Modern dental materia medica, pharmacology and therapeutics : including the practical application of drugs and remedies in the treatment of disease / by J.P. Buckley.

  • Buckley, J. P. (John Peter), 1873-1942.
Date:
1911
Catalogue details

Licence: In copyright

Credit: Modern dental materia medica, pharmacology and therapeutics : including the practical application of drugs and remedies in the treatment of disease / by J.P. Buckley. 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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    ior a quarter to a half-inch from the ulcer is of a deep red color. The base of the ulcer is overlaid with a grayish-white necrotic covering, not unlike that found in syphilitic ulcers in the mouth. When this coating is removed, a granulating surface is exposed, which, while extremely sensitive to the touch, bleeds but slightly, if at all. These ulcers are so distinctive in their appearance that they can hardly be mistaken for any other lesion. Therapeutics.—The treatment of canker sores is purely local, and the sooner it is instituted the less persistent the ulcer will be. The necrotic tissue may be carefully removed by scraping, or cleansed with hydrogen dioxid, after which the raw surface should be dried and cauterized. They generally yield nicely to one application of silver nitrate. For this purpose a 10 per cent, solution may be used; a 20 per cent, solution of argyrol mayalsobe employed. The ulcer beingacutely sensitive, it is sometimes better to use 95 per cent, phenol as the cauter- izing agent. The analgesic effect thus produced is often of value. The mouth should be kept clean,, when the ulcers usually heal with- out further treatment. HERPES LABIALIS. Herpes labialis, also called cold sores or fever sores, have a similar origin to canker sores. They are of a herpetic nature, and differ in appearance from the latter principally on account of location and tissues involved. They occur frequently when the patient is suffering from colds or during convalescence from fevers, hence the name. Of these Gilmer says: herpes of the lips (herpes labialis) and occasionally of the gums, (herpes gingivalis) sometimes follow dental operations and cause uneasiness on the part of patient, who often attributes this condi- tion to infection from unclean armamentarium used by the dentist, when, in truth, the patient is of a herpetic diathesis, and under such circumstances a slight irritation only, in such locations, being sufficient to excite the condition. Therapeutics.—The treatment of cold sores consists in cleaning the part with such agents as hydrogen dioxid or alcohol, then drying and making an application of oil of cloves or spirit of camphor. Either of these latters agents are just sufficiently irritating to produce stimulation of the cells and promote healing. If the cold-sore is large and liable to crack and bleed by moving the lips, it can be kept soft and pliable by frequently applying euroform paste, or immobilization may be had by applying collodion. In the latter instance the part should be dusted with boric acid before coating with collodion.