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
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2
Q

What are the numbers for each mandibular forcep?

A
  • 151
    • mandibular universal
  • 74N
    • Ash
  • 13
    • (looks like ash)
  • 17
  • 23 (87)
    • cowhorn
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3
Q

No. 150

A
  • All Maxillary Teeth (universa)
    • 150s=primary teeth
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4
Q

No. 1

A
  • Straight forceps
  • maxillary incisors and canines
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5
Q

53L & 53R

A
  • Maxillary Molars
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6
Q

88L & 88R

A
  • Upper Cowhorn→Maxillary Molar
    • severely decayed crowns
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7
Q

No 65

A
  • Bayonet Forceps (No 286)
  • remove maxillary molar roots or narrow premolars
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8
Q

No 151

A
  • Mandibular Universal Forceps
  • all mandibular teeth
    • 151s=primary teeth
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9
Q

No 74N

A
  • Ash Forceps
    • mandibular anterior teeth
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10
Q

No 13

A
  • Serrated Beak
    • mandibular premolars
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11
Q

No 17

A
  • Lower molar forceps
    • can’t be used with fused roots
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12
Q

No 23

A
  • Cowhorn Forceps (no 87)
    • mandibular molars
  • Pump handles
    • improper use=untoward effects
      • fracture alveolar bone or damage maxillary teeth
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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
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14
Q

What is this instrument? and use?

A
  • Bone file/rasp
    • final smoothing of Bone
      • before suturing
    • Pull stroke
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15
Q

What is this instrument? and use?

A
  • Mallet and Chisel
    • Chisel edge must be sharp
      • Single or bi-bevel
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16
Q

What hand pieces are used to remove bone?

A
  • Stryker CORE impaction drilll
    • electric handpick
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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
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)
  • 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
Q

What is this instrument? and use?

A
  • 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
Q

Retractors: function & types/names

A
  • 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
Q

What is this instrument? and use?

A
  • Austin Retractor
    • Right Angle
  • Retract cheek, tongue or flaps
28
Q

What is this instrument? and use?

A
  • Minnesota retractor
    • offset
  • retract cheeks and flaps
29
Q

What is this instrument? and use?

A
  • Seldin (bottom)
    • leading edge is not sharp
    • dont elevate mucoperiosteum
    • retract soft tissues
  • Henahan (bottom)
30
Q

What is this instrument? and use?

A
  • Weider/Sweet heart
  • tongue retraction
  • dont position to posterior=gag
31
Q

What is this instrument? and use?

A
  • Hemostat
  • control hemorrhages and dissection
32
Q

What is this instrument? and use?

A
  • Fraser suction tip
    • place finger over hole→increase suction
33
Q

What is the purpose of suctioning?

A
  • 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
Q

Purpose of using dental elevators?

A
  • luxe teeth from surround bone
    • easier to remove w/dental forceps
  • minimize broken roots, teeth, and bone
35
Q

Indications for use of elevators

A
  • 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
Q

Rules of Elevator use

A
  • Never use adjacent teeth as fulcrum
    • unless tooth is being extracted
  • Control movements to avoid slipping
    • damage soft or hard tissues
37
Q

Straight Elevators

A
  • 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
Q
A
  • Cryer elevator-most common
    • Aka East West elevators
  • Remove broken root
    • when adjacent socket is empty
39
Q

What is this instrument? and use?

A
  • Crane Pick
  • elevate whole roots or teeth after purchase point has been prepped w/bur
40
Q

What is this instrument? and use?

A
  • Root tip pick (apex elevator)
  • small root tips from sockets
    • vertical displacement concept→tip into PDL