Excerpt from Dominion Dental Journal, Vol. 8: Official Organ of the Ontario Dental Association
I have, after devoting considerable attention to it, come to the belief that the saliva is an agent which maybe employed to materially assist in determining the success which will a... ttend the filling of many cavities, and that it is Of sufficient importance to warrant greater attention at the hands of the dentist than it receives.
It is true, I think, that the teeth of some are much more susceptible to after in¿uences than others, and to successfully determine a tooth in which such in¿uences are likely to be harm fully exerted is Often a very difficult task.
We may fill two cavities precisely similar to all appearances, in different patients, physically alike; we may do our work with equal thoroughness. In one, the filling may prove a lasting blessing, while the other may, within a week or 50, return and complain of inability to drink anything, either hot or cold, without causing undesirable pain, or Of sharp, Shooting pains, which reach to the eye or the ear, and Of it being impossible to touch the filling with anything metallic. Of course, we do not become a party to the astonishment that they express, that such a thing should occur, but we must either persuade our patient that after the formation Of osteo-dentine these pains will cease; or possibly proceed to the removal of the filling and the treatment and filling of the tooth by different methods. Is it possible for us to determine between the two classes of patients?
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