Surgical Instruments Flashcards
Name of forceps and where are they used
Named 1 and 99 (same)
Maxillary anterior Teeth
Orientation of beaks to handle for maxillary forceps
45 Degree angle
OR
Parallel to handle
Orientation of mand forceps
90 degrees to the handle
Name of forceps and where are they used
What other forceps have the same functions? (2)
150 (universal Maxillary)
1 and 99
*specifically used often for Premolars
Name of forceps and where are they used
LEFT: 150
RIGHT: 150A
**150A is premolar only (not for anterior teeth due to the parallel beaks)
Maxillary Molars 1st and 2nd INTACT
-Name of forceps (3) and types of teeth they adapt well to
- 53 R&L (designed for buccal furcations)
- 210 (designed for conical roots)
- 150 (also conical roots)
Name of forceps and where are they used
53 R/L
Used for Maxillary molars (intact) with Buccal furcation adaptation
Maxillary 1st and 2nd Molars (NOT intact)
(two types with 3 numbers)
- 88 R and L
- 89 (right) 90 L
Name of forceps and where are they used
These are A.K.A.
88 R&L
A.K.A. Upper cowhorn
***The two pronged side are palatal
Name of forceps and where are they used
-89/90
****Palatal beak is concave (instead of two prongs like 88 R&L)
Name of forceps and where are they used
210S
Utilized for Maxillary 3rd molars
****S means the beaks are shorter
Name of forceps and where are they used
286
Used for maxillary root TIPS
*more narrow and conical to reach into socket
ALL forceps used to remove Mx root tiips (2)
286
150 (universal)
Maxillary PRIMARY teeth forceps
150 S
S is for smaller
150 is universal and 150S is Primary tooth UNIVERSAL
Name of forceps and where are they used
151
Universal Mandibular
Name forceps and where they are used
74 Ashe
Used for Mand anteriors and premolars
Name forceps used for Mandubular anterior and premolar teeth (3)
151 (universal)
151 A (Premolar)
74 Ashe (Anterior and premolar only)
****ALL mandibular
Name forceps and where they are used
17
Used for intact Mand Molars
(designed for the 2 roots of Mand teeth, not conical ROOTS)
Forceps used for Mandibular Molars (3)
151 (universal)
17
222
Name forceps and where they are used
A.K.A.
Prong destination
Proper technique
23
Used for not intact Mand MOLARS
A.K.A.: Lower cowhorn
Prongs Destination: Enter and under furcations (B&L)
Technique: 1. Squeeze (uses B&L cortical plates as fulcrums)
- With slight B&L rocking
Name forceps and where they are used
222
Used for ANY CONICAL Mandibular Molars
Forceps used for Mand Root tips
151 (universal)
Forceps used for Mandibular Primary Teeth
151 S
(universal)
Three components of an Elevator.
what is its function?
- Handle
- Shank
- Blade/tip
Function: is to displace the root
Three types of elevators
- Straight
- Triangle
- Pick
Mechanism of action for
- Straight
- Tri
- Pick
- Straight - Displacement
- Triangle - Wheel and axle (Rotation)
- Pick - Lever action (fulcrum is bone)
30 and 31
Type
A.K.A (3)
Where/when is it used?
Type: triangle
A.K.A. : CRYER, east-west, flag
Where/when: Mand molars after one root is removed (not for full root system) : Retrieval
41
Type
A.K.A (1)
How is it used?
Type: Pick
A.K.A.: Crane Pick
How it is used: Requires “purchase point” (as lever fulcrum)
*purchase point is a hole made to insert and retain elevator tip for a fulcrum
73 and 74
Type and Mechanism of action
A.K.A (1)
Where/when is it used?
Type (straight) but LEVER ACTION (not displacement)
A.K.A.: Miller
Where/when: Impacted Maxillary 3rd molars
Potts
Type: Special*
Where/when?
Type: straight WITH T-shaped handle bar
Where/when: Impacted Maxillary 3rd molars
34-S and 46 ALSO 301
Type
Where and when
Type: Straight
Where and when: Seems to be universal *most commonly used
34-S and 46 are LARGE elevator
301 is small elevator
Apex elevator
Type:
When/where is it used?
Type: Pick
Where/when: any tooth with fractured root tips
What is a rongeur?
What are the two types and the difference(s)
A rongeur removes bone (scissor-like) [Wire cutter design]
Types
- Side cutting: for large areas of bone
- End and Side cutting: pinch off minor areas of bone
Bone file
what is its number?
Function:
Technique: *
Bone File #12
Function: SMOOTHING of bone (not gross removal)
Technique: Pulling strokes only
-So it is not just burnishing
Name:
Type of insturment:
Describe each end:
What is the function of each end?
Molt #9
Type: Periosteal elevator
Ends: Sharp and Broad/flat
Sharp end: Loosens papilla
Broad end: Elevates tissue from bone
2 Common types of scissors
Kelly: slight curve at points
Dean: curved handle ***PICTURED
Which is needle holder vs Hemostat?
What is a needle holder used for?
LEFT is Needle holder
RIGHT is hemostat
Needle holder used for: SUTURES
Differences between needle holder and hemostats?
- NH: beaks shorter and stronger
- NH: cross-hatched beaks
- Hemo: Parallel grooves
Surgical blades:
Names
TOP: #15 (most common)
Bottom: #11
What is the handle used for surgical blades?
PBR
Bard Parker 3!
Four types of tissue forceps
Adson
Stillies
*Cotton-retrieval only
*Russian- actually its a final removal forcep for teeth and roots
Pnuemonic (Russians Still Add Cotton)
two functions of mouth prop
keeps mouth open
prevents stress on TMJ for mand teeth extraction
TISSUE RETRACTORS!
Why do we use them?
What are the two types
prevent injury to operators fingers (and visualzation)
Austin (90 degrees)
Minnesota (in our clinic and pictured)
What suction tip has a smaller orifice?
Surgical suction tips
Why would one want a surgical handpiece instead of restorative?
The restorative exhaust (air) is high pressure and in the operative field.
-can cause tissue emphysema/infection
What burs for sectioning teeth and bone removal for surgical procedures?
3 types
4 total burs
Straight fissure: 557
Tapered fissure: 702, 703
Round: #8 round bur
