COLUMBIA LIBRARIES OFFSITE HEALTH SCIENCES STANDARD HX00044482 mm: CoH^e of ^i^^saitian^ anb ^urgeonss ICttiratp A MANUAL OF DENTAL MECHANICS A MANUAL OF DENTAL MECHANICS BY OAKLET COLES LICENTIATE IS DENTAL SDBGBRT OP THE ROTAL C0LLK6K OF SORGEOSS; DENTAL SDBGEON TO THE NATIONAL DENTAL HOSPITAL, AND TO THE HOSPITAL FOR DISEASES OP THE THROAT WITH ONE HUNDRED AND FORTY ILLUSTRATIONS ^etonb ^bilioii; L N D IN" J. & A. CHUECHILL, IS^EAY B L ELINGTON STREET 1% TO ROBERT HEPBURN, Esq. THE FIEST LECTURER ON DENTAL MECHANICS AT THE LONDON SCHOOL OF DENTAL SURGERY THIS WORK IS DEDICATED EXPRESSION OF SINCERE RESPECT AND REGARD BY THE AUTHOE PEEF ACE TO THE SECOND EDITION In a little more than two years the First Edition of the Manual of Dental Mechanics was exhausted. Sufficient evidence was thus afforded that such a book was needed, and ;t is not unwarrantable to suppose that the want in some measure was met by the earlier edition of this work. It has been translated into French, and has met with a favorable recep- tion in the United States. The Second Edition I have endeavoured to make worthy of the consideration with which Ylll PREFACE TO SECOND EDITION its predecessor was received. Availing myself of tlie criticism of my Reviewers, I have en- deavoured to so modify and revise this edition as to bring it down to the present time, and make it worthier than the first issue of the recognition of the Dental profession. 5, Uppee Wimpole Steeet, Catewdish Sqitaee i October, 1876. PREFACE The present work makes no pretence to originality, and is intended for the Student rather than the Practitioner. Within the bounds of a handbook I have endeavoured to give information of a purely practical nature upon all matters relating to Dental Mechanics, excluding, as far as possible, everything of doubtful value or merely theoreti- cal interest. I may have carried my attempt at brevity to an extreme extent, but noting the present rage for " big books," this is a fault that I trust will be forgiven in a work that is entitled ' A Manual,' and should not, therefore, extend beyond moderate limits. To the questions of the greatest interest X PREFACE I have devoted tlie most space, while many details I have passed over with but brief notice, since they can only be properly acquired in the Dental Laboratory. I have collected information from many dif- ferent sources, and have given the knowledge thus obtained, as far as possible, in the words of the original author, so that proper credit may be awarded where it is due. To my American brethren I am under deep obligations for valuable investigations and new facts in the Science of Dentistry. To Mr S. S. White, of Philadelphia, my thanks are due for the great good nature with which many woodcuts for illustrating the pre- sent work have been supplied. To Messrs Ash and Sons, and Mr Gr. W. Rutterford, of this city, and Mr Fletcher, of Warrington, I am also indebted for similar courtesies. I am especially obliged to Mr Gr. H. Makins for the readiness with which he not only supplied me with illustrations for the section on ^' Assaying " but also sent notes of the additions PREFACE XI to the letter-press that he proposed making to the second edition of his work on ' Metallurgy.' In conclusion, I may state that this volume has been prepared during spare moments in the course of heavy professional work, and on this account I would ask that it may, in some respects, be leniently judged by my "".ritics and readers ; at the same time 1 trust it will be found useful by those for whom it is espe- cially intended. 0. C. 81, WiMPOXE Steeet, Cayendish Squabe March 2bth, 1873. CONTENTS PAGE Dedication ...... v Preface . . . . . . . vii List of Illustrations ..... xxiii SECTION I PREPARATION OF THE MOUTH FOR ARTIFICIAL TEETH Removal of Diseased Stumps and Teetli . . .1 Removal of Tartar, and Treatment of Caries . . 2 Length of Time after Extractions tliat should elapse be- fore Inserting Artificial Denture . . . .3 SECTION II ON TAKING IMPRESSIONS Bees-wax ...... Best means of Softening and Filling Impression Tray- Introduction of Tray and Wax into the Mouth Removal from the Mouth .... Plaster of Paris ..... Mode of Mixing and Introduction into the Mouth 8,9 xiy CONTENTS PAGE Hind's Composition . . . . .10 Cases in which, it is most useful . . .10 The best way of Softening and applying in the Mouth 11 Stent's Composition, Gutta Pekcha, Wax and Paratpin, their special characteristics . 10, 11 Impression Cups and Trays . . . .12 For Plaster of Paris Impression . . . .12 For Plastic Material . . . ■ . . .12 For Lower Impressions in Plaster . . . .14 For Lower Impressions in other Materials . . .15 SECTION" III THE VARIOUS MODES OF APPLYING HEAT EMPLOYED IN THE DENTAL LABORATORY The Common Blowpipe, description of . Blowpipe, with Bulb attached, for Checking Flow Moisture ..... Bellows' Blowpipe .... Burgess' Blowpipe .... Owen's Blowpipe, with Gas Supply attached Snow's Blowpipe, with Gas Supply attached Fletcher's Blowpipe . Fletcher's Hot-blast Blowpipe Self-acting Blowpipe (English) Self-acting Blowpipe (American) Self-acting Blowpipe (French) Gas Burner for Blowpipe Work Oil Lamp for Blowj^ipe Work Spirit Lamp for Blowpipe Work Structure of Hand Furnace . Fire- Clay Furnace for Melting Precious Metals of 17 18 17 18 20 20 21 21 23 22 23 23 24 25 25 26 CONTENTS XV PAGE Fletcher's Gas Furaace for Melting Precious and other Metals 27 FuiTiace for Continuous Gum Work, heated with Anthra- cite Coal 29 SECTIO]S' ly CASTING IN PLASTER OF PARIS AND METAL Casting Model in Plaster from an Impression taken with any Plastic Material . . . . .30 Preparation of the Impression, Strengthening of Teeth, Use of Galvanised Iron Wire and Wooden Pegs , 30 Shape of Model for Metal Work . . . .31 „ „ Yulcanite Work . . .31 Removal of Impression from Model . . .32 By means of Hot Water or Dry Heat . . .32 Casting a Model from a Plaster Impression . . 32 Preparation of the Surface of the Plaster . . .32 Separation of the Impression from the Model . 32 — 34 Trimming-up of Plaster Models . . . .34 Preparation of Plaster Models for Gold Work . . 34 Casting in Metal . . . . . .35 Description of Casting Sand to be used . . .35 Mode of Moistening with Oil or Water . . .35 Coating Model with French Chalk . . . . 36 Use of Iron Casting Ring . . . . .36 Pouring of Molten Metal into Mould . . .36 Hawe's Casting Ring for Undercut Models . . 37 Use of Cores in Undercut Models . . . .38 Franklin's Mode of Casting Dies and Counter-dies . 39 Counter-die obtained from a Ladleful of Lead . . 42 „ „ Casting Ring and Sandbank 43 XVI CONTENTS PAGE Counter-die obtained from an Impression of Plaster Model dipped in Lead . • . . . .43 Casting Model from Lead Counter-die . . .44 Materials for Metallic Castings . . . .44 Composition of various Fusible Metals . , .44 Professor Austen's Table of Fusible Metals . . 45 Annealing Dies and Counter-dies . . . .45 SECTION y PRECIOirS METALS ITSED I2T DENTISTRY Gold, its Equivalent, Specific Gravity, Melting Point, and General Properties . . . . .46 Alloys of Gold witb Copper . . . . .47 5, J, witb Silver and Copper . . .47 „ „ with Silver, Copper, and Platinum . . 47 On Assaying Gold Alloys .... 48 — 64 Melting Gold. . . . . . .64 Admixture of Flux . .. . . . .64 Pouring the Metal . . . . . .65 Treatment after Pouring into Ingot . . .66 Forging of Ingot . . . . . .67 Flatting of Ingot into Sheet . . . .67 Use of Gauge to test the thickness of Metal . . 67 ISTecessity of frequent Annealings . . . .67 Means to be Used for obtaining the best results in pre- paring Gold Plate . . . . .68 To Melt a small quantity of Metal by means of Charcoal Blocks . . . . . . .68 Wire Making, preparation of Gold for . , .69 Use of Forging . . . . . .69 „ Draw Plate . . '^'" . . . .70 DENTAL MECHANICS SECTION I THE PEEPAEATION OF THE MOUTH FOR AETIFICIAL TEETH Preparation of the mouth. — This is a prac- tical point on whicli depends very often the success or faihire of any mechanical appliance introduced into the mouth for the sake of appear- ance or utility. The most important thing to bear in mind is this, that the mouth should be in a thoroughly healthy and sound state. If the gums are edentulous they should be firm and insensible to slight irritation, and it is above all things important that there should be a normal condi- tion of the salivary and mucous secretions. When there are teeth standing they should be carefully examined, any tartar attached to them thqroughly removed, and any carious cavities properly filled. 1 2 DENTAL MECHANICS Any teetli that cannot be restored to a per- fectly sound and healthy condition should be extracted, including those that from absorption of their roots, or death of the periosteum, have become loose, although they may not be carious. Stumps that are quite firm, give no pain on sharp percussion and have no indication of inflammation connected with them around the adjacent tissues, may be cut down level with the gum, and allowed to remain. The pulp cavities however had better be opened up and plugged with gold, or such other material as may be indicated. If a stump on the other hand is loose, or firm but necrosed or carious, it must be ex- tracted, or, again, if the remains of a broken down tooth are quite firm, give no pain on touching, but slight pain on sharp percussion, and there is a red or purplish tinted line around the gum, then extraction is inevitable. Still, further, if a tooth locally gives no reason for supposing it to be unhealthy, but a gum-boil or scar is discovered near, it will be necessary to remove it. On all these points no persuasion or assumed direction on the part of the patient must be allowed to influence your own conviction and DENTAL MECHANICS 6 opinion. Firmness of will is on all accounts desirable under such circumstances. Submission to the wishes of your patient only involves much vexation as a direct result, whilst it defers chat which they regard as a great trial until a future time, when the results of the operative inter- ference render the entire readjustment necessary of any artificial appliance that may have been fitted in when the stumps and teeth were intact. The question how soon after extraction arti- ficial teeth may be inserted, is one of great perplexity if the operator be unguided by prac- tical experience. Theoretically one would con- clude that a considerable time should be allowed to elapse, from my own experience, practically I consider twenty-four hours enough, that is, I have many times taken out ten or more teeth one day, and put in a full set of artificial teeth the next day, and I have found the least absorption, especially in comparatively young subjects, in those cases where the shortest time has elapsed between the operation and the insertion of a new denture. Beyond the advantage of ready treatment which this plan offers, there is the still greater benefit of preserving more completely the contour of the face. Many practitioners consider that a 4 DENTAL MECHANICS temporary set of teeth may be fitted in at the end of a fortnight or three weeks, and a perma- nent set of teeth at the expiration of twelve or eighteen months. I have found, however, that those dentures that I have fitted in immediately after operating have fulfilled every requirement of a permanent set, so that no further change has been necessary. After removing tartar or extracting teeth, the following preparation will be found very useful. ^ Tinct. Krameria, 5J ; Aq. Cologne, 3J ; Aq. Rosse, 3viij ; As a wasli for tlie moutli ; or Potass. Chloratis substituted for the Krameria, according to the condition of the patient. This may be used as a mouth-wash every two hours the first day, and thrice daily for a week afterwards. DENTAL MECHANICS SECTION II ON TAKING IMPRESSIONS "Wax. — For tlie purpose of taking impressions of tlie moutli the wax should be pure and well seasoned, if inclined to be brittle and dry it may have a few drops of pure oil added to it while in a melted state and the two well mixed together, this gives a smoother surface and tougher texture than when wax is used alone. It should not contain, however, any spermaceti (with which it is frequently adulterated) or anything likely to reduce its tenacity. For convenience, it may be poured when in a melted state into small earthenware plates, and in this form it is usually sold at the depots, and can be most readily used. Softening is best accomplished by immersion in warm but not very hot water ; it is better to put the wax into water only luke-warm at first, and then gradually increase the temperature by adding hotter water until the wax is sufficiently soft to be easily moulded in the hand. Each 6 DENTAL MECHANICS piece of wax that is intended for use should be dried thoroughly on a cloth before massing all the pieces together, this preserves the tough- ness, and to some extent prevents sucking when the impression is being removed from the mouth. The trays for taking the impression, having been previously fitted to the jaws, should be kept in the hot water, and when the wax is ready taken out and thoroughly dried, and even held for a moment over the flame of a spirit lamp or Biinsen's burner, this prevents the not uncommon accident of the tray leaving the wax in the mouth when its removal is attempted, as the tray being warmed causes the wax to adhere firmly to it. The filling of the tray must depend to some extent upon the formation of the mouth, but as a general rule fill up to a level with the free border of the tray. Keep the impression tray filled with the wax in the hot water until the moment you are ready to introduce it into the mouth, immediately before doing which you may request the patient to wash the mouth with cold water. This increases your own facilities and reduces the discomfort of the patient. Put one corner of the tray in the mouth at a time, and thus save painful dis- tension of the lips, and if it is necessary use DENTAL MECHANICS 7 an ivory handled instrument to draw back the angle of the month on putting the second corner of the tray into position. When pro- perly in place over the gum to be modelled press the tray firmly and evenly up or down as the case may be. When it is nearly home, with one of the £ngers bring all the margins of the wax into close contact with the gums or palate, so that the whole surface of the wax may give a true and not a false impress. In using wax in the mouth I believe too much care cannot be taken in this particular. When you are satisfied with the position of the tray in the mouth it must be carefully released from the surrounding atmospheric pressure by allowing air to enter under the margins of the wax. This can be done by drawing back the cheeks from along the edges of the impression and also by pushing back the tongue if it be an impression of the lower jaw. The tray should then be elevated or depressed in a line with the direction of the teeth or outline of the e^ums so as to avoid drao-aino- as much as possible. Cold water may after- wards be poured over the back of the tray so as to harden the wax and prevent the risk of distortion. Plaster of Paris. — Mistaken notions exist as 8 DENTAL MECHANICS to the difficulties attendant on tlie use of plaster as a material for taking impressions. With a little practice it is quite as easy to manipulate as anything else, and infinitely more certain in its results. The best plaster only should be used, the water should just have the chill off, and to this must be added (before the plaster) a dram of salt to a quarter of a pint of water. The plaster must be shaken in so that it does not fall into the water in masses, and when there is enough of it to absorb the water it may be well mixed with a flexible knife, such as a steel palette knife, or better still, an india-rubber paper knife. The plaster will now be of the consistency of cream, and in this state it may be put into the tray and introduced into the mouth. Ordinary trays of the form shown in Figs. 1 and 2 will answer very well if the surfaces be well roughened. The great secret of saving your patient any discomfort is to have exactly the right quantity of plaster in the tray to suit the case, and then with a steady hand place it well back in the mouth before you let it touch the teeth. After this bring the free border of the back of the tray into contact with the posterior part of the palate, DENTAL MECHANICS 9 and tlieu press upwards from behind forwards until tlie whole of the traj embraces the dental arch. Adopting this plan secures two points, you prevent the plaster running backwards and fall- ing on the base of the tongue so as to produce retching, and, with the patient's head bent for- ward and the chin depressed, bring the overplus to the front of the mouth where it is visible, and, therefore, more manageable. Another advantage to be gained by adopting this method of taking the impression is this — that the operator runs less risk of leaving air in the space between the surface of the plaster and the vault of the palate. Where sufficient care has not been taken to obtain perfect contact between the plaster and every part of the palate, the impression will have a rough appearance, with irregularly shaped concavities on its surface. With a view to giving a means of escape to the imprisoned air, Mr Turner has suggested inserting a small peg of wood or ivory through the tray and plaster in such a direction that it would reach the vault of the palate, and just be- fore carrying the impression tray quite ''home," could be removed so as to allow air to be driven out freely without distorting the surface of the impression. When the plaster that remains in the basin will break with a clean sharp fracture 10 DENTAL MECHANICS the impression must be removed from the moiitli. Air having been let in at the sides by drawing away the cheeks and hps, steady downward pressure must be applied to detach the mould from the teeth and gums. At this point in the process there must be no hesitation on the part of the operator as every moment the hardness of the plaster is increased, and the diflB.culty of safe removal becomes greater. A plaster impression must be left for an hour before it is ready for casting. Hind's composition. — In those cases in which the upper gum is very hard and firm with some teeth standing, and when in the lower jaw there is much loose, flabby, mucous membrane, then Hind's composition is very useful, and, in the latter cases mentioned, it is a really valuable material. If the upper gums are thoroughly solid then the required pressure does no harm, and a very good impression can be obtained. When in the lower we have those conditions which I have mentioned, there is a great liability of the im- pression sucking, that is, the composition re- mains adherent to some portions of the gum, and thus gives a false mould. Hind's composition by becoming very hard in DENTAL MECHANICS 11 the mouth prevents the possibility of this occur- ring, and enables the operator to obtain a reliable model ; whereas in using wax he would, in all probability, have a false one. Hind's composition can be softened like wax in boiling water, and the same treatment should be adopted in manipulating it. Stent's prepa- ration was brought out ear Her than Hind's, but it requires softening by dry heat to use it to its greatest advantage, the surface also needs coat- ing with grease of some sort when in the tray to get a clean impression, these are objections, besides which, it is wanting in plasticity. If there are many teeth standing, or a few only in isolated positions, it will require some care lest those materials that possess the pro- perty of hardening in the mouth become as troublesome to remove as plaster of Paris. Gutta percha was largely used a few years back being thought better than wax, and plaster of Paris was not then used to any extent, it cannot however be relied on as it is apt to shrink and it is sticky and troublesome to prepare for use. Amongst the combinations of the materials I have mentioned, a mixture of wax and paraffin is very good — it toughens the wax, but gives a rather disagreeable smell. Wax and Castor oil will however be found serviceable in some 12 DENTAL MECHANICS cases ; a dram of castor oil added to a pound of wax will very much increase the toughness of the wax without imparting an objectionable flavour. Impression cups and trays.— These vary in form, and must be adopted in accordance with the size and shape of the jaws and teeth of which we desire to obtain a model. To dispose immediately of one sort I may say that, in using plaster of Paris in the upper jaw, only the full-palate tray is reliable. Of these the best forms are those shown below. Fia. 1. ¥ia. 2. For wax, Hind's, Stent's, and gutta percha, other forms are available, such as those shown in the annexed engravings, by means of which we take an impression of only a part of the palate and dental arch for the purpose of fitting DENTAL MECHANICS ]3 in a small number m teeth, or it may be an entire upper set, retained not by means of a suction palate plate, but with spiral springs connected with a lower piece or set. Fig. 3. Fig. 4. Fig. Fig. 6. When plaster is used in trays it is always necessary to roughen them with a scorper or 14 DENTAL MECHANICS three-pointed file, and it is very useful to adopt the same plan with the trajs used for any of the plastic materials, as it prevents the liability of their leaving the smooth metallic surface. For the lower jaw it is sometimes requisite to make a special tray, though this but seldom happens ; the method of preparing these trays will be described therefore under the head of Special Cases. If plaster is used for the inferior maxilla, then the best form of tray is that shown in Fig. 7. A thin strip of wax is Fig. 7. Fig. 8. attached to the lower border of the tray, and this is pressed on the surface of the gums, the wax will keep the saliva from flowing into the plaster when it is introduced into the mouth. In taking the impression, I prefer to fill the DENTAL MECHANICS 15 tray in the moutli when it is in position, pouring the plaster through the opening at the top of the tray, shown in the engraving Fig. 7. In the lower jaw I have found this a very useful expedient. For the other materials the trays shown below will be most useful, varying the size according to the age and development of the patient's jaws. Fiof. 8. — For cases in which there are teeth remaining at different parts of the jaw. Fig. 9. Fig. 10. Fig. 9. — For those cases in which the jaw is entirely clear of teeth. Fio*. 10. — For those cases in which the lower front teeth remain, but the bicuspids and molars are lost, beyond this use, the form shown above is advantageous, on account of leaving room for prominent molars in the upper jaw, a condi- tion very often associated with a loss of the 16 DENTAL MECHANICS lower molars. Wlien from tlie loss of their antagonists the remaining teeth have become elongated, it is occasionally very difficult to withdraw the impression from the mouth, on account of the small space left between the lower jaw and the upper molars. DENTAL 3IECHANICS 17 SECTIOX III THE VAEIOUS MODES OF APPLYING HEAT REQUIRED IN THE DENTAL LABORATORY The blowpipe.— This is the readiest and most common appHance in use by the dentist for heating a small sm^face, soldering, and melting gold and its alloys, in quantities up to three or four ounces. The ordinary blowpipe consists of a brass tube about half an inch in diameter at one end, and gradually tapering down to an aperture into which a full- sized sewing-needle can be passed. They vary in length from six to ten inches, and are bent with a sharp curve about one fourth of their length down, so that the fine portion is at right angles to the stem. If the blowpipe be used for a long time the moisture from the lungs is apt to accumulate and condense in the stem, and become ejected on to the metal being soldered or melted. To provide against this, it is well to have one of the form shown in Fig. 1 1 with a bulb in the 18 DENTAL MECHANICS middle of the tube so that any accumulated Fm. 11. moisture may flow into it and allow of the free passage of dry air. The danger indicated only happens, however, when the lungs are used for the supply of air. Many prefer a blowpipe that can be used with a bellows, so as to save the exertion and injury that may follow the working with the mouth- blowpipe, in those who are delicate or have any pulmonary affection. It is impossible to enumerate all the various forms of blowpipe that have been introduced for acting without the aid of the lungs. The simplest is that shown in the annexed woodcut, Fig. 12, by using which a continuous blast is kept up with but slight pressure of the foot upon the bellows. The same principle can of course be applied in many different forms. Thus, many prefer to use the Burgess blowpipe, with the bellows arranged underneath, as shown in Fig. 13. A more important point is the increase of heat and economising of the heating material, DENTAL MECHANICS 19 Fig. 12 Fig. 13 20 DENTAL MECHANICS whether it be gas or spirit. This, again, has received great attention, and an infinite variety of blowpipes have been invented in order to obtain the best result. One of the simplest, known as " Owen's Blowpipe," is shown in Fig. 14. The gas and air are discharged by two Fig. 14. tubes running parallel with each other. Another, invented by Mr. Snow, is seen in Fig. 15, and possesses the advantage of keeping only a small Fig. 15. jet of gas alight when hung up by the ring in the upper tube. A simple form of blowpipe has also been DENTAL MECHANICS 21 introduced by Mr Fletclier, of Warrington, in whicli the tube moves by a swivel in all direc- tions. This can be worked either by bellows or with the mouth. Fig. 16. The best blowpipe, however, and one produc- ing the most powerful flame, is that known as Fig. 17. the " Hot Blast Blowpipe," also invented by Mr Fletcher. The heat produced by this instrument is so great that steel wire burns in the flame, and five or six strands of fine platina are instantly 22 DENTAL MECHANICS converted into a bead. The intense heat is produced, as will be seen in Fig. 17, by the introduction of Bunsen's burners into the appli- ance. Yet another class of blowpipes has to be mentioned, '' The Self-acting." These instruments produce a jet by the eva- poration of alcohol, the lamp being so arranged as to convey heat to an upper chamber con- taining the spirit, which, becoming vaporised, sends out a current with suflB.cient force to take the place of a mouth or bellows blow- pipe. Threeforms of self-acting blowpipes are shown in the accompanying engravings ; one, Fig. 18, Fig. 18. DENTAL MECHANICS 23 an American invention ; and the other, Fig. 19, of French origin ; while the third pattern is Enghsh. In the last-named (Fig. 20) the heat Fig. 19. Fig. 20. from the lamp below vaporises the spirit in the upper chamber and then ignites it. Gas is of course the most convenient ag:ent for producing heat in the dental laboratory ; and for using the mouth-blowpipe the best form of burner is seen in Fig. 21. A large volume of flame is obtained from the enlaro-ed end of the pipe, which is packed with layers of iron gauze. This burner is fitted also with a small supply pipe running forward to the end, so that it may constantly have a small jet ready to light the larger burner. When it is impossible to obtain gas, oil or spirit lamps are used. Oil is very 24 DENTAL MECHANICS objectionable on account of tlie smoke and the disagreeable smell, and in the absence of gas. Fig. 21. spirit is much more useful. In order to avoid the danger of explosion, however, a somewhat different form of lamp is required to that which is used for oil (Fig. 22). Fig. 22. Oil lamp. DENTAL MECHANICS 25 A spirit lamp for soldering is sliown in Fig. 23. The construction of this lamp prevents the flame beino- communicated backwards from the wick into the vessel containing the alcohol. Fig. 23. Spirit lamp. A soldering pan or hand furnace is of great use for the purpose, of warming up cases that require soldering, and cooling them down very gradually afterwards; It consists of a case made of sheet iron, with a grating to hold charcoal, and a cover to keep in the heat ; a long shaft with a wooden handle is attached by means of a pivot, which enables the operator to turn it round at will. It is 26 DENTAL MECHANICS shown botli witli and witliout tlie cover in the annexed woodcut. Fig. 24. Fig. 24. The piece may remain in the pan while it is being soldered, and so reduce the amount of heat required by the blowpipe. Two other modes of applying heat remain to be noticed, the melting furnace and the furnace for continuous gum work. In Fig. 25 is seen a furnace (Ash and Sons^) composed of fire-clay, requiring to be supplied DENTAL MECHANICS 27 Fig. 25. Ash and Sons' furnace for melting gold, silver, &c. ■with charcoal and coke ; and in Fig. 26 (Fletcher's) we have a construction of iron in which the heat is produced by a cluster of Bunsen's burners arranged within a circle ; both are very powerful,- but Fletcher's being- supplied by gas is the more readily worked. The furnace for continuous gum work and gum -blocks is quite different in structure, and must be supphed with anthracite coal to avoid 28 DENTAL MECHANICS Fig. 26. Double-jacket furnace for operating at a white lieat (section). Plan of burner. any smoke. A sketcli of one is shown in Fig. 27. DENTAL MECHANICS 29 Fig. 27. The otlier varieties of furnaces wliicli are used for melting large quantities of metal are not suitable for use in tlie dental laboratory. I think therefore it wiser to omit them in a work that is intended to be both practical and con- cise. 30 DENTAL MECHANICS SECTION IV CASTINGS IN PLASTEE AND METAL To cast a model in plaster from an impression taken in either wax, gutta-percha, Stent's or Hinds' composition : — With, all these materials it is wise before casting, to paint over the impression with sweet oil (not thick in consist- ence) with a camel-hair brush. A better surface is thus obtained, and the impression more easily separated from the plaster model when cast. If the impression indicates any teeth standing in the mouth in an isolated position they may be strengthened on the plaster model by putting stiff iron wire, pin-size, into the impressions of the teeth, pressing them well into the wax or Hind's as the case may be, to hold them in position while the plaster is being poured. To avoid the trouble that arises from the oxidation of the wire it is an improvement to use galvanised iron wire or even lead wire such as is used for garden purposes ; or, again, DENTAL MECHANICS 31 pegs of wood may be inserted ; tliese answer very well for this purpose, dipping tliem in water before use to prevent the wood swelling durinof casting^. The shape and height of the model must depend upon whether a gold or vulcanite piece is to be made; if metal castings have to be made then the model in plaster must be high and solid, as seen in the annexed cut (Fig. 28). Fig. 28. Fig. 29. ^ . 20 to 60 grs. . 12 oz. . 2 oz. 8 dwts . 12 dwts. . 24 grs. . 8oz. . 1^,, 4 dwts. . 22 grs. 2 oz. . 8 dwts. . 2 „ 4 grs. Gi-ayish-blue enamel for porcelain blocJc teeth. 1. Spar Platina sponge ^ Oxide of gold 2. Spar Platina sponge Oxide of gold 3. Spar Platina sponge Oxide of gold 2oz. igr. 2 5J 2oz. i gr. h „ 2oz. f gr. X 2 ,"> no DENTAL MECHANICS 4. Spar . . . . , . 2 oz. Flux 24 grs. Platina sponge . . . . ^ gr. Yellow enamel for porcelain hlocTc teeth. 1. Spar 2 oz. Titanium 10 grs. Platina sponge . . . . i gr Oxide of gold . . . . i „ 2. Spar 2 oz. Titanium 14 grs Platina sponge . . . . | gr Oxide of gold . . . . i „ 3. Spar 2 oz. Titanium 16 grs. Platina sponge . . . . | gr Oxide of gold . . . . i „ 4. Spar 2 oz. Plux 20 grs. Titanium 10 „ Grayish-hlue enamel for porcelain hloch teeth. 1. Spar 1 oz. Blue frit 2. Spar Yellow frit Gold mixture 5 grs. 1 oz. 4 grs. 10 .. Composition and preparation of gum enamels. 1. Gum frit, No. 1 . Spar 2 Gum frit, No. 2 Spar 3 dwts. 9 to 12 dwts. 3 dwts. 3 to 18 dwts. DENTAL MECHANICS 111 Boston spar is preferred on account of its greater fusibility. Flux is composed of — Silex . . . . 4 oz. Borax . . . . 1 ,, Sal tartar . . . 1 „ These are ground to an impalpable powder and packed in tlie bottom of a clean, light- coloured crucible. A piece of fire-clay slab is then fitted into the top of the crucible and luted with kaolin clay. It is then exposed to the heat of a furnace until completely fused, when it is removed, and as soon as it is cold the crucible is broken, all foreign particles or discoloured portions thoroughly removed, and the remainder well pulverized. Blue frit is composed of — Spar . . . . I oz. Platina sponge . . 4 dwts. Powder very finely, make up into a ball with water, and fuse very slightly upon a slide in a furnace. It must then be plunged into water while hot, and when dry, finely pulverized. Yellow frit is made by mixing intimately ^ oz. of spar with two dwts. of titanium and heating as above. Grold mixture is made by dissolving 8 grains of pure gold in aqua regia, then stirring in 12 J dwts. of very finely pulverized spar. "When 112 DENTAL MECHANICS nearly dry it is formed into a ball, and fused upon a slide, and then coarsely pulverized. Continuous gum work, tliougli very useful and beautiful, requires great care, special con- veniences, and considerable experience to pro- duce in a satisfactory state, and wlien finished to the delight of the dental surgeon, is not appreciated by the patient for whom it has been prepared, chiefly on account of its extreme weight. These remarks apply especially to this country, where the knowledge of the patient is far behind the resources and capabilities of the dental practitioner ; hence dentures of con- tinuous gum work are comparatively rarely made here. In the United States, however, it is much more in fashion, in part owing, pro- bably, to its having been invented there, partly, also, from the greater willingness of American patients to put up with personal inconvenience, and even discomfort for a time, in order to obtain a perfect result. To Dr Allen is given the credit of this inven- tion. I shall, therefore, give a description of the process in the Doctor's own words as it appears in Dr Eichardson's work. Dr Allen^s Modes of Practice. — The following descriptions, contributed by Dr Allen, embrace a clear and concise account of the manipula- DENTAL MECHANICS IIS tions at present practised by him in the con- struction of artificial dentures, with continuous gums. " The plate or base is formed of platinum, or platinum and iridium. The plate being properly fitted to the mouth, and wax placed upon it for the bite, as in ordinary plate work, the teeth are arranged thereon, with special reference to the requirements of the case. They are then covered with a thin coating of plaster mixed with water to the consistence of cream. After this has become firmly set, another mixture of plaster and asbestos with water, somewhat thicker or more plastic than the first, is placed round on the outside of the previous covering and the plate. A convenient way of applying the second covering is to turn the mixture out of the vessel upon a piece of tin, say four or five inches square, thus forming a cone upon which the plate with the teeth upward, is pressed gently down until within an inch or less from the tin. Then with a spatula the mixture is brought up over the teeth, forming an investient that will not crack in the process of soldering. Sand may be used with the plaster for this purpose, but I think asbestos preferable. " When the covering has become sufficiently 8 114 DENTAL MECHANICS hard the wax is removed, and a rim of platinum is then fitted to the lingual side of the teeth, below the pins, and to the base plate. The pins in the teeth are then bent down upon the rim, and soldered with pure gold, or a mixture of gold and platinum, at the same time the rim is soldered to the plate. This rim, which forms the lining for the teeth, is usually about the thickness of the plate upon which they are set, say 28 to 30 ; * but should the case require more than ordinary strength, a double or triple thickness of rim should be used. This may become necessary in cases where the natural molar teeth are standing firmly in the opposite jaw, and antagonise with the artificial piece, or where from any cause, an undue strain is brought to bear upon the artificial teeth. To attain suc- cessful results, the dentist must take into con- sideration all the circumstances or conditions of each particular case, and then exercise his best judgment in executing the work. " In soldering platinum with pure gold, flat surfaces of this metal should be brought in positive contact, in order to become firmly united. Therefore, in mounting teeth upon a plate of this kind, the backing or inside rim should be a little wider than the distance * American gauge. DENTAL MECHANICS 115 between the pins in the teeth and the plate, say from an eighth to a fourth of an inch. This extra width of rim should be bent at right angles along the base of the teeth so as to admit of being pressed down upon the plate after the rim is adjusted to the teeth, and the pins bent down firmly upon it. In this way flat surfaces of the rim and plate are brought together and soldered. The pins in the teeth are also soldered to the rim at the same time. When the parts are thus united, they will remain so during the sub- sequent bakings; but if the edge of the rim only is fitted to the plate and soldered like gold or silver work, the subsequent heatings for baking the body and gum will cause the gold to become absorbed in the platinum, and leave the joints not united. It may be asked why not use common gold solder for this style of work ? Answer, because the alloy in the solder will greatly injure the colour of the gum enamel in baking. Copper alloy will turn it to a greenish shade, and silver will give it a yellow tinge. Although pure gold requires more intense heat to melt it (being about two thousand degrees), than ordinary gold solder, yet when melted it flows much more freely than the latter. The best way to solder the teeth upon platinum plate is, to place small pieces of gold upon the 116 DENTAL MECHANICS joints or parts to be soldered, with wet ground borax, and then slowly introduce the piece with the investient into a heated muffle, and bring the whole mass up to a red heat ; then withdraw it from the furnace, and bring it quickly under the blow-pipe to flow the gold. In this way the teeth do not become etched, as they are liable to be if the soldering is done in the furnace. " The piece being soldered and cooled, the covering is removed from the teeth, taking care to preserve the base unbroken for the plate to sit upon during the subsequent bakings of the body and gum enamel. '' All particles of plaster or other foreign matter should be removed from the teeth and plate by thoroughly washing and brushing them. It is well to immerse the piece for a short time in sulphuric acid, after which rinse and brush it well with water. This done, a colourless mineral compound, called the body, is applied in a plastic state (with spatulas or small in- instruments for the purpose) to the teeth and plate. It is then carved to represent the gum, roof and ruga of the mouth, taking care to keep the crowns of the teeth well defined. The piece is then placed on the base upon which it was soldered and set upon a slide on the apron DENTAL MECHANICS 117 in front of one of the upper muffles of the heated furnace, — and every eight or ten minutes it should be moved forward into the muffle, say two or four inches each time, until the piece shall have passed the centre of the same, which should be at a red heat. It is then withdrawn and passed into a lower muffle where the heat is greater, in which the body soon becomes semi-vitrified, which is sufficient for the first bake. It is then taken out and (together with the slide on which it was baked) placed in a cooling muffle, the mouth of which should be closed to prevent the change of temperature from being too rapid, and causing the teeth to become brittle. When the piece is sufficiently cool to handle, a second application of body is made for the purpose of repairing any defects that may have occurred in the baking; this done, the piece is again introduced as before into the upper muffle, then in the lower, allowing the second bake to become a little harder than the first, but not so much as to appear glossy. It is then withdrawn, and cooled as described above. " A flesh-coloured compound is then applied, which is called the gum enamel. This is also made plastic with water, and a thin coating is put over the body, and closely packed and 118 DENTAL MECHANICS carved around tlie teetli with small instruments made for the purpose, — still taking care to keep the crowns of the teeth clean and well defined. Small camel's-hair brushes are used wet with water, to cause the gum enamel and also the body to settle more closely around the necks of the teeth ; other brushes are also used dry to remove all , particles of body, gum, or other substances from the crowns of the teeth. " After the application of the gum enamel the piece is again subjected to the heat of the furnace as described for baking the body, with this difierence : — the heat should be a little greater than for either of the preceding bakes. It should be a strong, sharp heat, in order to produce a smooth glossy appearance which is required for the enamel. These different de- grees of heat for the first, second and third bakings should be carefully observed for the purpose of getting an even temper in the piece, and thereby preventing it from crazing or cracking in cooling. '' The enamel being thoroughly fused, the piece is withdrawn from the heated muffle, and passed into another, outside of the furnace. This muffle should be made quite hot before the denture is placed in it, in order to prolong the cooling process ; for if the piece is cooled too DENTAL MECHANrCS 119 rapidly, it is rendered more fragile. It is well to let the case remain in tlie cooling^ muffle, with the mouth of it closed, several hours before exposing it to the air. By baking just at night, the piece will be in proper condition to finish up the next morning. " The finishing process consists simply in smoothing and polishing the plate, and bur- nishing the rim. It is then ready to be ad- justed to the mouth. In baking, great care is necessary to prevent the piece from becoming gassed. This can be avoided by allowing the gas to escape entirely from the burning coal or coke in the furnace before the piece is intro- duced into the muffle. The presence of gas is indicated by the blue flame escaping from the coal. When the fire becomes clear, it is then safe to introduce the case to be baked (as before described) into the muffle. Pure anthracite coal is the best for this purpose, as it maintains a lons^er and strono^er heat than coke. Bitu- minous coal is not good for this kind of work unless first converted into coke. ** It often occurs that the natural gums will change more or less after the teeth are inserted. In such cases a new impression should be taken from the mouth and a fusible die formed. The denture is then placed upon the die, and it will 120 DENTAL MECHANICS be seen at once where the change has taken place, then with the piece resting upon the die the artificial gum may be chipped off with a small hammer and chisel. The platinum plate, being soft, can be refitted to the die very accu- rately with a burnisher, hammer, and small driver made for the purpose. A new coat of body is then applied where the plate has been refitted, and then baked, cooled, enameled, and baked again — still observing the same direc- tions as detailed in the management of new pieces. " If a tooth gets broken (a mishap which seldom occurs by use in the mouth), it can be replaced with another, by grinding out the re- maining portion of the broken tooth, and the gum which covers the fang, and then fitting a new one in the place. This tooth need not be soldered to the inside rim; it is sufficient to grind a small notch or groove in the enamel which covers the lingual side of the rim for the pin of the tooth to fit into. The pin resting in the groove is covered with the body, at the same time it is applied around the base of the tooth, and when this body is baked the tooth will become firmly fastened in place of the broken one. Any number of teeth that may be required can be replaced in this way. If it is DENTAL MECHANICS 121 desired to change the position of one or more teeth, or to make them longer, this can also be done as described above, with this additional precaution, which is simply to press softened wax upon the inside of the teeth and palatal arch of the denture before the others are re- moved, — this wax will serve as a guide or index as to the relative change to be made, and also to sustain the teeth in place while they are beinof fitted as desired to the denture. The wax soon becomes hard and is readily removed as each successive tooth is ground and adjusted in its proper place. " When the teeth are thus fitted with each pin accurately pressed into the groove prepared for it, and the wax being placed upon the inside to support the teeth in proper position, — body is filled in around the base of the new ones which are carved, trimmed and brushed, so as to have the crowns of the teeth clean and properly defined. The w^ax is then carefully removed from the piece, and more body is filled in around the teeth upon the inside, — filling up the grooves over the pins, and then carving, trimming, &c., as before, to give it the desired form. This done, if the teeth are set a little apart, and it is desired to keep them in that position, take a small piece of asbestos and 122 DENTAL MECHANICS gently press it in between the teeth at the cutting edges ; this will prevent them from being drawn together when the body is being baked. The piece is now ready for the furnace, but it should not be baked hard enough to gloss the newly applied body; it should have more the appearance of Parian marble. " This being done, it is then withdrawn from the furnace and transferred to a cooling muffle as before described. When sufficiently cool the gum enamel is applied and baked with a sharp heat until it becomes smooth and glossy. To prevent the old gum from bleaching or be- coming lighter coloured in consequence of re- peated bakings, a very thin coating of fresh gum enamel should be lightly brushed over the entire enameled surface of the piece. The enamel thus applied should be mixed with water, quite thin, so as to flow evenly over the surface, when applied with a camel' s-hair brush. This should be done before the last baking, that the whole may be fused at the same time. Experience and judgment are essential requisites in order to produce good practical results. For example, if the carving of the body is not properly done, the form and shading of the gum and roof will not appear natural when the work is finished ; if DENTAL MECHANICS 123 the gum enamel is put on too thick it will produce a dark red colour ; if not thick enough it will be too light ; if fused too hard it will be liable to craze or crack ; if not hard enough it will be rough and granular ; if the piece becomes gassed in baking it will be porous and of a bluish colour. Again, the teeth of different persons vary as much as any features of the face, and present as great a variety of expressions. Therefore, in the construction of artificial den- tures, the dentist should select and arrange the teeth with special reference to each individual case. The length, size, form, shade, and posi- tion of the teeth should be varied to meet all the different physiognomical requirements that occur in dental practice. " This system also combines with great ad- vantage the restoration of the face in cases where the muscles have become sunken or fallen in from the loss of the teeth and consequent absorption of the alveolar processes. Here, again, the artistic skill of the dentist is brought into requisition. He should study the face of his patient as an artist studies his picture, for he displays his genius not upon canvas, but upon the living features of the face; and of how much more importance is the living pic- ture, that reflects even the emotions of the 124 DENTziL MEOHANICS heart, than the lifeless form upon canvas. He should know the origin and insertion of ever j muscle of which the face is formed, and what ones he is to raise, otherwise he will be liable to produce distortion instead of restoration. This improvement consists of prominences made upon the denture of such form and size as to bring out each muscle or sunken portion of the face to its original fulness ; and when these are rightly formed they are not detected by the closest observer. There are four points of the face (of many persons) which the mere insertion of the teeth does not restore, viz., one upon each side beneath the malar or cheek bone, and also a point upon each side of the base of the nose, in a line toward the front portion of the malar bone. " The extent of this falling-in varies in dif- ferent persons, according to their temperaments. If the lymphatic temperament predominates, the change will be slight. If nervous or sanguine, it may be very great. The muscles situated upon the side of the face, and which rest upon the molar or back teeth, are the zygomaticus major, masseter, and buccinator. The loss of the above teeth causes these muscles to fall in. The principal muscles which form the front portion of the face and lips are the zygomaticus DEXTAL MECHANICS 125 minorj levator labii superioris alaeque nasi, and orbicularis oris. " These rest upon the front, eye, and bicuspid teeth, which, when lost, allow the muscles to sink in, thereby changing the form and expres- sion of the mouth. '' The insertion of the front teeth will in a great measure bring out the lips, but there are two muscles in the front portion of the face which cannot, in many cases, be thus restored to their original position ; one is the zygoma- ticus minor, which arises from the front part of the malar bone, and is inserted into the upper lip above the angle of the mouth ; the other is the levator muscle, which arises from the nasal process and from the edge of the orbit above the infra orbitar foramen. It is inserted into the ala nasi or wing of the nose and upper lip. *' The prominences before mentioned applied to these four points of the face, beneath the muscles just described, bring out that narrow- ness and sunken expression about the upper lip and cheeks to the same breadth and fulness which they formerly displayed. If skill and judgment have presided over all parts of the operation, the result will be highly pleasing, and of practical utility.'^ 126 DENTAL MECHANICS SECTION YIII PIVOT TEETH The simplest arrangement for fixing a single tooth in the mouth, is bj means of a pivot attached to the artificial tooth, and entering the canal of the pulp cavity of the natural tooth which has been already enlarged to receive it. The cases most suitable for pivoting, are those in which the central incisors or canines o£ the upper jaw, have been fractured by accident, and have not decayed gradually away, leaving a soft broken down root in the gum. If the latter condition prevail, then the stump must be extracted, and not have an artificial crown pivoted on. Care and discretion must also be used not to treat patients who are of an inflam- matory tendency, for they seldom do well, and on several occasions serious results have fol- lowed the apparently trifling operation of pivot- ing. In the case also of the crown of the natural tooth having been lost from fracture, time must DENTAL MECHANICS 127 be allowed for the periostal inflammation to sub- side, before attempting to affix a new crown. It seems hardly necessary to point out that if there be any evidence of alveolar abscess in the neighbourhood of the fang, there again this operation is inadmissible ; in fact, to put the matter in the most concise yet clear form, the stump must be perfectly healthy in every respect. If the stump is not fractured even with the line of the gum, or the decay of the crown has not entirely destroyed the tooth sub- stance up to the neck, it will be necessary to remove by means of the tooth saw, and excising forceps, the portions projecting beyond the gum line. If but a small portion is remaining use the forceps alone, as the sensation of the saw is almost unendurable to many patients. When it is used, however, a cut must be commenced at the neck of the tooth on either the mesial or distal surface, and carried on towards the pulp cavity, following as nearly as possible the cur- vilinear margin of the gum. Before the pulp cavity is reached on the one side the saw must be removed and applied in the same manner to the opposite side ; we then have the crown supported by a ridge of bony tissue in the centre, running from before backwards. This can be now readily divided with the excising forceps. 128 DENTAL MEOHAXICS Care must be taken not to saw into tlie pulp on account of the pain, but it is well to get nearly into the pulp -cavity, as it renders excision much easier. The form of saw and forceps used for this operation are shown in the annexed en- graving. Fig. 68. Excising forceps, curved and straight. Fig. 69. Dividing saw. Under ordinary circumstances, the nerve will now be exposed to view; if possible pass a nerve extractor, Fig 70, into the cavity, and DENTAL MECHANICS 129 witMraw tlie pulp, or use an ordinary ^i<^ untempered brooch, passing this up and then twisting sharply round so as to destroy the connection of the nerve filament. It may then be removed easily with the barbed nerve extractor, if it should not come out on the brooch. It is never wise, and seldom safe, to use arsenic for the destruction of the nerve where pivoting is to be performed. It is much better if there is likely to be much trouble on account of the nervous- ness of the patient, to destroy the nerve, before cutting down the stump, by re- peated applications of Pepsina porci and dilute hydrochloric acid, as recommended in my notes on ' Dental Pathology.' The pulp- cavity being now clear must be enlarged for the reception of the pivot. This can be done with one or other of the instruments shown in Fig. 71, gradu- ally increasing the size until the requisite diameter has been obtained. In young subjects, care must be taken not to drill through the pulp cavity in the apex of the toothj lest you pass into the investing membrane of the fang. It is well at this stage to file down the rough edges of the 9 70. m 130 DENTAL MECHANICS stump, SO as to present a perfectly smootli sur- face, convex from back to front and concave from side to side, on wliicli tlie crown of the pivot tootli may be fitted. The most convenient way of fitting the crown to the fang is to make a temporary wooden or wire pivot, that will Fig. 71. 1 pass easily in and out of the fang, with half an inch of the point projecting into the mouth. A wax impression may now be taken of the stump and adjacent teeth. When this is removed from the mouth the wooden pivot will be seen standing in the wax. On the model being cast from this the temporary pivot will occupy the same relative position as when in the mouth, and by removing it we have the fang cavity reproduced also, which will act as a guide for the direction of the pivot. DENTAL MECHANICS 131 The choice of the tooth is a most important tiling, of greater moment for pivot cases than for any other, since tliey generally are isolated, and if not matched perfectly for shape and colour produce a most unsatisfactory result by the side of the natural teeth. One of three varieties may be used. Either a pivot tooth proper. Fig. 72, a tube tooth fitted with a pivot, Fig. 73 ; or a flat tooth with a gold back and a gold or platina pivot soldered on, Fig. 74. Fig. 72. Eig. 73. Fig. 74 Section. Section. The advantage of the tooth made expressly for pivoting, is the perfect resemblance to the natural crown, and from the fact that the tube does not pass right through, enabling the operator to use compressed hickory wood as a pivot pin. The advantage of a tube tooth is its greater strength, being used with a metal pin, and having a platina tube down the centre, which 132 DENTAL MECHANICS the first description of tooth has not, whilst its great disadvantage is that the pinhole is rarely in precisely the right place, being generally too near the face of the tooth. The benefit of using a flat tooth is especially seen in a close bite, where there is little room for either a pivot or tube tooth, or when, from the abnormal position of the pulp-cavity, an ordinary tooth is not available. In these cases the pin can be arranged in almost any position that can possibly be required, since there is ample room for adjustment by reason of the thinness of the tooth. The only objection to its use is the rough surface presented in the mouth, and its relative fragility. The model when obtained had better be dipped or varnished, or a little resin and wax run over it before fitting the tooth, in order to prevent wearing away of the surface of the stump as shown in the plaster. The tooth must be ground at the lathe with a corundum wheel. Fig. 75, and then finely fitted by colouring the model over the stump with vermilion and oil, and noting the points of contact when the tooth is put on the stump ; these will be indicated by the colour adhering, and must be ground away till all the surface of the tooth is in perfect contact with the stump. DENTAL MECHANICS 133 Care must be taken to adjust the tooth and pivot together in fitting, so that they may not occupy a malposition when fixed in the mouth. Fig. 75. Some dental surgeons prefer fitting the tooth to the stump direct in the patient's mouth, colouring the stump for fine fitting. 134 DENTAL MECHANICS This process is, however, tedious to both patient and operator, as well as being somewhat disagreeable to the former. The tooth being fitted, the pivot, if of wood, must be made so as to pass firmly but not tightly into the pulp -canal, and somewhat tightly into the tube of the pivot tooth ; it will not do, however to apply too much force in introducing either, lest you should crack the tooth or give pain in the stump when the wood has begun to swell from the moisture. Previous to finally fixing the pivot, syringe the pulp-cavity with a weak solution of carbolic acid and water, then plug the extremity of the nerve canal either with gold or cotton wool soaked in creasote, or osteo-plastic care- fully applied, so as to seal up the extreme opening of the canal. The wooden pivot may be wrapped round with one or two layers of gold foil, thus pro- tecting both the pivot and the walls of the fang from the action of the secretions of the mouth. No greater pressure than can be applied with the thumb and finger should be required for adjusting a wood pivot, as the swelling that takes place will quickly render it quite firm. Wooden pivots may be strengthened if de- sired by drilling carefully down the centre after DENTAL MECHANICS 135 fitting, and passing a gold or platina wire througli. If a metal pivot is used tlien it must be fast- ened into the artificial crown witli powdered sulphur placed over the opening of the tube in the tooth, and melted carefully over a spirit lamp. The pin at this part having been pre- viously roughened will be held quite secure by this method. For adjustment to the dental canal, the extremity of the pin may be rough- ened or slightly barbed, and then fitted in with floss silk wound round, and coated with mastic, or the cavity may be filled with osteo-plastic, and the pivot introduced while the stopping is in a soft state. The attachment of the pin to a flat tooth I shall treat of further on. It is impossible to enumerate in a work of the present nature all the ingenious con- trivances that have been introduced for the fixing of pivot teeth. Each plan has some special merit of its own, but the methods that I have described are those most widely in use, and are open to the fewest practical objec- tions. 136 DENTAL MECHANICS SECTION IX CHOOSING AND ADJ[JSTING MINEEAL TEETH Above all other departments of tlie Dental Surgeon's work, the choosing and adjusting of mineral teeth gives the fullest opportunity for the display of sound judgment and artistic feeling. In all reproductions nature must be imitated, but not servilely copied. Utility must be borne in mind, but not at the sacrifice of appearance and beauty, still less must we forget the special services which the teeth perform in the human economy. Every condition requisite may be fulfilled, by the exercise of those faculties to which I have already alluded. For partial cases it is essential, above all things, that the shape and texture of the teeth, should be reproduced in the artificial substi- tutes, as well as the mere colour and shade. The first are the marks of individuality, the last merely a matter of complexion, and are in the natural organ subject to variation. DEKTAL MECHANICS 137 Beware how you reproduce in tlie moutli deformities, that have resulted from the mal- formation, or arrangement of the teeth. Though your work be true to nature, you will but rarely find a patient suflBciently educated up to your stand-point, to appreciate your skill in this respect. If irregularities of the natural organs are imitated in the artificial teeth, it must be done with great care and discretion, as the same amount of displacement — say of the laterals — will not be tolerated in the reproduction, that was present in the original arrangement. In choosing teeth for partial cases there is, of course, the guidance given as to shape and shade by the remaining teeth, but where the gums are edentulous, and you have not had the opportunity of seeiog any of the patient's natural teeth, you must be guided in your choice, by the size and shape of the gums, and then by the complexion and characteristics of your patient. As a broad rule, it may be laid down that it is wiser to use artificial teeth, of a somewhat smaller size than the natural ones. When an entire set is fitted in, the result is more pleasing by following this plan than if large teeth were used, however natural they may be in actual dimensions. 138 DENTAL MECHANICS Leaving these general observations, we will now pass on to tlie more special consideration of— Adjusting and fixing teeth to partial cases. — However carefully the teeth maj have been chosen, they will scarcely fit into their respec- tive places, without some amount of grinding with the corundum wheel at the lathe. If the stumps are remaining, or there be but slight absorption, then the tooth must be fitted on the gum at its anterior and lateral borders, but the remaining portion may rest on the plate. If an artificial tooth has to be fitted on a stump care must be taken to have the stump filed down level with the gum. On the plaster model, this portion should be covered with resin and wax in solution, (if the model has not been dipped) so that it may not be worn away, with the fitting of the tooth to its surface. Should the model become at all injured on the surface, the artificial tooth will ride on the stump in the mouth, and if it does not do this, the mineral tooth will soon be broken, from the extra pressure that is brought to bear upon it. When, however, the teeth are to rest upon the gum only, the stumps having been removed, it is advisable to scrape the plaster model away slightly, so that the contact may be perfect DENTAL MECHANICS 139 between the artificial teeth and the gums, when the plate is fitted into the mouth. As to the adjustment of teeth to awkward bites or articulations, it is difficult to give directions that will be of much service in practice. It will be necessary to sacrifice utility for appearance in the arrangement of the teeth for partial cases, situated in the anterior portion of the mouth ; but with cases for the masticatory region, I should unreservedly reverse this order, and sacrifice appearance for usefulness. On both points, it is well to make up your own mind firmly, and then abide by it ; once submit to the dictates or sugges- tions of your patient, and your peace of mind and conscience are gone ; it is better to lose a patient than to submit to the discomfort that will inevitably ensue if you follow their instruc- tions or fulfil their desires (contrary to your own judgment). It is sometimes desirable to raise the bite slightly (that is, not allow the patient to close the mouth so much as formerly) ; this must be done very carefully and to a very slight extent, or great discomfort will be caused, and by destroying the perfect articulation injury will be done to any teeth still standing in the mouth. When, however, the teeth posterior to 140 DENTAL MECHANICS the incisors of tlie upper and lower jaws are absent, and the front teeth are being worn away, and the upper incisors protruded by the pressure brought to bear upon them, great benefit will follow raising the bite to such an extent at the back of the mouth with the artificial denture, as to relieve the undue pressure that has been exercised in front. After the teeth £,re fitted to the model and attached to the plate by means of resin and wax, they must be tried in the mouth, and any alteration that is necessary, made at once, as after they are soldered on it will be difficult to readjust them. Investing in plaster and sand or asbestos,— presuming that the teeth are for plate — some use both the latter substances, adding only sufficient plaster, to produce cohesion of the other materials — they must be mixed to a tolerably stiff paste, and placed on a smooth surface, with a square of paper underneath so as to allow of easy removal ; the plate with the teeth attached is then pressed gently down, so that all the lower surface is well supported, and the teeth surrounded on their labial sur- face, with the plaster and sand, so that when trimmed up, a thickness of nearly half an inch is left around them. DENTAL MECHANICS 141 As soon as the plaster and sand is suffi- ciently bard to bear handling, the resin and wax must be cleansed away thoroughly, and the backs fitted to the teeth and plate. A plan practised in America is to remove the teeth from the investing material carefully, and fit the backs on. The more general practice in Enofland is to fit the backino:s of the teeth after fitting them on to the plate, but before investing in plaster, and the latter is, I think, a better method ; the backing in either case must be somewhat thinner than the metal used for the plate, and should be stiffened, by the addition of platinum as an alloy. The holes for the pins of the teeth, may be either drilled, punched out, or perforated with a pair of pliers of the form shown in the accom- panying cut, Fig. 7Q. Fig. 76. These nippers are so arranged that the cutting-pins can be renewed as often as neces- sary. This is accomplished by unscrewing the 142 DENTAL MECHANICS movable socket A, and dropping in the pin from tlie back. The pins are flattened at the opposite end, to prevent them turning round or falling through, and when the socket A is screwed home in the head of the nippers the pin is secure. The plate being fitted to the back of the tooth, the rivets are then split with a scorper and spread outwards ; as soon as all the backings are fitted satisfactorily, the joints must be strengthened by means of fine gold wire cut off to the width of the tooth, and bent so as to fit accurately at the base of the backing, thus increasing the strength and giving stiffness and solidity to the piece. Where the bite requires it metal boxes may be made and attached to the backs, but for such a case it will be better as a rule to use a tooth that of itself gives a masticating surface. When these things are done, the pins being thoroughly cleansed, must be coated with borax and water, wherever it is necessary for the solder to flow. The borax can be prepared by rubbing on a piece of slate or porcelain with water, till the fluid is of a creamy consistence. The solder must be carefully placed in every position where it will be required, so as to avoid having to use more after the piece is made hot ; DENTAL MECHANICS 143 everything being arranged in a satisfactory manner the piece is placed in the hand furnace and gradually warmed up, then the top of the furnace may be removed, and the heat applied with the blowpipe till the mass is of a bright red colour ; the well-directed flame of the blowpipe will by this time cause the solder to flow in every direction required ; or instead of this plan the piece invested in the plaster may be taken out of the furnace when sufificiently hot, and placed on a slab of charcoal (sur- rounded with plaster of Paris), and the heat then raised by the aid of the blowpipe. The first plan is, however, the best, unless it be a very small case that requires soldering. For full sets of teeth, the same rules and modes of procedure apply as for a partial set ; it is necessary, however, to adopt some plan to prevent the plaster and sand breaking, when the denture is being warmed up in the furnace, or during the time of soldering. Some pass two or three pieces of iron or copper binding wire round the teeth, before investing in plaster and sand, others use a strip of copper, somewhat in the shape of the outline of the gum, thus affording a support to the outer surface of the plaster. A plan that I deem better still, however, is to obtain a shallow 144 DENTAL MECHANICS saucer, with perpendicular sides, made of fire- clay or plumbago, and after filling this with plaster and asbestos or sand, sink the denture in it and thus use the saucer at once as a support, and a means of retaining the heat, after it is taken from the furnace for soldering. As soon as the soldering is completed, remove the piece from the furnace, and place it on cold charcoal or pumice stone to cool down. Some recommend cooling down at once, by pouring boiling water, over the plaster and sand, no risk being run of cracking the teeth ; but it is better to wait a little longer, and let the plaster cool of itself. After removing the plaster and sand, or asbestos, as the case may be, the plate should be thoroughly washed in water, and then boiled in a solution of sulphuric acid (one part acid, two parts water) so as to destroy the borax, that has become fused and attached to the gold. Scorpers of the form shown for finishing up vulcanite work, can now be used to remove any projecting portions of solder or wire strengthening that has been applied, or these may be cut down at the lathe with a fine corundum wheel and plenty of water. The entire surface must be then rendered smooth by means of Ayrstone and water and a stick DExVTAL MECHANICS 145 and pumice powder, then polislied at the lathe, first with pumice powder and a hard brush, then with whiting and a softer brush, and, finally, with rouge and a softer brush still, commencing this last stage with the brush wet, and working at it till the brush becomes dry. For those spaces where a brush cannot be applied, two or three threads, fixed at one end to the work bench, may be passed through or between the space to be polished, and the plates passed up and down these threads (which should be loaded with a little of the polishing material) until a smooth and polished surface is obtained. Strips of tape and cord may also be used for the same purpose, using a different size according to necessity. After this the plate must be thoroughly cleaned with hot soda and water, and dried in a bag filled with box- wood dust. The case is now ready for fitting in the mouth. Fitting tube teeth to a full set.— These should first be roughly fitted down to the plate, and the gum as well, if they are to overlap the edge of the plate, each tooth as it is fitted in this way being attached to the plate by means of cement, such as I have recommended for flat teeth, and in this way the entire denture must be mounted up so as to assume the form re- 10 146 DENTAL MECHANICS quired in the finished set, allowing just suffi- cient excess of tooth surface for fine fitting. As soon as they are all suitably arranged, a finely pointed broach must be passed down each tube very carefully and rotated, so as to leave a mark over the plate, or, instead of this, a piece of straight steel wire with a flat extremity may be dipped in a mixture of vermilion and oil, and then Hghtly dropped down the tube of the tooth, thus marking with the point the position for the pin. Or still another plan may be adopted ; imbed the front of the teeth and model in plaster up to the level of the tops of the teeth (after soaping their surfaces) ; then fill in the palatine surface also with plaster ; this will keep the teeth in position, and as soon as it is set, the holes in the plate may be made by means of an Archimedean drill passing down the tubes of the teeth ; in this way the direction of the tube is continued into the perforation of the plate, and the pin can be applied and sol- dered in, so as to avoid the necessity of bending afterwards. Before the pins canbe fitted to the plate the plaster overcastings must of course be removed with the teeth. When the pins are all in good position the teeth may be fine fitted, by means of the vermilion and oil and a small-grained corundum wheel. DENTAL MECHANICS 147 Tube teetli are attached to tlie pins and plate, by means of sulphur ground to a coarse powder. The plate with teeth on, is made hot over a spirit lamp and the sulphur then applied; as it melts with the heat it runs down the tubes of the teeth, and on hardening retains them quite firmly in position. After this the ends of the pins which project may be ground down at the lathe, so as to be flush with the surface of the teeth. 148 DENTAL MECHANICS SECTION X THE YULCANITE BASE In a work that is intended to be thoroughly practical in its nature, it is neither wise nor necessary, to go into the history of the invention of every substance treated of. On this account I shall make no reference to the successive patents, trials, disputes, and works that have been published upon the vulcanite base, but shall confine myself to its composition, pro- perties, and uses. The toughest and strongest rubber in every way is that which is sold as uncoloured or brown rubber. It contains the largest proportion of the natural gum, mixed with one of the various forms of sulphur, and is not deteriorated by the introduction of any colouring matter. From this rubber all the other varieties may be said to be built up. The manufacture of the different rubbers DENTAL MECHANICS 149 used, is a secret kept very securely by tlie makers. From the experiments , however, of Professor Wildman (of Philadelphia) contained in his ' Instructions in Vulcanite,' we are able to form a very fair judgment as to the compo- sition and mode of treating this valuable natural j^roduct. " Caoutchouc may be mixed with sulphur, and the colouring matter, by being passed re- peatedly between steam-heated rollers ; or the caoutchouc may be first reduced to a pulpy or gelatinous state by some one of its solvents, and the sulphur and colouring matter then mixed with it ; in either case the sulphur and colouring should be ground extremely fine, and then the whole ingredients thoroughly incor- porated together to ensure a satisfactory result. " For experimental purposes the latter method of mixing can be readily practised by any one. Of the solvents, ether deprived of its alcohol, chloroform and bisulphide of carbon are objectionable on account of their expense, and also the operator being compelled to inhale their vapour during the manipulation. Coal naphtha, or benzine, are preferable on this account ; they readily reduce the caoutchouc to the proper consistency; but after having been mixed, and the solvent evaporated, the 150 DENTAL MECHANICS rubber is non-adliesive, and does not pack well. Oil of turpentine leaves the rubber somewbat adhesive, and in a good condition to pack. Therefore I have found it a better plan to soften the caoutchouc in oil of turpentine, or in equal parts of cold naptha, or benzine, and oil of turpentine. " In reducing caoutchouc to a gelatinous condition, it requires a large quantity of the solvent in proportion to the gum. This is remedied bj introducing into the solvent from five to fifty per cent, of alcohol ; in this case the caoutchouc becomes gelatinous, but does diffuse itself through the solvent, thereby leaving much of it after the softened caoutchouc is removed, for future use. " I generally levigate the colouring matter and sulphur in spirits of turpentine, first reducing the colouring matter very fine, then adding the sulphur, and also reducing it very fine, then add a little of the pulpy caoutchouc, mix thoroughly, and proceed in this manner until the whole is incorporated into a perfectly homogeneous mass. When the colouring matter is ground in linseed oil, the caoutchouc may be softened in naphtha, or benzine, and it will pack well, as the oil renders it adhesive ; but I am inclined to believe that oil, even in a small DENTAL MECHANICS 151 quantity, injures the hardness and polisli of the rubber. " After the materials are well mixed the mass should be spread on a glass plate with a spatula, and allowed to remain until the sol- vent has been evaporated. " The apparatus used in making the following mixtures were a muller and glass plate to grind the colours and sulphur, a spatula, broad-mouth bottles, in which to gelatinize the caoutchouc, and window glass, upon which to spread it when mixed. The caoutchouc was the best Para, and the time and temperature in vul- canizing was the same as that for the American Hard Rubber Company's red rubber. " To test the Combination of Caoutchouc and Sulphur alone : 1. Caoutchouc .... 48 Sulphur 24; This gave a dark brown rubber, varying shade in different mixtures ; it was strong, compact, and tough, and received a fine polish. This colour may be toned down to a dark oak by bleaching in alcohol. " 2. This experiment was performed with caoutchouc which had not been smoked ; this gum was translucent and nearly colourless. 152 DENTAL MECHANICS having merely a light straw tint. The propor- tions were the same as for 1. " Result. — Colour and properties the same as the above, showing that the natural colour of hard rubber composed of simply caoutchouc and sulphur is a dark brown. " To test the Colouring Properties of Bed Oxide of Iron. — The following formula gave the best results of the many tried : 3. Caoutcliouc .... 48 Sulpliur 24 Red oxide of iron (rouge) . . 36 " Besult. — Texture good ; colour in different mixtures varied from almost black to black red ; the colour was more on the red when the rouge was ground in oil than when in spirits of tur- pentine ; after exposure in alcohol to the rays of the sun, the red was better developed, but even then it was much darker than the Com- pany's red rubber. The sulphur decomposed the oxide of iron, forming a dark sulphide, thereby destroying its colouring effect. „ in vulcanite . 194 jj entire upper, in gold . 89 )} „ lower, in gold . 94 >> ,, upper, in vulcanite . 167 )> „ lower, in vulcanite . 194 35 supported by atmospheric pressure ! 86, 91 Defects of the palatine region 243, 261 Dipping in metal . • 43 >} resin and wax, stearin, &c. 34, 35 Dies, mode of preparing 35—45 Duplicate cases in vulcanite . 203 Felspar . 105 Fitting mineral teeth . 138 „ pi'w:)t teeth 126—135 Flasks, vulcanite . . 171 Flasking . . 172 Flux . . Ill Formulae for gold plate . 264 j> gold solders . 265 j> silver solder . 266 J) brass solder . 266 )> German silver . 267 )f soft solder . 267 y> fusible metals . 267 >j type metal . 267 }) vulcanite . . 149, 158 » body, gum, and enamel for porcel ain 107, 109— 111 Forging . . 67, 69 Fuel . . . • . 27 Furnaces . 25, 26, 28, 29 Fusible metals, table of . 45, 267 284 INDEX German silver Godiva composition Gold, properties of alloys of assaying melting admixture of flux solders Gold wire „ plate, manner of preparing Gutta percha PAGE 267 10 46 47 48—64 64 64 265 69 64—69 . 11 Hand furnace Harden x^laster models, to . Hawes' moulding flask Horizontal line, liow to obtain 25 34 37 99 Impressions, materials used for „ trays „ in wax for full upper dentures „ in wax for full lower dentures „ in wax for partial dentures „ in plaster for full upper dentures „ in plaster for full lower dentures „ in plaster for partial dentures „ in various other materials India rubber, general properties of . „ method of preparing . „ dentures „ analysis of „ action of, on the mouth 7, 9—11 12 6, 7 15 12 8 14 11 15 163 149 167, 207 159, 161 . 165 Kaolin . Kurra's clamp 105 90 INDEX 285 Lamp, spirit, for soldering . „ oil, for soldering Lead for counter die Making cores Manufacture of porcelain „ of rubber Materials used in taking impressions „ used as bases for dentures Materials for metallic castings Metal dies „ strengthener for vulcanite „ clasps for vulcanite ,, models Mending vulcanite cases Melting gold Models in plaster for gold work „ „ vulcanite work ,, in metal . Moulding Moulding flask, Hawes' Mouth, preparation of, for inserting Moutli blowpipe wash. . . an PAGE . 25 . 24 41—43 . 39 104—111 148—158 5, 7, 9—11 46, 71, 164, 208 44, 45, 267 35-45 . 198 . 196 35—45 . 200 . 64 31, 34 . 31 35, 45 35, 40 . 37 artificial denture 1 — 3 . 17 4 Oil lamp Owen's blowpipe . Obtaining tbe bite for partial dentures „ „ entire dentures Opening tbe flask, precaution as to . Objections to coating surface of plaster Obturators for congenital defects of palate „ for syphilitic defects of palate Palatal defects . Palates, deep . 24 . 20 . 95 . 100 174—177 . 178 217—239 243—261 217—261 . 240 286 INDEX Partial dentures in gold „ „ in vulcanite „ „ supported by clasps „ „ „ wooden cylinder Parting assays Pivot tootli, cases most suitable for a „ „ preparation of stump for „ ,, taking impression for „ „ varieties of teeth, used for a „ „ fitting crown for „ „ fitting and adjusting pivot for Pivots of wood, metal, &c. . „ affixing to crown and stump . Platinum, properties of „ alloys of . „ solder for Plaster of Paris, mode of mixing „ „ impressions „ 55 to harden . „ „ to set quickly „ casting in Porcelain, teeth of „ blocks, preparation of „ composition of . . • PAGE . 74 . 194 80, 196 . 272 . 59 . 126 . 127 . 130 . 131 . 132 134, 135 134, 135 134, 135 . 72 . 73 73, 115 8 7—10 34,35 8 . 30 104—111 . 108 109, 110 Rabbit's fusible metal Remodelling with vulcanite Repairing vulcanite plates . „ „ with celluloid Reducing gold to various degrees of fineness Refitting gold plates with vulcanite linings Rims to gold plates Roots of teeth, preparation of, for fitting to Rose's fusible metal Rolling or flatting plate . 267 . 204 200, 275 . 214 . 269 204—206 86, 93, 94 . 138 . 267 . 67 INDEX 287 PAGE Sand for casting . . 35 „ preparing with oil or water . 35 Self-acting blowpipe 22, 23 Silver, properties of . 71 „ alloys of . 71,72 Silex, liquid, use of 178, 222 Soft solder, composition of . . 267 Spirit lamp . 25 Spiral springs, their manufacture . 70 „ „ their adjustment . 276 „ „ to prevent abrasion from . 279 Standard clasp .... . 81 Stent's composition . 11 Strengthening teeth of plaster model . 30 Suction plates 86, 91, 3 „ how to obtain . 275 Snow's blowpipe . . 20 Teeth, the choice of . . ' 131, 136 „ their adjustment 138, 147 „ attachment of bands to . 74 Temporary dentures 4 Tin . 44, 45 Time that need elapse before insertion of artificial denture 3 Touchstone, use of . 49 Ti-ying in cases 81, 84 Type metal . 267 Undercut models, to cast in metal 38, 39 Uniting plates and clasps . 83 Varnish for models . 33 Yulcanite (see India mbber) 163—166 „ flasks . . 171 „ to remove discoloration from . 202 288 i^DEX PAGE Yulcanizers , . . . . 178 Yulcanizing . . ... . 185 Wax . . . . . . 5,6 „ witli oil . . . . . 5, 11 „ witli castor-oil . . . .11 ,, witli resin . . . . .34 „ with, paraffin . . .11 Wood pivots . . . . . 134 ., cylinders . . . , . 272 Zinc . . . . . 44, 45 PRINTED BY J. E. ADLAED, BAETHOLOMEW CLOSE, LONDON, E.C. * \ COLUMBIA UNIVERSITY LIBRARIES This book is due on the date indicated below, or at the expiration of a definite period after the date of borrowing, as provided by the rules of the Library or by special arrange- ment with the Librarian in charge. DATE BORROWED DATE DUE DATE BORROWED DATE DUE X jlr; ■ C28(lt4l)MIOO RK651 Coles /?^4sr/ C67 1876 ^^7 COLUMBIA UNIVERSITY LIBRARIES (hsi.stx) RK 651 C67 1876 C.I A manual of dental 'T^echamsms / 2002450003