Armamentaria Flashcards
needles that are mostly used for infiltration
techniques
Short needles
needles that are usually used for nerve
blocks
Long Needles
Blade mostly used for perio & Not that common in OS
12
Blade Used for Incision and Drainage (I&D)
11
Most commonly used scalpel blade as far as oral
surgery is concerned
15
Most commonly used retractor
Minnesota Retractor
Angle wider or cheek retractor used in ortho or
pedo
Columbia Retractor
Sole purpose is to retract the tongue
Weider Retractor
Retractor Generally used for abdominal and thoracic
surgery
Army-Navy Retractor
Retractor a flat piece of metal with a broad end
Seldin
Instruments used to reflect or lift up the
mucoperiosteal flap to reveal the underlying bone;
surgical field
Periosteal Elevator
Most commonly used Periosteal Elevator, One end is a slender, pointed tip The other end is a broader, flat tip
MPE Molt #9
Periosteal Elevator with two ends that are roughly the same size
Woodson Periosteal Elevator
MPE Molt #9 tip used to initially reflect the flap
slender, pointed tip
T or F: Surgical Fissure bur has lesser flutes and wider
spaces between compared to restorative burs
T
T or F: Round burs: for sectioning
F Surgical fissure burs are used for sectioning and cutting teeth. Round burs are for bone removal
Also called teeth forceps
Adson Tissue Forceps
Forceps that can be used during removal of small lesions
Adson Tissue Forceps
This forcep:
Doesn’t have teeth
Has small serrations
Long and slender tip
Used for picking up very small fragments and
stabilizing mucosa during surgery
Debakey Tissue Forceps
Used for picking up large objects: E.g. tooth, tooth fragments
Also called duckbill shaped forceps
Some have teeth, some just have serrations
Russian Tissue Forceps
Used for draping the patient
Towel Clips/ Clamps
Forceps Used to stabilize tissue during excision
Allis Forceps
Forceps Used for Removal of epulis fissuratum
Allis Forceps
Ringed instrument with beak w/ Parallel/straight serrations
Hemostat
Ringed instrument with beak w/ Crisscross serrations/surface
Needle Holder
Bone file Used in pull motion
Bone file with straight/horizontal serration
Bone file Used in push and pull motion
Bone file with criss-cross serration
Used to scoop out granulation tissue or necrotic
tissue
Surgical or Bone Curette
Used to spread out and debride surgical site of debris
Surgical or Bone Curette
Used in post-extraction debridement in removing any
kinds of tissue or debris seen in the site after
extraction
Surgical or Bone Curette
Also used in removal of cystic lesion or cystic tissue
inside the socket or alveolar bone
Surgical or Bone Curette
Sucks out fluid faster than saliva ejector
HIGH VOLUME EVACUATOR
Instruments used for extraction of teeth with the
purpose of luxating/loosening the tooth from the
alveolar process
ELEVATORS
If you use it for prying out the tooth, it is like a _____ lever
First-class
If you use it straight into the PDL space, it
works more like a ______
Wedge
Crossbar is a _________ type of elevator
Wheel and axle
Active component of elevators
Blade
A fine-graded instrument inserted into the PDL space
before they tear up the PDL fibers
Luxator
Flat instruments used to insert in the pdl space to
sever periodontal ligaments.
Periotome
● The blade is roughly 90 degrees on the shank
● Also works as a wheel and axle
● Used when the object is hard
● A.K.A. pennant elevator
● Has a straight handle
Cryer Elevators
● Blade is the same as the Cryer, roughly 90 degrees
on the shank
○ The difference is that it has a crossbar angle, it
is perpendicular to the shank
● It needs more force compared to the cryer
● If you don’t use it directly you might fracture the
mandible
Crossbar Elevators
Elevator used for removing root fragments
Crane Elevators
● For gross bone removal
● Like a nail clipper
For:
Bone removal during extraction in the absence of burs to expose embedded tooth
Removal of overlying bone for the exposure of cystic lesion for enucleation
RONGEUR FORCEPS
Removal of fractured off apical third or root tips (Last 2-3mm of the tooth)
ROOT TIPS PICK
For cutting sutures and tissues/mucosa (universal use)
IRIS SCISSORS
Solely for cutting sutures
SUTURE SCISSORS
Expensive scissors For cutting excess tissue
GOLDMANN-FOX
Used for cutting small tissue or mucosa at the
posterior area
Much like the Iris scissors but have longer shank
DEAN’S SCISSORS #9
Used to hold onto the tooth and expand the alveolar
bone to facilitate extraction
Forceps
For extracting maxillary centrals, laterals,
cuspids, and premolars, and any root fragment
150 Forceps
Specific for Mx root fragments, but smaller
69 Forceps
Forceps with Same function as 69
○ maxilla
○ small root fragments
65 Forceps
specific for upper third molars
240 Forceps
for maxillary first or second molars (scallops)
18 Forceps
for maxillary first or second molars (Prongs)
88 Forceps
for anteriors, premolars, and root fragments of mandibular teeth
151 Forceps
Extracts Md. molars with definite furcations
16 Forceps (Cow Horn)
Nicknamed as double wedge forceps
16 Forceps (Cow Horn)
Double scalloped beak, slightly bent handle, Md. forceps
215 Forceps
Double scalloped beak, Straight handle, Md. forceps
17 Forceps
Beak is 90o from the handle (forceps)
English Type Forceps
Forceps w/ beak and bumper
Physics forceps
Forceps are held with your palm ____, palm ____
Beak is pointing _____ from palm
palm open and palm up
Beak pointed away from palm
○ Has 2 edges
○ Used to section teeth
○ Insert in the furcation area, using a mallet split it into mesial and distal half
bibevel chisel
○ Only one edge
○ Used for expanding or removing bone
○ Like the one used by wood carvers
○ Using to remove mandibular tori. Better if the
bevel is new
mono-bevel chisel
Two uses of cautery
○ Cutting - removing tissue, making an incision and opening a flap
○ Coagulation - if there is a bleeding point, use to control the bleeding
Electro cautery tip used for coagulation
Ball
Electro cautery tip used for For excision or removing tissue
loop
Electro cautery tip used for cutting
Straight end
It forces the mouth to open when you close the
ratchet, used in pediatric patients
Mouth gag
Syringe used for irrigating, Brand name called asepto syringe
Bulb syringe
Looks like a normal syringe but it has a spring to aspirate
Used for irrigation
Irrigating syringe
Drain to evacuate abscess
Penrose drain
Most commonly used suture
3-0 or 000 suture for OS (silk)
Largest suture size:
0
Smallest suture size:
6-0
Absorbable sutures: (4)
Naturally occurring, made of intestinal lining of sheep or calf
○ Chromic gut
○ Plain gut
Synthetic, made of polymer
○ Polyglycolic
○ Polyglactin
○ Poliglecaprone
Most commonly used non absorbable sutures (3)
Silk
Nylon
Polypropylene
Most commonly used suture material w/ good tying properties
Silk
Amount of time needed for gut sutures to be absorbed
- PLAIN GUT
- Enzymatically dissolves in about 7 days - CHROMIC GUT
- Chromic salts added to slow down absorption rate of suture material (about 3 months)
The apex forms a cutting surface which facilitates
penetration of tough tissues such as mucosa
Triangular in shape
Conventional Cutting needle
Needle type For use in tissues that are not keratinized
Taper needle
Similar to a cutting needle except that the cutting edge faces down instead of up
Reverse Cutting needle
most common & ideal needle size in OS
½ circle
also called atraumatic sutures or needles
Swaged needle
