN IN DENTAL SURGERY.
n Dsetor who Has Great Faith In His
Methods Of ImplAntation-soms OF the
mistakes which Expsrimsntsrs Have
nGads.
A few months ago We gave report of
what Dr. William J. Younger, San Fran
Alsoo, Cal, had been doing In the way Of
fnplanting teeth into artificial sockets.
Al that time he considered 1t essential to
preserve the vitality Of the preferential
membrane by keeping the tooth in water
q q temperature of about l2O' f., or to
1nplant the tooth, Just after extraction, In
TIC comb Of cock.
Since then he has discovered that the
pericemental membrane will retain its
vitality for IS months, and how much
lnnger has not been determined, without
nny care, being carried in the pocket, left
On the dressing case, etc.
The report Of this case, one OF several,
= given in pamphlet Of IA pages, entitled
SImplantation of Teeth and Pericemental
Life, being report made to the Califor-
mia State Dental association, July 81,
1856. The doctor has great faitn in the
operation, has succeeded beyond his "most
sanguine expectations, and believes
s'that in a short while II will become as
firmly established in professional practice
a. any other operation requiring skill and
Judgment"
THE DOCTORS PRACTICE.
The doctors practice is to lay the ex-
tracted teeth aside in a clean, cool, dry
place, for future use. He forms the socket
with graded trephines, finishing the walls
with burs of various shapes.
Previous to inserting the tooth in the
socket he soaks IL for half an hour In
water containing bi-chloride of mercury
one in q thousand, temperature no. to
120' F.; during the operation Of forming
thu socket he washes it out with cold
water, containing the same percentage Of
bi-cloride mercury, trying the tooth
from time to time, always return
ing the tooth to It's bath. He forces
the tooth finally to place with an
instrument such as is used to force
q pivot tooth into position, using no
Mgatures to retain the tooth unless abso-
Autoiy utCttedENs III 6uoWCiiuk thC w
jectiorB to this operation by those who
have met with failures in replantation
and transportation, he says:
snow II they would but consider the
conditions and circumstances under which
these different operations are undertaken,
they would readily see that the premises
upon which they ground their assumption
are unsound and deceitful. For instance,
In replantation, a. this operation is usually
performed, the parts, that is, the perice-
mental membrane, the apex Of the root
and the alveoler process Immediately sur
rounding these, are highly infiamed, In q
state of disease, with pus either already
formed or forming at the end OF the root,
and the operation is undertaken with the
view of relieving or abortiDg an alveolar
abscess. A portion Of the diseased apex
is then cut of, and the tooth is forced
back into the cavity. Here we have n
diseased root thrust back into diseased
socket The disease not removed, It's con-
ditions are simply modified; and while
the congestion may subside, and the tooth
becomes comparatively comfortable, the
disentegration of the root substance-al-
ready begun-is likely to continue, ~
in the course Of time the entire root be-
comes destroyed, or what Is called ALB
sorbed; and the crown drops on. So
much for replantation.
ANOTHER MISTAKE.
"Again, in transplantation there is q
healthy tooth, but II is usually made to
take the place OF a miserable, old, dis
eased root that has been growing and fes-
tering in q diseased socket for years,
a. L.. It.AA...fark - a.
nate possessor. The diseased root
is pulled out, but Is the disease in the sur
rounding alveolus extracted with it' On
the contrary, enough is usually left in the
tissue to make war upon the new occu-
pant, and either cause its expulsion or eat
away its substance. You must remember
that while the old root remained there
was sufficient vent through its decay
or broken structure to permit the gases
of decomposition and the pus to escape,
and thus prevent active trouble. But
when the new tooth is put In the vent is
entirely occluded, and IL there be suffl-
cient disease in the alveolus, the retained
gases and pus effect the exclusion or the
painful elongation of the intruder IL
not enough disease is left TO do this, tn
the slow process of erosion Is apt TO ensue,
and the root becomes in time absorbed.
snow, in implantation we have a
healthy root in q healthy socket, and,
therefore, the factors that tend TO the
destruction of the root in replantation
and transplantation are not present, and,
therefore, not operative in implantation.
LAS TO the seeming violence TO the bony
structure of the jaw, will state that there
is no substance in the human body that
seems so tolerant of abuse as this sar
alveolar process. And my experience {,
that union takes place more readily and
kindly, and the teeth become much
ssooner firm and serviceable In implanta-
ton than in either OF the other opera
tions. Archives Of Dentistry.