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Toothache

Bryan Applications, T

A tooth exhibits a crown, a neck and one or more roots or fangs. The roots are composed of dentine, or ivory, and this exists also beneath the crown, surrounding a hollow in the center of the tooth, described as the pulp cavity, which is continued down into the roots. In this cavity is the pulp, consisting of blood vessels, nerves and loose connective tissue including special cells which send slender processes along with nerve fibrils into tubules which run outwards through the dentine. The crown is formed of an intensely hard substance known as enamel; it forms a cap for the tooth and may have two or more eminences, or cusps, on its biting surface.

The part of the jaw that carries the teeth is called the alveolus and along this are arranged the tooth-sockets. Between the root of a tooth and the wall of the socket is a substance called the cement, or crusta petrosa. This overlaps the lower edge of the enamel. The dense soft tissue, or gum, which covers the alveolus, grips the neck of the tooth, a shallow groove between the crown and the root, and a portion like an inverted V occupies the interval between two teeth.

The process of cutting teeth is usually known as teething or dentition. There are two dentitions. In the first, the deciduous, temporary or milk teeth appear and consist of four incisors, two canines and four molars in each jaw. The incisors are the front cutting teeth and the two in the middle are described as the central, and those on either side as the lateral, incisors. Outside the latter are the canines, which are sharp, pointed and adapted for tearing, and outside these again the molars or grinding teeth.

The first of the milk teeth to appear are usually the lower central incisors, and this generally happens in the 6th month. In a short time the upper central, and all the lateral incisors emerge, and then follow in order the first molars in the 12th month, and the canines in the 18th month, and the second molars in the 24th month. Variations of these times occur even in healthy children, and in rickets dentition may be much delayed.

When the milk teeth emerge they have over them a thin, horny covering, called Nasmyth’s membrane (after the Scotch dentist, Alexander Nasmyth), but this soon wears off. The second dentition begins about the 6th year with the appearance of the first permanent molars and each year after this the other permanent teeth are cut the central incisors, the lateral incisors, the first premolar, the second premolar, the canines and the second molar. The premolars have two cusps on the crown and are also known as the bicuspids.

How to clean the teeth:

Unless teeth are efficiently cleansed there is tendency to the deposition of tartar about the neck of the tooth, and this may separate the gum from the tooth giving access to bacteria and possibly leading to pyorrhea Moreover, carbohydrate foods, such as sticky fragments of bread, may lodge in the crevices between the teeth, and ferment, giving rise to acid substances which attack and dissolve the tooth-substance. This is the beginning of caries, or decay, of a tooth.

The natural methods by which teeth are cleaned is by chewing crisp foods and such as require a good deal of mastication. This acts mechanically by crashing any particles out from between the teeth, and as chewing causes a free flow of saliva it insures that the teeth are bathed in this alkaline secretion. The teeth should also be brushed, however, twice a day at least.

The motion of the brash should be up and down and it is necessary to hold it vertically when brushing the backs of the teeth. Parts which cannot be reached with the brash can be cleanse by drawing a strand of dental floss between the teeth.

A smooth dentifrice should be selected, as erosion of the teeth has followed the use of a gritty dentifrice. The tooth is worn away at the gum margin and decay is encouraged. A common cause of erosion is the little metal clip often used by dentists to keep a small denture in position. This should be avoided whenever possible, and so far as the upper jaw is concerned the use of a sufficiently large plate may make clips unnecessary.

As soon as decay begins the part should be cleaned out and stopped, and it is only prudent to have the teeth examined periodically by a dentist so that the first beginnings of caries may be discovered and dealt with. The importance of keeping the teeth sound cannot be overestimated. Apart from the digestive troubles that proceed from deficient or defective teeth, an enormous amount of illness is caused by the absorption of poisons from septic teeth. It should be stated in this connection that there is a fairly general condemnation of the practice of killing the nerve of a tooth for the purpose of stopping or crowning it. If such a tooth is left in the jaws it may become seriously infected at its root without giving any warning of the fact.

Persons suffering from illnesses of which the causation was obscure have been found by X-ray examination to have this condition, and have been cured by the extraction of the offending tooth. Pain in a tooth, or toothache, may be due to mischief at the root or to exposure of the pulp by caries. If there is a cavity a little pledget of cotton wool soaked in oil of cloves may be put into the cavity and warmth applied to the jaw. A dose of opening medicine may often be given with advantage. Sometimes pain caused by a diseased tooth is referred to a sound one, a fact to be borne in mind when there is a question of extraction.

Excessive bleeding after the extraction of a tooth may be arrested by folding apart of a handkerchief into a pad and biting on it, or by plugging the socket with cotton wool.

Application and treatment:

Decay caused by bacteria is a most common cause. For dental caries consult a dentist at once. Caries is a molecular decay of the bone, in which it becomes softened, discolored or porous. It produces chronic inflammation of the tough fibrous membrane surrounding the bone and surrounding tissues, and forms a cold abscess filled with cheesy, smelly, pus-like liquid which can cause more trouble.

To control infection use 20, 728, 787, 880 on contact points. Polarize positive on right side and negative on left side of face. 5 to 30 minutes. It is reported that the use of a pad placed over the sore tooth with negative which bring “coolness” for 3 minutes followed by positive for 3 minutes and continuing alternating positive and negative for 30 minutes can bring relief. Pain goes and healing begins for next 3 days.

Placement of the electrode pad into the mouth must always be done with the consideration that if there are mercury amalgams present in the teeth, the mercury will tend to be leeched out, making the mouth and saliva highly toxic, and therefore should not be swallowed.

Place the negative pad in a pan in which the opposite foot is placed for best results. This procedure may be painful, if there are sores in the mouth and the output must be carefully controlled. Sessions should be immediately followed by a thorough course of detox frequencies lasting 15 to 30 minutes.

After the mouth has been washed out thoroughly there will be an unusual condition in the mouth, which is the absence of any living bacteria.

Although the presence of any food particles in the mouth will allow the rapid re-growth of bacteria such as those responsible for tartar, and the impaction of food into the cavities of septic teeth will quickly return to their previous septic conditions, the application of pads directly to the teeth and gums will greatly reduce the progress of most forms of advanced tooth and gum decay. However it is not to be considered an alternative to proper dental hygiene and regular dental examinations. A 50% solution of hydrogen peroxide and water will also be of help in the removal of bacteria in the mouth when used as a periodic mouth wash.

Toothache