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Medical Forum / General / Dentistry / May 2007

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The History of Dentistry, Infection Control and Pulp Capping

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gordongaskill@netzero.com - 15 May 2007 02:50 GMT
Pulp capping was practiced by German dentist Philip Pfaff in 1756,
reference a paper titled History of Dentistry by Terry Wilwerding of
Creighton University, a pdf file available for view on the internet.
They can be made directly on the pulp and indirectly on dentin. A
layer of calcium hydroxide cement may be placed on the pulp to
stimulate dentin growth and remineralization. a comparison of this
method with the total etch technique named for the phosphoric acid
etchant, a soft calcium hydroxide preparation is applied and rinsed,
appears in Vital Pulp Capping: a Worthwhile Procedure by Lawrence
Stockton of the University of Manitoba. Information on infection
control, the microorganisms involved, may be found in Controversies in
Endodontics by G. Bergenholtz of the Sahlgrenska Academy at Goteborg
University, Sweden and L. Spangberg of the University of Connecticut,
Farmington. One key to infection control is a diet of raw vegetables
and fruits, our teeth and bodies are designed for it. The cavity needs
to be cleaned after each meal. Systemic chemotherapeutics may be added
as needed, garlic, echincea, goldenseal, and a hot water bottle and
rest for inflammation. And a dentist or endodontist to cap the pulp.
We Americans are accelerating evolution.
In search of dental consultation on pulp capping.
Gordon
doctai77@gmail.com - 15 May 2007 13:28 GMT
On May 14, 9:50 pm, gordongask...@netzero.com wrote:
> Pulp capping was practiced by German dentist Philip Pfaff in 1756,
> reference a paper titled History of Dentistry by Terry Wilwerding of
[quoted text clipped - 17 lines]
> In search of dental consultation on pulp capping.
> Gordon

i was always taught that calcium hydroxide "stimulated" the pulp to
form tertiary dentin, and yet it is the same compound that some
endodontists place in the canal in two visit endos.  i could never
figure that out.  but i think most people doing pulp caps are
achieving hemostasis and then bonding right over the exposure.
Amatus Cremona - 15 May 2007 13:59 GMT
Check the recent research.  CaOH is no longer thought to stimulate dentin
formation.  It is thought to be bactericidal due to its pH.  Plus, it
disappears as a liner over a vital pulp, and leaves a void.  You are better
off pulp capping with resin, if you are going to do it.

Personally, I use CaOH every few months when I get a pin point mechanical
exposure.  I place the CaOH to kill any bacteria over the exposure, go ahead
and powder, scan and mill.  It works well to protect the exposure from
saliva while I design and mill (about 10-15 minutes).  Just before bonding,
I flick off the CaOH and bond right to the exposure.

Signature

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Amatus

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> On May 14, 9:50 pm, gordongask...@netzero.com wrote:
>> Pulp capping was practiced by German dentist Philip Pfaff in 1756,
[quoted text clipped - 24 lines]
> figure that out.  but i think most people doing pulp caps are
> achieving hemostasis and then bonding right over the exposure.
gordongaskill@netzero.com - 15 May 2007 18:43 GMT
On May 14, 9:50 pm, gordongask...@netzero.com wrote:
> Pulp capping was practiced by German dentist Philip Pfaff in 1756,
> reference a paper titled History of Dentistry by Terry Wilwerding of
[quoted text clipped - 17 lines]
> In search of dental consultation on pulp capping.
> Gordon

I, Gordon, am located in Bel Air, Maryland near Baltimore, am willing
to travel. Thank you to Doctai and Amatus for your responses. Will you
let me know where you are?
Amatus Cremona - 15 May 2007 19:13 GMT
I am in Michigan.  The land where cars used to be made.

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Amatus

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> On May 14, 9:50 pm, gordongask...@netzero.com wrote:
>> Pulp capping was practiced by German dentist Philip Pfaff in 1756,
[quoted text clipped - 22 lines]
> to travel. Thank you to Doctai and Amatus for your responses. Will you
> let me know where you are?
Newbie - 15 May 2007 20:28 GMT
>I am in Michigan.  The land where cars used to be made.

Don't they make them in Kentucky now ?
Amatus Cremona - 15 May 2007 21:50 GMT
And, Indiana, South Carolina, Mexico and Canada.

Let's see how much longer Chrysler and JEEP remain viable under new owners.

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Amatus

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>
>>I am in Michigan.  The land where cars used to be made.
>
> Don't they make them in Kentucky now ?
Newbie - 15 May 2007 21:57 GMT
Wasn't it some mega-billion deal with Daimler ?
No, wait a private equity firm bought Daimler ?

Who is running Jeep/Chrysler now ?

>And, Indiana, South Carolina, Mexico and Canada.
>
[quoted text clipped - 3 lines]
>>
>> Don't they make them in Kentucky now ?
Amatus Cremona - 16 May 2007 00:50 GMT
Cerberus Capital Management bought Chrysler/Jeep from Daimler for $7.8B.
They inherit a $19B pension and healthcare debt.  They are known for
liquidating any holding which is not making at least 22% for their owners.
Since Chrysler lost $1.8B last year, it makes you wonder.

We wonder if any of it will remain after 4-5 years.

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Amatus

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>
> Wasn't it some mega-billion deal with Daimler ?
[quoted text clipped - 10 lines]
>>>
>>> Don't they make them in Kentucky now ?
Dartos - 16 May 2007 14:02 GMT
> They inherit a $19B pension and healthcare debt.  

I think that's a big reason the US companies can no longer compete with
the foreign ones.  Since the people buying the cars don't care about the
labor conditions or benefits to the employees, it's a no-win situation.

Wasn't this similar to what happened to the US steel corps?

D
Amatus Cremona - 16 May 2007 15:05 GMT
yup

I think we still have one steel plant in the area.  Used to be many.

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Amatus

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>
>> They inherit a $19B pension and healthcare debt.
[quoted text clipped - 6 lines]
>
> D
Newbie - 16 May 2007 14:44 GMT
>Cerberus Capital Management bought Chrysler/Jeep from Daimler for $7.8B.
>They inherit a $19B pension and healthcare debt.  They are known for
>liquidating any holding which is not making at least 22% for their owners.
>Since Chrysler lost $1.8B last year, it makes you wonder.
>
>We wonder if any of it will remain after 4-5 years.

Feel sorry for the pensioners but don't see how the company
can shoulder such debt and remain solvent.
Amatus Cremona - 16 May 2007 15:09 GMT
I worry that Cerberus will be selling off the company in bits and pieces as
new companies and just stop paying on the pensions.  Or, perhaps just
liquidate solid assets and close it right down, therefore, no longer paying
on those pensions and medical premiums.

Hopefully, I am 100% wrong and they will maintain their commitments to the
work force.

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Amatus

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>
>>Cerberus Capital Management bought Chrysler/Jeep from Daimler for $7.8B.
[quoted text clipped - 6 lines]
> Feel sorry for the pensioners but don't see how the company
> can shoulder such debt and remain solvent.
Dartos - 16 May 2007 17:53 GMT
Doesn't sound likely.

While unions were very necessary with the labor conditions in the
past, a few of them just got so big and greedy that they have
ended up biting the hand that feeds them.

I don't feel sorry for the union big wigs, but it hurts the
average worker too.

Not saying business fat cats are any nicer.  Hard to find a 'happy medium.

D

> I worry that Cerberus will be selling off the company in bits and pieces as
> new companies and just stop paying on the pensions.  Or, perhaps just
[quoted text clipped - 3 lines]
> Hopefully, I am 100% wrong and they will maintain their commitments to the
> work force.
John & Ninetta - 16 May 2007 22:02 GMT
> While unions were very necessary with the labor conditions in the
> past, a few of them just got so big and greedy that they have
> ended up biting the hand that feeds them.

What about the people writing the cheques....its a two-way street.  They
could have put their foot down.  Remember Reagan and the air traffic
controllers?

> I don't feel sorry for the union big wigs, but it hurts the
> average worker too.

I agree.  There is a Toyota plant in a neighbouring city to me.  No
union.....yet.  I doubt in today's manufacturing environment in North
America, any union will be successful in getting in.  Its one of the few
local manufacturing jobs with good pay....thousands of similar manufacturing
jobs in my area have disappeared in the last few years.  Mostly skilled high
tech and insurance are major employers now.

John
Dartos - 16 May 2007 22:42 GMT
Wonderful, huh?

;-(
D

 insurance are major employers now.

> John
Amatus Cremona - 17 May 2007 12:54 GMT
Top levels of management have raped many big companies in the past 15 years.
Every time I drive past the (previous) K-Mart World Headquarters, I feel
very sad.  The top 6-10 executives sucked millions out of the company and
let the corporation simply fail.  The empty building is about 15 acres
(including the parking lots), and employed a couple thousand people ten
years ago.

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Amatus

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> >
>> While unions were very necessary with the labor conditions in the
[quoted text clipped - 16 lines]
>
> John
Newbie - 17 May 2007 19:58 GMT
>Top levels of management have raped many big companies in the past 15 years.
>Every time I drive past the (previous) K-Mart World Headquarters, I feel
>very sad.  The top 6-10 executives sucked millions out of the company and
>let the corporation simply fail.  The empty building is about 15 acres
>(including the parking lots), and employed a couple thousand people ten
>years ago.

Have you checked the stock price since the near collapse
and subsequent re-organization of 'K' ?

Would have bought the stock but feared that the company
was going to go belly up.

Where is the headquarters now ?
Could be they moved to a more tax advantageous state.
Amatus Cremona - 18 May 2007 12:16 GMT
I believe headquarters is not under Sears, but don't quote me on that.

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Amatus

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>
>>Top levels of management have raped many big companies in the past 15
[quoted text clipped - 13 lines]
> Where is the headquarters now ?
> Could be they moved to a more tax advantageous state.
Amatus Cremona - 17 May 2007 12:51 GMT
I have always felt that pay should be relative to the level of difficulty,
the amount of training required to learn the task and the danger of
performing the task.  Unfortunately, labor unions have created an
environment where someone with zero training or education can have an
extremely well paying job, while experiencing no greater risk to health that
boredom.

The Unions were very essential to the safety and well being of these workers
many decades ago.  Today,,,,,, well some have forgotten what they should be
doing and have focused on other things.

If the labor unions would simply allow greater pay for workers who work
harder and allow management to get rid of those employees who do not meet
minimum standards (with proper documentation), then it would be a better
world.  Unfortunately, the LU will protect workers who have never put in
close to a full day's work in their lives.

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Amatus

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>
> Doesn't sound likely.
[quoted text clipped - 17 lines]
>> Hopefully, I am 100% wrong and they will maintain their commitments to
>> the work force.
Newbie - 17 May 2007 19:55 GMT
>I have always felt that pay should be relative to the level of difficulty,
>the amount of training required to learn the task and the danger of
[quoted text clipped - 12 lines]
>world.  Unfortunately, the LU will protect workers who have never put in
>close to a full day's work in their lives.

Which brings up the observation of which political party
is currently the deepest involved with 'big labor'...
Dartos - 15 May 2007 22:10 GMT
There is still a Ford plant in KC on the Missouri side, and
a GM plant on the Kansas side.  Ford has been offering 'buy
outs' to employees to trim the work force.

The St. Louis Ford plant closed a year or two ago.

D

>>I am in Michigan.  The land where cars used to be made.

> Don't they make them in Kentucky now ?
Newbie - 16 May 2007 14:45 GMT
Must be cheaper in the long run to 'buy out' the employees.

Would that be employee liquidation ?

>There is still a Ford plant in KC on the Missouri side, and
>a GM plant on the Kansas side.  Ford has been offering 'buy
[quoted text clipped - 7 lines]
>
>> Don't they make them in Kentucky now ?
doctai77@gmail.com - 16 May 2007 01:00 GMT
On May 14, 9:50 pm, gordongask...@netzero.com wrote:
> Pulp capping was practiced by German dentist Philip Pfaff in 1756,
> reference a paper titled History of Dentistry by Terry Wilwerding of
[quoted text clipped - 17 lines]
> In search of dental consultation on pulp capping.
> Gordon

Gordon, I am located in Wilmington, Delaware.  But you should be able
to find a very respectable dentist closer and more convienent to you.
you can always ask the people on this board if what they are saying
makes sense.  it's harder for us sometimes without the benefits of
diagnostic tools, but I would ask your friends about the dentists they
see.

C
Steven Bornfeld - 16 May 2007 03:18 GMT
> On May 14, 9:50 pm, gordongask...@netzero.com wrote:
>> Pulp capping was practiced by German dentist Philip Pfaff in 1756,
[quoted text clipped - 27 lines]
>
> C

    I believe our old friend Stan Goloskov (sp?) was in the Wilmington
area--one of the shining lights of this newsgroup when I first checked
in 6 or 8 years ago.  Wonder if you know him.
    I have fond memories of the Wilmington area and esp. the Brandywine
River valley from my old cycling days--spent every Columbus Day weekend
in  Chadds Ford.

Steve
 
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