Oral Surgery-Instrumentation Flashcards
1
Q
What are the numbers for each maxillary forcep?
A
- 150
- maxillary universal
- 1
- straight forceps
- 53L/R
- maxillary molars (2 prongs)
- 88L/R
- upper cowhorn (3 prongs)
- 65 (286)
- bayonet forceps
2
Q
What are the numbers for each mandibular forcep?
A
- 151
- mandibular universal
- 74N
- Ash
- 13
- (looks like ash)
- 17
- 23 (87)
- cowhorn
3
Q
No. 150
A
- All Maxillary Teeth (universa)
- 150s=primary teeth
4
Q
No. 1
A
- Straight forceps
- maxillary incisors and canines
5
Q
53L & 53R
A
- Maxillary Molars
6
Q
88L & 88R
A
- Upper Cowhorn→Maxillary Molar
- severely decayed crowns
7
Q
No 65
A
- Bayonet Forceps (No 286)
- remove maxillary molar roots or narrow premolars
8
Q
No 151
A
- Mandibular Universal Forceps
- all mandibular teeth
- 151s=primary teeth
9
Q
No 74N
A
- Ash Forceps
- mandibular anterior teeth
10
Q
No 13
A
- Serrated Beak
- mandibular premolars
11
Q
No 17
A
- Lower molar forceps
- can’t be used with fused roots
12
Q
No 23
A
- Cowhorn Forceps (no 87)
- mandibular molars
- Pump handles
- improper use=untoward effects
- fracture alveolar bone or damage maxillary teeth
- improper use=untoward effects
13
Q
What is this instrument? and use?
A
- Rongeurs
- remove small amounts of bone in dentoalveolar surgery
- 2 designs:
- side-cutting
- side- and end-cutting
14
Q
What is this instrument? and use?
A
- Bone file/rasp
- final smoothing of Bone
- before suturing
- Pull stroke
- final smoothing of Bone
15
Q
What is this instrument? and use?
A
- Mallet and Chisel
- Chisel edge must be sharp
- Single or bi-bevel
- Chisel edge must be sharp
16
Q
What hand pieces are used to remove bone?
A
- Stryker CORE impaction drilll
- electric handpick
17
Q
What burs are used to remove bone?
A
- Sharp carbine burs
- Common Burs:
- No. 557, 501, 502,, 703, 703L, 8
- Remove large amount of bone (tori/tuberosity)
- acrylic bur
- egg/pineapple bur
- barrel bur
- acrylic bur
18
Q
What is this instrument? and use?
A
- Double-ended currette
- remove soft tissue from bone defects
- granuloma or small cysts from periodontal lesions
19
Q
What is this instrument? and use?
A
- Molt Currettes: 2 and 4
- straight instruments
20
Q
What are the options for holding the mouth open? Why/when to use?
A
- Use when/why:
- Extractions on mandibular teeth
- supports mandible to prevent stress on TMJ (protect)
- Extractions on mandibular teeth
- Silicone Bite Blocks
- Molt Mouth Prop
21
Q
What is this instrument? and use?
A
- Silicone Bite Block
- hold mouth open
22
Q
What is this instrument? and use?
A
- Molt (side-action) mouth prop
- open mouth wider
- Useful for:
- deeply sedated patients
- mild trismus
23
Q
What is this instrument? and use?
A
- Towel Clip
- hold towels and drapes In position
24
Q
What is this instrument? and use?
A
- Monojet Syringe
- irrigating
- When hand piece and bur used to remove bone
- cools the bur and prevents build up of bone-damaging heat
- increases efficiency
- washes bone chips from flutes
- after completion of surgical procedure and before suturing=irigate
25
What is this instrument? and use?
* No. 9 Molt periosteal elevator
* used to raise full thickness flap after mucoperiosteal incision
* Pointed End
* begin periosteal reflection
* reflect dental papillae b/w teeth
* Broad/rounded end
* continue the elevation of periosteum from bone
* Push Stroke=most efficient
26
Retractors: function & types/names
* Fxn:
* Retract cheeks, tongue, and flaps
* provide access and visibility
* protect soft tissues from sharp cutting instruments
* Before flap is created→ in cheek
* reflect flap→edge on bone and retract flap
* Types:
* Austin
* Minnesota
* Seldin
* Weider/Sweet heart
27
What is this instrument? and use?
* Austin Retractor
* Right Angle
* Retract cheek, tongue or flaps
28
What is this instrument? and use?
* Minnesota retractor
* offset
* retract cheeks and flaps
29
What is this instrument? and use?
* Seldin (bottom)
* leading edge is not sharp
* dont elevate mucoperiosteum
* retract soft tissues
* Henahan (bottom)
30
What is this instrument? and use?
* Weider/Sweet heart
* tongue retraction
* dont position to posterior=gag
31
What is this instrument? and use?
* Hemostat
* control hemorrhages and dissection
32
What is this instrument? and use?
* Fraser suction tip
* place finger over hole→increase suction
33
What is the purpose of suctioning?
* visualization
* suction blood, salt a, and irrigating solutions from site
* Surgical suction
* orifice-rapid evacuate fluids from site
* soft tissue wont aspirate into suction hole→prevents injury
34
Purpose of using dental elevators?
* luxe teeth from surround bone
* easier to remove w/dental forceps
* minimize broken roots, teeth, and bone
35
Indications for use of elevators
* Luxate teeth before forceps
* luxate or remove teeth that cant be grasped by forceps
* impacted teeth
* malposed teeth
* fragile
* cervical caries
* Forceps. might cause ttrauma
* root removal
36
Rules of Elevator use
* Never use adjacent teeth as fulcrum
* unless tooth is being extracted
* Control movements to avoid slipping
* damage soft or hard tissues
37
Straight Elevators
* most commonly used to luxe teeth
* Small straight: No 301
* begin lunation of erupted tooth
* Large Straight: No 34:
* displace roots from socket
* luxate teeth when
* spaced wide
* small straight is less effective
38
* Cryer elevator-most common
* Aka East West elevators
* Remove broken root
* when adjacent socket is empty
39
What is this instrument? and use?
* Crane Pick
* elevate whole roots or teeth after purchase point has been prepped w/bur
40
What is this instrument? and use?
* Root tip pick (apex elevator)
* small root tips from sockets
* vertical displacement concept→tip into PDL
