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BDS2 Oral Surgery > Oral surgery instruments > Flashcards

Oral surgery instruments Flashcards

1
Q

One indication for extraction is if the tooth is unrestorable. What makes a tooth unrestorable? (6 points)

A
  • Gross caries
  • Advanced periodontal disease
  • Tooth/root fracture
  • Severe root surface loss
  • Pulpal necrosis
  • Apical furcation
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2
Q

Apart from unrestorable teeth what are other indications for extractions? (4 points)

A
  • Symptomatic partially erupted teeth
  • Traumatic position
  • Orthodontic indications
  • Interference with construction of dentures
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3
Q

What do straight upper anterior forceps look like?

A
  • Perfectly straight (totally flat)
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4
Q

Where in the mouth are straight upper anterior forceps used?

A
  • Upper anterior of the mouth

- Use from canine to canine

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5
Q

What do Upper universal forceps look like?

A
  • Slight curve
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6
Q

Why do upper universal forceps have a slight curve?

A
  • To allow them to reach further back in the mouth
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7
Q

What teeth can upper universal forceps be used for?

A

Can use on canine and a bit further back to the premolars

  • Usually used on single rooted teeth
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8
Q

Why are there upper R and upper L molar forceps?

A
  • Upper molars usually have 2 buccal roots and one palatal - need forceps that can engage two things on either side
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9
Q

What are the tips of upper molar forceps like?

A
  • Smooth end on one side - concave (designed to grab the palatal root)
  • Buccal side have 2 roots - there is a point then goes back again so there is a triangle
  • Point is designed to go into the furcation between the buccal roots
  • Pointy one looks like a duck’s beak - beak has to be on the cheek side (buccal)
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10
Q

What are the 3 types of lower forceps?

A
  • Lower universal forceps
  • Lower molar forceps
  • ‘Cowhorn’ forceps
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11
Q

Do you need lower R and L molar forceps?

A
  • No, the lower molars have mesial and distal roots - end should be pointy on each side
  • Lower molar forceps work for both sides
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12
Q

What is the difference between upper forceps and lower forceps?

A
  • Have a 90 degree bend
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13
Q

What are you aiming to do as you move the forceps?

A
  • Aiming to expand the pocket
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14
Q

What are the tips of lower universal forceps like?

A
  • Tips are concave on both sides

- Designed for lower anterior’s up to canines and maybe premolars

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15
Q

What are the tips of lower molar forceps like?

A
  • 2 pointy beaks
  • Triangle shaped
  • Designed to engage the buccal furcation and the lingual furcation’s
  • Mesial and distal roots
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16
Q

What are the tips of cowhorn forceps like?

A
  • Very pointy compared to other instruments
  • Very highly polished so very smooth
  • Designed to be used only in 2 rooted lower molars (the roots have to be separate from each other)

-

17
Q

How do you use cowhorn forceps?

A
  • Put it down into the furcation and then squeeze it - 2 points will go towards each other by squeezing and will pull the tooth out
  • Don’t try to mobilise the tooth with these - too smooth so will not move the tooth
18
Q

What are the 2 types of bayonet forceps?

A
  • Upper bayonet third molar forceps

- Upper bayonet root forceps

19
Q

Which type of forceps is used to access upper wisdom teeth?

A

upper bayonet third molar forceps

  • Z shape
20
Q

What is the shape of upper bayonet third molar forceps?

A

Z shaped

21
Q

What are upper bayonet root forceps used for?

A
  • Used for removing little roots

- Narrow

22
Q

What is the extraction technique for lower molars?

A
  • Work standing up
  • Stand behind patient for left and on front of patient for right
  • Little bit to the left for lower left
  • Little bit to the right for lower right
23
Q

What is the extraction technique for lower premolars?

A

Same as for lower molars

24
Q

When would you stand at the front of a patient when doing an extraction?

A

For lower right molars and premolars and all upper teeth

  • Always stand on the patients left hand side
25
Q

How would you lie the patient for an extraction of their upper molars?

A
  • Would lie them a bit more flat
26
Q

What is the name of the elevators that begins with a ‘C’?

A
  • Coupland’s

- Can get a 1, 2 or 3

27
Q

You can get a R and L Cryer’s elevator. How can you check to see which is R and which is L?

A
  • Hold so concave surface is pointing towards the ceiling

- Pointy bit have to be pointing at each other

28
Q

What are Cryer’s elevators good for?

A

Good to get little bits of retained roots

29
Q

What are the 3 types of Warwick James elevators?

A
  • Straight
  • Right
  • Left
30
Q

What are Warwick James elevators used for a lot?

A
  • Use a lot for wisdom teeth

BDS2 Oral Surgery (3 decks)

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