Instruments in Oral Instruments in Oral SurgerySurgery

Jan 18, 2008Jan 18, 2008

Hemostats vs. Needle Hemostats vs. Needle HoldersHolders

HemostatsHemostats Used for placing and removing Used for placing and removing

surgical bladessurgical blades Needle holdersNeedle holders

Have gold loopsHave gold loops Used specifically for pushing Used specifically for pushing

needles and suturingneedles and suturing

Hemostats vs. Needle Hemostats vs. Needle HoldersHolders

Full Thickness FlapsFull Thickness Flaps

Mucosa, Submucosa and Mucosa, Submucosa and PeriosteumPeriosteum Submucosa contains nerves, Submucosa contains nerves,

arteries, veins and lymphaticsarteries, veins and lymphatics We raise full thickness flaps in We raise full thickness flaps in

O.S.O.S. Less swellingLess swelling Less bleedingLess bleeding Less painLess pain

ChiselsChisels

Monobevel-Monobevel- Remove boneRemove bone

BibevelBibevel Split TeethSplit Teeth

ElevatorsElevators

301-smallest301-smallest 3434 46S-Largest46S-Largest

301 Elevator301 Elevator

Lever actionLever action DisplacementDisplacement Smaller root tipsSmaller root tips

34 Elevator34 Elevator

Lever actionLever action DisplacementDisplacement Most teeth and larger root tipsMost teeth and larger root tips

46S Elevator46S Elevator

Lever actionLever action DisplacementDisplacement Most teeth and larger root tipsMost teeth and larger root tips

Curved CryersCurved Cryers

Max. Impacted 3Max. Impacted 3rdsrds Molars ONLY Molars ONLY Like a spoon, roll them outLike a spoon, roll them out

Cryer ElevatorCryer Elevator

Wheel and axleWheel and axle Adjacent empty socketAdjacent empty socket Mandibular first molarsMandibular first molars Needs sharp tip i.e. no purchase Needs sharp tip i.e. no purchase

pointpoint

East/WestEast/West

Wheel and axleWheel and axle Adjacent empty socketAdjacent empty socket Mandibular first molarsMandibular first molars Needs sharp tip i.e. no purchase Needs sharp tip i.e. no purchase

pointpoint

Miller ElevatorMiller Elevator

Wheel and axleWheel and axle Impacted maxillary thirdsImpacted maxillary thirds NOT erupted maxillary thirdsNOT erupted maxillary thirds Place at MB of third molar below Place at MB of third molar below

HOC and roll to the distal HOC and roll to the distal

Potts ElevatorsPotts Elevators

Max. Impacted 3Max. Impacted 3rdsrds Molars ONLY Molars ONLY Wheel and axleWheel and axle Miller elevator with “T” handleMiller elevator with “T” handle Can deliver more forceCan deliver more force

Bone FileBone File

Used for superficial smoothingUsed for superficial smoothing Only used with a pull-strokeOnly used with a pull-stroke Otherwise you burnish the boneOtherwise you burnish the bone

Rongeur #4ARongeur #4A

Side cutting and end-cutting rongeurs

Used by general dentists

Cut bone by means of pinching

Rongeur #5Rongeur #5

Large-bladed, side cutting rongeurs

“Bone forceps”- cuts bone rather than pinching bone

Can easily pinch or cut lips and cheek tissue

Molt Curette 2/4Molt Curette 2/4

#2 end is smaller to enucleate a #2 end is smaller to enucleate a cavity, cyst, granulomas, etc.cavity, cyst, granulomas, etc.

Minnesota RetractorMinnesota Retractor

Retract mucoperiosteal flapRetract mucoperiosteal flap Protect mucosa during cuttingProtect mucosa during cutting Rest on bone ONLYRest on bone ONLY

Periosteal ElevatorPeriosteal Elevator

Start with the pointed edgeStart with the pointed edge Reflect the flap with the broad Reflect the flap with the broad

endend

Clover LeafClover Leaf

Sweetheart retractor, “Weider”Sweetheart retractor, “Weider”

Austin RetractorAustin Retractor

Place down on bone, retracts Place down on bone, retracts cheek and protectscheek and protects

Bone ThicknessBone Thickness

The thinnest bone is on the The thinnest bone is on the lingual of the third molar regionlingual of the third molar region

Most common place to find bone Most common place to find bone spiculesspicules

If bone spicule is attached to If bone spicule is attached to bone, reflect flapbone, reflect flap

If bone spicule is separated, pull If bone spicule is separated, pull it out with tweezers, adson it out with tweezers, adson forcepsforceps

ForcepsForceps

Designed to attached to the Designed to attached to the anatomical crown of teethanatomical crown of teeth

150 max. universal150 max. universal 151 mand. universal151 mand. universal 150S/151S- pedo max. and 150S/151S- pedo max. and

mand.mand.

ForcepsForceps

Maxillary forceps have a gradual Maxillary forceps have a gradual S-shaped curveS-shaped curve

Mandibular forceps have 90 Mandibular forceps have 90 degree benddegree bend

150/151 Forceps150/151 Forceps

Anterior ForcepsAnterior Forceps

Maxillary- #1 or #99 Anterior Maxillary- #1 or #99 Anterior Cuspid to Cuspid- specific!Cuspid to Cuspid- specific!

Mandibular- 74 (Ash) can also Mandibular- 74 (Ash) can also use on the premolarsuse on the premolars

#1, #99 Forceps#1, #99 Forceps

74N Forceps74N Forceps

Broken CrownsBroken Crowns

Due to IRM, Deep decay, Temp. Due to IRM, Deep decay, Temp. crowns, RCT “brittle teeth”crowns, RCT “brittle teeth”

88R, 88L- maxillary 188R, 88L- maxillary 1stst and 2 and 2ndnd molarsmolars

Need furcation to engage forcepsNeed furcation to engage forceps 1 prong between buccal roots1 prong between buccal roots 2 prongs cradle the palatal root2 prongs cradle the palatal root Expands the buccal plate, can Expands the buccal plate, can

break roots and crush tissuebreak roots and crush tissue

88R and 88L88R and 88L