instruments in oral surgery i
TRANSCRIPT
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Instruments in Oral SurgeryInstruments in Oral SurgeryDr.SHESHKARAN SINGHDr.SHESHKARAN SINGH
RAJPUROHIT(BDS,MIDA,DNHE)RAJPUROHIT(BDS,MIDA,DNHE)[email protected]@gmail.com
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Hemostats vs. Needle HoldersHemostats vs. Needle Holders
HemostatsHemostats Used for placing and removing surgical Used for placing and removing surgical
bladesblades Needle holdersNeedle holders
Have gold loopsHave gold loops Used specifically for pushing needles Used specifically for pushing needles
and suturingand suturing
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Hemostats vs. Needle HoldersHemostats vs. Needle Holders
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Full Thickness FlapsFull Thickness Flaps
Mucosa, Submucosa and PeriosteumMucosa, Submucosa and Periosteum Submucosa contains nerves, arteries, Submucosa contains nerves, arteries,
veins and lymphaticsveins and lymphatics We raise full thickness flaps in O.S.We raise full thickness flaps in O.S.
Less swellingLess swelling Less bleedingLess bleeding Less painLess pain
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ChiselsChisels
Monobevel-Monobevel- Remove boneRemove bone
BibevelBibevel Split TeethSplit Teeth
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ElevatorsElevators
301-smallest301-smallest 3434 46S-Largest46S-Largest
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301 Elevator301 Elevator
Lever actionLever action DisplacementDisplacement Smaller root tipsSmaller root tips
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34 Elevator34 Elevator
Lever actionLever action DisplacementDisplacement Most teeth and larger root tipsMost teeth and larger root tips
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46S Elevator46S Elevator
Lever actionLever action DisplacementDisplacement Most teeth and larger root tipsMost teeth and larger root tips
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Curved CryersCurved Cryers
Max. Impacted 3Max. Impacted 3 rdsrds Molars ONLY Molars ONLY Like a spoon, roll them outLike a spoon, roll them out
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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
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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
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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
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Potts ElevatorsPotts Elevators
Max. Impacted 3Max. Impacted 3 rdsrds 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
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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
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Rongeur #4ARongeur #4A
Side cutting and end-cutting rongeurs
Used by general dentists
Cut bone by means of pinching
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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
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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.
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Minnesota RetractorMinnesota Retractor
Retract mucoperiosteal flapRetract mucoperiosteal flap Protect mucosa during cuttingProtect mucosa during cutting Rest on bone ONLYRest on bone ONLY
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Periosteal ElevatorPeriosteal Elevator
Start with the pointed edgeStart with the pointed edge Reflect the flap with the broad endReflect the flap with the broad end
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Clover LeafClover Leaf
Sweetheart retractor, “Weider”Sweetheart retractor, “Weider”
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Austin RetractorAustin Retractor
Place down on bone, retracts cheek Place down on bone, retracts cheek and protectsand protects
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Bone ThicknessBone Thickness
The thinnest bone is on the lingual of The thinnest bone is on the lingual of the third molar regionthe third molar region
Most common place to find bone Most common place to find bone spiculesspicules
If bone spicule is attached to bone, If bone spicule is attached to bone, reflect flapreflect flap
If bone spicule is separated, pull it out If bone spicule is separated, pull it out with tweezers, adson forcepswith tweezers, adson forceps
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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 mand.150S/151S- pedo max. and mand.
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ForcepsForceps
Maxillary forceps have a gradual S-Maxillary forceps have a gradual S-shaped curveshaped curve
Mandibular forceps have 90 degree Mandibular forceps have 90 degree bendbend
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150/151 Forceps150/151 Forceps
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Anterior ForcepsAnterior Forceps
Maxillary- #1 or #99 Anterior Cuspid Maxillary- #1 or #99 Anterior Cuspid to Cuspid- specific!to Cuspid- specific!
Mandibular- 74 (Ash) can also use on Mandibular- 74 (Ash) can also use on the premolarsthe premolars
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#1, #99 Forceps#1, #99 Forceps
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74N Forceps74N Forceps
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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 molars molars 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 break Expands the buccal plate, can break
roots and crush tissueroots and crush tissue
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88R and 88L88R and 88L