Some use Robinson's fibrous material as a surface for tin fillings, thinking that it is harder and will wear longer because of the erroneous notion that it has platinum in it.
CHAPTER IX.
Tin has been recommended for temporary fillings in sensitive cavities, because it is soft and easily packed in contact with the walls, has therapeutic value, and after a time, when the temporary filling is removed, the cavity is not as sensitive as formerly.
It has been observed that starting gold in a sensitive cavity causes pain, but starting tin in the same place seldom does.
As long as tin preserves its integrity it preserves the tooth, therefore tin fillings should not be repaired with amalgam, as their integrity may be destroyed. Cavities can be partly filled with tin and completed with sponge, fibrous, or crystalloid gold, after the manner described for beginning with tin and finishing with gold foil.
"I advocated tin at the cervical wall, cervico-lingual and cervico-buccal angles to the thickness of 24 plate. Then complete the filling with gold. Some of my most successful efforts in saving soft teeth have been made in this way. This method has great value over gold for the whole filling, but there are two objections to it: First, it imparts to the cervical border the color and appearance of decay, so that in three cases where an instrument passed readily into the tin I have removed the fillings, without any necessity for it, not even finding any softening of the margins. Second, its use requires the same conditions of dryness, shape of cavity, delicate manipulation, inconvenience to patient, and strain upon the operator as when gold is used alone." (Dr. D. D. Smith, Dental Cosmos, 1883.) He admits that this method saves soft teeth and also cervical margins. Do not those two very important factors more than counterbalance the color, and oversight of the dentist?
Dryness is an essential in making the best filling with any material, and the time and strain consumed by the majority of operators in filling with tin is not more than one-half what it is in using gold.
"I use tin at the cervical margin of all proximal cavities in bicuspids and molars. I prepare a matrix of orange-wood to suit each case, letting it cover about one-third of the cavity, then fill with tin condensed by hand force and automatic mallet; now split the matrix and carefully remove it piece by piece, so as not to disturb the tin; then trim and finish this part of the filling. Make another wooden matrix, which covers the tin and remainder of the cavity, and fit it snugly to place. Use a coarsely serrated plugger and begin packing non-cohesive gold into the tin, letting it fill about one-third more of the cavity; then complete the last third (surface) with cohesive gold. I have tested this method for twenty years, and it has given me splendid results. I always tell patients that there will appear sooner or later a slight discoloration near the gum, which must not be mistaken for caries." (Dr. A. P. Burkhart.)