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combinations tosethe with the physical and chemica properties of the round mass, represent a forward Stride to ard the solutionis the problem os individua prophylaxis against venerat diseases, whichis of such importance to public hystene.
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252 QUININE FOR THE AMPUTATE DENTAL PULPQUININE AS A COATIN FOR THEMOUN SURFACEOF HE AMPUTATE DENTAL PULP
DAS CHINI AL DECKMITTEL FUR DIEMUNDULACHE AMPUTIERTER ZA PULPEN PRELIMINARY COMMUNICATION
Assistant to thementa Institute of the University
ties of Vienna, o the subjectis amputationis the dental pulp. The result was that the Viennes dentisis ere divide in three froup on this question: I. Those ho entiret dismisse the idea os amputatio of the
2. Those ho entiret approved of the metho an applied it in every AS in the rectiment of pulse parti or holi exposed, andalso os superficia pulpitis Monbeta, Meuckery, and 3. Those ho although considering the extirpatio method asine salast, et in many cases cavit of the nec in oldieopte hys
o ieet wit multiple oois have for a long time, Sed the amputation method. miseri. wrote in Februar 1923 thatra firmi belleve that the futurelies illi the amputation method. Since then the wis author Lutet, has published a very interestingstudy, whicli certaini marks progress in that line I domo inten in this reporto dea more extensivet with his study in Switzerland amputation is the prevalent methodi. The attempi, maderat the suggestionis Pros. asichia substitute quinine for arsenious acid in denta practice, resulte in the folio insconcluSionS, whicli ere published in the March numberil 923yos 2 ei schrist fur Stomatolasti, Vienna The outcome of m reSectrche wRS
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QUININE FOR THE AMPUTATE DENTAL PULP 253
found howeve that quinine hydrochloride, a powerfui antiseptic. possesse two more propertie in relation to dental pulp. the sirstinebein an absolute analgesi actio and the second the po eris limitin the necrosis of the pul to a thin superficia layer only, while the dee layers remain alive for severat monili even after a prolonsedactionis the drus. These properties of quinin have te me to thin that quinine possesses jus the qualities required for a coatins for the tumps ofamputate pulp. Aster remova of the crown pulp, leavin Only the livin amputate radicles in the canais, quinine ill rende these Stump numb thus reventin the later occurrence of pain, an it ill also through iis antisepti properties, revent the penetrHtiono bacteria into the oot-canais andaeemthe tumps alive, illi the exceptionis the mos superficiat layer a condition resardin whiclidrefer the reade to the work of Sicher, ho considers his live conditio more aduantaseous and preferable than a mummifled condition. Howeve closely this actioni quinine approaches the object in vie , et the fac must noti overtooked that diis alwaychazardousto ventur of the beate trac o to se a ne insent in the methodsos reaiment of roots. ear must passiefore, canaeach a definite opinion and this is the more dissiculi inasmuch ascit is almos impossibi to kee the patients of a clinica practice unde observationfor ears. O the ther hand the responsibilit is to great, eethma be lost,hich would have been aved by ther methodS. was ver careful in therars experiment With the ne visent, Andsince Februar of this year tosethe with rs Dr Edith Turmarin, parti at the Dentat Institute partirat the dental section of the Pirquet clinic. I have performe the amputationis the pulmon 68 cases,ith quinine aste quinin hydrochloride it linseed i and love oll. mixedunt a paste, and latet with inseed oi onlyi.w shali publis ou resulis at the end of the first year, and besides the clinica description e halicia stressi precise bacteriological
I can howeveri faid atready that the clinica evolutionis these