Instruments in oral surgery i

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1. Instruments in Oral SurgeryInstruments in Oral Surgery Dr.SHESHKARAN SINGHDr.SHESHKARAN SINGH RAJPUROHIT(BDS,MIDA,DNHE)RAJPUROHIT(BDS,MIDA,DNHE)…
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  • 1. Instruments in Oral SurgeryInstruments in Oral Surgery Dr.SHESHKARAN SINGHDr.SHESHKARAN SINGH RAJPUROHIT(BDS,MIDA,DNHE)RAJPUROHIT(BDS,MIDA,DNHE) Email-dr.s.k.rajpurohit@gmail.comEmail-dr.s.k.rajpurohit@gmail.com
  • 2. Hemostats vs. Needle HoldersHemostats vs. Needle Holders  HemostatsHemostats  Used for placing and removing surgicalUsed for placing and removing surgical bladesblades  Needle holdersNeedle holders  Have gold loopsHave gold loops  Used specifically for pushing needlesUsed specifically for pushing needles and suturingand suturing
  • 3. Hemostats vs. Needle HoldersHemostats vs. Needle Holders
  • 4. 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
  • 5. ChiselsChisels  Monobevel-Monobevel-  Remove boneRemove bone  BibevelBibevel  Split TeethSplit Teeth
  • 6. ElevatorsElevators  301-smallest301-smallest  3434  46S-Largest46S-Largest
  • 7. 301 Elevator301 Elevator  Lever actionLever action  DisplacementDisplacement  Smaller root tipsSmaller root tips
  • 8. 34 Elevator34 Elevator  Lever actionLever action  DisplacementDisplacement  Most teeth and larger root tipsMost teeth and larger root tips
  • 9. 46S Elevator46S Elevator  Lever actionLever action  DisplacementDisplacement  Most teeth and larger root tipsMost teeth and larger root tips
  • 10. Curved CryersCurved Cryers  Max. Impacted 3Max. Impacted 3rdsrds Molars ONLYMolars ONLY  Like a spoon, roll them outLike a spoon, roll them out
  • 11. Cryer ElevatorCryer Elevator  Wheel and axleWheel and axle  Adjacent empty socketAdjacent empty socket  Mandibular first molarsMandibular first molars  Needs sharp tip i.e. no purchaseNeeds sharp tip i.e. no purchase pointpoint
  • 12. East/WestEast/West  Wheel and axleWheel and axle  Adjacent empty socketAdjacent empty socket  Mandibular first molarsMandibular first molars  Needs sharp tip i.e. no purchaseNeeds sharp tip i.e. no purchase pointpoint
  • 13. 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 belowPlace at MB of third molar below HOC and roll to the distalHOC and roll to the distal
  • 14. Potts ElevatorsPotts Elevators  Max. Impacted 3Max. Impacted 3rdsrds Molars ONLYMolars ONLY  Wheel and axleWheel and axle  Miller elevator with “T” handleMiller elevator with “T” handle  Can deliver more forceCan deliver more force
  • 15. 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
  • 16. Rongeur #4ARongeur #4A Side cutting and end-cutting rongeurs Used by general dentists Cut bone by means of pinching
  • 17. 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
  • 18. 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.
  • 19. Minnesota RetractorMinnesota Retractor  Retract mucoperiosteal flapRetract mucoperiosteal flap  Protect mucosa during cuttingProtect mucosa during cutting  Rest on bone ONLYRest on bone ONLY
  • 20. 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
  • 21. Clover LeafClover Leaf  Sweetheart retractor, “Weider”Sweetheart retractor, “Weider”
  • 22. Austin RetractorAustin Retractor  Place down on bone, retracts cheekPlace down on bone, retracts cheek and protectsand protects
  • 23. Bone ThicknessBone Thickness  The thinnest bone is on the lingual ofThe thinnest bone is on the lingual of the third molar regionthe third molar region  Most common place to find boneMost 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 outIf bone spicule is separated, pull it out with tweezers, adson forcepswith tweezers, adson forceps
  • 24. ForcepsForceps  Designed to attached to theDesigned 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.
  • 25. ForcepsForceps  Maxillary forceps have a gradual S-Maxillary forceps have a gradual S- shaped curveshaped curve  Mandibular forceps have 90 degreeMandibular forceps have 90 degree bendbend
  • 26. 150/151 Forceps150/151 Forceps
  • 27. Anterior ForcepsAnterior Forceps  Maxillary- #1 or #99 Anterior CuspidMaxillary- #1 or #99 Anterior Cuspid to Cuspid- specific!to Cuspid- specific!  Mandibular- 74 (Ash) can also use onMandibular- 74 (Ash) can also use on the premolarsthe premolars
  • 28. #1, #99 Forceps#1, #99 Forceps
  • 29. 74N Forceps74N Forceps
  • 30. 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 2and 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 breakExpands the buccal plate, can break roots and crush tissueroots and crush tissue
  • 31. 88R and 88L88R and 88L
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