Design and Care of Dental Hygiene Instruments Flashcards
Types of stainless steel available for hand instruments
Stainless steel does not corrode or rust
- Austenitic.
- Martensitic.
- Ferritic.
Austenitic
- Hypodermic needles.
- Probe.
Martensitic
- Cutting instruments.
- Scalers.
Ferritic
- For bulk.
- Handles.
Most and instruments are made from steels containing chrome. Disadvantages?
- Do not maintain a good cutting edge.
- Need constant sharpening.
What can be used for instruments instead of steels?
Tungsten carbide tips.
- Hard compound.
- Stays sharp for a long time.
- Should not be used on enamel.
Why do we need instruments for implant care?
To not scratch or damage the titanium abutments.
Anatomy of dental instruments
- Handle - To grasp the instrument.
- Shank - Connects handle to working end. Allows adaptation of the working end to the tooth surface.
- Working end
Factors to consider when selecting instrument handles
- Weight
- Diameter
- Serration
Instrument weight
- Hollow handles increase tactile sensation and reduce fatigue.
- Silicone handles are lightweight and improve grasp.
Instrument diameter
- Large handles maximise control and encourage a lighter grasp.
- Smaller handles increases muscle fatigue.
Instrument serration
- Knurled and silicone handles provide a gripping surface.
- Enhances control.
Instrument shank
- Functional shank - From working end to handle
- Terminal shank - Between working end and first bend. Used to adapt the instrument to the tooth.
Working end
- Back.
- Lateral surface.
- Face.
- Heel.
- Tip (pointy) or toe (rounded).
- 1st third is the tip/toe.
- Middle third.
- 3rd third is the heel.
Instrument design features
- Single ended.
- Double ended - Fewer instruments needed. Saves times and less sterilisation. Need to be careful to not injure operator or patient when turning the instrument.
- Balanced.