New York University College of Dentistry - Dental Violet Yearbook (New York, NY)

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mf' ' 'ul' ' p I l,ll U Q aa .:afvfvm.,a 55 wrong? g - ' ., A,41. M.-1 5 - 'Q f lx E THE SATURDAY CLINIC E Ny' E Q I E The possible and probable sequelae of Cocaine usage in dentistry caused a Q ' N2 great many practitioners to fear it, with the result that cases requiring the extrac- E g tg- tion of teeth were often referred to those who administered nitrous oxide, and E AE cases requiring surgical interference of a more serious nature were referred to a 5 .5 general surgeon who, with hospital facilities available, could operate upon his :.- : e 54? and intimate knowledge of the anatomy and physiology of the buccal cavity better fitted him to operate in such cases. ,--E patient under general anesthesia, even though the .dentist realized that his specific . --5 l A new era in dentistry came with Einhorn's discovery of Novocaine C1905j, l A Y 5 3 since this product fulfills all the requirements of an ideal local anesthetic for g l 5 5 mouth surgery. And now the pendulum is swinging in the opposite direction in 3 5 : is E E 2 'E that the general surgeon refers many cases to the dental or oral surgeon for .E-L. E '-' i 3 E 5-:EE treatment, and rightly so, as there is no one better qualified than the properly 5 :3 trained dental surgeon to care for these special lesions. It is reasonable to suppose that the earliest form of dental surgery was the E g extraction of teeth. Barber-surgeons, by means of an instrument called a key, A I b si! mul' lu ly llnmmqu J: lilllllllllllllllllllllIIllIllIlllllllllllllllllllv In'rpnInnummullulllnnlllmlllllnll ll -nlxllmillrijl Im mm' ..llnl.... i UyiillllllllllIllIlIlllllIllllllllllllllllllllllllll ll- 'GE-'7 .fl illlllllllllllllllllllllllllllllllllll Illlt lf' i H ...nll..d.llu.. hl..r. Eifzlkg 'Tv' 7?- Q .: - Ex E li 5-3 .1-'E Q E A A 5 3 E .- r 1 E 5 S 5 . 'J' 2 5 - E E 5 g A . 1 E 5 2 2 2 S E ' c E E : 3 E 2 E Z :I 5 a 5 F 5 wal: E i 5 : ll .- , W 2 s ' l E l E gfxl E 5 'V 5 2 XE l l fi 77 kv meh : f i - I E F' '3 were the earliest practitioners of this phase of dentistry. Dr. Oliver Wendell Holmes in a humorous vein, wrote in effect that it was a key indeedg it may have opened the door of the sufferer in due time, but while the bolt was turning, the victim thought he was in that other place where the man must be who invented gig QE that instrument of torture. q Lg Today, the procedure is far different. The patient enters the dentist's oHT1ce f Pl-3 and is given a local or general anesthetic, has one or more teeth submitted to the ffl l 1 embrace of the forceps or elevator, looks about him and asks when you are going i l Lf to begin. 3 E 5 -1. '- --4--- in-mu- f 'l v 'uw-u fy nnnuv' rl 'iltwllllfxwirmrwffffrfr -'i Ii'IIll' 'll H926 Il' l1nuinn1WrFrf'liiirafifliillllllllbiiri' 1' - k.li ': J.ullu:- .4..i'lllliu. 'Illu-.T ' .. ll ll X Illl.. ' linlllll' ..llli'l'..u. -:lllu-k 'li.f wi

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'-H ll I 'l ' ' 'l ' I '11-ya ':2C'fa,v llII Lf1s51!!!!!?F 9lmmarfff:fs:::fF'F..!!ll-ff.ff'.,'.il., i ,,l,.'..'f1'.2f-Tl!!!..' t1'::zafs'faaiiaa:1:! F1..!!lE:'1,P my was .5 +-' to ,,5 , U 5 important subject by the philosophic researches of M Pasteur who has demon f- i f' 1: strated by thoroughly convincing evidence that it is not to its oxygen or to any : 'E of its gaseous constituents that the air owes this property but to minute particles i--- - suspended in it which are the germs of various low forms of life long since 5 - revealed by the microscope and regarded as merely accidental concomitants of - g putrescence but now shown by Pasteur to be its essential cause resolving the E - -E I complex organic compounds into substances of simpler chemical constitution just E : E as the yeast plant converts sugar into alcohol and carbonic acid E L. 2 i From these beginnings modern surgery lifted up its head into a clearer i Q E - atmosphere as to cause and effect and the- whole subject of wound infection from 2 : - that point on has become one of the most brilliant chapters in the history of Pre- 5 'l ventive Medicine 5 :i : Time with experience brought about importint modifications in Listers 5 2 E practice but his theory remained steadfast and accepted. Specific antiseptics were 13. E - ? devised and advised. Most of them come upon the stage passed in review before ' 5 ' medical mentors and disappeared with but a memory of their existence : Air the atmosphere which we breathe for a long time considered a dreaded - j W enemy that carried disease came to be recognized as a kindly friend when properly E : E 2 treated Surgical cleanliness a germ-free environment-such are today recognized 5 X f ' ' - - i E n - - 5 Al 2 as the essential factors in the proper practice of surgery. E 5 Efmj E Instead of having our oHice shelves littered with many varieties of so-called g I NE 2 1: E E antiseptics and our emergency kits choked with medications, we now resort to heat,. E E E l-'E to light, to soap and water and to the nail brush, while our medicinal armamen- E :. 5 ,E ' E12 tarium consists of alcohol and a few simple chemicals. :A- z -.. :' E ga:-E E25 5.5 Asepsis has supplanted antisepsis. The great underlying truth that wound . infection comes from without the wound and that it flourishes under appropriate Ek? Q 1 i conditions, but that it may be eliminated by appropriate measures, today holds I N 285 i E5 sway. l Modern Oral Surgery-that is, the type of oral surgery which we acclaim as ' E . 1 I i . E a 5 E being most worthy of the name-dates back to the advent of local anesthesia. The 5 p l pioneer work in this particular field is not limited to any one individual. 2, 5 Q ig Richardson in 1866 obtained anesthesia of the skin by means ofthe ether 5 gn: EE spray, the application of which in a limited degree, is considered correct practice E 5 to this very day. Koller in 1884' demonstrated the remarkable anesthetizin owers of Cocaine. -- 8 P - - E - : E 5 Halstead fBaltimorej in 1885 suggested conduction anesthesia, a method S E F:-.-c - gifwwp I Ilmm -mlllflm im-ni llnuuuuunmnmm llllllmg' 1nIlrjl inunn u Tull R11 in-plum. y , ..1 . ,M I m - in ill ll fn ' gj-fvjlgi. nu m' llllrnlll .lllihml IT.llllllllllllIlllIlllllllllllllllllllllllilllllll li W-E5 ei 'IllIlllllllllllllIllllllllllllllllllllllll ig' l In .init illlll-.llhlrirn 1, A . ' . Lf vid E 3 ' S li E S , I 2 E E 9: ' ' I E a 2 vt i E E 5 :- E , E E' E ' i . E Z S 2 - E 3 . 5 Z I5 , , . . ' 5 fl S : : : : - ' ' : : 2 - , E E Eli . . sig E fl j . . E fx E : xx 5 , : lf E . , E I e A A which is used so successfully today. Instead of injecting the anesthetic solution near the tooth to be anesthetized, he injected it near the trunk of the inferior dental nerve. I ' ' I D E-ig Cocaine, lauded as a blessing to mankind, because of a long trail of operative 5? and post-operative by-effects, maintained its supremacy merely because no sub- stitute had been found for it which eliminated the dangers concomitant upon its i employment. Many practitioners of dentistry dreaded to use this powerful anes- Q 5 thetizing agent because of the dangers coupled with its uses. i E f 345 E15 T Eli W 5 i f ffm in ' 'H I nl. W' 1- II ' l54l

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In.. -A 'Illini in' lllllllllllllllllllllllllll llllll :Ill ll 'E ll mm ll .ii mi 'iil', dh... .I It S115 llllllll nun ulnllilllllnu According to the oft quoted statement of Celsus The Surgeon should be young By this it is inferred that one attempting to operate should be possessed of the muscular strength the courage the sureness of hand and the keenness of eye which are assumed to be the concomitants of youth Oral surgery is a handicraft and the accomplished operator must be possessed of the qualifications which are the peculiar requisite of this art Like all other mechanical activities much in the attainment of success depends upon the natural aptitude and the physical qualification of the individual' but still more depends upon culture and experience however most of all there must be a ground work of scientific attainments which can recognize and evaluate cause and effect as based upon an intimate knowledge of anatomy physiology bacteriol- ogy and pathology Knowledge of anatomy is not acquired alone from the study of books and of charts' it should be supplemented by dissections just as bacter- iology and pathology require the microscope for elucidation and as the laboratory should supply the findings in physiology Well-matured and well-balanced judgment must guide the hand of him whose : 7 x' lllll um - skill would prove effective He may do well who is bold but he will do better who 2 E has precise knowledge and knows how to apply it The surest measure of confidence E 5 E rests with him who operates accurately knowing what he has to do and how to do it. : I 5 : E ' E 'X 2 E ' 5 E lryg l 5 - E - - llll ll 2 llllll 515 FE-we Els ,. 1 ,-1-, Fl: - : : il L., E S FIRST FACU TY EDA 1866-6 A153 g g L M L' 7 E g my I,II1.li..nllllllftlrfmni-:qu .--. : : lllnuuumnlllllmmulllnnll Illlllll ' I1luuumnnuuunlummmmmuullll ---- .ya--'Inputjlmln-..' mi xl I ff 'fl ' , Y--' silzmaa' an .1 ' ..2 .'l 1:'7l . 356,35 u.. an lln. . un Ill t I llumu u l in Il I - .ull lr .1 t 1 k3ix 3 ,PLO 'Q '1 A , as K-.e EX - as K ' 5 -' ,. , , 2 - Q 9 9 9 , 5 . . 5 E 3 E C 1 E 5 - E g 4 c E E 2 . . , 2' E E . S 5 : ? , 4 E E E - - , , , 51 . . g 5 fx 3 s ' E Q E : i ' 5 S i 3 ' , E 1 E 5 4 2 ' ' E he 5 l Q ' E 1 5 5 A 5 '- . -35 ...,.. ' E ale F z --. 00 gg- FTA! 1 2 E62 age ill' nlunnll 'kat lu I I I 1 Ih ra-.W I mu i , LE si '7 2 ?I' ii i ji al I vllll l ' v i 4 'Ill l l I - -5 H.. ry- S E PQ.!!LKff1'ff'1,'.... t .Alf4-f1'ff-TJ!!!.! i561