Surgical Instruments Flashcards by Noland Broekemier

Name of forceps and where are they used

Named 1 and 99 (same)

Maxillary anterior Teeth

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Orientation of beaks to handle for maxillary forceps

45 Degree angle

Parallel to handle

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Orientation of mand forceps

90 degrees to the handle

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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

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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)

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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)

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Name of forceps and where are they used

53 R/L

Used for Maxillary molars (intact) with Buccal furcation adaptation

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Maxillary 1st and 2nd Molars (NOT intact)

(two types with 3 numbers)

88 R and L
89 (right) 90 L

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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

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Name of forceps and where are they used

-89/90

****Palatal beak is concave (instead of two prongs like 88 R&L)

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Name of forceps and where are they used

210S

Utilized for Maxillary 3rd molars

****S means the beaks are shorter

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Name of forceps and where are they used

286

Used for maxillary root TIPS

*more narrow and conical to reach into socket

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ALL forceps used to remove Mx root tiips (2)

286

150 (universal)

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Maxillary PRIMARY teeth forceps

150 S

S is for smaller

150 is universal and 150S is Primary tooth UNIVERSAL

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Name of forceps and where are they used

151

Universal Mandibular

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Name forceps and where they are used

74 Ashe

Used for Mand anteriors and premolars

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Name forceps used for Mandubular anterior and premolar teeth (3)

151 (universal)

151 A (Premolar)

74 Ashe (Anterior and premolar only)

****ALL mandibular

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Name forceps and where they are used

Used for intact Mand Molars

(designed for the 2 roots of Mand teeth, not conical ROOTS)

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Forceps used for Mandibular Molars (3)

151 (universal)

222

Name forceps and where they are used

A.K.A.

Prong destination

Proper technique

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

1. Straight 2. Triangle 3. Pick

Mechanism of action for 1. Straight 2. Tri 3. Pick

1. Straight - Displacement 2. Triangle - Wheel and axle (Rotation) 3. 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?

1. NH: beaks shorter and stronger 2. NH: cross-hatched beaks 3. 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